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HomeMy WebLinkAbout069-130-063AP s -6r3 '' 9— 3 — G3 Oro Ridge Properties � Lot 21, KRIM Oroville Permit #6642-76P E (titi ELEC. ! GAS SUPP RT STRUCTURE REQ, A. 07ACTION T ST AQ. contr: Carneros Mobile Transport, Napa Permit #137-77MHI Issued / — / -t!:) —'% `7 contr: Holmes Mobile Home Serv., Bangor Permit #284-7W(�ew`Oning & deck/MH) 0 ircfli Y ani � r- �ch� BUILDING PERMIT NUMBER: B09-1361 Address or location of unit: 61 GREEN -BRIER DR, OROVILLE CA 95965 Legal Description of Real Property: 069-130-063 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: HESTER, JOHN C FAMILY TRUST Owner's address: 40 KATYDID DR, MIDWAY AR 72651 INSIGNIA OR HUD NUMBER: CAL013456/7 SERIAL NUMBER OR V.I.N.: 2401A/B MANUFACTURER'S NAME: MTN VALLI OFFICIAL APPROVING INSTALLATION: DATE: 9/16/2009 PHONE: (530) 538-7541 H.C.D. 513 BUILDING PERMIT NUMBER: B09-1361 Address or location of unit: 61 GREENBRIER DR, OROVILLE CA 95965 Legal Description of Real Property: 069-130-063 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: HESTER, JOHN C FAMILY TRUST Owner's address: 40 KATYDID DR, MIDWAY AR 72651 INSIGNIA OR HUD NUMBER: CAL013456/7 SERIAL NUMBER OR V.I.N.: 2401A/B MANUFACTURER'S NAME: MTN VALLI OFFICIAL APPROVING INSTALLATION: DATE: 9/16/2009 PHONE: (530) 538-7541 H.C.D. 513 a . m i PERMIT NO. 664, -76P -,E r PERMIT EXPIRES OWNER Oro Ridge Properties 1 CONTR. owner LOCATION (A.P. 34-62-63 � 61 Greenbrier Dr.', lot 21, KRYk1C, Oroville i C j 0 Temp. Power Pole Called PG&E Temp. Elec. Serv. YSedPG&E 7 �=— NMOV4— /ToeGas Serv. alled PG&E FINALED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING. BUILDR41 (Cont'd) PLUMBING Setback 141219no cJ Firewall Soil Piping Forms Parapets 1st FI'oor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water PI in Piers Roofing Sewer Z 74&y 6 Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Prov. for physically Appliances handica ed Carport Conformance of ex. Gas Piping &Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h 7i 2 Relnf. Steel Final Fixtures Bond Beam FIRE SkINKLERf Motors Framing Test Water Htr. Stucco Final Subpanels Mesh M HANICA Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Pennanen. Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) M141 / 37-77 OWL. (� 4y,2 -7� 9. Electrical A. Is service large enollgl. to provide adequate amperage to mobilehome (must equal rating of mobi_lehone (Ath a.::;inia:um of 100 amp) and other facilities on lot, i.e., water pumps, g.lrag,e, cabana, Cry. i Yes No 1; Is there proper clearances around panels? Yes )"'-No_ C. Is power supply cord or feeder assembly properly fused? Yes_ No_ D Is continuity test satisfactory as per the following procedure-.? Yes No De -energize electrical uiring, syste:ii of the mobilehome at the pedestal. Z,iMake sure that the power'supply cord or feeder assembly conductors, including neutral conductor, hive been disconnected. 3; Switch all breakers and switches in the mobilehome to the "on" position. 4,,-Tonnect one load of a test instrument to the mobilehome grounding conductor and ,. a,vpiy the viu.ei lead to eact-i rl1VlJ1.LCLlVIIIe Supply conductor, i1iLliiulttg near rai. .IXA11 nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, writer line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6!/Upon comple.ticn of the above procedure, the power supply cord or feeder assembly conductors shah 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 ciobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment rta-� be approved for energizing. oor-,s job card signed by Health Department for water and sanitation? l/If everything oY.ay, sign off card and tag- services. MOii TL c i 10ML _DATA ,, Manufacturer and/or Namestyle M �iy _�/�`�L LIE,Y Length Width --.ic' Vehicle Serial No4 I State Identification No. 0-4 1. � 0 .sem 0,41-.6 l 3 6-9_ 1� del AILtional Information or Comments: MOBT1,1110ME INSI'AL'LATION INSPECTION CHECK LIST 1. Is the mobilehome: located wi.'ai required separation from lot lines and buildings and generally conform to plot plan? YcS� No 2. Docs:; the mobi1ehome have required clearances above ground? (Sec. 5085) Yes /14\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) Yex--"- No 4. Is the mobilehome level.? (Sec. 5088) YcsKNo 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yest>e No 5, Water A. Is flxiLlle connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesNo B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No �C.