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HomeMy WebLinkAbout069-090-041- CT 69 Greenbrier Dr. Oroville op TO INSPE. COWPLAINT- cec=^t ^ ~; COMPACTION TEST, KI -X .'' ` � �t�� ��a�o�z�6*�00]5ile Trans, Napa rmit # O4 7 ooeo contr:Ho lmes M_---- --_- ---'', -^_, Permit #2950-78B(oew carport &covere. deck/MH) to/ 44 0 E14 4?/ 12 (0 � 7 4p ' m If I � � �� � jj «. �� :� :_ : COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: 0 "t P t { PERMIT NO 6457-77P,E .. _.� PERMIT EXPIRES OWNER Joseph S. Krecidlo CONTR. owner LOCATION (A.P. 34-66-41 f 69 Greenbrier Dr., Lot 29, KR2A, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv.`- Called PG&E 4P3 Temp. Gas Serv. Called PG&E OB /FI NNALED (DateaU c 1 (Signature) J Temp. Power Pole Called PG&E Temp. Elec. Serv.`- Called PG&E 4P3 Temp. Gas Serv. Called PG&E OB /FI NNALED (DateaU c 1 (Signature) Bond Beam COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Framina BUILDING BUILDING (Cont'd). PLUMBING etback d Fire } Ii it Piping rms Para R s st Floor aln Bldg. Restroo Finish 2 Floor ootin s Windows 3rd loor emwalI Siding To out SI b Roof Sheathing Water Pi in Pies Rooling Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping&Test Temp. Slab Final -Gas Sanitation Patio FIREPLAbf Final Footings Footing E4CTRICAL Masonry Walls Throat Rouah Bond Beam FIRE SPRINKLERS Motors Framina Test Water Htr. Stucco Final Sub anels Mesh MECHANICAL Grd. FaqK Prot. Scratch a Healina Servic Browi Co ling Te/hp. Pole Fin h D cts der round Inte or Lath entllatlon Vinal rmanent Doo Closer Final MOBILEHOME UTILITIES ----------•------- Elec. Service Elec" Pedestal oo -I— Water Piping ^) 9i7B v Sewer ��/f, 7e Gas Piping A E ME INSTA LATI N - - - - - - - - - - - - - - Support -- Elec. Continuity % Water Piping �" _ �Drainage Gas Piping DATE .� �v REMARKS OR CORRECTIONS FnlT i—b � d �b6 ems® f�sgs A/0 sup 0-0G.,�,p C 7 1 9 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS W • ° '7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner Owner's Address Mobilehome Mfg. ' Model'- Year, Insignia No, Serial 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 IS RELOCATED MOBILEHOME INSTALLATION INSPECTION CHECK LIST Y 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes_' 2. Does the mobilehome have required clearances. above ground? (Sec.5085) Yes C, No 3. Are footings and supports properly sized, spaced, and braced as p approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) ��iNo 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes o 6. Water A. Is flex' a connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes_ No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes L -'No iCt.r/LB kflow - If coach is not State of.California approved, does station have backflow device (J"�'U wand- pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? es No B. Does it have minimum per foot slope and is it properly supported. Yes No C. Are any leaks detected in drainage system after running 3-ga ons of water through each fixture including washing machine standpipe? Yes No 1 DIf coach is not State of California approved, does station have required trap and vent? f., es No , 8. Gas Piping and Gas Vents ,. A. Connector -Is obilehome connected to t gas supply with an approved 3/4" minimum mobilehome con -\-e or not more than 6 ft long? Note: All piping is to be at least as large as the mobil oirie gas line itile without reduction's other than the mobilehome connector. Yes N B. Test OK as per following rocedure� Yes_ No 1. Open all appliance con ctor aIves. 2. Shut off appliance burner a'tA pilot valves. 3. Air test with manometer t 10"- " water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calf rated in nth pound increments. Test for 10 min. without drop. 4. Connect gas meter to obilehome with con ctor, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 p) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes B. Is there proper clearances around panels? Yes —No C. Is power supply cord,or feeder assembly properly fused? Yes �No_ D. I,s�ontinuity test satisfactory as per the following procedure? Yes iI. De -energize electrical wiring system of the mobilehome at the pedestal. .21.' Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. _,a Switch all breakers and switches in the mobilehome to the "on" position. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 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. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. , tq.(Es job card signed by Health Department for water and sanitation? I If everything okay, sign off card and tag services. MOBILEHOME DATA y ���/ / Manufacturer and/or Namest le e Length 5'1,o Width Vehicle Serial No. b State Identification No. 0_4L 0%re 7,5_ -1 - Additional Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive OroVille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT el, -��7— 7 7 UU or ce ieNieseFILat ves 01 ule t,vunty of Butte to enter upon the above-mentioned property for inspection purposes. Xme ateI/A ignature f Permitee or gent Receipt No. 1 9_-1 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 P BLIC WORKS BY Date 1 Building permit expires Date BUILDING Owner Joseph S. Krecidlo SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 39 36 Yale Way Livermore CA 94550 1415-4 Telepho a No. 7-4879 Fireplace Contractor Owner Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty . Telephone No. Permit Fee Building Address 69 Greenbrier Drive PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Oroville, CA 95965 Each Trap 1.50 Repair drainage or vent piping 1,50 Water piping 1,50 Lot 29, Unit 2A Kelly Ridge Only Each Each gas water heater or vent 1.50 A. P. No. 34-66-41 Zan Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s 4e ) FireDept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking Parcel parcel M Plans Declaration P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. PlIA` Recd p'71 Parce pproval Plans Approval Permit Fee O� NEW ❑ ADDITION ❑ UTILITIES Q'�11OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00epo Main service EA. ADD'L 100 AMP 2.50 =;7.,;$7_t) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 MINIMUMSQ- FL NEW CONST. t DWELLING OCCUP. & OR ADDNS. ACC, BLDGS. ) 22sq ft NEW CONSTR. MULTI -OUT NON.RESID. ( LET BRANCH CIRCUITS) 2.50ea FOR MOBILES NEWCONSTR. 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) @too Ex. QCCU / FIXED APPLNS, OR p.(FIXED (RESID.) EA) 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 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 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 acwERMIT TOTAL P FEE -t o7 5Z UU or ce ieNieseFILat ves 01 ule t,vunty of Butte to enter upon the above-mentioned property for inspection purposes. Xme ateI/A ignature f Permitee or gent Receipt No. 1 9_-1 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 P BLIC WORKS BY Date 1 Building permit expires Date 1 his set of plans and specitications MUST ba cept ort the job at all times and it i;, unlswful to make any changes 'or alterations on same without wriften permisson from the Department of Public Works, County of Butte. LOT 29 UNIT 2A KR=CkDL0 M O U N --CA. \ N \/Ly z4' S!o" !J/A ; e. d -- '// NOTE:—<q+All e' t��� rkmanship Shall Be in go Accordance with Recoanized Good 'Practices and: , of a quality prescribed for the Specified use in the ?� e� Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. 8 ,c O V 7 20o_ Awi;v 7-00-AMc> ,/—K = a:3104'.iP �0,11 F v t d A �. noil P.Dc TAL - S M• h' The Mg. Setback shall rom t e 6 side property line and 50 ft. from the centerline of the road, permitting a ►naxi. mum of a 2 ft. eave overhang but entirely out of all easements. uNc_ri--RD wo r /pO•'3� Ski_=B.