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HomeMy WebLinkAbout066-210-052f4 1 N X18//?9 66-21-52 Al- &•Virginia Freitas 20 'Tufts' Ct . , lot 291, CC#4, Magalia contra Marvin R. Andersori,'Paradise Permit 2841'-77P,E(UTIL. ,MH) _ ELEC : ,94`' GAS= i' SUPP RT STR CTURE .REQ:' -z -1,o COMPAC TIN TEST REQ. -7,t,o r AP ' 66-21=52 -�- � ,Permit 4020-77B CONTR:•Lloyd Robe ts, Ma ali ^� �(Onen_deck/���� MHS 66-21-52 t` Contr:-Johri Doremus,-Chico Permit #4189-77MHI' 'i;; ssued, ,f y 66-21-52 Perm't #4397-78`(ndl�w/deck/MH) f '66=`21= 2`:,� r REYNOLD SIGE- . >13516 Tufts Ct, Magalia r. 4 ContR Ken Brown Const Permit#1618-89B,E(new arage), _24119B. t s, �r UWE,.'Wi11iam, :S>13516A Tufts,Ct; Wdgalia contr '.J&rry'Helnemann4 J� r `� � Wil' ' ■'. 1 .� 'cover;existing deck/mh�;fa O Cfll � CSI ' CN RESIDENTIAL 066-210-052 92-2429B LOWE, William 13516 Tufts Ct, Magalia contr: Jerry Heinemann cover existing deck/mh JOB FINAL Signature J=OK 0 Not OK " e =Not ApplReady. MOBILE HOMES ' =Not Ready,. �- Da*e MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ P L" ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECOYJE22CARPORTS, GARAGES, Plans OK except #'s Zo g Requirements -Setbacks -Easements ootings; Soils -Size -Depth -Spacing -Connectors -Steel 3. De ks; Griders and/or Joists -Decking -Bracing -Stairs -Rails ood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; hthg-Roofing 1j1. .; Steps -Doors -Landings Date L' rd B-1 S Date Card B-1 Date and B-1 Date Card B-1 Date P LS (Plans K e ept #'s 1. Setbacks-Eas encs 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes- Enclosu res-Panelboards-I ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (; Date UNDERFLOOR (Plans) OK except ft's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle ------------------ ------------------------------ 17. Water Pipe: Test & Anchor -Nail Protection -------- ----------------- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection --- ---------------------- -------------------- 19. Shower Pan: Test, First Floor -Tub Access ----------------- ------------------------------ 20. Test Tub & Shower. Second Floor -Tub Access -------------------- ------------------ ------------------ 21. Gas Pipe: Size & Anchors --------------------- ----------------- --------- ---- ------------------... Date Card B-1 Date Card B-1 ---------------------- ------------------------------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection -------------------- - ------------ 23. Elec.-Receptacles Spacing -Lights & Switches at Doors - ------ --------------------------------------- ------ 24. Size Boxes & No. of Conductors -Stapled ------ ----------------------------- --------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------------------------------------------------- 26. Equip. Ground made up w/Meeh. Fastners-Bond Gas & Water ------------------------------------ - ----------------- - ---------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ---------------- -- ----------------------------------------------- -------------- 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI ------------ ---------------- -------------------------- 29. Range Circ. ! / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral C1 Yes ❑ No ----------------------------- ----------------------- - - --- -- - 30. Service -Riser Conductors & Ground -Main Disconnect ------------- ----------------------------------------------- 31. Equip_Clearances Panels-Motors-Mech. Equip. --- ---------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---------- --------------------------------------------- 33. Smoke Detector -------------------------- ------------------------------------------------------ Date Card B_1 Date Card B_1 --------- ---------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except ft's 34. A.C. Ducts Insulation & Support ----------------------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation ----------------------------------------- -------------------------------------- 36. Condensate Drain & Overflow: Size & Grade ------------------------------------------------------------------------' 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ----------- --------- ---- -------------------------------------------------- 38. Attic Access & Platform if Furnance in Attic ----------------------------------------------------------------------------------- ------------------------------------------- - ------------------------------------- Date Card B-1 Date Card B-1 •--------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except N's 39. Sils. Proper Material & Anchors - .. - ---------------------------------------------------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound --------------------------------------------------------------------------------- 41 Bearing Walls over Girders & Floor Nailing --- ------------------------------ --- --- ----------------- 42. Draft Stop in Walls (rat proof) ---------- ----------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ---------------------------------------------------------------------------- 44. Headers & Beam -Size & Bearing jingle & Duplex) Date .FRAMING (Continued) - 45. Hangers -Post Caps -Anchors -Connectors 46.-Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions --5-0,-Garage Fire Protection Framing Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits _________ 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection ------------54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---- --- 55. Siding -Nailing Veneer -------------- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ------------------- - 57. Glazing Area -Glass Protection -Skylights -Plastic ---------- ---------- 58. Shear Walls: -Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows ----------------- Date ----------------Date _ _ _Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except k's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector --------------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ------------- 64. ------- 64. Bedroom Exiting -------------- 65. _G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels -------------- -------- - --------------- 67. Stairs -&-Rai-Is---- 68. Rails68. Fire lace or Stove: Clearances -Hearth ----------------------------- 69. Elec. Outlets at Wood Panel. Int. & Ext. ------------------------------ 70. Kit.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance ------------71-.--Elec.-Outlets & -Receptacles at Kit. Counter --------------- -- ---- 72. Garage Fire Door; Swing -Landing -Closer ---- ----------------------------- ---73.--A.C.-9 -- Duct in --Gara a - Damper ----------------------------------- -- 74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection 75. Plb. Elec. & Mech_Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection ----------------------------------- ----- 7,. Insulation -Foam -Looked in Attic ❑ Yes ---------------------------------------- 78.-Guard-Rails & Deck Construction -Post Caps ----------------------------------- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -------------------------------- ------------- .---- -- -- -- 81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing - -------------------------------- ------ - 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing ---------- ------------------ 85. ----- ---85. Exterior Elec. Trim; G.F.I. Receptacle -Underground - - --------------------------- ------- 86. Ventilation Throughout House - --- --- -- - ----------------------------------------- 87. Glass Protection --------------- 88. ---88. Corrections from Previous Inspections ------ -------------- -------- 89. Gas Test -Meters Tagged; Gas -Electric ---------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates --------------------------------------------------- ---- Date Card B-1 Date Card B-1 --------------------------------------------- --------- Date Card -B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT I I �A ASSESSOR PARCEL NUMBER 066-210-052 ZONING RT 1 BUILDING PERMIT OWNER WILLIAM-L9W'F, Lo TELEPHONE 873-2652 SO. FT. OCC. BUILDING VALUATION ' OWNER'S MAILING ADDRESS 13516 TUFTS CT MAGALIA 95954 C_ CONTRACTOR'S NAME.L:E;_P-MON JERRY HEINEIMANN E_ 877-6834 CONTRACTOR'S MAILING ADDRESS�•- P.O. BOX 704 PARADISE 95969 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is 697'-�(}� LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 67.50 75,ein ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 33.75 .50 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING5 13516 TUFTS CT MAGALIA 95954 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. 291 SUBDIVISION NAME P. P. C. C. UNIT #4 PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeq Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition] Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: COVER EXISTING DECK Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 0V OR LESS 2000A OR LESS 18.50 Main service 200A TO 1000A) 37.50 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. •��O�I1 ? Classification c� ❑ 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 CONST. ( DWELLING OCCUP. tr\ OR ADDNS. ACG. BLDGS. / 3.64 sq.ft. NON•RESID% BRANCH CIRC T ITS @ 5.00 POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURESFIXED 20 76 APLNS. Ex. Occup. OUTLETS (PRESIO.)REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. XI shall not employ any person in any manner so as to become subject _1' 1 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judg ents, costs, and expenses which may in any way accrue agai ki ou in consequence of the granting of this perm 't. Z /3 2 si nature of Applicant - owner 9 pp ❑ Contractor TV Agent � "l An OSHA permit is required for excavations over 5'0" deep and demolition or construct- of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ Z7, 0 DCC CONST TYPE TOTAL FEE $ _tr6 HAz 1 0FEES IMP FLOOD DF PARCEL I PD HO ISSUE This permit is hereby issued under the sions sions of the Butte County Code and/or workSincated, oe for which fees DI OF IC PER IT XPIRE ate applicable provi- � resolutions to do have been aid. pion WORKSOBYDate Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -, .. ._ .. ., .. 