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069-110-015
Oro Ridge Properties 430 Silverleaf Dr., lot 123, KR#l,( Permit #1 37-77P,E(util. III) ELEC.— / a-� GAS SUPPORTUCTURE REQ, id2a COMPACTION TEST REQ. �p r I con1 .�'/�i 7 5- omit Trans.port,Napa _Permit #2"7-77MHI Issued contr: Holmes Mobile Home Serv.,Bangor° Permit #2770 77B(2"new decks & 1 car- port/MH) � Burton-Schultz b4-�o9 430 Silverleaf Dr., lot 123, KR#l, Oro. contr- Acro-Lume, Oroville Permit #4769 80B(ne awning/ ) 69-11-15 Frank Schultz 430 Silverleaf Dr., Oroville contr: Horner Const., Oroville Permit #819-82B.(add to deck / C"l n - PERMIT NO. 4769-80B •_ ,', a PERMIT EXPIRES _!?4" .. i, OWNER Burton—Schultz Acro—Lume, Uroville v CONTR. jASSESSOR PARCEL AXERN M 34-64-15 LOCATION 430 Silverleaf Dr., lot 123, MR, f` r • r - Oroville " • is I l Temp. Power Pole ( Called PG&E - •#. Temp. Elec. Service { Called PG&E , Temp. Gas Service p Cal led PG&E JOB FINAL -ED (Date Signature 4/ r k V = OK O = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg;-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test i 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Dale Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Penrit OK except p's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Receptacles Spacing -Lights &Switches at Doors ElecSize 70. Plb., Elec.'& Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic ❑Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Guard Rails -&Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents &•Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under. Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1, Insulated Neutral ❑Yes [__1 No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes El No 28. 29. Service -Riser Conductors & Ground -Main Disconnect Equip. Clearances; Panels-Motors-Mech. Equip. 76. Stucco; Brown, -Finish 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing Card B -I _Date _ Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except p's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _-_ _ Card -BI Card -BI 31. 32. 33. 34, 35. A.C. Ducts; Insulation & Support Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Date Card -81 Date Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86• Energy Compliance Certificate -Other Certificates Card -BI Date. _ , Card -BI Date Card -BI Date Card -BI Date Card -BI Date. Card -BI Date Comments at Final: Date FRAMING(Plans) 36. 37. 38. 38. ---39. 40. OK except q's Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing- Draft Stop in Walls (rat proof) _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors _ Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. Attic Access Size -& Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) J = OK O = Not OK ti - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date " MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS OVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 41-191ing Requirements-Setbacks-Easements- equirements-Setbacks-Easements2. 2.Soils; Special MH Support -Sketch Footings; Size-Depth=Spacing-Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete "r—Decks; Girders and' /or Joists -Decking -Bracing -Stairs. -Rails 4. Water; Location -Test -Easement Needed (Sketch) -4 --Wo Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ lum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ Nat; or/ /"L"ft./ /"LPG arports; Windows -Doors 7. Utility Clearance > r.-Tlec. Card -BI Date Card - BI Date Card -B - Dated -3/1-0 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector - 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date ' Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date iZ, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMI NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 ` t APPLICATION AND PERMIT CEL UMBER ASSESSOR PARING 2' _F_ BUILDING PERMIT OWNER TE EPHONE SO. FT. OCC. BUILDING VALUATION ✓G OWNER'S AILING ADDRESS �T/L UCS 1ZY CONTRACTO 'S Ny»�AM,��E C rZU C_ TEL E�'H!ONE CONTRACTOR'S MAILING ADDRESS Y*9 )J N) 20 VIAL . —y CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ a LENDER'S MAILING ADDRESS Permit Fee $ �✓ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system -H2--00 TYPE OF WORK Neer] Addition ❑ Remodel ❑ Uti li,t'ies ❑ Installation ❑ Other ❑ Describe work: f,'rC f �� ' )(' (� �iZf ZSih'd/ti, 9sy� _ . r ��(��(,!� ��(.�� y f'�L, N Permit Fee $ Contractor ELECTRICAL 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 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP,&� 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [:;---Iam 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. 