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HomeMy WebLinkAbout069-150-046O AP GRACE TELLES &q- 580 S#1 verielaf Dr., Oroville Perml*- 1653-75P,E(uti-I.., A y EC. S=c4',:Z I —h? -7, t!11PGAS . < SUPPOR`f- STAUCtURE�'REQ .p COMPACTION TEST RBQ. =4 %, See AP 7 CONTR: Carneros MH Servic-1 N P� i� W f=rmit# 2087-45NHI Z4�1 ISSI Issued Permit 3209-75BI& _ CONTR: Kool Metal Awfiing,Sunnyvale .-Permit 3209-75B (patio cover, carport, deck/MH) M. Telles 580 Silverleaf 16 -CO, .- KRY, k. 1, Oro. contr: Acro -fume, Oroville Permit.#1520-78B(new awning/MH) r Il CM T -.LM I Y 1 � 6'PERMIT NO. 1520-78B F,> ` PERMIT EXPIRES�� OWNER M. Telles CONTR. Acro -Lune, Oroville 34-59-46 pLOCATION (A.P. � 580 Silverleaf Ik , lot 49, KRYf1, Orovi]]e 0 A 3 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E - i Temp Gas Serv. ailed PG&E JOB / FINALED (Date) i (Sign Lure) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footin s Masonry Wal Reinf. Steel COUNTY OF BUTTE DEPARTMENT,9F PUBLIC WORKS BUILDING INSPECTION RECORD y BUILDING BUILDING'(Cont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish i 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping; Roofing It -1J- Sewer ! Fdn. Vents Fixtures Garage Vents �` Insulation Water Htr. ' Heaters i Prov. for phsicall handicap ed Conformance of ex. structure Appliances ; Gas Piping Test Temp. Ga , Final Sanitati FIREPLACE Final -Iv Inal Fixtures Motors Water Htr. Subpanels ELEC ICAL Mesh 0WCHANICAL Grd. Fault P t. Scratch He I ating He Service Brown A Cooling Temp. P le Finish ;V Ducts Undefdround Interior Lath % Ventilation Pe anent Door Closer Final % F rldl MOBILEHOME UTILITIES_'-' - - - - - - - - - - - - - Elec. Service ' E c Pedestal Water•Piping Sewer Gas Piping OBILEH IME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage in Gas Piping 9 DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF 0r- UTTE, — DEPARTMENT OF PUBLIC WORKS 7 C64ty Center Drive '- 'Ordbille, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT fl1 . / ' BUILDING tv Owner 2 k. s SQ. FT. OCC. BUILDING VALUATION 2b Mailing Address Telephone No. Fireplace / Contractor Z_o /C.N N Total Valuation (fj / Mailing Address I(Ay ,t/,jC, -7PIanCheckingFee&/or Permit Fee Penalty Telephone No. Permit Fee $ 37-V Building Address f PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q d Cil Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 dy A. P. No. c7 — - Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 BI Ions Recd. Parcel A a Ions Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE ` PERMIT FILING FEE $3.00 V OR Main service 10000 AMP ORSLESS 5.00 " Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service' OVER 600v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 (•(J 2 C_vv /` / /M� NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 20sgft NEW CONSTP_ (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 Calif rnia Business & Professions Code under the name style of:Ex. 4�-� Ex. Occup(OUTLETS OR FIXTURES) BAL@1 OCCU FIXED APPLNS. OR P•(0 'TLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. % Classification Misc. Wiring .25 6 ❑ 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 Wor n's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned prope for i spection pu os .. X Date --1/- Signature of Wee ee or Agent Receipt No. / � Y/ & White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been DIRECTOR 0 PU LIC WORKS By Date Vii` Y ?- Building permit expires Date N - q - 7 I /� Iii Ut il. iPERMIT. N0. 1653-25PTF ', P E i M MH UTIL. - ,PERMIT NO. PERMIT EXPIRES yOWNER Grace Telles, iCONTR. p LOCATION (A.P. 34-59-46 ) 580 Silverleaf Dr., lot 49, KR#1, Oroville i 4, F Temp. Power Pole Called PG&E r laww.. Elec. Serv. —/9 " 7✓ Called PG&E LS?- 7r- *� Temp. Gas Serv. Called PG&E JOB FINALED (Date) / (Si9natur /0 /L'�/ k COUNTY OF BUTTE — DEPARTMENT OF .PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback % 2J Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer _ 7 — Garage Fdn. Vents Fixtures . Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test ' - % ? Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL , Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service — 2 Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS l j. , MOBILEHOME INSTALLATION INSPECTION CHECK LIST .1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085)'Ye sX_ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring. shackles.) (Sec. 5082 & 5083) YesZ No 4. Is the mobilehome level? (Sec. 5088) Yesy_ No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water `A. Is flexible connector of adequate size .and properly installed (1/2" ID min.)? (Sec. 5566) Yes_Z, No .B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes V No C. Backflow - If coach is.not'State of California approved, does station have backflow device and pressure -relief valve? Yes. No 7. Wastes and Drains A. Is connection made with.Schedule 40 DWV and have -flex connectors at.each end? Yes No B. Does it have.•minimum 4".per foot slope and is it properly supported?.Yes No C. Are any leaks detected in drainage system after rning I -gallons of water through each fixture including washing machine standpipel..Yes No D. If coach is not State of. California approved, does station have required trap and vent? Yes No P AI A 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an.approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to.be at least as large as the mobilehome gas line 1iilet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes No - 1. o 1. Open all appliance connector valves. — . 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments.. Test for 10 min. without drop. 4. Connect gas meter to mobilehome.with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is servicelarge ,enough to provide adequate amperage. to mobilehome (must equal rating (:pf mobilehome with a minimum of 100 amp) and. other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? YesX No C. Is power supply cord or feeder assembly Properly fused? Yes__Z No D. Is continuity test satisfactory as per the following procedure? Yes No 411. De -energize electrical wiring system of the mobilehome at the pedestal. .,"�2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. 'Switch all breakers and switches in.the mobilehome to the "on" position. �4. Connect one lead of a test instrument to the mobilehome grounding conductor and . apply the other lead to each mobilehome supply conductor, including neutral. S. 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. C6. 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 the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? IV /q , 11. If everything okay, sign off card and tag services. , MOBILEHOME DATA �/ l % Manufacturer and/or Namestyle f A 0 /m J/ /-/1 "- U S �1"/ Z 5 Length Width Vehicle Serial No. -1.0 S 7 -/, frs V:7 t State Identification No.CJ Additional Information or Comments: COUNTY OF BUTTE -'DEPARTMENT OF PUBLIC W KS 7 County Center Drive — Oroville, California 95965 Telephonlr: 534-4541 APPLICATION AND PERMIT auinunce represenratives or the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. 11? 6—:5 -2 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 PJ­116LIC WORKS By Date Y— 71 —?J� 1344/ding permit expires Date ............... y-".�.'�7...... BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address / 11�� �• - ��.yl Telephone No. Fireplace Contractor �(� „� ,�% Total Valuation Mailing Address Permit Fee . Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ I FEE PERMIT FILING FEE me Each Trap 1.50 Dll �/ �� ��— �� Repair drainage or vent piping 1.50 Kile 7 :57 1965'Each Water piping 1.50 Gj f9?j gas water heater or vent 1.50 A. P. No.n, Jr I / Za"i r Gas piping system 1 - 5 outlets 1.50 D•00 Each additional outlet .30 Fes W. #4$L Fire Dept. Fire Zone Use Pennit Building sewer 5.00 le,06 EQA Parking Plans Parcel Declaration Parcel a p 60' R/W Improvements provements Lawn sprinkler system 2.00 ��„„ 7." f g. Plans Recd Parc A royal pp Plan royal pp Permit Fee $ ? 