The URL can be used to link to this page

Home My WebLink About066-440-009AP 66-44-9 E GE«BURRIS._._. .._. _. _. 1. W sho Court, lot w74,`, Indian mead' unit#3, °1�Iagalia contr : arles Hancock, ,Par Permit# 51-74P,E G-�y 5 (util., ELEC, r i GAS • S PU PORT-STRU URE -REQ _ COMPACTXN TES REQ . OUB aat? . ` 66-449 GEORGE BUR I - ASHG CT. ;SOT` -4-I.N-D..I AN MEA MAG AL I A ftP!E'XISTING ONTRS 'CA GAS JERMIT,461q@;- 6 'GAS' IPING.FOR SITE f _ 111 1 1 CONTR:Ber es!MH' r e Permit # 029-_76MHI t r ' Issued s J�-7� 66-44-9 Geor e/UrKig 11 Was o Ct. , lot`' 74, 'I.M;#P3,Ma• glia . 1111' 4 Perm' #4250=76B(new screen caba a & awn /MH) .�I ��r: • �% �D�7 - - ..66-44-9 Permit #281x-74E(convert screen cabana & add'l footage/MH) �(ur42ur ,!/ 1 66-44-9 ( Robert Hartwell 11 Washo Ct., lot 74,I.M.#3,Magalia contra -.Par -Nor -Cal -Const., Parad-ise. Permit #3265-79B,E(new pri..det1., � garage) ��_� �/ � V/ (/ • _ t _� �„� __ __ Y- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 z. APPLICATi0NAND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. %( 1 --Al - %/. � ' � Date Sicnaiure off./Permiteeeor Agent., / Receipt No. / / a 3 4-/ 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 �7 By C' _- `" Date �0 / 6 ;Build�in9 permit expires Date /0/77-- r BUILDING Owner + C_ G'i= c, G 7 r i.S ' SQ. FT. OCC. BUILDING VALUATION Mailing Address ' Telephone No. - Fireplace Contractor i <'%L. S, Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty h Telepone No, k 7—[f S S cPermit Fee $ ��f �� Building Address /� �-t�1—i1s//D PLUMBING No. @ FEE PERMIT FILING FEE $3.00 % Each Trap 1.50 44 �� 1 Repair drainage or vent piping 1.50 Water piping 1.50 . Each gas water heater or vent 1.50 i �p 9 A. P. NO. ('1-� / Zoning & Planning Gas piping system 1 - 5 outlets -1:511' p '- Each additional outlet .30 Fees` W�Ga'' Sanitation FireDept. FireZone 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 •BId97PI'ans-Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ADDITION UTILITIES Dy OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 11 ,A ��/ ,J /✓�Ci ��,/1+ ll' S ! �h Main service 600V OR LESS Maiseice 100 AMP OR LESS 5.00 / Tl Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex Mobil Home ® Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADONS. ( ACCLBLDGOCCUP. &) 20sgft 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 :- 1 �" J\J Ex. Occup(OUTLETS OR FIXTURES) BAL@1 X. CCU FIXED APP 2.00 LNS. OR EOP•(OUTLETS (RESID,) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. ' f / s 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. E.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. MECHANICAL No. @ FEE , PERMIT FILING FEE $3.00 Heating ree Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ f I - authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. %( 1 --Al - %/. � ' � Date Sicnaiure off./Permiteeeor Agent., / Receipt No. / / a 3 4-/ 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 �7 By C' _- `" Date �0 / 6 ;Build�in9 permit expires Date /0/77-- r f , COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone_ 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. n , r X / " X29 - Date ` O ign ure ofl ermiteee or Agen Receipt No. 1 / 23 w 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 ^7 By-9YO,�/Dat.2- JPO iitti„a permit expires Date 110.1177" BUILDING Owner �r SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace ContractorL, Total Valuation Mailing Address Q 80 Permit Fee Plan Checking Fee &/or Penalty ,y / 4&A��1 elephone o ePermit Fee $ Building Address WqS�{� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 " GT i'1 jJ/�/vf p�/fs�d�C,vS' Each Trap 1.50 1,no L//"i" Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. /lt `_ �` (D (p '7 7 Zoning &Planning Gas piping system 1 - 5 outlets 4" Each additional outlet .30 Fe Sanita+ten Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 -9fdgf '.MT -Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 q/� ..•� S / l cil !� G / S / 600V OR LESS Main service 100 AMP OR ESS 5.00 L Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 CONST.NEW ( DWELLING BDGOCCUP. OR ADDNSACC&\ 22Sq ft / NEW CONSTR. (MULTI -OUTLET NO N.