'a ,- ..il�'i.... i7n�1'.r' a':ani•ry Y. ;�. ryr"'_.r 'rte, ,_, .... R "� :COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION- . 7 COUNTY CENTER DRIVE - OROVILLE CALIFORNIA 95965 - TELEPHONE (916) 538-75, 1 PERMIT APPLICATION DATA SHEET V" f Lew A. P. No. 6f - 2i a - 05 OWNER / A M Proposed Building Use C✓ A0 Gk /1 Building Inspector CS -i DateZ- At time of rmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE RECEIVED BY 1. All items have been submitted. . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ................ 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ........... 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 0. eesof$ �� .......................................... Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer .................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . ,116. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: • . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. ... . 20. Pre -inspection for to Buispedins rector required. . . to Building inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation o Acreage App'Wal--74��� Date Copy of Haz-Mat form sent, Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. - 2. Additional items required: CoAtractor signer, owner, was advised of above required data by hone _ mail Counter by Date 7i Con ractor, designer, owner, was advised of above required data by _ phone _ mail C nt by _ Date Plans checked by Date Plans approved by Date 7 - Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works -' �• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARC€L NUMBER )o r Q �� 6 l/7 20N1 G /�� BUILDING PERMIT OWNER /.9M o t,J � / Z- /- L T LE 52. PHONE 73 X2 SO. FT. OCC. BUILDING VALUATION God $" 6 OWNER'S MAILING ADD r ; /r1/� /�� 0 r•L 33 s l Tv _lT//�� /` / / S CONTRACTOR'S N AME -CIO, /`4, eE�1977-69341 TELEPHONE ,G b _uu.. �o X /� `� //Ride r �j9�7 CONTRACTOR'S MAILI A+� pp Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ $S6 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ C7. So ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 3 3 . 7 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 13 sI TV C Each Trap 5.00 G/9 L J Solar or heat pump water heater 20.00 LOTGNO.SUBBDIVISION { l NAME / /• C • C , Ui / r L/ PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomez Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G I W @ 15.00 TYPE OF WORK New ❑ Addition [Remodel ❑ Utilities ❑ Installatioon�❑ Other ❑ Describe work: ✓9 ��%G� [ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 1 Main service 600V OR LESS j $,50 200A OR LESS Main service 200A TO 1000AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License ;4o. saos's-�, Classification c�, 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 CONST. ( DWELLING OCCUPM 3.60 sq.ft. OR ADONS. ACC. BLDGS. II NEW CONSTR. ULTI.OUTLET @ 5.00 NON.RESI BRANCH CIRC ITS (POWER APPARATUS e (SINGLE OUTLET cIR. ) Ex. Occup( OR FIXTURES 20 761! Ex. Occup. OUTLETS PIRESI DIFIXED APL .RE A.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 15.00 Heating Cooling Hood 6.50 Ventilation penult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judments, costs, and expenses which may in any way accrue again Co y in c@nsequence of the granting of this per it. X Date �� Sig tore of Applicant - Owner] Contractor Agent 1:1sions An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES ll6 Z HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi 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 PERMIT EXPIRES Date Receipt No. L 6 LO W.s. 1 3 S 1 to Tu ?-f_- S c¢.. NOTE.-- All Material Accordance with Recogniz �Workmanship shall Be ih ucdit ood Practices a a ,� . °f a 9 y prescribed for the Specified , ' Uniform Building, Plumbin p d u'se in ne �. the National Electrical Code Mechanical .Codand . 