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HomeMy WebLinkAbout066-240-049� 66-24-49 Marilee a9tinn 25 Delta Ct., lot 254-, CC#4 Magalia' contr: Marvin R. Anderson, Paradise Permit ##025-78P,E(ut' .,MH) GAS' SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. e7l--o - - -- 66-24-49 Permit #3891-79B,E(new pri.detached garage) 66-24-49 Contr: Oro ille Trailer Sles t PErmit#55 9=79MHI Issued --7 66-24-,49 Permit #5760-79B(!ew covered deck/MH) ` t tiq Chi C.t'�I CN d- r i PERMIT NO. 5760-79B PERMIT -EXPIRES OWNER Marilee Martin owner ' CONTR. 66-24-49 LOCATION (A.P. ) 25 Delta Ct., lot 24, PPCC#4, Magalia i 14 j z t C Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E 1 Temp. Gas Serv. Called PG&E Job NALED /�) 7f . (Date) (Signature) aona rseam FIRE SPRINKLERS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - Re� BUILDING INSPECTION RECORD BUILDING , , BUILDING (Cont'd) PLLRABING Setback/&l—/67-79 em Firewall Soil Piping Forms Parapets .1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing p —/-0 --73P m Sewer Garage Fdn. Vents Fixtures Footings Stemwal I NNI Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Slab Prov. for phsically handicaped Conformance of ex. structure Final 9-'. — Appliances Gas Piping &Test Temp. Gas Sanitation Patio FIREPLACE Final f` F o o t i n 2 s kr V0 t/ /D-/0 7 Footing ELECTAICAL Masonry Walls Throat Rough Reinf. Steel Final en.....e� aona rseam FIRE SPRINKLERS Motors Framing— Test Water Htr. Stucco Final Subpanels Mesh IME HANICAL Grd. Fault Prot. Scratch Heatin • 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 M12816EUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS,OR CORRECTIONS /ata -7y 1%i�r o�1 �Ii �wr T L6 �X LG �'� z +�/J �lr O lc /0 /Z- 7� 0/l �a �l'002 / ao��✓�s � .17�c��' Co�s.L , (NOTE: An entry must be made on this form each time you visit the job site.) COU\1 NTY OF BUTTE - DEPARTMENT OF PUBLIC WOR S 7 County Center Drive - `:Ioville, California 95965 TelepMne: 534-4541 APPLICATION AND PERMIT / (� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X r Date Ide- 7 Signature of ermitee or Agent Receipt No. —Z�al V -Lo f2 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 PUBLIC WORKS BY ^ Date Building permit expires Date BUILDING Owner L b�Aan A i SQ. FT. OCC. BUILDING VALU Mailing Address E Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 9Ej,7 Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 PTI IV, Repair drainage or vent piping 1.50 A. P. No. �v - 7i '- Zonir��hld,ning Water piping 1.50 Each gas water heater or vent 1.50 Fps 1 *6' ,S t on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Bldg. Plarh-R c'd Parcel Aroyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR L LESS5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑• Main service EA. ADD'L 100 AMP 2.50 ' Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBL GS,LING CCUP. 4'1 2�sgft r CONTR/`^TORS LICENSE LAW I am licensed under,:A provisions of 'Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW CONSTR MULTI-OUTL T NON-RESID, BRANCH CIRCUITS 12.50ea NEW CONSTR (POWER APPARATUS 8 NON RES,SINGLE OUTLET CIR, Ex. OCCUri(OUTLETS OR FIXTIIRES IBA10¢ 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 JRI 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. MrI 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 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X r Date Ide- 7 Signature of ermitee or Agent Receipt No. —Z�al V -Lo f2 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 PUBLIC WORKS BY ^ Date Building permit expires Date I vyl PERMIT NO.— PERMIT EXPIRES OWNER Marilee Martin CONTR. Marvin R. Anderson, Paadise 1- * LOCATION (A.P. 66-24-49 -25 Delta Ct., lot 254, CC#4, Magalia Temp. Power Pole Called PG&E Two p. Elec. Serv,— — Called PG&E 2zz I TeMp-s v.- 11 Lis, r eclE JOB FINALED (Date C_ (Signature) r A COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number �1�/- 7 `7 for the following location: Owner la/I A-►?'- �L• �y%O�"'I L/ Owner's Address .--req Mobilehome Mfg. G S Model Year / + Insignia Noy* 'f 2, Serial No. 4-5'37' It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date ('' 11 !