HomeMy WebLinkAbout066-410-0106-41-10
J. Willinger
�•/��'��
255 Indian D ., of 4, Mag is
contr : Powers Const., Magalia
fY-------
Permit #487-79P,E(util.,MH-relocate)
ELEC .' '3(0 p ,Q,
GA S a -
SUPPO T STRUCTURE REQ._
COMPACTION TEST REQ.
12166-41-10
1
contr. Larry..Hamilton, Chico
Permit #475-79MHI
Issued r-9
��2� 66-41-10
Con r: Cal as, Paradise
Permit #991-79P(gas piping)
p
i.
66-41-10
contr: Fisci Bros., Inc., Paradise
Permit �� 27.E=79B (ga
-
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BUTTE COUNTY DEVELOPMENT SERVICES
Complainant: -
Address: ----
Phone Number.
Other Comments:
.•t : ,t . •v.•. ':i': : •t. :;t•:f.::tit' ��S:i •.�:i, i;i;; i:i:;
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Inspector must draw a plot plan with all building locations:
Additional Comments from Inspector:
Assessor
Name rMCCOY SAMUEL J & MISCHELL L Asmt # Fee #1066-410-01 0 000
Status ACTIVE Status Date
-
Addrl 16763 INDIAN DR
-- Tax 000 NORMAL OWNERSHIP TRA F2=93=C0Ljl
Addr2 MAGALIA CA 95954.9002_ r �r �� Situs 6763 INDIAN:DR MAGALIA
Addr3j Base Dt 031�0l2001 '
Addr4 Land 23,460;
_� J Timber Preserve
Structure 1$,360,
Ej AgPres �� -
Comments 6641001000 CONVERTEC� 03!09!88 1 Etal Fixtures :::=o
Growing 0,
Creating Doc# 198681131600 1 = Date _� �I Notes -
Total 41:,820
J Bonds
Current. Doc# 2001 80012533 ' Date 03l30l2001 s Fix. R 0
R
Doc# Date r Multi Situs:
Killing - - - - ' Flag1 MH PP
Asmt Desc INDIAN MEADOWS SLB jj SuplCnt 1 I PP
- - - �I: - Flag2
Zoning RT1 Dwell 1 i 910 MH Exempt _7,000
---J r Asmt PP Fen Net ",q 34,820
Acres/Sqt s M
F 0.2 NIC 066
[3 Tax PP PEn RIC#
=
E3 Appeal Pending TM Dt
ij Split Pencfn 9 RICStat
PHYOWN EXP TAX HON �. < ATT �' SIT APR. PC-L
►�
�_ _�? Find ���F�U�
Ready _ �� 2002 sa, 07 j23J2002 b:02:00 PM
10-010
,i6-41-10
J. Willinger
255 Indian Df . , Tot 4, Magafia
contr: Powers Const., Magalia
Permit #487-79P,E(util.,MH-relocate)
ELEC . S& ? a_ W6, .-:A • t'
GAS 4 ,
SUPPO T ST RUCTURE REQ.
COMPACTION TEST REQ.
66-41-10 - --
conte Larry Hamilton, Chico
Permit #475-79MHI
Issued s9 — =-), -7 %
�x 66-41-10
�"d Vic• � .
Contr : Cal G'�as , Paradise
Permit ##991-79P(gas piping)
66-41-10
contr: Fisci Bros., Inc-, Paradi3e
Permit 27$=79B,;E(ga age), -1 jp��
r
k
_PERMT NO. 1275-79B,E
r
. l PERMITEXPIRES
'I OWNER Jack Willinger
. - .
i CONTR. Fisci Bros., Paradise
66-41-10
LOCATION (A.P. )
255 Indian Dr., lot 4, Magalia
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3/ Io C// /� /'rva/ —S£L 1VS-fWr,
Y(
4
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l�•
f
Temp. Power Pole
Called PG&E
Temp. Elec. Servf
Called PG&f
Temp. Gas Serv.
