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Home My WebLink About069-080-002William L. Fry 67 Royal Oaks Dr., Lot 2, KRYM, le t 45 5-71 Permit 5 5-76P,E (util./MH). I , E C -76 9wotme :5 )j EC I JZ GAS / I UPPOItT STRUC. REQ. S OMPACTION TES C T U a 4 -65-pt- n- & CONTR:Car jos M6bille Tr-anspor Permit #31331-7/(6aMH Issued 17 Permit #4377-76B ew-covered deck & carport/MH) Eli 0z C"I oil 2525-76 P,E PERMIT NO. PERMIT EXPIRES William L. Fry �OWNER -CONTR. owner (A.P. 34-65-2 67 Royal Oaks Dr., Lot 2, KOM, Oroville Temp. Po'we' Pole// Called PG8'E 7 ;am& Elec. 5 v. ::I. I - E I e C' -S — v.— Called 8, E —'6�- Temp. G Serv. m C ed PG8,E -7L j B /1NALED AA t (�Date) ($ignrt/e) COUNTY OF BUTTE — DEPART4ENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Mesh Scratch Brown Finish Interior Lath Door Closer DATE Firewall Soil Piping Parapets 1st Floor Restroorn Finish 2nd Floor Windows 3rd Floor Sidina Topout Roof Sheathing WaterPiping Roofing Sewer Fdn. Vents Fixtures Vents Insulation Water Htr. Heaters rGarage Prov. for physically h i I aEndicted Conformance of ex. .tr..t.r, structure Appliances Gas Piping & Test Temp. Gas Final. Sanitation FIREPLACE Final Footing ELECTR —1 - - . ." - / Aw- - MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Fixtures Grd. Fault Prot. Service Temp. Pole Underground Permanent Final (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, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the =ement.s of the California Administrative Code, Title 25, Chapter 51 permit number 7 Z -21- for the following locatior.: Owner Owner's Address Y Mobilefiome Mfg. M o d e 13 1,31;� (?-4< Y e a r - 4 7 -7 Serial No. -I- -A Insignia No. 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/11S RELOCATED MOBILEHOME INSTALLATION INSPECTION CHECK LIST Is the mobilehome located with 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 e--No- 3. Are footings and supports properly sized, spaced, and bra ced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes Z -'No—' 4. Is the mobilehome level? (Sec. 5088) Yesf---'No .5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes k -"'No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. .5566) Y e s t_�-N o B.' Test - Does water piping withstand working pressure or.50 lbs. air test? Yes 4-_N__o_ C. Backflow - If coach is not State of California approved, does station have backflow devicE and pressure -relief valve? Yes— No - 7. Wastes and Drains A. Is connection made with Schedule 40'DWV and have flex connectors at each end? Yes -Z--Nb I I I B. Does it have minimum 4 per foot slope and is it properly supported? Yes -4-' 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- vent? Yes— No— /V 8. Gas Piping and Gas Vents A. -Connector - Is mob ' ilehome connected to the gas supply with anapprove rV' minimum m 3. ome connector not more than 6 ft. long? Note:' . A 1 11 pipi -is to be at least as ob!1eb _t"'�Mc bilehome gas line inlet without reduc r than the mobilehome large as t connector. Yes----_ No B. Test OK as per following cedure? Yes 1. Open all appliance connec valv 0�_ fo ' lowing c dure? Ye s 0�_ p1lance c onnect valv b d p 10 valve s- 2.. Shut off appliance burner pilo 'alves. m 3. Air test with mano t er to 10"-14" water c mn, or test vith slope gauge (minimum j 6oz.-maximum 8 calibrated in tenth pound 1 eme'nts. Test for 10 min. without drop. sp,Kpv water. onnections with 4. Conn gas meter to mobilehome with connector, turn on ga ��t S, t C C.,,,Are 411 appliance vents properly installed? Yes— No-. 7 9. Electrical A. Is servi6e 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? Yes No C. Is power supply cord or f eeder assembly properly fused? Yes ---N-o. 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 mobileillume supply conductor, including neutral. 