2 _)V Sl�% Classification (f— � / F-1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET NON-RESID. BRANCH CIRC ITS 2,50 ea NEW CONSTRPOWER APPARATUS 6\ NON-RESID. (SINGLE OUTLET CIR. 1 Ex. Occup(o Ts OR FIXTURES 50 @ 25¢ BAL@101 FIXXEEDD APPLES. OR Ex. Occup.(ouTLETS (RESID,) EA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. Heating Cooling Hood 2.00 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 County of 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 against ai unt in consequence of the granting of this permit. Q _ _ X ate / Signature of licant — Owner ❑ Contracto Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ t �� Occu?✓(ouP �,�/�dJ TY✓ F CONST.PARC , T `P% HD ssu j This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTO OF PUBLIC By PE E PIKES Date the applicable provi- resolutions to do have been paid. WORKS Date / d Receipt No. 0-p WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT • �' PERMIT NO. -�27.70-77B a PERMIT EXPIRES Oro Ridge Properties z OWNER CONTR. Holmes Mobile Home Serv.,Bangor LOCATION (A.P. 34-64-15 430 Silverleaf Dr., lot 123, KRIt1, Oro. 1 Y u I Temp. Power Pole Called PG&E Temp. Elec. Serv. t Cabled PG&E Te Gas Serv. Called PG&E JOB FINALED (Date) (Signature) { 1 { COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ' BUILDING BUILDING (Cont'd) PLUMBING Setback / -2— — Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathins Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport i Footings Prov. for phsically handicaped Conformance of ex. structure Appliances Gas Piping 'est Temp. Gas Slab Final `-' Sanitation Patio FIREPLACE Final Footings Footing ' ELECTRICAL Masonry Walls Throat i Rou h Reinf. Steel Final 4 Fixtures + Bond Beam FIRE SPRI KLERS Motors Framing / — Test Water Htr. Stucco Final/ Sub aneis Mesh A M NICAL Gird. Fault Prot. Scratch A Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service V Elec. Pedestal Water Piping Sewer Gas Piping 1 E ME INSTA LATI N - - - - - - - - - - - - - - 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.) r r" _ _ �OUNT'Y OF EBUTTE- DEPARTM,ENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephme: 53404541 APPLICATION AND PERMIT c- 7 P -77 4 authorize representatives of the County of Butte to enter upon the above- ntione property for inspection purposes. Date _41-o— Signature of Permifittee or Agent / Receipt No. / 1UN 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/on resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS By Date 6- % 7,7 6_ = �� ilding permit expires Date BUILDING Irl Owner SO. FT. OCC. BUILDING VALUATION Q 0 Mailing Address I T1W19 elephone No. Fireplace Contractor Los �e eyV, Total Valuation Q 0 Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No Permit Fee $ Building Address 42 3 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 51,lveckw Each Trap 1.50 ro d26 Ile— oa � Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 3 47-6 T �/ /61� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es a on Fire Dept. Fire Zone Use Pen -nit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel M 60' R/W Im Improve is P Lawn sprinkler system 2.00 a Bldg. Plans % ft? Parcel proval Plans A royal Permit Fee $ $ NEW ADDITION El UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD -L 100 AMP 2.50 j'� Single Family ❑ Duplex ❑ Mobil Home 2J Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 -5 n�© I NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. LN G0 2¢Sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (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: �/ P_ S ,2b/l_ 4 mci Ex. Occup(OUTLETS OR FIXTURES)�� B,'AL@1 Ex. Occup. ( FIXED APP LNS. OR OUTLETS IRESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /7 _� License No.��� Classification C� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. El PI certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE I$ Q authorize representatives of the County of Butte to enter upon the above- ntione property for inspection purposes. Date _41-o— Signature of Permifittee or Agent / Receipt No. / 1UN 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/on resolutions to do work indicated above for which fees have been paid. DIRECTOR UBLIC WORKS By Date 6- % 7,7 6_ = �� ilding permit expires Date C I PERMIT NO. 819-82B PERMIT EXPIRES__r��f OWNER Frank Schultz CONTR.' Horner Const., Palermo ASSESSOR PARCEL 69-11-15 LOCATION 430 Silverleaf Dr., Oroville Temp. Power Pole / Called PG&E / Temp. Elec. Service Called PG&E__ Temp. Gas Service Cal led PG& JOB FINALED (Date)��-" Signature &jAkl,,,� h V = OK 0 = Not OK- - =•Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, OVERS, CARPORTS, ETC. (Plans) 0., except b 1. Zoning Requirements -Setbacks -Easements o Requirements -Setbacks -Easements, 2. Soils; Special MH Support -Sketch . Foo' ; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete, _ ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete awn.; Posts-Beams-Rftrs.