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66-28-22 Jessie Freeman 1270 So.Park Dr., lot 465, CC#k4, Maga. contr: Fuller Const., Magalia Permit #6645-77P,E(util., ELEC. $�j ; o �v.41 GAS$'.- SUPP RT STRUCTURE REQ .v � OTACTION TEST REQ. I -AO ��� 66-28-22 Contr: Rober s Construction, Paradise Permit #3972-78B,E(new pri garage) 66-28-22 Contr Coach Care, Carmichael Permit#�4132-78 1 I Issued 0 Q � 66-28-22 on r: Richard E. Hall 5�,. er 't #6201-78B(nr,-'w covered deck/MH) 10 ° (T r " PERM& NO. 6201-78B PERMIT EXPIRES �D`�� T �/ • , `OWNER Jesse Freeman i'CONTR. Richard E. Hall, Paradise 66-28-22 LOCATION (A.P. ) 1270 So.Park Dr., lot 465, CC#4, Magalia q 44 S t r ,r. t ,. N. f% e' "n �a Y. n 6 a Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) G�— (Signature) J " S I 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. C Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handicapoed Conformance of ex. structure I Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footin s Footing ELECTR AL Masonry Walls Throat Rough Relnf. Steel Final ci......s� none rseam FIRE SPRINKLERS Motors Framing�- 7. K) Test Water Htr. Stucco Final !Subpanels Mesh CHANICAL f Grd. Fault Prot. Scratch Heating a Service Brown Cooling R Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ---- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M0816EHOME INSTALLATION - - - - - - - - - - • - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 7 V40, / `V7 . (NOTE: An entry must be made on this form each time you visit the job site.) GJ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 1 7 County Center Drive — CGroy;ilIe, California 95965 Tel ephond`. 554-4541 APPLICATION AND PERMIT (� authorize representatives of the County of Butte to enter upon the above-mentionedproperty for inspection purposes. X Er,� C 1" 00 Date I �� Signature of Permitee orJAgent Receipt No../F,37 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 above for which fees havebee aid. DIRECTOR F PU LIC WORKS BY Date/--- 2.4- 7-!P uiIdinn permit expires Date _ l� — Z-( — 79 BUILDING Owner C .�j L,r �i�E�y� 791L� Mailing Address SO. FT. OCC. BUILDING VALUATION Telephone No. Contractor W)g 4pt.Rj] � µ ALL Mailing Address ��j1 I� iaPFRlil►si>r e;q. Fireplace Total Valuation — Telephone No. �� do, $ -7 - g') Permit Fee 1 Building Address -1 7- 4s ��yK�,/ �j���l .r Dlz S > AI4 " of PI anCheckingFee &/orPenal ty Permit Fee PLUMBING $ No. @ I FEE d� PERMIT FILING FEE $3.00 1 Each Trap 1:50 L'G 4, jCV % Repair drainage or vent piping 1.50 A. P. No. 64 r oning & Planning Water piping Each water heater or vent 1.50 1.50 F s W!'C;, o Fire Dept. Fire Zone gas Use Permit Gas piping system 1 - 5 outlets 1.50 Parking Parcel EQA Plans Declaration Parcel Map 60' R/W Improvements _ Bldg.'P�s Recd Parcel A ro� Plans Approval NEW fo ADDITION ❑ UTILITIES ❑ OTHER ❑ Each additional outlet 'Building sewer - Lawn sprinkler system E e Permit Fee ELECTRICAL .30 5.00 2.00 $ No.1 @ FEE PERMIT FILING FEE J$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 Main service OVER 100 AMPP O OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. I DWELING OR ADDNST % ACCL BLDGS.CCUP. 4\ 20sq ft 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: ��� �r� ,ry NEW RESID, BRANCH CIRCUITS) NEW CO ID BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUSa, NON- RRESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 1 5 L@j EX. Occup.(FIXED APPLNS. OR OUTLETS (RES].EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 C' License No. �6 37 .iU Classification Misc. Wiring 6.25 ❑ 1 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 Is la I& authorize representatives of the County of Butte to enter upon the above-mentionedproperty for inspection purposes. X Er,� C 1" 00 Date I �� Signature of Permitee orJAgent Receipt No../F,37 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 above for which fees havebee aid. DIRECTOR F PU LIC WORKS BY Date/--- 2.4- 7-!P uiIdinn permit expires Date _ l� — Z-( — 79 Y 1 PERMIT NO. 3972-78B,E rK P PERMIT EXPIRES ,OWNER JESSIE FREEMAN kCONTR. Roberts Constructiom, Paradise LOCATION (A.P. 66-28-22 1270 S. Park"`Dr, lot 465, CC#4, Magalia M1 t R Y� `f I� 1' d 4 ' _ r r • Temp. Power Pole Called PG&E Temp. Elea. Serv. Called PG&E Temp. Gas Serv. •• Called PG&E µ'1:i JOB 12- FINALED / (Signature) y: S ° COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING _ BUILDING (Cont'd) Setback '%6 . i i Firewall Forms Parapets Main Bldg. Restroom Finish Footings Windows Stemwal i Siding Slab Roof Sheathing Piers Roofing Garage Fdn. Vents Footings'7_—Z7—Z2—RV, StemwalI t Garage Vents - Insulation Slab Carport Footings Prov. for ph sically handicaped Conformance o -ex. structure Slab Final 1 U/2, Patio FIREP Footings Footin Masonry Walls Throat Reinf. Steel Final Test • PLUMBING Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final 1 _ //ELLfCTRICAL Motors Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service v Elec. Pedestal Water Piping Sewer Gas Piping MOB16EUOME INSTALLATION - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS . �2 LiPJ (NOTE: An entry must be made on this form each time you visa the job site.) i• ` CaUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WOR / 7 County