11 5. 6. 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. I .1� I upon completion of the above procedure, the power. supply cord or feeder. assembly condu I 6tors. shall be connected to the site service equipment. A further continuity test '4h�ill then be, made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot o . r 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. 0 MOBILEHOME DATA Manufacturer and/or Namestyle OV14Jdtj4 thLI Length e Width Vehicle Serial No. 13 4 7 0 State Identification No. Additional.Information or Comments: J COUNTY OF BUTTE DEPA'RTMENT OF PUBLIC WORKS 7 County Center Drive — (11roville, California 95965 Telephone: 534-4541 ;� -76 APPLIdA'TIOA AND PERMIT 41__� u vl_ rvtjruaeiiLat ves 01 me %-,Uuiity Uj t5uUv to enter upon the ab��eZntioned prope'rty for inspection purposes. X I % / Date n re ermitee or 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 paid. DIRECTOR OF UBLIC WORKS By nate4— i_?— 7 A�Suildinag nperrn�it expires Date 77 BUILDING Owner William L. Fry SO. FT. OCC. BUILDING VALUATION Mai I ing Address Tel ephon e No. Fireplace — Contractor Carneros Mobile Transport Total Valuation Mai I ing Address 1290 El Capitan Permit Fee PlanChecking Fee&/orPenalty Napa, California 94558 Telephone No. - /0/ 252-2411 Permit Fee $ Building Address 67 Royal Oaks Drive PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Oroville, California 95965 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. 34-65-02 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F kJs k�J ftMTMM I FireDept.1 FireZone Use Permit Building sewer EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system Bldg. PlanVec'd ___ParceIA0'P', -I P I . n Z<pp",o� I Permit Fee $ ......... NEW ADDITION UTILITIES [] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 —OTHERrE;, Installation 4n, Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single.Family Duplex Mobil Home E] Others E] Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00 NEW CONST DWELLING OCCUP. OR ADDNS.' ( ACC.BLDGS. 120sqft NEW CONSTR. (MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEW.CONSTFL I POWER APPARATUS &J NON RESID. % SINGLE OUTLET CIR . CONTRACTORS LICENSE LAW I am licensed under the pro.yis.ions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Carneros Mobile Transport Ex. Occup(OUTLETS OR FIXTURES) 5BOA@L 2@51009 FUIXED APRLNS. Ex. Occup. 0 'TLETS (RESIDO)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No_ 259158 Classification C-61 Misc. Wiring 6.25 I amexerript from thecontractors License Lawsof theStateof 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 $3.00 Heating Cooling Ventilation Hood 2.001 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 I S : tate Laws relating to building construction, and hereby Mobile Home Installation 30.00 TOTAL PERMIT FEE J$ 30.1[)0 u vl_ rvtjruaeiiLat ves 01 me %-,Uuiity Uj t5uUv to enter upon the ab��eZntioned prope'rty for inspection purposes. X I % / Date n re ermitee or 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 paid. DIRECTOR OF UBLIC WORKS By nate4— i_?— 7 A�Suildinag nperrn�it expires Date 77 74" COUNTY OF BUTTE, — MEPARTMENT OF PUBLIC WORKS 7 County Center DiriVe_ '_ Oroville, California 95965 Telephone: 534-4541 APPLIC'ATiON AND PERMIT u -I ze VeS 01 the CounLy U! Buite to enter upon the ab�ve--�entioned prople'rty for inspection purposes. J 0 Date Signature of Permitee �r Agent Receipt No. White-D.P.W. — Yellow -Assessor Pink -Inspector — Goldenrod-Appli cant 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 permit expires Date 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION MaiIi5qAddress//c7/ #41E��o 0... T -I -p No. Fireplace Co n t raPto r i� 0&J;uR_ Total Valuation Mai I ing Address