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 Y/L//Lr\Vi/L_(3rals Ex. Occup(OUTLETS OR FIXTURES)12-1 BAL@ ExFIXED APP LNS, OR . Occup. OUTLETS (RESID) EA) 2.00 ( Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification �- �� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. JZZ 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 $ %3 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. n , r X / " X29 - Date ` O ign ure ofl ermiteee or Agen Receipt No. 1 / 23 w 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 ^7 By-9YO,�/Dat.2- JPO iitti„a permit expires Date 110.1177" PERMIT NO. P E u M MH UTIL. i;.�PERMIT NO. 3651-74P,E yi E PERMIT EXPIRES OWNER __ George Burris coniTR. Charles Hancock, Paradise ;'LOCATION (A.P. 66-44-9 ) ' ll,Wa'sho`Court, lot 74, Indian Meadows # 3, Magalia 1�. i n 9' A 1 fi1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E / JOB c / FINALED ✓� VVV (Date) 0 (Signa \: � L .. �, � L 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. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping ?!_. _ l Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab, Final Sanitation Patio FIREPLACE Final Footinas Footina ELECTRICAL , F Bond Beam I FIRE SPRINKLERS I Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE —.:DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965 • Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for in ection purposes. X ADate � V Signature of Per itee or Agent Receipt No. �2 Z2 6 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 24 Date —f — permit expi ress Date ................. ..1.7.....7J BUILDING t Owner A SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace 4 Contractor Mailing Address ?, 2-d Wal Valuation Permit Fee Plan Checking Fee &/or Penalty lephone No. Building Address Permit Fee $ $ PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. (f/(y '— 2T —! Zanin PI Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 14 Fee W. . tion Fire Dept., FireZone 1 Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rove nts P Lawn sprinkler system 2.00 --B�dg. Plans Recd Parce proval Plans Approval Permit Fee $ 3� $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 oW Main service incl. 1 meter Solo Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 40 .!Q FT FL' P Water Heater or Space Heater 1.00 Light fixtures bal 6110 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. of the State of Califor is Business & Pr s s Code under a name style of: Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00JR7 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ 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. F1have placed on file with the County of Butte a certificate of 'Workmen's Compensation Insurance. 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for in ection purposes. X ADate � V Signature of Per itee or Agent Receipt No. �2 Z2 6 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 24 Date —f — permit expi ress Date ................. ..1.7.....7J �: . .. �. r.'s ..r .-. -`c�i y.. •,i -e ) ,,' .�,riX� ' 5(ia1 -'----PERMIT: 20?_9-76 Mil BURRISGEORGE ._ 111 WaSL Ct. I,ot 7 than `_.adowsi Magalia t • 1,v f o • r } 1 •�� COUNTY OF BUTTE — 'DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 /`% C APPLICATION AND PERMIT o�-vF'v-ciIuaUvw UI ule wunty UI MURe to enter upon me above-mentioned property for inspection purposes. X il.is i.'%d1� Date Signature of Pernfitee or Agent Receipt No. / `( S 3 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 beet paid. DIRECTOR OF PUBLIC WORKS `Building permit expires Date S-- �".7 7 BUILDING Owner rj QA �� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor , 1 Total Valuation Mailing Address (� S Q, �/� n �,� ,- Permit Fee Plan Checking Fee&/or Penalty % !c :1-(3S•G Telephone No. � Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 C f Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 < < < J A. P. No. , + 1 I- C, C Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fpe �W-C. I Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 BfBg.XPlans�Reo:d.