Loading...
HomeMy WebLinkAbout069-090-030a A �0 William B. Gray Hanging Tree Ct., lot 40, KR#2A, Oro ' lle Permit 6 30-76P,E(ut4.,MH) ELEC. GAS SUPPORT STRUC REQ. 410 COMPACTION TEST Iyr ;rte -. contr: Carneros Mc2bile.-Tran ort, -Napa Permit #140-77 I Issued 1,2-77 AP a � -� PermitIJ% 071-78B o e de k/MH) � Permit #109-79B,P,EZnew garag/e�w/open deck) _ 69-09-30 ermit #871-•OB(cover for xisting porch/MH) S�/�o 69f 09� 30;'3ti GRAY, 4Wi-11iamB�,��� 17 Hanging ,Tree Ct Orov"ille OutS1die ( eleccircuit) A L v FINALED v� f � �.,-x *?` ;, . �,';�, ,, �' � � _a. •. un..*ra:Y :a!`.'T 7T".'7�'"',} LTrt .1 � A •� �. int I�h��� �'�• ;�.x�+�`� . CSI i PERMIT NO. 6430;f76P,t PERMIT EXPIRES �/ ��//" OWNER William B. Gray CONTR. owner. LOCATION (A.P. 34-66-30 17 Hanging Tree Ct., lot 40, KRYM, Oroville 9 Temp. POwe�POle Called AG&E ` TA"- Eec. Serv. a y . Cal,led PG&E L �B Gas Serv. /Tep Called PG&E FINALED (Signature) • a. COUNTY OF BUTTE — DEPARTMENT 'OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback L edo '- Firewall Soil Piping, Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing. Water Piping i inPiers Piers. Roofing Sewer 6, Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab L Final % _ C�i° 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 ME ANICA Grd. Fault Prot. Scratch Heatin 14 Service Brown Cooling k Temp. Pole Finish Ducts j, Underground Interior Lath Ventilation , Permanent Door Closer Final„ Final DATE A coy" ?� REMARKS OR CORRECTIONS N03'0 t sp 'V4"'0 (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 OROVILLS, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobleliome has been installed in accordance with the requirements of the ali ornia Administrative Code, Title 25, Chapter 5, under permit number L/O for the following location: v Owner60 ) 4-L. Z Owner's Address 1A y%'% � Mobilehome Mfg. Model Yeit�-2 Insignia NX4 b Serial No. 7�i y 2 It is hereby certified for ccupancy at the above described location and may be occupied. Dire nfo'ublic Work Date %— o�� `%� By THIS CERTIFICATE IS VOID WHEN MOBILEHOME 4S RELOCATED 1 ii013T!,1:;R0�il INS`CALL.M'70ld INS1'ECTIJN CHECK LIST 1. Is the mobileh.omt located wi!.-h required separation from lot lines and buildings and generally conform to plot plan? Yes r/ No 2. Doe:; the- mobilehome have requir<d clearances above ground? (Sec.5085) Yes 6^0 3. Are foot.in,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_4._00No_ 4. Is the mobilehome level.? (Sec. 5088) Yes &#-#*No_ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes &#-ONo S. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes Nc 4 B. Test - Does water piping withstand working pressure or 50 lbs, air �test?;,.Yes ✓ No fiPand ackflow - If.coach is not State of California approved, does station have backflow device 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,% No .B. Does it have minimum per foot slope and is it properly supported? Yes / No (:. Are any leaks detected in drainage system after runnijg 3 -gallons of water through each fixture including washing machine standpipe? Yes' o #.000 If coach is not State of California approved, does station have required trap and vent? Yes No 8. -Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No- , B. 'rest OK as pe following procedure?s_ No 1. Open all _app 'ance connector va es. 2. Shut off appliance",krner apd pilot valves. 3. Air test with manometer10" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.)c .ibrat in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas /vents to mobilehome with%Yes urn. on gas, test connections with soapy water. C. Are all applianc properly install0 9. Electrical A . Is seivice large enough to provide ;adequate amperage to mobi'leliome. (must equal rating of mobilehome caitic a. ::;in.u:um of 100 amp) an -,I other facilitici-s on lot, i.e., water pumps, ,:rage, cabana, etc.:! Yes /✓ No B Is there proper clearances around panels? Yes_ieNo_ C. Is power supply cord or feeder assembly properly fused? Yes lo D. Is continuity test satisfactory as per the following procedure? YesAeoqlo__ 1. De -energize electrical wiring system of the mobilehome at the pedestal. Malce. sure that the power supply cord or feeder assembly conductors, including neutral onductor, have been disconnected.. Switch all breakers and switches in the mobilehome to the "on" position. Connect"one l(. -,ad of a test instrument to the mobilehome grounding conductor and . _, ,_ ,. , a Ly the Giu.G toad t:o eauu Tiioul.