11�,1j Thls sit of pens and specifications MUST be 5�^ \ kept or4li� Job at\Qll times and it is unlawful to CIAL ROOF CC ERING REQUIRED. malse any 60nges o�zerations on same with- out writtenAission'�r' the Department of f At CL / Public Wofks, County of tte. a (:000 d d� e& Location of structures oo / / / %le9 � 4� ament shall be as s C72rag � SO D BUTTE COUNTY BUILDING DEPARTMENT' OD ��� `7/z o 7 -u44 -s c,+ i a. t"� v 122 2: iAA ok -V SPZ.,:\ . y_P,; _. _ F_xf.stL�c_r_L. P'E 14 Y BUTTE COUNTY BUILDING DEPART!MtEENT r L_ r,,e-If-, Sicla — J I-PhuZrj acz OA) IL. u 10, _ee� I?,.. )k. 66 Z/,o COUNTY OF SUM BUILDING DEPT JUL 0 1992 i in R 1618-89B,E PERMIT NO. PERMIT EXPIRES REYNOLD SIGH.. ` OWNER CONTR. owner 66-21-52 ASSESSOR PARCEL 13516 Tufts Ct, Magalia LOCATION 4; P� Jd 3t'. Il- Som r . 2K . PA ( ( Temp. Power Pole Called PG&E r"' . Temp.-Elec. Service Celled PG&E Temp. Gas Service t Called PG&E ' JOB FINALED (Date) Signature = OK 0- Not OK = Not Readyiable MOBILE HOMES . Date MOBILE HOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete - 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ -/"LPG 7. Utility Clearance Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -131 Date Card -131 Date Card -131 Date Card -131 Date ACJ= MISCELLANEOUS Date DECKS,COVERS,CARPORTS .ARAGEMPlans)OK except #'s j�Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-Rftrs.-Con nec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors q-.-Elec. a.FPmg; Sills-Anchors-Studs-Rftrs-Trusses iding; Nailing -Veneer -Stucco -Mesh Roof; Shthg-Roofing WExt.; Steps -Doors -Landings „,�f M.as w roL Card -131 CSG Date [0,23.,AgCard-B1 �� Date Card -131 (IG Dater_ " Card -61 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date = uK 0 = NotRESIDENTIAL (Single and Duplex) - =Not Applicable - ' = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks; -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties -Purl in -Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material -Su pprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -81 Date Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Card -131 Date Card -131 Date Date PLUMBING (Permit), OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test &.Anchors -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 85. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -131 Date Card -131 Date 67. Stairs &Rails Card -B1 Date Card -131 Date 68, Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 22. Fixture & Transformer Clearance -Ins. Protection 71. Elec. Outlets & Receptacles at Kit. Counter 23. Elec. Receptacles Spacing -Lights & Switches at Doors 72. Garage Fire Door; Swing -Landing -Closer 24. Size Boxes & No. of Conductors -Stapled 73. A.C. Duct in Garage -Damper 25. Romex Installed Close to Edge of Studs & C.J. 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 75. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑Yes 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 78. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 13 No 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 81. Stucco; Brown -Finish Card -131 Date Card -131 Date 82. A.C. Unit; Disconnect, Electrical, Plumbing Card -131 Date Card -B1 Date 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 84. Water Well; Disconnect, Electrical, Plumbing 34. A.C. Ducts Insulation & Support 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 35. Vent Fan; Exhaust above insulation 86. Ventilation throughout House 36. Condensate Drain & Overflow; Size & Grade 87. Glass Protection 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 88. Corrections from Previous Inpections 38. Attic Access & Platform if Furnace in Attic 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -81 Date 92. Roofing Certificate Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -81 Date Card -131 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -131 Date 39. Sills, Proper Material & Anchors Comments at Final: 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41.• Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearinq (NOTE: An entry must be made each time you visit iob site) r'+��F,{,.a)_ _. .:i2., �.., a 'R•• -i::Y^" _�l _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT N0. 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. -1 012t�A 0F r>A2 1`lCrur Tb rno6tLkL Inspector /—Z Li .,_.,. Date_ T /% ,8 9 COUNTY OF BUTTE - AF-PARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. CaIrfoka 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT 0� ASSESSOR PARCEL N MBERa 1. ZONING BUILDING PERMIT OWNER TELEPHONED �[J, SQ. FT. OCC.1 BUILDING VALU ION OWNER' ADDRESS /--357/10 . CONTRACT R'S NAM Yv✓,� LEPHONE CONTRACTOR'S CATLING ADDRES _ Y_ -5a %� Fireplace CONSTRUCTION LENDER V UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 135110 ✓/• Permit fee ,$ PLUMBING PERMIT Filing Fee .30.00 ' Each Trap 1 2.00 Solar or heat pump water heater 1 20.00 LOT NO. UB.I NAME - Is PARC€L AP 3 0!