/ By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. MOBILEHOME INSTALLATION INSPECTIOI4 CHECK LIST• 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Ye 01K No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variatiori at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec: 5088) Yes G' No 5. -If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes �O No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes, 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? Ye OC No B. Does it have minimum k" per foot slope and is it properly supported? Yes No C. 'Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No` ' D. If coach is not State of California approved, does station have required trap and vend? Yes_ No 8 Vs Piping and Gas Vents J A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No_ 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are -all appliance vents properly installed? Yes No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes C No -. B. Is there proper clearances around panels? Yeses No C. Is power supply cord or feeder assembly properly fused? Yes_4 No D. Is continuity test satisfactory as per the following procedure? YesNo 1. De -energize electrical wiring system of the mobilehome at the pe •estal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity. test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. S MOBnEHOME DATA G Manufacturer and/or Namestyle Length_,_ Width Vehicle Serial No, 64,3 —3%q 46 State Identification No. Additional Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS j r BUILD11MG INSPECTION RrCORD BUILDING BUILDING•(Cont'd) PLUMBING J tback Fire all Ski Piping F ms Para is t Floor in Bldg. Restroollp Finish 2n Floor otin s Windows 3rd X loor St wall Sidina To out Slab Roof Sheath Water Pi Piers - Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings V Prov. for ph sicall + handicapped" Conformance of ex. structure Appliances Gas PI in &Test Temp. Gas Slab A Final Sanitation Patio IF EPL CE Final Footings Footing E 11ECTR AL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures T Mesh MECHANICAL Grd,/0agit Prot. ScratHeati Servic Bro n Coo ng T9060. Pole F fish D is nder round trior Lath ntilation Permanent oor Closer anal Linal MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping y g' SewerGas Piping BILE ME INSTALLATION- - - - - - - - - - - - Support k2A3 Elec. Continuity Water Piping Drainage Gas Piping ,f -/D 7? A0 � r tF �c>v rcay0 a i S e y /-,7- 71i// �/£ 20 b £At4 DATE �li E REMARKS OR CORRECTIONS i (NOTE: An entry must be made on this form each time you visit the job site) 204 C A4 - i ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC is 7 County Center Drive - Oroville, California 95965 Tel ephQne: 53434541 APPLICATION AND PERMIT WORKS authorize represen tives of the County of Butte to enter upon the above-mentioned operty for inspection purposes. X 1 Date Sig ure of/-"rmitee or Agent Receipt No. `V Q -7o :7 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 abo>vw 1owhich fees have been paid. D T OF PU LIC WORKS Date Building permit expires Date BUILDING Owner �%4�� 1PNRr1 ✓ SQ. FT. OCC. BUILDING A Mailing Address 95 ezm (!o(19 A CA Telephone No. Contractor % 5/44S Mailing Address 17Y0 E 7Wk 9/1/69 1641110 Fireplace Total Valuation Telepye jJ-o �� �s DDD Permit Fee Building Address �� Plan Checking Fee&/or Penalty Permit Fee /Q 1. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 A. P. No. cv. 6- 7-t%- 7 f/ Zoning & Planning Water piping 1,50 Each gas water heater or vent 1.50 F W &affketi•on Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Each additional outlet .30 Building sewer 5.00 Bldg. Plan ec'd Parcel oval PI proval Lawn sprinkler system 2.00 E= NEW ADDITION UTILITIES ❑, OTHER Permit Fee $. i$ COQ- art, ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 801V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 p 's L OVER 800V Main service 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.CCUP. Y1 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: rJ 19wo_zLLr m6e% ,�+ 'ir n, NEW RESID, BRANCH CIRCUITS) NON.CONS BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON.RESID, SINGLE OUTLET CIR, Ex. OCcuo(OUTLETS OR FIXTIIRES I BAL@1 BAL�1 Ex. Occup ( FIXED APPLNS. OR OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 90, License No. Classification � 6P 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 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 L A41-1 $ 30•e:� TOTAL PERMIT FEE $ authorize represen tives of the County of Butte to enter upon the above-mentioned operty for inspection purposes. X 1 Date Sig ure of/-"rmitee or Agent Receipt No. `V Q -7o :7 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 abo>vw 1owhich fees have been paid. D T OF PU LIC WORKS Date Building permit expires Date COUNTY OF BUTTE' - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 , Tel ephond: '534-4541 / APPLICATION AND PERMIT 7y Gut Iul ILC I C)JIC J CIItGtIVeS UI tlly LUunty UI nutte w enter upon the above-mentioned property for inspection purposes. X_ ® ate 3/6/7g �ture of Permitee or Agent Receipt No. r i q% 3 9 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 0 PUBLIC WORKS By _Date 3 -7;p Building permit expires Date . BUILDING IV I OwnerMARILEE P.2ARTIN SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor MAgVTN g ATTT)-,-p Total Valuation Mailing Address 955 Waggoner Rd. Permit Fee Plan Checking Fee &/or Penalty 'Ppr-gIdise, C@ 