Center Driq — 'U`roville, California 9596 ���ttf Telephone: 534-4541 9 v/ APPLICATION Amn PERMIT authorize representatives of the County of Butte to enter upon the abov;47 ned property for inspection purposes. X X Date,/, C T -7 Signature of Perrrmmitee or Agent 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 DIRECTOR 0.5 UB IC WORKS By—' YC�-4 Date 7' �7 Buil2g permit expires Date BUILDING Owner�5�� �� SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor Mailing Address�O 3 Fireplace Total Valuation elephone Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee 0 ice PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. o. _. L 7, Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s1'4444aori Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking ParcelParcel P s Declaration Ma p 60' /W Im provements Each additional outlet .30 Building sewer 5.00 B g. Plans Rec'd Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 K190 Main service 600v OR LESS 100 AMP OR LESS 5•�0 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 L • Main service OVER 600v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. I DWELLING -O OR ADDNS, I ACC. BLDG 22Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Cod nder the ame style of: Y � i-ae"4 `C NEW CONSTR MUL TI -OU L T NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTI1RES g L 1C Ex. Occu / FIXED APP LNS. OR p•(OUTLETS(RESID.) EA) 2.00,[� Temporary service 10.00 Mobile Home Facilities 15.00 License No. 12 cy 7 q3— Classification �— � Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 12$72-70 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. tI have placed on file with the County of Butte a certificate of 4 -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 L2.00 Hood 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 $ authorize representatives of the County of Butte to enter upon the abov;47 ned property for inspection purposes. X X Date,/, C T -7 Signature of Perrrmmitee or Agent 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 DIRECTOR 0.5 UB IC WORKS By—' YC�-4 Date 7' �7 Buil2g permit expires Date . 1' it. 1. COUNTY OF BIirTt DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California. Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner Owner's Address Mobilehome Mfg. -' - Model Year C Insignia No. L, Serial No. I. e. D It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED wnite - uwner, renow - instaner, rinK - u.r.vv. .1% 5645-79P,E PERMIT NO. PERMIT EXPIRES Af Jessie Freeman OWNER CONTR. Fuller Const., Magalia LOCATION (A.P. 66-28-22 1270 So.Park-Dr., lot*465, Cc#4, Magalia t Temp. P Wer Pole Co ed PG&E TempXrElec. Serv. ailed PG&E -74-;`,�ZZf T mp. Gas Serv. Called PG&E JOB FINALED (Date) (S i g n at COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Se ck Fkewall S I Piping For Pa ets 1 Floor Mai Bldg. Rest om Finish 2n Floor Fo tins Windo 3rd oor Ste all SidingTo out Slab Roof Shea in Water PI I Piers Roofing Sewer GarageFdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings v Prov, for physical h-..-.--,pedy Conformance of ex. structure v Appliances Gas Piping & Test Temp. Gas Slab A Final Sanitation Patio REP ACE Final Footin s Footing E ECTRIC L M sonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Eleanl/ \ I /FIRE SPRINKLEFS I Motors / Stucco Final Sub anel Mesh MECHANICAL Gird. Fadit Prot. Scra h Heati Servi B n Coo ng T mp. Pole F nish D is oder round yerior Lath entilation Permanent or Closer Final (Final MOBILEHOME UTILITIES ------------------ Elec. Serv' a «, L ,ZQd Elec. Pedestal � C Wats PipingSewer L L Gas Piping BI E MEINSTALLAI N --------------Support Elec. Continuity Water Piping Z li Drainage J Gas Piping DATE �'— 2 �{ �7 REMARKS OR CORRECTIONS -- �io.� vof� /V tT ,a L O n. c� e 0 �' J�o 7— (NOTE: An entry must be made on this form each time you visit the job site.) 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_ No B. Is there 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'? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the pokier 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. A MOBILEHOME DATA Manufacturer and/or Namestyle o�GF�ei'S-ems Length'. Width Vehicle Serial No. q State Identification No. Additional Information or Comments: r . ~MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located With required separation from lot lines and buildings and generally conform to plot plan? Yes�o 2. Does the mobilehome have required clearances above ground? (Sec,5085) Yes.---'No- 3. es✓No3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sect. 5082 & 5083) YesL/fo 4. Is the mobilehome level? (Sec. 5088) Yes/ No_ 5. If more han a single unit, are crossover connections properly installed? (Sec. 5088) Yes 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Ye s�o B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yesl-�No 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? Yess,-�No B. Does it have minimum 4" per foot slope and is it properly supported? Yesk-�No C. Are any leaks detected in drainage system after running 3- llons of water through each fixture including washing machine standpipe? Yes No 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 mobkillehome connector not more than 6 ft. long? Note: All piping is_59_B.