(//_ /Y/�/t Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SP CI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ff Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 2,2420 I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS t00 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I de I re under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Profess' o s ode and my license is in full rce and effect. License No. Classification ❑ as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N , Cil OR ADDNS. ACC. SLOGS. e /sQsgft NEW CONSTR U TI -OUTLET NON -REST. BRANCH CIRCU, TS2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. OCcU OUTLETS OR FIXTURES 20050t P DAL030 EOFIXED APPLNS. R x.CCup. OUTLETS ((RESID )EA.1 2.00 ' Temporary service 10.00 Mobile Home Facilities 15.00 ' Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or' a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee _ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot abov mentioned property fr inspectio Balsouttetagrne to sa ehendemni�fy and keep harmlessothe Countynof Bpurute against all li ilit es, Ju gm n s, costs and expenses which may in any way accrue agains sai Co ty i on eq of the granting of this permit. %� ate �� Signature of pplicant — 01ner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL P •RMIT FEE C PLoa PAp Ey ND 139UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �6 2 Date Irl 4 Sl_ 56-1-67 Receipt No. WHIT[-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT - 7�..�NL...°i-�. ,.w1 :`-..�-.,':..,�.'r.�.. ."^�. .'r�'H?�y. • r i .;.w�'s�.•..-""v'�i r\iJY ^ir + ..._�•.^.'S+«. ti^-i_,�.-....,�.,�,...r. `, v COUNTY OF BUTTE - DEPARTMENT. -OF PUBLIC WORKS - BUILDING DIVISION. - 7 COUNTY CENTER DRIVE - OROVIL•LE, CALIFQRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION- DATA SHEET Proposed Building Use A. P. No. Building Inspector Date <1-2� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer�of plans........ - 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions'....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... -12. School District fees paid ................. 13. Sanitation approval from �'� �� Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ..... Pre-Inspec. request to Building Inspector (Date) 20. Contractor's license information (No., Name Style, Classification) ....... 21. Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mail �/to owner. Mail to contractor. Telephone x-13 /a/.5 and hold for pickup at /'"�4Lf'office. Deliver w/inspector. Other 1 Applicant Date r Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked abbve). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---naiI-counter by date Contractor, designer, owner, was advised of above required data by -phone -Mai I -counter by date (� Plans checked by Date Plans approved by Date 'a a Sets of plans on hold in File cabinet AP folder .54.,"G 7 Copy -DPW 4 TO.: Building Department . `Z FROM: Environmental Health SUBJECT: SANITATION CLEARANCE 0 WN R Plans approved for: Hold final for: LOCATION AP # Sewage Disposal & Water Supply !� Final Clearance O.K. for: Clearance for bedroom mobile home. Other Clearance for addition of Not 2- 2, ° X26 Water Supply Water Supply ITARIAIN DATE L> 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 .Deerrmit number—191 �i�,� `% for the following location: �% A Owner Owner's Address 6 �n Mobilehome Mfg. C 7� iN1 %��UN Model �� r1 '?moi! Year Insignia N'o.0I44'V C) /1 t/3ZQ Serial No.2-99 20D-D—� It is hereby certified for occupancy at the above described location and may be occupied. Director �of Public Works Date " / ,l By DA �X l� Id. . , � ,�_ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED i" - PERMIT NO. 2841-77P,E PERMIT EXPIRES OWNER Al .& Virginia Freitas CONTR. Marvin R. Anderson,' Paradise LOCATION (A.P. 66-21-52 fi 20 Tufts Ct., lot 291, CC#4, Magalia A, Temp. Power Pole Called PG&E Temp. Elea Serv- Called PG&E Temp. Gas Serv. _jr-- Called PG&E JOB FINALED 7 6rD COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING s e C It rewall Sd#J Piping Fornk Pa pets 11k Floor Main Idg. Rest om Finish 2nd loor Foo ' s Windo 3rd Acor Stemw II Sidina To out Slab Roof Sheaking Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s A Prov. for ph slcall handica edy Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Slab Final Sanitation Patio IREPL CE Final Footincis Footing E11JECTRICAX Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam AlRiE SPRINKLE Framing Test Stucco Final Mesh MECHANICAL A HeatirlA Cool g _ Du s h V ntilation oor Closer anal W.BILEHOMEUTILITIES ----- ----,.