3. !j � $ 3 d NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 0© Main service incl. 1 meter -F, Q Additional meters, each 1.00 E--*' -�/ Single Family ❑ Duplex ❑ Mobil Home E Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 t` s Water Heater or Space Heater 1.00 Light fixtures bal(din Receps., switches & fix outlets b201M 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 /(5;,�o 0 Temp. Power Pole 5.00 LicenNo. Classification Misc. wiring am exerrpt from the Contractors License Laws of the State of California. Permit Fee $ _�2, d d $.;Z/. (' 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. ❑ I have placed on file with the County of Butte a certificate of Wor en's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to.the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply. to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $tj auinunce represenratives or the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. 11? 6—:5 -2 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 PJ­116LIC WORKS By Date Y— 71 —?J� 1344/ding permit expires Date ............... y-".�.'�7...... rF is: set- of plans and ; MUSt .be' kept on the job at ,411 -dimes .and: it is unlawful tti make any changes or alterations on same :wi+eui Written. permisson from the Department of Public Works, County of Butte. - LO `T- . X49 U.N IT 4-- sE�- c3A C� Vern, 11 required for the s- installation of the mobilehome. vs !_7-t rhe Setback shall ,be 5 -ft. tro' rn the- side property line. and 50 ft. from i \ \ e the centerline of the road, permhfing' p' h a maximum of a 2 ft. eave overhang, .0' / All utility connections shall -be / .� / located within 4 ft. outside the rear / SET=BACA< third section of the mobile home O '' on the left (road) side of the mobile home: PaA / I %O 77 BUTTE COUNTY. BUILDING DEPARTMENT . APPROVED Septic system and location of ° to be - as per Butte County Health Dept. Re- ' qu i rements. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC Wv7 County Center Drive - Oroville, California 95965!. C9 Tglephonec 534-4541 APPLICATION AND PERMIT M authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature fPermitee Age t Nr Receipt No. / %��/ - White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County"Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By Date euildlin'q permit expires Date BUILDING Owner rAce• i— SQ. FT. OCC. BUILDING VALUATION Mailing Address ")`/ S -P /Z j Tele one No. -i93 2f' Fireplace Contractor 0,4 /L) Lor 6 �t,/ t1>C Total Valuation Mai I i ng AddressZ,-2 Permit Fee Plan Checking Fee &/or Penalty � ne No Tele Cl _ C` Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Si Ve e tif Each Trap 1.50 t Repair drainage or vent piping 1.50 Waterpiping1.50 ®V'Q (/t �(e OAII` pr,4,1 Each gas water heater or vent 1.50 A. P. No. --- — Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s W. �4entta4ien Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking P ns Parcel Declaration Parcel Map 60' R/W Improve nts Law6 sprinkler system 2.00 BI g. Plans Rec'd Parcel Aproyal Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER,% ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 f0 /� _,00erwl Main service incl. 1 meter ¢� �3_ Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures h20 d152 Receps., switches & fix outlets CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of, l�AA)&665 / r/�.� 00 [ 1% / In 6, 6v--ryAr Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 A.1 &IVQ Temp. Power Pole 5.00 License No. 4/. 9// �AL Classification Misc. wiring ❑ 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. ❑I certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all .County Ordinances and State Laws relating to building construction, and hereby 5'0 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature fPermitee Age t Nr Receipt No. / %��/ - White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County"Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS By Date euildlin'q permit expires Date C: 0 [3 ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE. CALIFORNIA 95965 ...... PHONE (916) 533-6457 1A May. 16, 1975 