% at least as layg , s the mobilehome gas line inlet without reductions other the mobilehome connec Yes No r B. :Test OK as pe following procedure` Yes N :1. Open all app " nce connector vfLlves. 2. Shut off appliance bu er and p' t valves. 3. Air test with manometer joy "014" water column or test'with slope gauge (minimum ® 6oz.-maximum 8 oz.) c Vibrated tenth pound increments. Test for 10 min, without drop. 4. Connectgas ter to mobilehoiqe with con ctor, turn on gas, test connections with soapy w r. C. Are a1T appliance vents properly installed?. Yes COUNTY OF r9U•TTR — DEPARTMENT OF PUBLIC WORKS �f �J 7 County Center Drive / — orovi Ile, California 95965 /�, r Telephone: 534-4541 APPLICATION AND PERMIT BUILDING AF Owner Jessie Freeman SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Fuller Cons_ traction, Inc. Total Valuation Mailing Address P.O. Box 509 Permit Fee Plan Checking Fee &/or Penalty Magalia, Ca 95954 TSI7pI� WO6168 O( Permit Fee $ $ Building Address CC4 lot 465 PLUMBING No.1 @ FEE PERMIT FILING FEE XX $3.00 00 1270 South Park Drive 1270 Each Trap 1.50 Magalia, Ca 95954 Repair drainage or vent piping 1.50 Water piping XX 1-W'00 �hi%flo1P �i Each gas water heater or vent 1.50 P -� A. P. No. — i J,T-r gnning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe /ll� W!C. tionI, Fire Dept. Fire Zone Use Permit Building sewer &1W9 Z, ,d EQA Parking Parcel Plans Declaration P rc Ir 60' R/W Im rovements p Lawn sprinkler system 2.00 BI nVRec'd Parcel proval Plansil pproval Permit Fee $ $ V "NEW ❑ ADDITION ❑ UTILITIESX❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE XX $3.00 ea, IQQ Main service 600V OR LESS 5.00 V 100 AMP OR LESS XX Main service EA. ADD'L 100 AMP XX 2.50 OVER 600V Main service 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC, BLDGS. 22Sgft NEW CONSTR MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON RES (SINGLE OUTLET U 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, Inc. Ex. Occup(OUTLETS OR FIXTURESNLS BAL�1 FIXED APPLNT OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 P.O Box 509 Magalia, Ca 95954 Mobile Home Facilities XX 15.00 do 34 997 .S A License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $'06-10$ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor h; h I t b; d ' t I• k; I;* C de _h; @ FEE MECHANICAL Notl$3. PERMIT FILING FEE00 Heating o c requ)res every 11Fns p oyer o e )ure aalns )aiigy 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. 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 County of Butte to enter upon the above-mentioned property Dfor riinspection purposes. ✓f X�yyGGWC �� Date Signature of Permitee or Agent Receipt No. / :111 9 D ` White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE $ 713 ls� 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 PU LIC WORKS BY ` Date permit expires Date �� �OUNTP OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive -4 Oroville, California 95965 / / 9 l Telephone: 534-4541 V APPLICATION AND PERMIT authorize representatives o the County of Butte to enter upon the above- ti d ro er fo specti n purposes. X Date `-7°—/,2 - 78 Signature of Permitee or Agent Receipt No. 511 kD % 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 f which fees hay be paid. -UB ORKS B ate Building permit expires Date BUILDING OwnerSO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor r Mailing Address 5--2 Z Z/ 44 ".9 A,,4,k-/f� OV Fireplace Total Valuation if A r� f •C h e L Tee hone� ,P_dBG Permit Fee Building AddressJ';1- 7 p S'eu�'�j rdE: �'. Plan Checking Fee &/or Penalty Permit Fee 2_1 4L PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 cc _Xr ,G' p y 41 Repair drainage or vent piping 1.50 Zy A. P. No. 01e 4 2 V —Z —Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F 6erttta�+er�- Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel D aration Parcel Map 60' R/W Improvement Each additional outlet .30 Building sewer 5-00 Bldg. Plans Recd Parcel royal Pla pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ is o� -CrHi� s71` 7 ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 rvi Single Family ❑ Duplex ❑ Mobil Home VX Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVERe00v 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCLBLDGS.LING CCUP. Y) 22sgft C 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 of: v^� eJr NEW RESID,CONSTMULTI-OUTLET CIRCUITS) NON-RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS B NON RES,D. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTtIRES g L:; FIXED APPLNS. ORstyle Ex. Occup./OUTLETS (RESID.) EA� 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. N Classification _ / Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. p'19I certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner Yo 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 relatin to building construction, and hereby L e •�� $ �,©� TOTAL PERMIT FEE $ Ud authorize representatives o the County of Butte to enter upon the above- ti d ro er fo specti n purposes. X Date `-7°—/,2 - 78 Signature of Permitee or Agent Receipt No. 511 kD % 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 f which fees hay be paid. -UB ORKS B ate Building permit expires Date