�`kflow - If coach is not State of California approved, does station have backflow device 'l �"�'P d pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with. Schedule 40 DWV and have flex connectors at each end? Yesy, No B. Does it have minimum ," per foot slope and is it properly supported? YesXNo C. Are any leaks detected in drainage system after runnink�gallons of water through each fixture including washing machine standpipe? Yes No \�d\lf coach is not State of California approved, does station have required trap and vent? s No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to t/gsupply with an approved 3/4" minimum mobilehome connector not more than 6 ft,Note: All piping is to be at least as large•as the mobilehome gas line inlet weductions other than the mobilehome connector__ -` es No B. Test OK as per lowing procedure?/es'.— I- No 1. Open all appla ce connector val 2. Shut off appliance- ner; and pilot valves.. , 3. Air test with manometer to 0"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calib ate in tenth pound increments. Test for 10 min, without drop, 4. Connect: gas meter to m�Sbilehome witll�pnnector, turn. on gas, test connections with soapy water. / C. Are all appliance vents properly installed? Yes'�, No 0 r _�'• � y �'+. +'i��'--�.�k _moi T. " r `:..�2.s: •Jim .i_ r.� , w.. y:.0 _ s. ` _ - 7 a. : '1"# `+` - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE -OF OCCUPANCY "'This mobilehome has been installed in accordance with of Uthe California Administrative C.ode, Title 25, Chapter ,number--/ 37" %-_Z for the following location:+ -Owner Owner's Address 02TA i the requirements 5, under permit Mobilehome Mfg. Mj—/_(, / UA ModerSQ Year Insignia No.0,qi. D Serial No. Sib It is hereby cern Ted for occupancy at the above described location and may be -occupied. Directb o ublic Porks D a Dat e THIS CERTIFICATE IS VOID WHEN MOBIL/Er OME IS RELOCATED :-s COUNTY OF BUTTE — -DEPARTMENT OF PUBLIC WORKS 7 Cqunty Center Drive - broville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT /E / VIA BUILDING Owner �j2o/pGE j�/zp� /NC SQ. FT. OCC. BUILDING VALUATION Mailing Address O Z Telephone No. Fireplace Contractor Total Valuation Mailing Address D Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address 407- f G/.V/7- PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 p� ,IV Each Trap 1.50 d/L t-4 A . Repair drainage or vent piping 1.50 Water piping -ale Zaning yarificetion Qal Each gas water heater or vent 1.50 A. P. �PZ Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F es W.C. L*@ 8W0 Fire Dept. Fire Zone Use Permit Building sewer 10 EQA I Parking Plans Parcel Decl ration 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Recd cel Approval Plo pproval Permit Fee $ S,00 $ NEW ❑ ADDITION ❑ UTILITIES � OTHER E]ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,0 o Main service 10006V OR 0 AMP ORSLESS 5.00 v o Main service EA. ADD'L too AMP 2.50 O �-7� Single Family ❑ Duplex EJ Mobil Home IBJ Others ❑ Main service OVER s O 25.00 100 AMP OR LESS Main service EA. ADD'L too AMP 1.00 SM/�/� t/ \� ,i YV SQ. F. %HNIYtUM NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. 20Sq ft NEW CONSTR. MULTI.OUTLET RESID. % BRANCH CIRCUIT2.50ea NON- S) c -OR M031zES 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) 2@51001 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RES EA) 2.00 -ID.) Temporary service 10.00 Mobile Home Facilities 15.00 �� License No. Z � Classification �FI 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. ElI certify that in the performance of the work for which this permitis 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 U TOTAL PERMIT EE $ 3 . authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Z Signature oPermit`ee or Agent Receipt No. j-12 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 CJI' PUBLIC WORKS By Date_./1 / i-% Bilding permit expires Date /y'"/? --77 COOK ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE, CALIFORNIA 95965' - •P' PHONE (916) 533.6457' August 23, 1976 Jame.s Glander. Department of Public.Works 7 County.Center Drive Oroville, California 95965 Re: 76551 Dear Jim: Compaction test results are -enclosed for mobile; home s:i`te preparation at Kelly Ridge Estates for: Oro Ridge Properties : KRE Unit 1C Lot 20-.603 Oro Ridge Properties KRE Unit..1C Lot 21 Westfall KRE Unit 1C Lot 23".='`' Suydam &. Madison KRE Unit 1' Lot 207 Hollenbeck KRE Unit 3 Lot 14 Williams KRE Unit 3. Lot 27 Tharp &, Bendix KRE' Unit 3 Lot 282 Euler KRE Unit 3 Lot 9 Representative tests indicate that the 90% relative compaction_ requirement has be.en satisfied. A locution map is attached. Very truly yours., COOK ASSOCIATES J Alan G'. Brown Civil Engineer AGB/cap Enclosures. — ---� -.. ". =—,Ti''� - ,-- •• —r -rte• y:., .