`a Parcel Approval I/ Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 iV .�� Main service ;°o°o AMOR L -E P ORSLESS 5.00 U Main service EA. ADD -L too AMP 2.50 Main service OVERAMP oR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home �f Others ❑ Main service EA. ADD'L too AMP 1.00 / NEW CONST. &) 2¢syft OR ADDNS, ( DWEACCLBLDGLING OCcup- NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea 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: � -• ✓ . f-�'i3rt1' 1. _. L�GG� Ex. Occup(OUTLETs OR FIXTURES)PLSQ 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 Classification f 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. al 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 1 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 :i,1 4 r iL.1` 30 - TOTAL PERMIT FEE $ - 3O o�-vF'v-ciIuaUvw UI ule wunty UI MURe to enter upon me above-mentioned property for inspection purposes. X il.is i.'%d1� Date Signature of Pernfitee or Agent Receipt No. / `( S 3 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 beet paid. DIRECTOR OF PUBLIC WORKS `Building permit expires Date S-- �".7 7 9. Electrical ,1 A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum f ]:0N0 amp) and other facilities on lot, i.e.., water pumps, garage, cabana, etc.? Yesro ' B. Is there proper clearances around panels? YesNo _ C. Is power supply cord or feeder assembly properly fused? Yes—,No— D. esNo_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 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 rn.obilehome 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. MOBII.EHOME DATA Manufacturer and/or Namestyle Lergth� Width Vehicle Serial No. �/ /� �/�/ U 12 State Identification No. Additional,Informati_on or Comments: . MOBILEHOME INSTALLATION INSPE9TION CHECK LIST 1. Is the mobilehome locatedwi h required g g �, separation from. -lot lines and buildin s and enerd 1 y conform to.plot plan? Yes No 2. Does the mobilehome have required clearances above q ground. (Sec.5085) YesNo 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. I.f mode than a single unit, are crossover connections properly installed? (Sec. 5088) Ye s�c 6. Water A. Is fl xible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YeseL No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Y_�v No C. Backflow - If coach is not State of Cala- a 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/4 No B. Does it have minimum 'k" per foot slope and is it properly supported? Yesr 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 coach is"n#.ake 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 inlet without reductions other than the mobilehome connector. Ye�l No B. Test OK as per following procedure? Ye 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 f - -" COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE i 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 '%7LL for the following location: Owner Owner's Address Mobilehome Mfe. Model "'W -SS Year�� Insignia No. Serial No. K It is hereby certified for occupancy at the above described ocation and may be occupied. Dire4rf�-Iic�Wos Date -16 ` 2 By THISCERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED N COUNTY OF BUTTE — 1PARTMENT OF PUBLIC WORKS _ 7 County Center Drive - Uroville, California 95965 i * Telephone: 534-4541 O �.-� APPLICATION AND PERMIT- r authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date OSignc4tured'Per ' ee 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 be aid. DIRECTOR 0 UBLIC WORKS B Date.,5 � - 2c, Building permit expires Date _ S—S ''� 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace _ Contractor Total Valuation �� O ,/1 Mailing Address �J Permit FeePlan Checking Fee&/or Penalty `6) Telephone No. —03-0h Permit Fee $ Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 l/t15 0 Each Trap 1.50 c)]- -7 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 / A. P. No. (0 t0- — �- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 paten Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking PlansParcel Declarr tion Parcel Map 60' R/W Improvemen s Lawn sprinkler system 2.00 proval Plans A Koval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 10001 OR 0 AMP LESS 5.00 Main service EA. ADD -L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVR Main service 1100EAMP OR LESS 125.