9596 d77Permit Telepho a No. Fee $ Building Address PLUMING No. @ FEE PERMIT FILING FEE $3.00 CC # 4 Lot 254, Pelt� Each Trap 1.50 od J Repair drainage or vent piping 1.50 Water piping _L_RQ_ (� ✓1�J�,�, ru / rT a{ng Verificaf'on Only Each gas water heater or vent 1.50 A. P. No. �tf — — Z an 9 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sa ) on ire Dept. Fire Zone Use Permit EOA I-Flarking I Parcel Parcel a 60' R/W Im r Plans Declaration P P o hits Building sewer Lawn sprinkler system 2.00 ns Recd Pc&e'el Approval Plans Approval Permit Fee $ NEW ® ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 800v OR LESS 5.00 — 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 1.00 SQW SQ. FT. MINIMUM NEW CONST. 1 DWELLING GOCCUP. 9) 20sgft OR ADDNS. NEW CONSTR. MULTI -OUTLET NON► CIRCUITS)&2.50ea (POWER �(� MOBILES `+R MOBILES NEW•CONSRESIDTR. APPARATUBRANCH S 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 st le of: Y Marvin R. Anderson Ex. Occup(OUTLETS OR FIXTURES) 2@51009 Ex. Occu FIXED APPLNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 95S Wa��Qnar Rd,-Par2fl�Sgy (;O. Mobile Home Facilities 15.00 �— License No. 271,092 Classification A Ar. R 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 J$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 UJ114_4— TOTAL PERMIT FEE $ Gut Iul ILC I C)JIC J CIItGtIVeS UI tlly LUunty UI nutte w enter upon the above-mentioned property for inspection purposes. X_ ® ate 3/6/7g �ture of Permitee or Agent Receipt No. r i q% 3 9 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 0 PUBLIC WORKS By _Date 3 -7;p Building permit expires Date PEAT No. 3891-79B,E 1 PERMIT EXPIRES 711486 4 6 ;OWNER Marilee Martin CONTR. owner I -LOCATION (A.P. 66-24-49 ) 25 Delta Ct.', lot 254, PPCC#4, Magalia i L.. t{ i ea ; t • r. r t ri�r 8 �F i r A Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E t' JOB 1 % % FINALED (Date) (Signature) r J COUNTY OF BUTTE - 0EPARTMENT OF'PUBLIt WORKS BUILDING INSPECTION RECORD . BUILDING BUILDI G (Cont'd) P UMBING Setback ® Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows P,10- 3rd Floor StemwaII Siding Q^-7 To out Slab Roof Sheathing O- Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings — Stemw,a4l _ ® Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Pipinq & Test Temp. Gas Slab Final 75P COO Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough X, zo Reinf. Steel Final Fixtures Bond Beam FIRE RINKLERS Motors Framing p Test Water Htr. Stucco Final Subpanels Mesh MEOAANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent _ uoor closer ( 1 Final Final y- MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping 19 s c�cJ n E c�r�/a� &r� GT . v 9', Bi�< /a S'' ,► '"EI-1-7/ovE) DATE REMARKS OR CORRECTIONS 7�' D>i 2v "iede- Aa,.r/VI �o-? 9111($ .4avc Ga J acs •e- C2J /� �r s - C�� ®N p/4 74 3 ®Gloolt It ON iCGL�GC !/� ov> A% % �%�� ;�/�g / C %✓4 /G_� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUYTE '— DEPARTMENT OF PUBLIC WORKS 7 County Center Drive�� O3roville, California 95965 ' ' { Telephone: 534-4541 APPLICATION AND PERMIT QUU1UI1LC IGFlICACIIIQUVGJ UI UIC I,UUilly UI DUIIC N CIItUl uNUII UIC above-mentioned property for inspection purposes. X Date Signature o ermitee or Agent Receipt No. 5-6y White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 7 /b — 7� B(/11ding permit expires Date 7— BUILDING Owner S0. FT. OCC. BUILDING VALUATION � Mai lin Address / Telephone No. Contractor Mailing Address Fireplace Total Valuation e Telephone No. Permit Fee ,GTO Building Address— Plan Checking Fee&/or Penalty Permit Fee 0+� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. aQ� ing& Planning Water piping 1.50 Each gas water heater or vent 1.50 F&K � 4ru'Gr a cation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration I Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P Recd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE .Qa PERMIT FILING FEE $3.0000V OR L Main service 100 AMP ORSLESS 5.00 9� Single Family ❑ Duplex ❑ Mobil Home ❑ Others 11y Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWEL�ff UP. 4 OR ADDNS. ACC. 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 le of: style NEW CONSTR MUL I.OUTL T NON -REBID BRANCH CIRCUITS/ 12.50ea NEW CONSTR (POWER APPARATUS 8 NON-RESID. (POWER OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 50x°250 BAL@1 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 $ 7 1?1�1 $ 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 J$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 $ QUU1UI1LC IGFlICACIIIQUVGJ UI UIC I,UUilly UI DUIIC N CIItUl uNUII UIC above-mentioned property for inspection purposes. X Date Signature o ermitee or Agent Receipt No. 5-6y White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date 7 /b — 7� B(/11ding permit expires Date 7—