----Elec- Service Water Piping – -7, % Sewer F ME iNSTALLATI N - - - - - - Support Water Piping 1, 7717 Drainage DATE REMARKS OR CORRECTIONS — Ix Oil i'h- l Motors Water Htr. SubDanel Tpinp. Pole nder round Permanent Final , Z4'0 Elec. Pedestal 7-')-'3 2, Gas Piping _ Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) ��� W, COU!';JY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ��' 7 County Center Drive — UroviIle, Cal itornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT L BUILDING Owner F SQ. FT. OCC. BUILDING VALUATION Mai I Ing Address Telephone No. Fireplace Contractor Total Valuation Mailing dress n Permit Fee Plan Checking Fee &/or Penalty Tele hone No. Permit Fee Building Address PLUMING No.1 @ FEE PERMIT FILING FEE $3.00 7 Each Trap 1.50 cc l/ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F eosef V(C. S*w+ Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg ans Recd Parcel oval PI s Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER -0 ELECTRICAL. No. @ FEE PERMIT FILING FEE $3.00 _ •Lvs`. Main service 100 AMP OR00V OR LESS5.00 l� Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER e00v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OWELING OR ADDNS. ( ACCLBLDGS,CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( 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. f: Ex. Occup(OUTLETS OR FIXTURES)50 @25Q 109 Ex. Occup. ( OUTLETS P(RESIO )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �� License No. [[11��77 d 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. 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 $ J0 authorize ,representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ) -Od d-t�,e. Date Signatures of Permitee or Agent eceipt No. ( `` cJ� 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 UBLIC WORKS By Date eY V �J / / & g permit expires Date �"'��"' Ze BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 8. , Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No 75; 7 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ----------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural-/ / LPG 11. What .is.the.gas,pipe length from meter or tank to the mobilehome? 12 What- is- the mob l+ehbifie gas demand? ------------------------------ (BTU) (This in-for6� tion not required if pipe length less than 6 ft, on natural gas Jor—less than 50 ft. on LPG.) Y 2. Installer's name: 3. Is the site curren y under permit? Yes 4X1_1 No ( If yes, furnish permit number ��. �`� ) 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 / / No ( If no, clarify 5. What is the mobilehome electrical rating? ----------------------- �� Amps 6. What is the mobilehome site service rating? ---------------------a Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. , Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No 75; 7 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ----------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural-/ / LPG 11. What .is.the.gas,pipe length from meter or tank to the mobilehome? 12 What- is- the mob l+ehbifie gas demand? ------------------------------ (BTU) (This in-for6� tion not required if pipe length less than 6 ft, on natural gas Jor—less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA Mobilehome Mfr. bolo Setup Model No. Year Width -9-4 .(ft.) Length �G (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 fil.e.with the County of Butte) e�� - GOA Footin s (check one) U g _A 7% 1. Wood either _ pressure treated or Center Center Support1 1 fdn. grade. Support Footing Sizes Locations (in.) in.) (in -1 a i...-_..- x --- -J (in.)(in.) I x (in.)(in.) f 1 2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support JX x 36)1 Footing Size (` a `0 'Max. Pier J Spacing (ft.)oiri.) tl _- �J Max. (-ft,g BUTTE COUNTY BUILDING DEPARTMENT *If center piers are other than drawn above, A draw in locations, spacing, and dimensions. .P V E D �� qlu, waf` . PERMIT NO. 4020-77B . PERMIT EXPIRES rJ+ OWNER Alfred Freitas CONTR. Lloyd Roberts,•KKKXMM Magalia LOCATION (A.P. 66'21-52 20 Tufts,Ct., Lot 291, PPCC#4, Magalia Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp Gas Serv. Called PG&E JOBr—" FINALED J r (Date) (Signatur Reinf. Stucco Final Subpanels ° Mesh MECHANICAL Grd. Fault Prot. Scratch COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS Brown BUILDING INSPECTION RECORD Temp. Pole Finish 0 Underground Interior Lath BUILDING BUILDING (Cont'd) PLUMBING, Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Prov. for physically Appliances Carport Po handica ed Conformance of ex. Gas Piping &Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Reinf. 