�.C�_ All utility connections shall be located vilithin 4'i"t. cutside the rear third ser_tio,-I Of. the mobile home on the left (road) side of the mobile home. �, ? Gy.5-7 - 77 BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOI31 L= Ar7D =-0 D.D.O 10 -30-77 lZt/G /- Z 4 - 74 //t' COUNT",OF BUTTE — DEPARTMENT OF PUBLIC WORKS T CDittnty Center Drive Urov'ille, California 95965 Tel ephorie: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. nx Date S�6_ ign u ermitee or A Receipt No. �l 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have be Id. DIRECTOR QfF P BLIC WORKS By ,Date V —J/– %,p B ding permit expires Date `-- 3-/— ? i BUILDING Owner Joseph S. Krecidlo SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. _Fireplace Contractor Cameros Mobile Transport Total Valuation Mailing Address 1290 E1 Capitan Permit Fee Plan Checking Fee&/or Penalty Napa, CA. 94558 Te�!f° onjj (1701 Permit Fee $ Building Address 69 Greenbrier Drive PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Oroville, CA. 95965 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Lot 29, Unit 2A – Kelly Ridge Estates Each gas water heater or vent 1.50 A. P. No. 34 — 66 — 41 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F; *000 1 Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Declaration Parcel Ma 60' R/W p Im rovements p Lawn sprinkler system 2.00 �Pl�ayns Bldg. Pis Recd Parcel A al Plonr,44, royal Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 14 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 MH INSTALLATION -.77 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS. ( ACCLBLDGS.LING CCUP. &) 2¢sgft 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: Carneros Mobile Transport Ex. Occup(OUTLETS OR FIXTURES) 50 BAL 21100 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 259158_ Classification 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 I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. L�e.1 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 TOTAL PERMIT FEE $ 30r 0 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. nx Date S�6_ ign u ermitee or A Receipt No. �l 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have be Id. DIRECTOR QfF P BLIC WORKS By ,Date V —J/– %,p B ding permit expires Date `-- 3-/— ? i MOBI.LEHOME SUPPORT DATA' Mobilehome Mfr. Mountain Valley Homes Setup Model No. 2BR CKU-R year 1978 NET Width 24' (ft.) Length 52' (ft.) Expando'.Size --- 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 file with .the County of Butte). Sin le Footings -(check oni 1. Wood either a - I pressure treated o; Center Center Support fdn. grade. Support Footing Sizes Locations (in.) C1 2..Concrete pad. 4c— Ir' x 303. Other,:specify k2� n•jZiri•� _, Supports (check oni /x/ 1. Concrete block x 2. Concrete piers (in.) 24 30 (in.)(in.) 3. Steel piers 4. Other, specify AAIV-W-A�i, i 41 - Typical Support a12 x 30 Footing Size ( i 24 x 30_1 ! in. ) 4 Max. Pier 6 I Spacing / (ft.)(in.) Pin. -(in 24 x 30- f (in.) (in.) \�. I 1 - 0 Overhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. `BUTTE COUNTY = BUILDING DEPARTMENT APPROVED 0 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME•IIS<STALLATION SHEET 1. Owner's name: Joseph S. Krecidlo Lot 29, Unit 2A 2. Installer's name: Carneros Mobile Transport 3. Is the site currently under permit? Yes /X / No (If yes, furnish permit number ) OR Ls.;*the­site 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 mob ilehome­site~ 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- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What -is- the. gas,. p.ipe•-length_..from:.,meter or tank to the , mob ilehome? -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.) Jt w� C ❑ C ASSOCIATES ENGINEERING • CONSULTANTS 2060 PARK AVENUE OROVILLE, CALIFORNIA 95965 PHONE (916) 533.6457 James Glander Department of Public Works 7 County Center Drive Oroville, California, 95965 May 17, 1978 Re: 78551 Dear Jim: Compaction test results are enclosed for mobile home site, preparation at Kelly Ridge Estates for: Hampton KRE Unit 1 -Lot 138. Jucksch KRE Unit 2A -Lot 31 Krea-r o KRE nit 2A -Lot 29 Representative tests indicate that the 90% relative compaction requirement has been satisfied. A location map is attached. Very .truly yours, COOK ASSOCIATES i. Lew Hiatt Civil Engineer LH:nj Enclosures Client Krecidlo S COOK- Project Unit 2A - Lot 29 ENGINEERING CONSULTANTS Wdear. In -pace Job No. 78551 2060 PARK AVENUE®isture ®ei�S.ii. 'Test v Operator Dave Kimbrell OROVILLE , CALIFORNIA 95965 ( 91 6) . 