Jim'Glander Butte County Department of Public Works, i. ,7 County Center Drive Orovill'e, California Re: CA 752518 Dear Jim: Compaction test results taken on completed fill.are enclosed /T -elle A. -4.4. '4 E 2 B 74r. 6 A location.map for each is also attached. Very truly. yours, COOK ASSOCIATES Alan G. Brown Associate Engineer AGB/cap Enclosures I �yi. C.,:>CjK E,O. M. F. OAN J. COOK C. E. R�%V6JOB. NO. COOK ASSOCIATES ENGINEERING CONSULTANTS OROVILLE. CALIFORNIA ASTM D1556 IN PLACE MOISTURE DENSITY DETERMINATION Telles Unit lA Lot 49 Test #1 #2 Number. A '4-28-75' 5-9-75 Apparatus 1st Lift 2nd Lift ' Number B NW Cor. Center Fill Sand Density Lbs. /ft.3 3 8 p 374 C Apparatus + 4 p 8 5 0 4 t 010 Sand Before D Apparatus + Sand After E 4,155 3,250 Sand Cone + Hole F 695 760 Sand Cone G 412 412 Sand Hole H 263 346 Volume Hole I .007374 .0090686 Soil J 430 533 .9479 1.1750 Use Curve Number K 7 9 11. 7 Lbs. /ft.3 '128.5 Wet L 129.6 Lbs. /ft.3 120.5 117.8 Dry M % Moisture N 6.6 10.4 Pan Number 0 10.6 Pan + Sample Wet P 584 686 Pan + Sample Dry Q Pan Grams R 154 153 Curve Max. Lbs. /ft. 3 S 13 2 .5 2.5 13 2.5 13. D— E H F— G _ H I (453.6) (C) �... N x 100 M Q.— R N+ 100 T_ S x 100 % Compaction IT 0j" wj Use Other Side By AGB For Remarks Date I 5L61 61 XVK , s>;zom OlUna ao lz,a ILTU JS\noo ol � c)-1 d PERRMIT NO. 3209-75B P . E M �- MH UTIL. ' `PERMIT NO. ,�• %-7 PERMIT EXPIRES .7 r` ft•OWNER Grace & Manuel Telles u;coNT:R<. <� Kool Metal. Awning, S Sunnyvale -LOCATION (A.P. 34-59-46 580 Silverleaf Dr., Oroville t. P i r i G • z. f lY l I I. Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E TempeGas Serv. JFINAB iled PG&E LED (Da ) C (Signature) Ske IYbZr— INS C Df COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIDN.REORD BUILDING BUILDING (Cont'd) • PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings y Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final 'Sanitation Patio FIREPLA -E Final Footings Footing ELECTRICAL Masonry Walls Throat Rough r� Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECH JICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under rou Interior Lath Ventilation /' Permane t Door Closer Final Final G DATE—/�/%d REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC),W t KSV75 7 County Center Drive — Oroville, California 95965 Teleph5ne:534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above- ticned property for inspection purp¢ges. 4Z //7 X lb gnature of Permitee or Agent Receipt No. / 1313 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By ® Date 2=2`7_1 41, Ing permit expires Date �-� BUI DING" Owner SQ. FT. OCC. BUILDING VALUATION Z a v Mailing Address lueeLnia- © Telephone No. Fireplace Contractor L Total Valuation Z Mailing Address t w Permit Fee Plan Checking Fee&/or Penalty Teleph neNo. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 © Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N '�� �j1� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 S i$ Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration ael a P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcelvol Plan4gZpprovol Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (morethon 12) - Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Range, Cook -top or Oven 1.00 % Water Heater or Space Heater 1.00 Light fixtures 601 2 Receps., switches & fix outlets 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: KOOL METAL AWNING CO. 164 Ne SNC. SUaP,'%'� l ' -Lc1vvren,IiiC@ XPwy. 261 p License No. Classification Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 Misc. wiring ❑ 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. F -1I 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 1 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 $ authorize representatives of the County of Butte to enter upon the above- ticned property for inspection purp¢ges. 4Z //7 X lb gnature of Permitee or Agent Receipt No. / 1313 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By ® Date 2=2`7_1 41, Ing permit expires Date �-� I Nd qt1p,glaille M! rl �0c10, c10, z"o