Permit Fee Plan Checking Fee VorPenalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 -::t Each Trap 1.50 Repair drainage or vent piping 1.50 —VW Water piping 14.69 16 Each gas water heater or vent 1.50 A. P. N o Z� Ga piping system 1 - 5 outlets 1.50 $ Each additional outlet - F&.s-] 4_e� Sarqqy�e_b FireDept. FireZone Use Permit .30, Building sewer EQA IParking Plans I Parc e Natkeltaff 1 Declarat!ion 60' R/W Improve7nts Lawn sprinkler system Bldg. PlzfecRecd Parcel Approval Plans Arproval Permit Fee $ NEW E] ADDITION UTILITIES 121**,- OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3,00 600V OR LESS Main service 100 AMP OR LESS 5.00 0 C) Main service EA. ADD -L 100 AMP 2.50 Single Family Duplex Mobil Home [3""' OthersE] OVER 600V Main service-100_AMP OR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. &) OR ADDNS. ACC.BLOGS. 2Tsq it NEW CONSTR. -OUTLET -2.50ed (MULTI NON . RESID. BRANCH CIRCUITS) NE:W.CON,STR. (POWER APPARATUS.&) NON RES 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 style of: Ex. OCCUP(OUTLETS OR FIXTURES) 50 @ 25t BAL La 104 FIXED A PLNS. OR % — Ex. Occup.(OUTLETSP(RF-SID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 1.5.00 9 00 License No. Classification Misc. Wiring 6.25 2<am exempt from the Contractors License Laws of the State of Cali fonria. - Permit Fee $ sv 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. ' have 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 2.001 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 TOTAL PERMIT FEE $ u -I ze VeS 01 the CounLy U! Buite to enter upon the ab�ve--�entioned prople'rty for inspection purposes. J 0 Date Signature of Permitee �r Agent Receipt No. White-D.P.W. — Yellow -Assessor Pink -Inspector — Goldenrod-Appli cant 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 permit expires Date 7 James Glander Department of Public Works 7 County Center Drive Oroville, California 95965 Re: 76551 Dear Jim: June 14, 1976 Compaction test results are enclosed for mobile home site preparation at Kelly Ridge Estates for: Fry KRE Unit 2A Lot 2 Representative tests indicate that the 90% relative compaction requirement has b'een satisfied. A location map is attached. Very truly Yours, COOK ASSOCIATES Alan G. Brown Civil Engineer AGB/cap Enclosures DR. LLOYD M. COOK ED, D. JOE E. COOK M. E. DAN J COOK C. E. C013K ASSOCIATES 4GINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE, CALIFORNIA 95965 PHONE (916) 533-64S7 I A P �rVAOA V E, "EGO N P� t, James Glander Department of Public Works 7 County Center Drive Oroville, California 95965 Re: 76551 Dear Jim: June 14, 1976 Compaction test results are enclosed for mobile home site preparation at Kelly Ridge Estates for: Fry KRE Unit 2A Lot 2 Representative tests indicate that the 90% relative compaction requirement has b'een satisfied. A location map is attached. Very truly Yours, COOK ASSOCIATES Alan G. Brown Civil Engineer AGB/cap Enclosures DR. LLOYD M. COOK ED, D. JOE E. COOK M. E. DAN J COOK C. E. 00 Alo 6 Client Fry ICOOW ASSOCIATES Project KRE Unit 2A ENGINEE RING CONSULTANTS. Nuclear In -'Place 76551 * Job No. 2060 PARK AVENUE OROVILLE Moisture Density Test , CALIFORNIA 95965 operator Kimbrell (916) 533 —6457.. TEST NUMBER 1 2 5 4 5 6 7 8 9 10 TEST DATE 6-10-76 6-10 6-11 6-11 6-12 6-12 lst lif t Ist lif t 3st lif t Ist lif t Ist lif-;Istlift TEST W. End Middle Sk,! Cor SW Cor S111 Cor SW Cor LOCATION of pad of pad 3N 15E 15xl5 FOJAL Retest Retest Retest Retest MODE a DEPTH 811 DT 8" DT 81t DT 811 DT 811 DT 4" DT MOISTURE COUNT .1013 1255 1043 1457 1220 MOISTURE COUNT RATIO .716 .888 .762 1.065 .861 MOISTURE '22.25/ PCIF 17.75 23.0 19.25 28.50 20.1 20 DENSITY COUNT 291 249 276 242 240 605 DENSITY COUNT RATIO 1.069 .915 11.018 .893 .692 2.249 WET DENSITY PCIF 127.0 134.0 129.0 135.0 135.0. 