��uiiiite supply conuuctG'i, iliuluulTig neuLrat. All non-current, carrying metal parts of the mobilehome (aluminum sid`itig, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 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 te::;r_ shall then be made between the grounding electrode and the chassis of the viobilehome. UDOIT ssti_sfactory completion of the electrical tests, the lot or site service equipment may be approves( for energizing. T,. jab card signed by Health Departmeat for nater and sanitation? 11. If everything olray, sign off card and ta- services. 'MOBTLE,:IO E DATA Manufacturer and/or Namest:yle 40- Length Width Iq Vehicle Serial No. "7 A 7 State Identification No. rale tional Infoi-nat:ion or Comments: COUNTY OF BUTTE — -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive' — , OrovilTe, 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. X Date /V at of Per tee or Age t 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 PUBLIC WORKS BY Date / -7 1 wilding permit expires Date ���� BUILDING OwnerWilliam B. Gray SQ. FT. OCC. BUILDING VALUATION Mailing Address Lot 40 Unit 2A Telephone No. Fireplace Contractor Carneros Mobile Transport Total Valuation Mailing Address 1290 E1 Capitan Permit it Fee Fee Planng Fee&/or Penalty ---T252-2411 Napa, California 94558 elephone No. 70 252-2411 Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 17 Hanging Tree Court Each Trap 1.50 Oroville California 95965 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N�4-66-30 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. ire Dept. 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 Bldg. Plans Recd Parcel Approval PI4TApproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 INSTALLATIOid p- ,jam" fe Main service 100 AMP OROR L -E LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home © Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGS.LING CCUP. &) 2¢sgft NEWCONSTR. MULTI -OUTLET NON .RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON -R ESID. (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: Carnpros Mohile Transport Ex. Occup(OUTLETS OR FIXTURES) BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 259158Classification C-61 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 $ $ 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 am Mobile Home Installation 30.00 TOTAL PERMIT FEE $ 30,7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date /V at of Per tee or Age t 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 PUBLIC WORKS BY Date / -7 1 wilding permit expires Date ���� MOBILEHOASE SUPPORT DATA Mobilehome Mfr. Skyline Homes, Inc Setup Model No. GOC -909 year 76 Width 24 (ft.) Length... 48 (ft:)" Expando'`Size ft.x ft. -.. (Draw support details below) . On all mobilehom?�:manufactured after October 7, 1973, furnish manufacturer's installation• marnial and structural setup sheets :(if. not .on .file with _the County ,of Butte) . Footings -(check.ov txX/ 1. Wood :either . i' pressure treated of Center Center Support fdn.`grade.:- Support Footing Sizes Locations (in.) ...... 2 -.;:Concrete pad. �� 3.; Other,.'specify in. in. in. Supports (check on 7 /k/ 1. Concrete block T/J(=.0 2. Concrete piers (ft in 3. Steel piers .. ........ ....... .... .. .. Other, specify b... f . ... . . . . . . . . . .... . ... Typical Support Footing -Size- (in.) (in.) Size- (in.)(in.) �. Max. Pier.. -. Spacing �. ... .. ' - .. . t. TCin.) 24 x 30 G— - (in.) (in.)r •s l 1 _ 0 Overhan V/ I g .If center =piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTME91 AP -PROVED a/10 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA: PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: William B. Gray Lot 40, Unit 2A 2. Installer's name:- Carneros Mobile Transport 3. Is the site currently under permit? Yes / X/ No —L ( If yes, furnish permit number... ) OR Is the site.an existing site? Yes / / No =77 ' (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 ) 5. What is the mobilehome electrical'rating?---------=------------- 200. Amps 6. What is the mobilehome.site service rating? -------------------- 200 Amps 7. What is the mobilehome site circuit breaker rating? ------------- 200 Amps. - 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No /X / (If yes, identify the load and size: (Load) -0- (Amps) - 9. What is the mobilehome site gas pipe size? ---------------------- -0- 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? -0- (ft.) 12 What is the mobilehome gas demand? ---------------------------=-- -0- (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG:) r R . COUNTY OF BUTTE — DErf t-10cTMENT OF PUBLIC WORKS 7 County Center Drive' — Ur'oville, California 95965 s Telephone: 534-4541 U / .'A'. APPLICATION AND PERMIT above-mentioned property for inspection purposes. v y y~v X'� Date Q Signature;ofPermite or Agent Receipt No.