Called PG&E
JOB ��,{�IALED
(Date)
i
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECT70WRECORD
UI DING h BUILDING (Cont'd) PLUMBING
Setback 1 121 1 1) Firewall Soil Piping
Forms Parapets. 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings Windows �-7 O 3rd Floor
StemwaII Siding D 4197 To out
Slab Roof Sheathing D Water Piping
Piers Roofing o Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
Stemwal I Insulation Heaters
Slab c7 Prov. for physically Appliances
handicapped
Carport Conformance of ex. Gas Piping & Test
Footings structure Temp. Gas
Slab Final ` — — o Sanitation
Patio FIREPLACE Final
Footings Footing ELECTRICAL
MasonryWalls 2 Throat Rou h c0
Reinf. Steel Final Fixtures 3—
Bond Beam FIR SPRINKLERS Motors
Framing d Test Water Htr.
Stucco Final Subpanels
Mesh ME NICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground 0
Interior Lath I Ventilation Permanent
Door Closer Y Final Final D
MOBILEHOMEU LITIES ------------------ Elec. Service Elec. Pedestal
Water ng Sewer Gas Piping
OB16EHOME INSTALLATION - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
o/zo Shoo' c%cd • / S //J-
o/Cr�J t�cfc7 �; ��-,v io o%y o� iLlEcc/.
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — * Oroville, California 95965
Tel ephorro-r 534-4541
APPLICATION AND PERMIT
219
authorize representatives of the County of Butte to enter upon the
above- entioned property for inspection purposes.
DateJ, /s
Signature of Permitee 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 or which fees have been paid.
D.IRECiYDR OF PUBLIC WORKS
!E.FOR /
Building r D.
BUILDING BUILDING
OwnerkC W/L C 1A.41
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
Mailing Address A9 �j ,
'
Fireplace
Total Valuation
014— � %
e hone No.
TM
7-44 3
Permit Fee
Building Addres
Plan Checking Fee &/or Penalty
Permit Fee
QC
s
PLUMBING No. @ 1 FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No.
Zonin & Planning
Water piping 1.50
-
Each gas water heater or vent 1.50
4e6f
#1 Stion
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking Parcel
Pians Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
wilding sewer 5.00
Lawn sprinkler system 2.00
Bldg. ans Recd
Parcel rovol
Plans A proval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE .
PERMIT FILING FEE $3.00 .�
tdain service 600V OR LESS 5.00
100 AMP OR LESS
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. AOD'L 100 AMP 1.00
/ ,V
OR ADDNST �AW L 2C SCCUP. Y\ :20 sq ft
CONTRACTORS 'LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of C lifornia Business &'Professions Code under the name
style of:
/�
�f�¢ti. , f'o"-L o r c#i^
NEW CONSTR. ULTI.00UTL T
NON.RESID BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS 0
NON.RESID. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES I5 L�
EX. OCCUp. ( FIXED APPLNS. OR \ 2 00
OUTLETS (RESID.) EAI
Temporary service 10.00
Mobile Home Facilities 15.00
License Nod"(/1o0 Classification s
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL N0.1 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.
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
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
Land Development Fee
$
$
TOTALPERMIT FEE
$ ` I
J
authorize representatives of the County of Butte to enter upon the
above- entioned property for inspection purposes.
DateJ, /s
Signature of Permitee 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 or which fees have been paid.
D.IRECiYDR OF PUBLIC WORKS
!E.FOR /
Building r D.
487-79P PERMIT PERMIT NO.
PERMIT EXPIRES
OWNER J. WILLINGER
I
CONTR. Pnwprq r-nncttructi-cin , M;;ci;;Ii;;
LOCATION (A.P. 66-41-10
455 IndianDr, lot 4, Magalia
I`//,f �'.�Dlgl� �/L, SO
L
V
Temp.,Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG'&E.a[
Temp/Gas Serv.
Called PG&E
JOB
FINALED
U91,
'r
COUNTY. OF BUTTE — DEPARTMENT OF PUBLIC WORKS
' BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Se ack Newall Soil Piping
For Pa ets 1st Floor
Mai Bldg. Rest om Finish 2nd Floor
Fo ins Windovx 3rd Floor
Stem all Siding To out
Slab Roof Shea%lng Water Piping
Piers Roofing "-- Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
StemwaI I Insulation Heaters
SlabProv. for physicall Appliances
hamdica ed
Carport Conformance of ex. Gas Piping &Test
Footings structure Temp. Gas
Slab Final Sanitation
Patio FIREP CE Final
Footings Footing ELECTRICAL
Masonry Walls Throat Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLE Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling emp. Pole
Finish Ducts Underground �— 1-
0.P1,74 -Interior Lath Ventilation Permanent -
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service -L Elec. Pedestal -7 '!