---.�.'. �-.�: • Oro Ridge p. COO SSOCIATES Project 1C # Project KRE Unit 1C #21 ENGINEERING CONSULTANTS Nuclear in -Place 76551 Job No. 2060 PARK AVENUE NiOlStDlt Brown/Kimbrell ure enSy Test OROVILLE , CALIFORNIA 95965 Operator (91 6) 533-6457. TEST NUMBER 1 2 3 4 5 6 7 a 9 10 TEST DATE 12-29-7 1-5-76 1-13 1-13 1-21 1st lift 2nd Lift 3rd lift 3rd lift 4th Lift TEST S. Cor S. Cor. S. Cor. S. Cor. S. Cor. LOCATION of Fill of Fill of Fill of Fill ' MODE & DEPTH 6" DT 8" DT 8" DT 8" DT 6" DT MOISTURE COUNT 668 1093 1244 1194 991 MOISTURE COUNT RATIO ,469 .764 .873 .838 .698 MOISTURE PCF 10.25 19.25 22.5 21.5 17.25 DENSITY COUNT 421 219 _ 230 214 373 DENSITY COUNT RATIO 1.536 .805 .846 .787 1.361 WET DENSITY PCF 137.0 139.5 137.5 140.5 143.5 DRY DENSITY PCF 126.75 120.25 115 119 126.25 % MOISTURE 8 16 19 . •6 18.1 13.6 OPTIMUM DRY DENSITY PCF 133 133 133 133 133 % OPTIMUM MOISTURE 10 10 10 10 10 % RELATIVE 95 90 87 90 95 COMPACTION DAILY STANDARD COUNT f%A&AAAC\IT• DATE MOISTURE DENSITY 12-29-75 1422 274 1-5-76 142.9 272 17-21 1419 274 1-13 1425 272 BY 7DATE — - ,.._ tFOP ,.:.... ...� '. •. .� � - • - '`' •'_ PLAN NECKED SURVEYED ED PLOTTED IE NOTAT'NS CH'KD - :, ., _ MOTE BOOK ALIGNMENT CHECKED ' No RT: OF WA,Y CHECKED• _.. P. Ilk �3►�/: 3 �: :,.; i •' Z� • r '�. 7 � rn ,...sv.............F. ifo N : J" *{ �\ _ 35 _ \ •• .. --.. - `- - , ... m fn 1^ M" < rn _sem . 00 ...' + P R COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOS 7 County -Center Drive — Uroville, California 95965 /97-77 Telephone: 534-4541 APPLICATION AND PERMIT �uvvc-u�cnu�ncu NluNcl�y IVB nlaNccuUn NuINusCa. X Date Llol_n? igna `of P rmi tee or A e Receipt No. 3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO 0 PUBLIC WORKS BY —Date/—,( Z —7 7 ilding permit expires Date /—/ Z -,?If BUILDING OwnerOro Ride Properties, Inc. SO. FT. OCC. BUILDING VALUATION Mailing Address Lot 21 Unit 1C Telephone No. Fireplace Contractor Carneros Mobile Transport Total Valuation Mailing Address 1290 El Capitan Permit Fee Plan Checking Fee &/orPenalty Napa, California 94558 Telephone No. 707 252-2411 Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 61 Greenbrier Drive 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 4-62-63Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. ire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Dec lara 'on Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approv Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER `.� ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.001 INSTALLATION ri%r - 00V OR L Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home X Others ❑ Main service VER OOOV t0 0 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW LING OR ADDNST ( ACCLBLDGS. OCCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON.RESIO. BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Carneros Mobile Transport Ex. Occup(OUTLETS OR FIXTURES) BAL@251 Ex. Occu FIXED APP LNS. 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 $ $ 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 authorize representatives of the County of Butte to enter upon the Mobile Home Installation 30.00 TOTAL PER FEE $ 30 00 This permit is hereby issued under the applicable Orovisions of �uvvc-u�cnu�ncu NluNcl�y IVB nlaNccuUn NuINusCa. X Date Llol_n? igna `of P rmi tee or A e Receipt No. 3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO 0 PUBLIC WORKS BY —Date/—,( Z —7 7 ilding permit expires Date /—/ Z -,?If *If center*piers'are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DERARTMFNI'. APPROVED MOBILEHOME SUPPORT DATA Motilehome Mfr. Mduntain Home Setup Model No. 2BDR IK Year 76 Width 24 (ft.) Length. --Expando Size ft.x ft. (Draw support details` below) On;all mobilehOT-manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets :(if. not on file le. with. the County of Butte) Single Footings-(check.oni a /X/-1. Wood :either pressure treated o: Center Center Supp rt -f dn. *grade. Support Footing sizes Locationsi, (in.) .......L 2- ;:Concrete pad. 3.:Other, --specify in. (in.) 41 Supports (.check ons 1. Concrete block 4� a 2. Concrete piers iers- f �-� in ..... / / 3-.' Steel piers 3: .. ........ ....... . .... ... ................... 7 Z.4 - 4. Other, specify -/ . . ........ 12-x 30"1 Typical Support rt Footing Size: (In.)(in.) ........... .(in.)