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. DIRECTO F PUBLIC WORKS BY Date ilding permit expires Date BUILDING Ownert7 e7 SQ. FT. OCC. BUILDING VALUATION Mai I i ng Addres 1 T lep ,kNo Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. a Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT / ��a ,� CP [/� FILING FEE J$3.00 j,00 Each Trap 1,50 �/ r S Repair drainage or vent piping 1,50 9 Water piping 16,00 Each gas water heater or vent 1.50 ` A. P. NO. 3 `p�p —�'� r Zoni g & Planning Gas piping system 1 - 5 outlets 1.50 $ 27 3 ach additional outlet .30 Fee ari%�on I Fire Dept. Fire Z Use Permit Building sewer ._5.90 0, 00 EQA Parking Plans Parc I Decla tion ce� 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. Plans Recd arcel Approval P s Approval Permit Fee $ 0 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 300 Main service 1000 AMP ORV OR LESS5.00 S��a Main service EA. AOD'L 100 AMP 2,50 15_0 Single Family Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 1❑ 50p SQ, Fl, WINIaI%JM NEW CONST. (ACCLBLGOCCUP. &) 2¢sgft OR ADDNS. NEW CONSTR. MULTI -OUTLET E011 MC)BILES 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: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 04 Ex. Occup.(FIXED APPLNS. OR ) OUTLETS (RESID.) EA 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lice n o. 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 hav placed on file with the County of Butte a certificate of W men'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 $ JrG above-mentioned property for inspection purposes. v y y~v X'� Date Q Signature;ofPermite or Agent Receipt No.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. DIRECTO F PUBLIC WORKS BY Date ilding permit expires Date a- ,BUTTE COUNTY LOT 40 UNIT 2A z=s:o6J--BUILDING DEPARTMENT NOTE:—All Materials &' WorkmanshiShall Be.in Accordance -with P.ecognieed Good Practices and quality prescribed for the Specified use'in the Uniform Bui;ding,. Plumbing & Mechanical Codes and the National Electrical Code. i his set of plans ears MUST be cept on the job at all times and it is unlawful to make airy changes or alterations on same without written permisson from the Department of PoH4 Works, Countv of 131,tto N \ N n +c - � kms. •`C(� J�2 as oc c a� dp co oa o @ o40 �x 14�C J� o 4 � O o,ard `�� Y. O ;� s �as� E �i (� `i des A3 0 \ A Permit will be \ \ isrstallation rem Of r rnhe o'-'eoe. V c 4- C ov I U.0 c o > >. � .° 4 =-U14- 0Aw 1 E �— — "•Ec0 Qs,- 6-c. . _ j1' �z8_p 47'Sc 7-4 A ` 69-09730 1623-89E° GRAY, William B 17 Hanging Tree Ct, Oroville (outside elec circuit) FINALED COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASS_ESoR PAR,CENEUhdJ3 ZONING BUILDING PERMIT OWNER ((// �,} y TEL PHONE S0. FT. OCC.1 BUILDING VALUATION OWNER'S MAI LIN ADDRESS 6E14 ;, (CANT ACT R'S AME/' TELEi�HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS f Penalty $ BUILDING ADDRESS k l /C i � Permit fee $ PLUMBING PERMIT Filing Fee 10.00 13 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCIL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New FJ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS10010.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW ! I declare under penalty of perjury (check one): i i El am licensed under provisions of Chapt. 9, Div. 3 of the'Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended proffered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively. contracting with licensed contra ors. (Sec. 7044) 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a OR ADDNS. ( ACC. BLDGS. 1/4sgft NEW CONSTR. U TI.OUTET L NON.RESID BRANCH CIRC ITS 2,50 ea j POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCCup OUTLETS OR FIXTURES eL9tALO30 FIXED ALINIS EX. DCCUp. OUTLETS P(RESID.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00ct- Misc. Wiring 9 1 15.00 )I rl . ` I Permit Fee $ 0 1�-. Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one):- fV The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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 I ountyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs,, and expenses which may in any way accrue I—against`s`aildd'C'o my In ons�equennce of the granting of this permit. X . �`�- � �1-A+t LO Date - - -3- 9 g'tura of Afiplicant - Q�Own�er ❑� jContractor ❑ Agent Z' t An OSHrA�mit�fe4uire° d`io/ext°av'a E�s over 5'0" deep and demolition or construct- ion of structures over 3 stories in heiati,. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OC cup . CONST,TYPFJ SCHOOL FLaoo PARCEL P11 I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE ;1 OF PUB y. �'� PERMIT EXPIRES Dat@ the applicable provi- resolutions to do fee have been paid. `ICy1NORKS Date Receipt No. �� WHITE-D.P.W.. YELLOW-ASSE350R, PINK -INSPECTOR, GOLDENROD -APPLICANT ROD -APPLICANT COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 _a 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE R 6�-Iz3 PERMIT NO. A ro irSe inspection indicates that the following violations of County Ordinance 1 exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date a Gl COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 j 7 County Center Drive, Oroville — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE.. PERMIT NO. A routini inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. „�,_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 F APPLICATION AND PERMIT PERMIT N0. AS E R PNBE 17— L ZONING BUILDING PERMIT -. TEL PHONE 11 SQ. FT. OCC. BUILDING V UA "ON MN.R'SIN ADDRESSR'S AME ELEPNONE R'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS — Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFY Mobile Home I S I G JW I 0.00 ea TYPE OF WORK EL I I New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Permit Fee $ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6101 OR LESS 100 AMP OR LESS 10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCU1.y , /z¢sgft I declare under penalty of perjury (check one): OR ADONS. ACC. BLDGS. NEW CONSTR. MULTI—OUTLET ' 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON.RESID .BRANCH CIRC ITS /POWER APPARATUS e and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. / (OUTLETS License No. Classification Ex. OCCUp\/ OR FIXTURES 20050t eAL03o I, as the owner, or my employees with wages as their sole compen- FIXED \\ Ex. Occup. OUTLETS PLNS (RESID )KEA.) 1 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ❑ I, the licensed Mobile Home Facilities 15.00 as owner, am exclusively contracting with contract- ors. (Sec. 7044) Misc. Wiring 9 15.00 am exempt under Sec. , Business and Professions Code for this reason Permit Fee s Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 V The permit is for $100.00 (valuation) or less. Heating ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. Cooling I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement,. should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ I also agr a to save, indemnify and keep harmless the County of Butte against OCCUP. CONST.TYPG SCHOOL FLOOD PARCEL PD Ho 139UE all liabilit as, judgments, cost and expenses which may in any way accrue i ainst sai Cong eq a ce of the granting of this permit. %� Date �- Z3- This permit is hereby issued under the applicable provi- the Butte County ,� sions of Code and/or resolutions to do ner Contractor ❑ Agent 1K Si noture^of%�-r4 n OSH eym"&a e vo ns over 5'0" deep and demolition or construct- work ted above fo which DIRE F PUB I fee have been paid. ORKS on of sYYrructures over 3 storie.0. n heig Receipt No. lt 1A Af y D t WHITE-D.P.W.. YELLOW-ASSE350R. PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT EXPIRES Date COUNTY OF BUTTE.- Department_.of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing, your signature. . Please complete and return this.information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building ,permit will be issued until this verification is received. 1. I personally plan .to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) �t%Lil� signed an app ication for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. ,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors' License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner c Social Security Number � Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ' PERMIT APPLICATION DATA SHEET Permit No. OWNER AP. No. 49—/D 7 Proposed Building Use .Q, Building Inspector . Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. School District fees paid ................. 13. Sanitation approval from Health Department ... 14. City of Chico plumbing.. permit ..................................... . 