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING 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 ode under the name st f: .�. - / Ex. Occup(OUTLETS OR FIXTURES) BAIL@1 Ex. OCCUp ( FIXED APP LNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.7-65195-4" 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.1 @ I FEE PERMIT FILING FEE 1$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 rn$ 7-144%/0�j �O TOTAL PERMIT FEE $ J authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date OSignc4tured'Per ' ee 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 be aid. DIRECTOR 0 UBLIC WORKS B Date.,5 � - 2c, Building permit expires Date _ S—S ''� 7 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owners name: 19 e-6 �&LG 401 2. Installer's name: ff- 3. Is the site currently under permit? Yes / / 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? ----------------------- J dng�l Amps 6. What is the mobilehome site service rating? --------------------- 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 / / NoT)", (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? �� (ft.) 12. :What is the mobilehome gas demand? ------------------------------C .3t (BTU) (This information not required if pipe length less than 6'ft. on natural gas or less than 5O��ft. on LPG.) E F i Dki MOB ILEHOME 'SU 1J IKI: DATA Mobilehome Mfr. Setup Model No. 2 Y56 e, , RYear _7� Width 2 (ft.) Length (ft.)-Expando Size t.x —ft. (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets ..(if. not .on file with the County of Butte). Sin le - Footings- (check . one> 2 i i i A. Wood either Center .Support Locations Center Support Footing Sizes (in.)/ 2 Xj . pressure. treated or fdn.:grade.: 2..Concrete pad. 3. Other,`specify in. in. in. c Supports (check one) 'J 1. Concrete block �F X F- / / 2. Concrete piers 3. Steel piers ' 4. Other, specify, �...... ...... Z Typical Support x Footing Size . in. in. (in.) (in.) 44 Cos Z� 30 Max. Pier... Spacing ft. in.) Zn.3-n. (in.)(in.) / M.Max.---- in. overhang ^If center piers are other than drawn above, draw in locations, spacing; and dimensions. BUTTS COUNTY BUILDIN(5 DE?�,RTMENT APPROVED - - CHARLES E. HANCOCK - BUILDER . 1. ` r - LICENSE 26951 BI. 7020 SKYWAY PARADISE, CALIF. 95969 j OFF. 877 4J57 ftU Ir 877-1420 `'EGO U N. f'ILDING DP_PART':"' 6 2XI Aazl &U-2 APPROVE +' Septic system a i n ortr. `! County Health pepts per �P S. e- �` \Q All. utility onnections shall be ocated.withi 4 ft. outside the rear,, l f i third sectio of- the mobile• home on the left (road).side of the mobile home. I The • Setback -shall be: 5: ft. from the ide property line 'and '50 ft. from.. . Ae centeirlin6.:of; the road,.. -permitting { a; Mi5ximum of a 2 ft. eave overhang. . PERMIT NO. 4250-76B PERMIT EXPIRES OWNER George Burris CONTR. owner LOCATION (A.P. 66-44-9 ) 11 Washo Ct.,lot 74., I.M.0 , Magalia r 7 - Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB; FINALED (Date) i (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD i 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 Stemwall Garage Vents Insulation • Water Htr. Heaters Slab Carport Footings Prov. for phsically handicappe.1 Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) _•, COUNTY OF BUTTE — DEF'ARTIv1ENT OF PUBLIC WORKS r 7 County Center Drive —, Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Y�?S-17�o authori a representato es of the County of Butte to enter upon the above- entioned pr erty, for inspection purposes. I ate 71. Signature/f Permmiitee or Agent Receipt No. Z 7 / y° 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. DIREC OR OF UBLIC WORKS By—4 I Date 2— + 3— Building permit expires Date 2 2 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address •P . Telephone No. Fireplace Contractor Total Valuation 9, 2 Mailing Address Permit Fee P I an Checking Fee &/or Penalty Telephone No. Permit Fee $ / p Building Address I W A( PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Jr h 19 7- 7 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ' Each gas water heater or vent 1.50 // A. P. No. �tp— 7 y� Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F a t Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Pa' cel Plans Declarationr Parcel Ma P 60R/W ' Improve ents Lawn sprinkler system 2.00 Bldg.dwrons Recd Parcel Approval Plan" pp.oVal Permit Fee $ $ NEW ADDITION ❑ UTILITIES [:]—OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 10001 OR 0 AMP ORLESS5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L too AMP 1.00 /Ja,., (��,/((I�. aA, NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 20Sq ft NEWCONSTR. MULTI -OUTLET NON.R ESI D. ( BRANCH CIRCUITS) 2.50ea _Aoz�� NEW CONSTR. POWER APPARATUS &) NON.RESI D. (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 y le of: Ex. Occup(OUTLETS OR FIXTURES) BAL21 E x. Occu FIXED APPLNS. OR P• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 ve d this application and state that the above informatio s correct. agree to comply to all County Ordinances and Sta Laws vela ng to building construction, and hereby TOTAL PERMIT FEE $ authori a representato es of the County of Butte to enter upon the above- entioned pr erty, for inspection purposes. I ate 71. Signature/f Permmiitee or Agent Receipt No. Z 7 / y° 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. DIREC OR OF UBLIC WORKS By—4 I Date 2— + 3— Building permit expires Date 2 2 �_+ it C • [.7 '� W b^ v ", c� L7 LL- CD o� a Bldg. Setback shall be 5 ft. from —tj OP6117 17 - the terl i.ne�-of the_ road, permitting max Um of a 2 ft. eave ovorho This set of plans and.-spe ifications MUST . — t kept 'an the job at all tim and it is unlawful. to C make any changes or altrations on same without written permission fro tho Department of Public Works, County of ttea BIJTi'E couNTY NOTE:—All aterials & -1 mm A PrncficeB and �� `°i BUIL ®J .�Accordanc with Recognized Good 4' iVC� ®Ep ` f a qua: tY prescribed the Specified use es a d fllnifor Bq, PlLimbmct Mechanical Co. , ,. the atiolectrtccll Colo.- , t ARTMErqT; APPROVED 0 N, X �.s S+ Ft--- 0 M-0 0 Vz 0 N, X �.s S+ Ft--- 0 M-0 0 0 N, X �.s S+ Ft--- VC19 > P Z -i Z 0 m C)0 M o < 0 > C= 7.7 Z m z N ik k, Q :"N 31 N Z -i i Jx s N ik k, Q :"N 31 N y"s+ L. -'�Q71_77R F RERMIT NO. AWNFR vcvi be irui L ua. , CONTR. owner LOCATION (A.P. 66-44-9 11 Washo Ct., lot -774, L.M.#3, Magalia Temp. Power Pole Caged PG&E Temp. Xlec. Serv. C/led PG&E Temp. Gas Serv. Called PG&E OB FINALED'r (Date) (Signatur Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Patio Foc Steel COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS ' BUILbING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Insulation Heaters Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Final C Sanitation FIREP L E Final Footing ELECT Thrnaf RnunA ��/moi -Y Motors btucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Door Closer I Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping �EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT c2,p 11-77 Al I/ autnonze representatives of the county or t3utte to enter upon the above-mentioned property for inspection purposes. i Date CO Signature Permite r Agent Receipt No. % 61770 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/TOIBLIC WORKS By Date ,95'—Z 7 — 7,7 Building permit expires Date 6'-17-7g BUILDING Owner Ceot L�1- t.t {'�, 2 f, SQ. FT. OCC. BUILDING VALUATION Mailing Address P , (3o ? —S b` Telephone No. Fireplace Contractor 8 UJ rq e r�` Total Valuation 0 Mailing Address Permit Fee PI an Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address XS ti'a PLUMBING No. @ FEE PERMIT FILING FEE $3.00 -r :7 r ✓% /� 1 Each Trap 1.50 t' "9 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. , 7/ ' Ll Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FdW vc ,r esqi n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Declaration Parcel Ma P 60' R/W Improvements Lawn sprinkler system 2.00 �Pl�ans Bldg. Pidiis Rec'd Parcel Approval Pla pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3i. R_& / n/ Main service soov DR LESS 5.00 100 AMP OR LESS Main -service EA. ADD'L 100 AMP 2.50 Main service OVER soov 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 4!8 ogo • NEW CONS. DWELING 0 OR ADDNST (ACCLBLDGS.0 J&) 22sgft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS)-2.50ea r � '�y / NEW CONSTR. (POWER APPARATUS &) NON.RES,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 le of: style Ex. Occup(OUTLETS OR FIXTURES)50 @250 104 Ex. Occup. 