(in.) E:�Max. Pier . Spacing (in.) (in A 0 M=e�hang in. *If center*piers'are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DERARTMFNI'. APPROVED �.. BUTTE COUNTY DEPARTMENT, OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOB ILEHOME INSTALLATION SHEET 1. Owner's name: Oro Ridge Properties, Inc. Lot'2:1', Unit 1C 2. Installer's name: Carneros Mobile Transport 3. Is the site currently under permit? Yes / X/ No —L (If yes, furnish permit number 6642-76P.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 ) i 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. 1. 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 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 SO ft. on'LPG.) LQ T 21 Phis set of plans MUST be ?^ - UNIT 1C kept on the job at all times and' it is unlawful to.. make any changes or alterations on same without C?lO. DOGE /�2Q! 17 written permisson from the Department" of Public 7�_—f�Qi✓!E__._. Works. Countv of Riitta NOTE:=All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the R! -lienal Electrical Cod--.' 30 . __01'c _1 VE-- _-- 20 \\ �a 0) O 0. ;r . A , N\ Gama 4°\Q1s- �' Q' B of �. S `SE.'T Big C.t'C. _. _ -200 "i1 The . Setback shall be 5 ft. from the side property line and 50 ft. -from the centertme of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely o,ut of all easements. �`�� " 8 9- 7¢ f - PERMIT NO. 284-77$ PERMIT EXPIRES OWNER Oro Ridge Properties .CONTR. Holmes Mobile Home Serv., Bangor LOCATION (A.P. 34-62-63 ) 61 Greenbrier Dr., lot 21,"KRIk1C, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Cal ed PG&E • t OB FINALED (Dat (Signature) Y A COUNTY OF BUTTE — DEPARTMENT AF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUI ING (Cont'd) PLUMBING Setback"5 Firewall Soil Piping n Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathino Water Piping Piers Roofing )Sewer Fdn. Vents Fixtures F o o t i n g s —Fir—'% '� Garage Vents �— Insulation Water Htr. Heaters Carport Foot in s P �-' Prov. for physically handicapped Conformance of ex. ,- structure Appliances Gas Piping & Temp. Gas est Slab Final C>17%) Sanitation Patio FIREPLACE Final Footings - e — Footing ELECTRICAL Masonry Walls ThroatRou h r Reinf. Steel Final Fixtures, Bond Beam FIRE SPRI KLERS Motors Framing -:5fes® `G � Test Water Htr. Stucco N, I Final ( Subpanels Mesh MECHAN AL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final, DATE REMARKS OR CORRECTIONS AfLPt3/GTS rii( mCls7- i?>jF-go' � StQGe� (NOTE: An entry must be made on this form each time you visit the job site.) J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive—�,OroviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mntioned property fo inspection purposes. X -Date $i nature of Pe/mi tee or Agent Receipt No. /[� <-2�K- 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 bee DIRECTOR OF PUBLIC WORKS ilding permit expires Date 7— 1-(— 7 BUILDING Owner p — G SQ. FT. OCC. BUILDING VALUATION vv Mailing Address Telephone No. Fireplace Contractor sgaa`1 7 Total Valuation 6 �� Mailing Address U • Permit Fee Plan Checking Fee&/or Penalty Tel p =n�No Permit Fee $ o? cz Building Address C v"1�, �! PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 vel Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 )) J t , f ; B � / Each gas water heater or vent 1.50 A. P. No. 3 49;�3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W- Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parc I Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Pla s proval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 110000 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 cam\ wr_ y e �- I \ NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. 2�Sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON -RES ID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions ode under the name style Of' Y /) / ! LL's Ex. Occup(OUTLETS OR FIXTURES) BA@L20, FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.s3.2f �37classification 6� 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. Elhave placed on file with the County of Butte a certificate of 'Workmen's Compensation Insurance. f;;Z I certify that in the performance of the work for which this rmit 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 $.2 C9t authorize representatives of the County of Butte to enter upon the above-mntioned property fo inspection purposes. X -Date $i nature of Pe/mi tee or Agent Receipt No. /[� <-2�K- 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 bee DIRECTOR OF PUBLIC WORKS ilding permit expires Date 7— 1-(— 7