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 MOSILEHOME INSTALLATIPN - - - - - - - - - - - - - - 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 si,te.) `�. t•iOBTil"EHOME, INS`I'ALLAT'.1,0N INSPECTION CHECK LIST 1. Is the mobileh.omt located wi.l}T required separation from lot lines and buildings and generally Il conform to plot hlanZ� Yr_s" V No ?. Does the mabil.ehome have required clearances above ground? (Sec'5085) Yes V No 3. Are footin,-;s and supports properly sized, spaced, and braced as pe- approved plans? (Note possible variation at spring shackles.) (Sec, 5082 & 5083) Yes _V_ No ,_ 4. Is the mobilehome level.? (Sec. 5088) Yes `- No_ 5. If m�orthan a single unit, are crossover connections properly installed? (Sec.. 5088) Yes 7,140 5. Water A. Is fiei_ble 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 I- No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes . No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors.. at each end? Yes �No 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 rung 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 mobilehome gas line iri et without reductions other than the mobilehome connector. Yes No B. Test OK as per following proce re? Yes No 1. Open all appliance connec or valves.- 2. Shut off appliance burner a pilot valves. 3. Air test with manometer to 10'-14" water column, or test with slope gauge (minimum. 6oz.-maximum 8 oz.) calibrate in tenth pound increments. Test for 10 min, without drop. 4. Connect: gas meter to mc�bileho e with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly J. stalled? Yes No 9. Electrical A. Is service Large enoilgl. to provide ::idcquar_e amperage to mobile.'iiome. (must equal rating, of mobi.lehome faith a ::;inu::um of 100 amp) and other faciliti_�.:; on lot, i.e. , water pumps, -araoe, cabana, etc.? Yes✓ No B. Is them proper clearances around panels? Yes vNo C. Is power supply cord or feeder assembly properly fused? Yes ✓ No_ D. Is continuity test satisfactory as per the following procedure? Yes_✓No_ 1. De -energize electrical -siring 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 1,^gid of a test instrument to the mobilehome grounding conductor and 1 7 1 1 1 1_ 1. .. 7_ 1 1 Y apply tine oiix�' i.Gau to each ruouilehoiie supp,y corihictor, liicliiuLirg iieuLrdt. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, ,alter 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 to -;t shall then be made between the grounding electrode and the chassis of the t'iU obilehome. DOn satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. ;,t?, I;, job card signed by health Departmeat for water and sanitation? �.:.. If everything olray, sign off card and to services. -NU}3TLc,ilUi^L_UATA r yle Manufacturer and/or Names.: �l- Length lQe Width Vehicle Serial No. a0 State Identification No. �.__ q '3 / r.&,,Ltional Infornation or Cormp.ents: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' / 1 7 County Center Drive , Oroville, California 95965 / r 'Telephone: 534-4541 / APPLICATION AND PERMIT v/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 4,,,e�,­r Date gnature of Permitee or Agent Receipt No. 16 7-7oy, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. %DIR=LIC WORKSBy ` Date— Building ate Building permit expires Date�`� BUILDING Owner ��o c. SQ. FT. OCC. BUILDING VALUATION 00 00 Mailing Address Telephone No. Fireplace Contractor CGQ�� �1 Total Valuation US2 O'-' Mailing Address ��®X, Q/�y�� ��' Permit Fee Plan Checking Fee&/or Penalty Telep one No. e4e Permit Fee $ Building Address �O ^rS G�- 97,-6'-700 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 /v!�< Repair drainage or vent piping 1.50 Water piping 1.50 U��f� / p / C:0;1(-3W Each gas water heater or vent 1.50 A. P. No. �plD `� Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Siz 'on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans arcel Declaration P el Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. ans Recd arcel Approval Plan pprovaI Permit Fee $ $ NE ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service e00v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 60 Main service 1100 AMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCDWELBLDGLING OCCUP. &) 2¢sgft ( / NEW CONSTR. MULTI -OUTLET NON-RESID. ( 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) BAL21 Ex. Occup. (FIXED APLNS. OR OUTLETSP(RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.�%017 ./ 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 Wor en'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. 4,,,e�,­r Date gnature of Permitee or Agent Receipt No. 16 7-7oy, White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. %DIR=LIC WORKSBy ` Date— Building ate Building permit expires Date�`� ":a COUNTY OF BJ;JTTE• — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 5 le, California 95965 T�el dplione: 534-434-4541 APPLICATION AND PERMIT above-mentioned property for inspection purposes. x,� , ,�/l�ha pate 477 Signature of Permitee or Agent Receipt No. I(/ 7F 31 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 n— ate- 7;2 Building permit expires Date - 7g- BUILDING ownerAl & Vir inia Freitas SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Nh, j i n Total Valuation Mailing AddressPermit 955 WAgganer 'Rd - Fee Plan Checking Fee &/or