141.0 DRY DENSITY PCF 109'.25 111.0 109.7 5 106.5 114.9 120.9 % MOISTURE .16.2 20.7 17.5 27% OPTIMUM DRY DENSITY PCF 130.5 130.5 130.5 130.5 130.5 130.5 % OPTIMUM 9 9 9 9 9 9 MOISTURE % RELATIVE COMPACTION 84 85 84 82 - 88 92 DAILY STANDARD COUNT COMMENT: 'Using' existing cut for fill DATE MOISTURE DENSITY Tests 5 & 6 speedy MC used 6-10 .1413 272 6-11. 1-368 - 271 1393 272 1416 LOT -2 UNIT 2A 6.,9, CIO. 0.0 PIC -Or- Zo- 7.6 A 41 ;r1Fd5,eS'J;' 41 7a MOBILEHOME 6UF1!UKT DAIA 24 x 60 Mobilehome Mfr. Mountain Valley Setup Model No. 3 Bdr CK F&R Year 76 Width 24 (ft.) Length 56 (ft.) Expando S ize----- ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on J-:ile- with. the Pounty of Butte) - . . A . J! .0 1 f �-- S inAle , Footings--(check.one) 41 ......... ....... . . Typical Support r12 x 301 Footing Size [:::2 �=3 .(in.) (in.) Max. Pier 1� Spacing In . (in.)(in.)' A '�x 0 0 e�hang in-) kIf center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMSNT APPROVED /x/ -1. Wood'either pressure treated or 2 .enter Center SuppoK fdn.*-grade.-.* 3upport 'ocations'i Footing Sizes (in.) 2. -Concrete Pad. 3. Other,* -specify 7?7:;- �IQ t . in. (in.)kin.) Supports (check one) /X/ 1. Concrete block 2. Concrete piers 1 24 x 301 -(in.-)-(in.) 3. Steel piers .... .... ... . ........... .... 4. Other, specify o.j 41 ......... ....... . . Typical Support r12 x 301 Footing Size [:::2 �=3 .(in.) (in.) Max. Pier 1� Spacing In . (in.)(in.)' A '�x 0 0 e�hang in-) kIf center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMSNT APPROVED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 -County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. owner's name:. William L. Fry - 2. Installer's name: Carneros-Mobile Transport 3. Is the site currently under permit? Yes /x No (If yes,. furnish permit number OR Is the site- an existing, -site?. Yes No /x (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 /x No (If no, clarify 200 5. What is the mobilehome electrical rating? --------- 7 ------------- Amps 6. What is the mobilehome site service.rat ing? ---------------------- 200 Amps 7. What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load to be served -by the mobilehome - 200 Amps site service? ----------------------------------------------------- Yes No /xx (Load) _0__1 (Amps) (If yes, identify -the load and size: 9. What is the mobilehome site gas pipe �ize? ---------------------- -0- 10. What --is- the type of gas service? ----------------------------- Natural,./ LPG 11. What is the gas pipe. length -..,f rom.. meter or tank to the. mobilehome? -0- (ft.) 12. What is the mobilehome gas demand? ------------------------------- -0- (BTU) (This information not required if pipe length le-ss�.,than 6 ft.. on natural.. gas or less than 50 ft. on LPG.) -1 LOT -2 NOTE:—All Mt-fnrinls, & Workmanship Sh41,.Be Accordance w*l+h R—hon;4 G_-,nd Prr"r+w.es UNIT 2A of a quoVtv nre-cr,k,,4 4or 'le Sner.'-l',eA Icr% in ','l— ,;E� *>,'. . a - - - �5 0 Uniform Buildinq, Plurn�inq & Machanicol. Codes m4 the National Electrical ',Code. rhis sQt of plans 9A. -i RAMUk2ft", MUST bt kept on flia job at all times and it is unizwful to on4o any chanp-5 or 4-iter-itions on s�-rnc w' 0 0 u I WrH-n' Parmiss�Dn from the Dc.partme�n.t of Pt 2"C> 0 !bfir 6-,57., 0_0 Works, County of. -Butte. 43- S."Al., 4 z)T"L 6_11-7 12" 1�1 x I I , - — nit v11111bo !P( b,jpbome. DeTr . oj ftT'� M za�A I -J. "I V, Ik Nl# A771MR4 The Ift Set back r) f he side prc perty 1,14K. the cenferline of the 0 mclximum of a 2 ff (3 ill be 5 ft. from and 50 f�.,.',-orn Dad, pormitting Rave overhanq. J I:_- .20' C -A -Z To r-1-1 I'F-& -a $-'a S-- 7 6 All utility connections shall be - located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobilp home. BUTTE COUNTY BUILDING DEPARTMEN! APPROVF:P -4 L-7 7a -7.