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... Pre-Inspec. request to 19. Pre -Inspection for required ...... Building Inspector 20. Contractor's license information (No., Name Style, Classification) ....... Certificate of Workmans Compensation Insurance . . , Owner -Builder Verification Given to owner o, Mail to owner corded copy copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: Mai. to owner. Mail to contractor. _Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_mail—counter by Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder date date Date ate) ` PERMIT NO. 1091-79B,P,E PERMIT EXPIRES OWNER W. B. Gray CONTR. owner 34-66-30 LOCATION (A.P. ) 17 Hanging Tree Ct., lot 40, KRIM , Orovill, Temp Power Pole d/Called PG&E T.,emp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (D aLN&9�j (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback y a - 7 Firewall Soil Piping Forms Parapets 1st Floor 7 Main Bldg. Z Restroom Finish 2nd Floor Footings Windows A 3rd Floor Stemwall V Siding To out V-% Slab Roof Sheathing zi Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings 4/- -7 9 C•L--- Garage Vents Water Htr. Stemwall Insulation Heaters Slab Orov. for ph handica ed sically Appliances Carport Conformance of ex. Gas Piping est Footings structure -Temp. Gas Slab Final 3 -7 Y Sanitation Patio ) FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough // 3 - 7 Reinf. Steel Final Fixtures < �7 Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh dECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts V Underground 14 Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping c Drainage Gas Piping DATE cJ OZ' % / REMARKS OR CORRECTIONS WLZA-7T (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 Telephone': 534-4541 APPLICATION AND PERMIT //A /o/ -/- 79 aurnorlce represenitinves or the county or twite to enter upon me above-mentioned property for inspection purposes. X 91--." Date Signature of Permitee org nt 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. DIRE TOR OF PUBLIC WORKS By Date 3—/ fl__y Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Addressoe O A1144 Tele h e N �S Contractor C2Li Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address % �f li�C �, Plan Checking Fee&/or Penalty Permit Fee 0 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,QO Each Trap 1.50 , /49- 1-107-410 Repair drainage or vent piping 1.50 A. P. No. Zoni4fg'b Banning Water piping 1.50 Each gas water heater or vent 1.50 F s W nn L p`iWi� Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel M p 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. ins Recd Parcel Approval Plan pprovol Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑- Permit Fee $ 400;$ a ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADO'L 100 AMP 2.50 Main service OVER so0v 25.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 1.00 NEW CONST. (DWE COUP. Y) 20s ft 7 OR ADONIS. AC q / 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 NNEW CO EW COID MNST, TLETRCUITS1 I/ 12.50ea NEW CONST . POWER APPARATUS & NON.R RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 5 L 250 ,2 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 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 14 SO$24 n 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. tivl I certify that in the. performance of the work for which this 1R 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 N0.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ jiagwa 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 $ aurnorlce represenitinves or the county or twite to enter upon me above-mentioned property for inspection purposes. X 91--." Date Signature of Permitee org nt 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. DIRE TOR OF PUBLIC WORKS By Date 3—/ fl__y Building permit expires Date PERMIT NO. 2071-78B PERMIT EXPIRESY-14-6 12 OWNER Wm. B. Gray CONTR. owner LOCATION (A.P. 34-66-30 17 Hanging Tree Ct., Oroville a 9 A 0 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. alled PG&E JOB FINALED v (Dat 9 c ' � z (Signature) Brown COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Temp. Po BUILDING BUILDING (Cont'd) PLUMBING Setback- -TO �� Firewall Soil Piping Forms Final Parapets 1st Floor Main Bldg. Water Piping Restroom Finish 2nd Floor Footings Elec. Continuity Windows 3rd Floor Stemwall DATE Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall V A Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings \ Prov. for physically handicapped Conformance of ex. structure r Appliances Gas Piping & T t Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECT ICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framin o4 S ' % l� Test Water Htr. Stucco Final Subpanels Mesh A MECHA)ACA`L Grd. Fault Prot. Scratch N Heating Service Brown Cooling Temp. Po Finish V Ducts N Undergr nd Interior Lath Ventilation Penna ent Door Closer Final Final MOBILEHOMEUTILIT S ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS r (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 Orovi Ile, California 95965 Telephone: 5344541 APPLICATION AND PERMIT ao7i- 7 O - BUILDING Owner ,► \ +.