-Connec.-Shthg:-Rfg. -Bracing 5,—f!'iam. Awn.; Columns-Connections-Splice-Decal-Enc.us,.res 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6—Gerperts; Windows -Doors 7. Utility Clearance 7 Eler_. Card -BI Date Card - BI Date Card- ate , �j and -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting;Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Ftlans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Fig. Depth Fig., Garage; Soils -Steel- / /" Fig. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Fig. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ft .-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except N's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval v 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI _ Date - _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except p's 36. Sills; Proper Material & Anchors Comments at Final: _ 37. 38.. 39. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing___ Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub --41.-Header 42. 43. 44. & Beam -Size & B_earing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthng.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions 47. _ Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PE MIT NO. i ASS SS R- Fj"iEL NUMBER /,. Z NG BU IN PERMIT ow TELEPHONE SQ. FT. OCC. BUILDING VALUATION O NER'S AILING ADDRESS V 6 CONTRACTOR'S E TELEPHONE S NTRACT R'S1 ING ADORE �--11h Fireplace CONSTRUCTION LENJEFk UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 3 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USEOF STRUCTURE SF ❑ Duplex❑ Mobilehome -"/Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition zRemodelE Utiliti s ❑ In tallat'on❑ Other Describe work: IS 1 St 1� 1 , ,� Y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service i°o°o AMP OR ORSlESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST-( DWELLING OCCUP.01 OR ADDNS. \ ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ® 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in fu force force and effect. License No.'�� C 6 1 ', 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 or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR TI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS (POWER APPARATUS ) NEW CONSTR ti NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES B @@1 00 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ 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. 1 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. Heating Cooling Hood 3.00 Ventilation permit Fee S 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 County of 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_ agains id County in conseq of the granting of this permit. J ,� Date Signature of Applicant — Owner E)Contractor �-- Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE F CON �� PARCE PD N ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC OMI EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Z . yA _�+ Receipt No. ls�� WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT "°Rar`.'�,wF�Y�" ya+tC ..tf'%:'.-�. �:✓✓ r w$.�:' _..i f. ;y" r COUNTY OF BUTTE =DE fk'RTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLS, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the CalifoVia Administrative Code, Title 25, Chapter 51 under permit number -90 i 7- 77• for the following location: 12 � --4 % P./Z 0 A-' O U / L L t - Owner /)00 o I9. Owner's Addresses/r,1 . Mobilehome Mfg. 4)zA//,/,4/-, Model Year Insignia No.(1,41- Dao 7 F 7. Serial No. It is Xe-ANy cot pt d"Kor occupancy at the above described location and may be occupied. Directo of P' blic Works p _G' Date ' / - .z By � - THIS CERTIFICATE IS VOID WHEN MOBILEHrOME IS RELOCATED PERMIT NO. 1637-77_PE PE MIT r=.P"'Er' //�/ OWNER Oro Ridge Properties CONTR.owner LOCATION (A.P. -44-64-15 430 SilVerleaf Dr., lot 1.23, KRIfl, Oroville Temp. Power7Pole Calle/dPG&E Temp.;;lec. Serv.