Water Piping Sewer a ILC - Gas Piping
4 E OME INT LLATION - - - - - - - - - - - - - - SupportElec. Continuity
Water Piping L '-(L Drainage Gas Piping
DATE / REMARKS OR CORRECTIONS oin
2-3C.
too &t
e 1
i�
�/7� y
a L
(NOTE: An entry tuffs be made on this form each time you visit the job site.)
MOBILEHOME INSTALLATION_.INSPECTI6N CHECK LIST
1. Is. the mobilehome located`wi� h required separation from lot lines and buildings and generally
conform to plot plan?, Yes''` No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes' 1 No
3. Are footings and supports properly sized, spaced, and braced asp r approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes o
4. Is the mobilehome level? (Sec. 5088) Yes � vNo
5. If ore than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes - No
6. Water
A. Is xible 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? Y allo
C. Backflow - If coach is n St to of California approved, does station have backflow device
and pressure -relief valve? e's 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" per foot slope and is it properly supported? Yes No
C. Are any leaks detected in drainage system after running gallons of water through each
fixture including washing machine standpipe?,.Yes No—
D. If c6ach is not State of California approved; does station have required trap and vent?
Yes o
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 inlet without reductions other than the mobilehome
connector. Ye* 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? YesC 6 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*
es No Y
B. Is there proper clearances around panels? Ye*— No
C. Is power supply cord or feeder assembly properly fused?_�bk_ No
D. Is continuity test satisfactory as per the following procedure? Ye,_ No
1. De -energize electrical wiring system of the mobilehome at the peq stal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and -appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the.
mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA f
Manufacturer and/or Namestyle
Length l QQ) Width 0
Vehicle Serial No. �_ -7
State Identification No.
Additional Information or Comments:
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 j y� for the following location:
1 •,
Owner—
Owner's
wner Owner's Address
Mobilehome Mfg. �It ef��� ��� Model ;Year
Insignia No Lz' ), 2' Serial No. zq� , �C
It is hereby certified for occupancy at the above described location and
may be occupied. ��
Director of Public Works
t �
Date By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White -Owner, Yellow - Installer, Pink - D.P.W.
•fir
COUNTY OF BUTTE DEPARTMENT OF PU.BL-•IC WORKS
.. 7,} ounty Center Drive - Ofloville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
E, 0C n0tq Date:/�� � 1
Receipt �nsp a-la�%
White-D.P.W. .W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
BUILDING
a
Owner � Z �
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor ` L,ce�'[
/
Mailing Address ltL
Fireplace
Total Valuation
Tele hone No.
_ L
Permit Fee
Building Address —r e�
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
r /
A. P. No. l0 �- 6 o
Zonin & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F SarrrMTron
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
B d
P a r c el6fproval I
PIs Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service e00v 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 25.00
100 AMPP OR LESS O
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. f DWELLING OCCUP. !i1 2PSq ft
OR ADDNS. ACC. BLDGS. I
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
l./i RR Y L Il�M / L /'Q/J
NEW CONSTR. MULTI.OUTLET
NON.BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS a
NON-RESID. SINGLE OUTLET CIR.
Ex. OCcuo (OUTLETS OR FIXTURES BAL@1
BAL
Ex. OCCU // FIXED APPLNSOR
p•(OUTLETS (RESI.D.) EA) 2.00
Temporary Service 10.00
8/ (/ .�� lV S % r G /J��O
u (( !V Lr
Mobile Home Facilities 15.00
Misc. Wiring 6.25
License No. 3gq,,'03 Classification
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
$ o-'
TOTAL PERMIT FEE
$
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above f r which fees have been paid.
/OF4PBLIC WORK `
E, 0C n0tq Date:/�� � 1
Receipt �nsp a-la�%
White-D.P.W. .W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date
4
J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
• 7 County Center Drive Oroktille, California 95965
Telephone: 534-4541
M y
APPLICATION AND PERMIT
Owner Jack 11_11inger
Mailing Address
Telephone No.