Penalty Telephone No. • G og-_ Permit Fee Building Address o TC., PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �•` CC 4 Lot 291 Each Trap 1.50 Repair drainage or vent piping 1.50 tan$ng V®rmcaflon Only Water piping Each gas water heater or vent 1.50 A. P. No. `a2I� T Zan' Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F vtrC. S to Fire Dept. Fire Zone Use Permit Building sewer EQA Parking Parcel Plans Declaration Parcel a p 0' R/W Im prov ents Lawn sprinkler system 2.00 BI CP®need 00"$ Par 4A p p ro I Plans Approval Permit Fee $ o0 NEW ® ADDITION ❑ UTILITIES' OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50OVER i Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 i00 SQ, FT, MINIM11M NEW CONST. DWELINGOR ADDNS. ( ACCLBLDGS.CCUP. &) 2¢sgft NEW NON-RESID R. ( BRANCH CIRCUITS) '2.50ea EOR MOBILES NON-RESID R (POWER SINGLE OUTLET TCIR.US & 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: Alfarvi n R_ And Prgr)n Ex. Occup(OUTLETS OR FIXTURES) BAL@@ (FIXED Ex. Occu FIXED A P( LNS. OR RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 t♦S License No. 274092 Classification. A Rr. B 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. ® 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. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood -FT 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 ✓��" e�° �� l" ^ TOTAL PERMIT FEE $ %� above-mentioned property for inspection purposes. x,� , ,�/l�ha pate 477 Signature of Permitee or Agent Receipt No. I(/ 7F 31 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 n— ate- 7;2 Building permit expires Date - 7g- PERMIT NO, 4397-78B PERMIT EXPIRES OWNER A. L.` Freitas CONTR. E113naRx owner 66-21-52 LOCATION (A.P. ) 20 Tufts Ct., lot 291, WK, Magalia x Temp. Power Pole Called PG&E _ Temp. Elea Serv._ Called PG&E _ Temp. G?;Serv.AV _ Ull d PG&E _ VJB FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING :(Cont'd) PLUMBING Setback j'? Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwal P Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents , Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings handicar pehysically Conformance o ex. structure Appliances Gas Piping & Test Temp. Gas ` Slab Final Sanitation Patio FIREPLALE Final Footin s Footing Masonry Walls Throat Reinf. Steel Final Bond Bean FIRE SPR KLERS Framing $ / 7 Test Stucco Final " Mesh MEdHANICAL " Scratch Heating Brown Cooling Finish Ducts Interior Lath- Ventilation Door Closer Final ' MOBILEHOME UTILITIES ------------------ Elec- Service Water Piping Sewer E ME INSTALLAT ON - - - - -.- - - - - - !7 - Support Water Piping Drainage DATE REMARKS OR CORRECTIONS ELE TRICAL Rou h Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Po Under ro nd Pennan nt Final Elec. Pe estal Gas Pip' g Elec. Tntinui y Gas Pi inq (NOTE: An entry must be made on this form each time you visit the job site.) dW COUNTY OF.;BUTTE — DEPART)1IENT OF PUBLIC WORKS .County Center Drive - Oraville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT A �vr+�c.�cn wa,I v� u,c Vvullly v, Quilt lV c111C1 UjJVII IIIc above-mentioned property for inspection purposes. X 4 7 Date nature of Permitee or Agent Receipt No. 1-7 a ate) 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 -r - Date _%`a -R -7F uilding permit expires Date 7'x-7 BUILDING Owner F• s�'�^ SO. FT. OCC BUILDING VALUATION Mailing Address V C elephone No. 0 172, ContractorE) Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee . n 4 Fry PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 / A. P. No.( (a —,:;2 O"S Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fal kt.' n I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 0' R/W Improveme s Each additional outlet .30 Building sewer 5.00 BldgL01(ans Rec'd Parcel A r al Plan pprovol Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 SinSingle Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ Main service 600V OR LESS_ t00 AMP OR LESS 5.00 Main service EA- ADDtoo AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 1.00 OR ADDNSNEW // CONST. ACC. BLDGS.DWELLING CCUP. &) 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: NEW CONSTR MRATNC.UTL T NON-RESID. � BRANCH CIRCUITS) J2.50ea NEW CONSTR. /POWER APPARATUS6, NON.RESID. \SINGLE OUTLET CIR. 50 Ex. Occup{OUTLETS OR FIXTIia ES BAL t� Ex. OCCU // FIXED APPLNS. OR P. 1 OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 NQI 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. 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 $ TOTAL PERMIT FEE $ �vr+�c.�cn wa,I v� u,c Vvullly v, Quilt lV c111C1 UjJVII IIIc above-mentioned property for inspection purposes. X 4 7 Date nature of Permitee or Agent Receipt No. 1-7 a ate) 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. 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