%!EV-,Z&7 Cpll,d PG&E zKW:7-1 IV elf Tenfip. Gas Serv. Called PG&E YJ 0 EB' FINALED (Date) (Signatu ) 'M0BTi,lai02LG LISTALLATION INSPECTION CHECK LIST 11 1. Is the. mobilehom� located wi'=•li required separation, from lot lines and buildings and generally conform to plot flan? Yes, No 2. noes the mobile -home have required clearances above ground? (Sec.5085) Yes No 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) YeNo 4. Is the mobilehome level.? (Sec. 5088) Yes No 5. Ifmor th I' e an a single unit, are crossover connections properly installed? (Sec. 5088) SST S. Water. A. Is igxible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes 4- No B. Test -'Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backflow - If coach is not State of Cali ornia approved, does station have backflow device and pressure -relief valve? Yes_ No' 7. Wastes and Dram A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes" No B. Does it have minimum per foot'slope and is it properly supported? Yes No C:. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including trashing machine standpipe? Yes No\�4 D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and G s Vents A. Connector - I mobilehome connecte to the gas supply with an approved 3/4" minimum mobilehome con ector not more tha 6 ft, long? Note: All piping is to be at least as large as the mo ilehome gas lin inlet without re�uetions other than the mobilehome connector. Yes No B. Test OK as per fo owing pr cedure? Yes_ No 1. Open all appli nce co ector valves. 2. Shut off applianke Xurner and pilot valves. 3. Air test' with m o eter to 10"=14" water column, or test with slope gauge (minimum 6oz.-maximum oz.) calibrated in tenth pound increments. Test for 10 mina without drop. 4. Connect: as meter to u,bilehome with connector, turn. on gas, test connections with soapy X Z ter. C. Are allppliance vents pr perly installed? Yes No a 9. Electrical I A Is service large enohglk to provide adequate amperage to mubilcltome (must equal rating of mobilehome (aith a. ::tiniaT:um of :100 amp) and other facilities on lot, i.e., water pumps, Oaraoe, cabana, ctc.? Yes No B. Is there. proper clearances around panels? Yes' No C. Is power supply cord or feeder assembly properly fused? Ye� No_ D. Is continuity test satisfactory as per tate following procedure.? Yes No 1. De -energize electrical wiring syste:;t 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 lo.:ad of a test instrument to the mobilehome grounding conductor and •,_,._. ,_.. ,. , apply t .e other i.eaU t.0 each wouL.LCtwrue supply Conluctor, inCliiutttg Yteilirat. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures. and appliances, shall be tested for continuity- from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te;;t_ shall then be made between the grounding electrode and the chassis of the rt.obilehome. Upon sat�i_sfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 1:) jab card signed by flealth Dtepartmeat for water and .sanitation? 11. Ii evt_xything okay, sign off card and to 'services. 'MOBTLi:iTOi^E DATA Manufacturer and/or Namestyle Length S 2 Width Vehicle Serial No. O State Identif.icat..i.on No. ..ddCtional Information or Comments: I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Water Htr. BUILDING BUILDING (Cont'd) PLUMBING Se ck F ewall SoLl Piping For PaNpets 1 t Floor Mai Bldg. Rest om Finish 2n Floor Fo ins WIndo4 3rd Fxoor Stem all I rior Lath To out Slab Water Pi i Piers "Roofing Sewer Gara a Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Carport p Footings Prov. for ph sical handica edy Conformance of ex. structure V A liances Gas Piping & Test Temp. Gas Slab A Final Sanitation Patio F EP ACE Final Footin s Footin 1ECTRIOLIL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea IRE SPRINKI FFk Motors Framing Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Grd. FaCit Prot. Scralth HeatIUA Servi BrgAn Cooing T mp. Pole F ish D is Anderground I rior Lath ntilation Permanent oor Closer Inal �ZFlnal MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service A- Elec. Pedestal Water Piping /� / y' -Z7 � Sewer (�� ��/_^7.7 �c Gas Piping A10 /V/q—: MOSILEWRIVE INS AL ATION - - - - - - - - - - - - - Support Water Piping Drainage Elec. Continuity Gas Piping DATE > R fi�1104, 4—=6leocAg-?