Contractor poy.lers Co-nsc truCt__on
Mai I ing Address Y .L . B03% 776
honeNoo
r•1a alfa, Ca. ' 5954 ,eIJ-_L
Building Address T.1L; Lt-i,/:.;cuCi0ii5 I T,0 'L 4•
�� _Z_4 /an Dr—,
,Ildf
A. P. No. 66-4.1-10 1 Ploninig & PI ni g
Des Vf! i Fire Dept. Fire Zone Use P rmit
EQA Parking Parcel Parcel M 60' R/W Improvements
Plans Declaration P
Bldg. P am�s Recd Parcel . p rovol Plans Approval
NEW ❑ ADDITION ❑ UTILITIES F1'13f OTHER ❑
Single Family ❑ Duplex ❑ Mobil Home R Others ❑
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:
Powers Cons tr :c ion
License No. 6105'_ Classification 3
_ BUILDING / V
SQ. FT. 7 OCC. I BUILDING VALUATI
Fireplace
Total Valuation
Permit Fee
PI an Checki ng Fee &/or Penalty
Permit Fee
PLUMBING
PERMIT FILING FEE
Each Trao
,epair drainage or vent piping
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
Each additional outlet
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL
PERMIT FILING
FEE
Main service
600V OR LESS
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
Main service
OVER 600V
100 AMP OR LESS
Main service
EA. ADD'L 100 AMP
NEW CONST. (
OR ADDNS.
DWELLING OCCUP. 5
ACC. BLDGS.
NEW CONSTR.
Nn N.RFSID_
(MULTI -OUTLET
l BRANCH CIRCUITS
Ex. OCCUDIOUTLETS OR FIXTIIRE
EX. Occup ( FIXED APPLNS. OR
• OUTLETS (RESID.) Ee
Temporary service
Mobile Home Facilities
Misc. Wiring
❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee
MECHANICAL
WORKMEN'S COMPENSATION INSURANCE
PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heating
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.
E)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 for inspection purposes.
Signature of Permitee or Agent
Receipt No. //u
re
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Coo I i
$3.00
1.50
1.50
4,60
1.50
1.50
.30
5.00
2.00
FEE
i. UO
O.
$ 23,0cv
@ FEE
$3.00 73#
5.00
2.50
25.00
1.00
2.00
10.00
15.00
6.25
$3.00
1.3
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee :26-,&G $
TOTAL PERMIT FEE is ;7376
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above hich fees have been paid.
IrOF PUB IC WORKS
By Date
Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - , O'iville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
99�
authorize representatives of the County of Butte to enter upon the
above-mentio ed property for inspection purposes.
%( Date ✓
of tur f P rmitee or Ag nt
Receipt No. ') �(111 451
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 whic es have been paid.
ECTOR 0 UBLIC WORKS
S
By Date 7/
ermit expires Date si
BUILDING
Owner `j iuL 14 Lb
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
Mailing Address Ab U
Fireplace
Total Valuation
Mie
S�
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
n o,- I r /d."
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Cr!
Repair drainage or vent piping 1.50
_ , f� / O
A. P. No. (p (p 5f
Z�nin & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Se"Hatrerr
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.6e-/0—
EQA
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
g. an
Parcel AEprovol
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
permit Fee $
.$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR 100 AMP ORSLESS 5.00
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. ADD'L 100 AMP 1.00
NEW CONST. ( DWELLING OCCUP. '41 •Z�Sq ft
OR ADDNS. ` ACC. BLDGS. I
CONTR CTORS 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:
�7 , ���� --G
NEW CONSTR. MULTI.OUTL T
NID,BRANCH CIRCUITS) 2.50ea
NEEWW CCOONST R. POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUR 1 BAL�
1TLETS OR FIXTIIRES {OUBAL@
IED
EX. OCCup.(O 'TLETSP(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
// _v
License N0.2 / �' Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the 'work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to buildinq construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentio ed property for inspection purposes.
%( Date ✓
of tur f P rmitee or Ag nt
Receipt No. ') �(111 451
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 whic es have been paid.
ECTOR 0 UBLIC WORKS
S
By Date 7/
ermit expires Date si