- 74 Ik Nl# A771MR4 The Ift Set back r) f he side prc perty 1,14K. the cenferline of the 0 mclximum of a 2 ff (3 ill be 5 ft. from and 50 f�.,.',-orn Dad, pormitting Rave overhanq. J I:_- .20' C -A -Z To r-1-1 I'F-& -a $-'a S-- 7 6 All utility connections shall be - located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobilp home. BUTTE COUNTY BUILDING DEPARTMEN! APPROVF:P -4 L-7 7a -7.- 74 PERMIT NO. 4377-76B PERMIT EXPIRES OWNER William Fry CONTR. owner LOCATION (A.P.' 34-65-2 67 Royal Oaks Dr., lot 2,-KR#2A, Oroville Temp- Powe,VPole Called E Temp. El Serv.— Call PG&E Temp. as Serv. Te m P* E Ca P T /ea m p s 5 lled PG&E i B INALED (�D- a t e) (Signaiurei COUNTY OF BUTTE — DEPkRTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback6-'2-4L—Z Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwal I Siding Topout Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings ;T-- 24 -74 Prov. for physically handic ppe Conformance of ex. structure Appliances Gas Piping Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Z?— IF Footing ELECTRICAL Masonry Wa I Is/ Throat Rough - ReInf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors FraminA Test Water Htr. stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Und rground Interior Lath Ventilation Permanent Door, Closer Final Final DATE REMARKS OR CORRECTIONS Z: % ,4 d'clr,-111040�� e M / CP Awl Ate - (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTI�ENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-45Z1 77-76 APPLICATION AND PERMIT y !es. Date 0 L--� Receipt No. White-D.P.W. – Yellow -Assessor – Pink -inspector – Goldenrod-Appli cant i7ng'permit expires Date 7 7 BUILDING Owner)u'l SQ. F T. OCC. BUILDING VALUATION -ei Mai I i ng Address Roy 11 (1, 6A ?/Z % ofzo U, ff, Tel ephon a No. Fireplace Contractor Total Valuation 3:0 / 2,0 Mailing Address Permit Fee 92 8: Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address PLUM-BING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 :2- u Ilia A A - Each gas water heater or vent 1.50 A. P. No. 3 q —. zos-- ng & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeesTkc- I UVD auw I Fire Dept. I Fi re se Permit Building sewer 5.00 EQA [Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Apkl�al Plans Approval Permit Fee $ $ NEW IVI ADDITION UTILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00' Main'service 600V OR LESS 100 AMP OR. LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Single Family Duplex Mobi I Home gJ Others Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD -L 100 AMR 1.00 aovg:R0 DEcr__ NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC.BLDGS. 20sq it NEW CONSTR. (MULTI -OUTLET, NON-RESID. BRANCH CIRCU TS) '2.50ea CAte .90 a —1 -2 'X 20 11 NEW CONSTR. POWER APPARATUS.&) NON-RESID. (SINGLE OUTLET CIR CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) PBOA@L 2@51CO I Ex. OCCUp. ( FUIXED APPLNS. OR 0 'TLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.251 2/1 amexempt from the Contractors License Lawsof theStateof 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. certify that in the performance of the work for which this plermit 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 2.001 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 Lrdws relating to building construction, and hereb ta. y au s at e County of Butte to enter upon the dN �apieves of th ab rty for inspection purposes. V X —Date— IS11 � Si�gnatu ryol"Permi Aor Agent TOTAL PERMIT FEE Is A��Vo 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. 19!1% DIRECTOR OF(YBLIC WORKS – 0-7" ^ _,.- 7)/ !es. Date 0 L--� Receipt No. White-D.P.W. – Yellow -Assessor – Pink -inspector – Goldenrod-Appli cant i7ng'permit expires Date 7 7