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 ' MI am exempt from the Contractors License Laws of the State of California. Permit Fee $ 7� $ 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 1 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 $ S autnonze representatives of the county or t3utte to enter upon the above-mentioned property for inspection purposes. i Date CO Signature Permite r Agent Receipt No. % 61770 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/TOIBLIC WORKS By Date ,95'—Z 7 — 7,7 Building permit expires Date 6'-17-7g Cn '�Ln f �; C -I `, . 't+ CD .-+ U cq C3 v! 75 Lj n w LAJ CC C L S N chis set of pians ands, iv�U�1 be ,.k �-3 kept on the job at all titres and it is unlawful to ,r— w /+ y 7t make any chanes aF alterations on same without 1\ wIAI writ+en permissron from the Department of PubJ' 1. lic Works, County of Butte. y �4 NOTE:—All Materials & Workmanship Shall Be in Accordance with Recogn;zed Good Practices and w �_ •lz� of a quality prescribed for the Specified use in . #I:�e � . Uniform Building, Plumbing & Mechanical Cqe, the National Electrical Code. . NI LO r seU.S c ° > 1 N o N /1 t CL o,Qdoc �a��.�� E - k ' PERMIT NO. 3265-79B,E 1 ' PERMIT EXPIRES =. OWNER Robert Hartwell ,< CONTR. Par - r -Cal Const Paradise 66-44-9 LOCATION (A.P. ) 11 Washo Ct., lot A, I.M.#3, Magalia �S t, i X71 ( h 4 Temp., Power Pole `�V Called PG&E Temp. Elea Serv. i Called PG&E Temp. Gas Serv. Called PG&E /10 B FINALED O (Date) (Signat e) f 0 r • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION'REC`ORD BUILDING BUILDING (Cont'd) PLUMBING Setback s % ® Firewall Soil Piping Forms r— -#JE> Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathin 3 )"Ie- Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings ;7F ARD Stemwall 19 —-- 7 9 42� Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final 0'0-7 Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing 7- /O— Z Test Water Htr. Stucco Final Subpanels 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 Elec. Pedestal Water Piping Sewer Gas Piping M128I6EHOME INSTALLATION Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS oc- (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 �,. Tel4hone: 5-34-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VAIJUATION Mailing Address Telephone No. Contractor ft A/6 ,, IfI`✓ NS f Mailing Address/ G(/ Fireplace Total Valuation T ephone 2—Z Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee 5 ft PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 /�,, A. P. No. (!/ — �ZOnI ii Planning Water piping 1.50 Each gas water heater or vent 1.50 R/sstion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im r p ov is Each additional outlet .30 Building sewer 5.00 Plans Rec'd Parcel Approvol Plan pproval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3• G C> Main service 600 AMP OR R LE SS ESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ® Main service EA. ADD'L 100 AMP 2.50 f Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCC A. N 22sq ft /- o OR ADDNS. ACC. BLDGS. f7 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 MULTI-OUTL NON-RESID BRANCH CIRCUITS 2.50ea NEW CONST R POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 5 L25 Ex. Occup. (FIXED ALISIS OUT LETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ (a ID 1$ (o t 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 $ $ 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 above- ntioned property for inspection purposes. is Date o Signature of Permitee or Agent Receipt No. �46gtlls 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 OFANJBLIC WORKS By Date Builing permit expires Date t -/-?o