- SQ. FT. OCC. BUILDING VALUATION Mailing Address , an l h thm` \ ph N Contractor 'r Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee �( PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 l'Repair drainage or vent piping 1.50 A. P. No. �' '"'� ki Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F ti Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking ParcelEach Plans Declaration I Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. P s Rec'd Parcel Approval4_1 PI s Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ZJ_----Others ❑ Main service EA. ADD -L loo AMP 2.50 l Main service OVER eoov 25.00 100 AMP OR LESS Main service(( EA. ADD'L 100 AMP 1.00 NEW OR ADDNST l ACCDWELBLDGS.LING CCUP. !) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW RESID. / BRANCH TLET CIRCU NON RESID. ` BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS a NON RESID. (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTUR250 ES) 5 L ,2 Ex. FIXED APPLNS. OR Occu / 2.00 p•(OUTLETS (RESID.) EA) 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 $ $ 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 $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE aulnurize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date '�—d�% —4 Signature of Perris a or Agent Receipt No. / 7/ a2 �? a 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 OFP LIC WORKS By 92�Date Bui4ing permit expires Date y.Y L, PERMIT N0. 871-80B :r 1 ` < PERMIT EXPIRES. (/ail� , OWNER William B. Gray CONTR. owner 34-66-30 LOCATION (A.P. ) 17 Hanging Tree Ct., lot 40, KRIM , Oro. Temp. Power Pole Called PG&E Temp. Elec. Seru Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED ^ +-I 6 v (D t) �i (Signature) Framing S — O —L, --J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Water Htr. BUILDING BUILDING (Cont'd)' PLUMBING Setback 7— d-- Firewall Soil Piping Forms Para ets list Floor Main Bldg. Restroom Finish I 2nd Floor ? Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathin Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures / Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure_ Appliances Gas Piping & Te Tem .Gas Slab Final q`' — — Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRF(q/PRI14kLERS Motors Framing S — O —L, --J Test Water Htr. Stucco Final Sub anels Mesh IwffCIJANICAL Grd. Fault Prot. f 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 MOBILEHOME 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 w Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT f 2 - d90,1/, authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date a Signature of ermitee r Ag t Receipt No. d White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By Date B ding permit expires Date BUILDING Owner CC�Lf `� �`_ SQ. FT. OCC. BUILDING VAL TION "jam Mailing Address C 2e� �j. Tel hone No. g �3loS Contractor OWXJt;-'►Z._ Mailing Address Fireplace Total Valuation 6 d Telephone No. Per' Building Address `-- �`� r�6 lanCheckipl;:Pe& Yor Penalty Permit Fee 2 — PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 +� A. P. No. �— �o� (J Zon�g Planning Water piping 1.50 Each gas water heater or vent 1.50 Fft, I *,-- I San"a4en 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 B '•(ding sewer 5.00 Bldg. Plan�c'd Parcel Approval 1,4 Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES [:]—OTHER ❑ Permit Fee $ $ �; o r ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGS.CCUP S) 22Sgft 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 -OUTLET NON.RESID ( BRANCH CIRCUITS) 12.50ea. NEW CONSTR. (POWER APPARATUS 8 NON-RESID. (SINGLE OUTLET CIR. Ex. OCcun(OUTLETSOR FIXTIIRES ) BA50@L@1 Ex. Occup. ( OUTLETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 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 Sectiom3700 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. Ivy 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date a Signature of ermitee r Ag t Receipt No. d White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By Date B ding permit expires Date