533 -6457 TEST NUMBER I 2 3 4 5 6 7 8 9 10 TEST. DATE 3-15-78 3-28-78 5-10-78 5-12-78 5-15-78 5-15-78 l.st Lif 1st Lif 2nd Lif 3rd Lif 4th Lif 5th Lift TEST 101 Fil 1 0i Fil 18' Fit 30' Fit 40i Fi1 501 Fit LOCATION S.Side S .W.Sid S .W.Sid S .W.Sid S .W.Cor S .W.Cor Wet Fail Retest Final MODE a DEPTH 8"D.T. 6"D.T. 6"D.T. 4"D.T. 8"D.T. 6"D.T. MOISTURE COUNT 1196 1101 1210 1029 1223 1235 MOISTURE COUNT RATIO .847 .780 .870 .727 .873 .882 MOISTURE 16.5/ 13.7/ 14.0/ PCF 21.75 19.75 22,5 18.25 .5 23.0 DENSITY COUNT 230 402 427 565 223 394 DENSITY COUNT RATIO .881 1.534 1.64C 2.18 .851 1.503 WET DENSITY PCF 135.5 137.0 133.0 1.43. 137.0 138.0 DRY DENSITY 116.5/ 123.0/ 124.2/ PCF 113.75 117.50 124.75 11 --115.0 14.26 11.2/ 11:2/ % MOISTURE 19.1 16.8 20. 14.6 19.6 20.0 OPTIMUM DRY DENSITY PCF 132.0 132.0 130.0 132.0 132.0 132.0 % OPTIMUM MOISTURE 11.0 11.0 11.0 11.0 11.0 11.0 % RELATIVE 90/ 93/ 93 COMPACTION 86 89 85 94 88 87 DAILY STANDARD COUNT COMMENT: DATE MOISTURE DENSITY 3/15/70 1411 261 .'3/28/70 1411 262 5/10/* 1387 260 5 12 7 1414 259 /11;/7R 1.400 262 LOT 29 UNIT 2.A KR=Ck L0 N1OUNTA\!L` 24' �b VNo_iZaRD ND 200 P=D Ei iA1- ZOO AMP. SF2=n �Izz, X00.37 70,00. 17.D.010-30-7-7 I r' °•-PLiIMIT NO. 3950-78B PERMIT EXPIRES OWNER Joe Joe Krecidlo CONTR. Holmes Mobile Home Serv., Oroville 34-66-41 LOCATION (A.P. ) 69 Greenbrier Dr., lot 29, KRIM , Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date C (Signature) 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date C (Signature) Framing COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUIL ING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. X Restroom Finish I V 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing y Sewer Garage y Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation V Heaters Slab 1 Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Te t Temp. Gas 1 Slab Final Sanitation Patio FIREPLACE Final Footin sFootin , LECTRICAL Masonry Walls I Throat \ A Rouah Framing Test i Water Htr. Stucco Final Subpanels Mesh MEkHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish X Ducts Under rou Interior Lath Ventilation Permane Door Closer Final Final MOBILEHOME UTILI S Elec. Serviv Elec. Vestal Water Piping Sewer Gas Piping M2016EHOME 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.) l COUNTY OF BUTTE DEPARTMENT OF PUBLIC OR f 7 County Center Drive - Oroville, California 95965 Telephone: 53J-4541 APPLICATION AND PERMIT autnonce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date % Sign ture of Permitee or Agent` Receipt No. White-D.P.W. -.Yellow-Assessor - Ink -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 OFF"P'I IBLIC WORKS BY Date_ /—/ 0 - 7� Building permit expires Date BUILDING Owner j®e_ KREGI�Ld SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor DL8I l.C- 40"115 SZCE Mailing Address 3/ 1 Fireplace Total Valuatio n 09MTelephone A No. Permit Fee Building AddressG Rl 069 Plan Checking Fee&/or Penalty Permit Fee A67- J2 UV17- 4A PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap. 1.50 Repair drainage or vent piping 1.50 A. P. No. ,� — - �/ Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 es W Saai�at+erl FireDept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI eed Parcel A rovi Plans Approval Lawn sprinkler system 2.00 NEW IS ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service e00v OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 U C Main service OVER 25.00 100 AMPP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELING OR ADDNS. ACCLBLDGS.CCUP. N) 120 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of _ ' /- Ilam � / li OR'% LC �ezt 67 5,15;eV/a&- NEW CONSTR MULTI -OUT LET NON.RESI D. BRANCH CIRCUITS, 2.50ea NEW CONSTR. POWER APPARATUSa, NON.RESID. SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTURES BA L:1 Ex. Occup ( FIXED APPLNS, OR OUTLETS (RESID•) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /- / License No. 31,3?/ Classifications �(� / 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 @ FEEPERMIT 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 $ autnonce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date % Sign ture of Permitee or Agent` Receipt No. White-D.P.W. -.Yellow-Assessor - Ink -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 OFF"P'I IBLIC WORKS BY Date_ /—/ 0 - 7� Building permit expires Date