� 5�5/V7- 75 Z5,4tO REMARKS OR CORRECTIONS FR®i%2 P(r"F-- 4Du G !1 b a 4 • Nei 6'x-5 ', Al 6 P', /alp CM (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' — Uroville, California 95965 T. c. el'ephone: 534-4541 _/ APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date"Z7,,;7 atu o rmitee or Ag 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 F UBLIC WORKS By DateA i moi- 2-2 ilding permit expires Date -7 `/� 7 BUILDING Owner ORO RIDGE PROPERTIES, INC.. SQ. FT. OCC.1 BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Carneros Mobile Transport Total Valuation Mailing Address 1290 E1 Capitan Permit Fee Plan Checking Fee&/or Penalty Napa, California 94558 Telephone Nod 252-241 Permit Fee $ Building Address 430 SilverleafRE Drive PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Oroville California 95965 Each Trap 1.50 L t .l 3 Unit 1 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No 3A-64-15 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee IT W. -6aw� Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declarati n Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Appr Plans Apor. eol Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 IivSTALLATION Main service 600 AMP LESS LESS 5.00 • Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( DACCLBLDGOCCUP. &) 2¢Sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUSa) NON.RESI D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Carneros Mobile Transport Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Ex. Occu (FIXED APPLNS. OR P. 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 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that 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 Mobile Home Installation 30.00 TOTAL PERMIT FEE $ n; 30 ..0 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date"Z7,,;7 atu o rmitee or Ag 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 F UBLIC WORKS By DateA i moi- 2-2 ilding permit expires Date -7 `/� 7 ` MOB.ILEHOME SUPPORT DATA �fobilehome Mfr. Mountain Home Setup Model No. 2BR IK 1977 Year NET . Width 24 (ft.) Length .52 (ft:) --Expando-'Size ft.x ft. (Draw support details below) . On all mobilehom-PA- manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets .(if.not .on file with the County of Butte). I,0 11 =If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings-(check.one Wood either . pressure treated or -fdn. ' grade.:: 2.:Concrete pad. 3. Other,- specify Supports (check one Al 1. Concrete; -block 2. Concrete: -piers . ...... ........... 3. Steel piers .. ........ / /A. Other, specify z Typical Support 12 x 301 Footing Size in. in. Max. Pier 5• 6 -- Spacing .- ... :.. in. 1 _ 0 Max. Overhang Burp COUNT1 -NT BUILDING DRART" P P ,0\1 ED I BUTTE COUNTY DEPARTMENT. OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET I " $ 1. Owner's name: ORO RIDGE PROPERTIES, INC. Lot 123, Unit 1 2. Installer's name: Carneros Mobile Transport 3. Is the site currently under permit? Yes /X / No (If yes.,. furnish permit number 1637,77P,E ) 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 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 V / No IX / (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 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.) 'COUNTY OF B;JTTEw DEPARTMENT OF PUBLIC WORKS r s 7 County Center Drive - OroviIle, 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. IZ XIle Date % Signature of Permitee or Agent Receipt No. (g 0 is y LSP 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. DI=EC,10 OF P LIC WORKS BY Date permit expires Date —�� BUILDING owner /�� /p�De:5;7 SO. FT. OCC. BUILDING VALUATION Mailing Addresses D z &eP�q 44,G G Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address L07' /Z.� [/�//T /Z PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping .4-60 =oning Verificefion OnIv Each gas water heater or vent 1.50 A. P. No. _F1 Z/ — 6!,/ _/J--140 To Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees VIf+2� Sa i�i tion Fire Dept. Fire Zone Use Permit Building sewer EQA Parking Plans Parcel Declaration Parce 'Ma 60' R/W Im rove ents P Lawn sprinkler system 2.00 BIJLPe'c'd I IL cel A roval Plan Approval Permit Fee $ $ C NEW ❑ ADDITION ❑ UTILITIES OTHER E]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP 1 OR ORSLESS 5.00 ,00 Main service EA. ADD'L too AMP 2.50 S Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 C q� II'' � 59� Fl. -MI YI' UM NEW CONST. DWELLING OCCUP. 6 OR A ) 22sgft NEW CDONS. MULBL OGS. LET NON.RESID. ( BRANCH CIRCUITS) 2.50ea &ORAy11fI� ���JDWI NEW CONSTR (POWER APPARATUS 6 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 St 1e Of: Y O"0t-� l�/��� ������ /�� Ex. Occup(OUTLETS OR FIXTURES) BAL@1 004 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 LicenseNo.2-9s"dG..& ��� Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. F� I have placed on file with the County of Butte a certificate of �l 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 FEEPERMIT 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 $ 73 15-Z authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. IZ XIle Date % Signature of Permitee or Agent Receipt No. (g 0 is y LSP 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. DI=EC,10 OF P LIC WORKS BY Date permit expires Date —��