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Home My WebLink About069-190-013Donald L. Harris' O �aBeo��/'3 437 Lodgeview Dr.,lot 106,0#3, Oro. Permit �� 878-76P,E(util.,IV ELEC. %?� ��ja,.vr� GAS��'? i7iL�h. o SUPPORT STRUC`Ii7RE REQ, COMPACTION TEST REQ, contr: Carneros Mobile Transport,Napa Permit #100-773MiI issued Permit #2500-7iB(P Z1new open deck/MH) Oce - i � 0113 r 1 l PERMIT NO. 6878-76P,E PERMIT EXPIRES OWNER DONALD L- HARRIS CONTR. owner LOCATION (A.P. 34-71-13 ) 437 Lodgeview Dr, KR unit #, lot 106 Temp. Power Pole Called PG&E -t Temp. Elec. Serv. Cabled PG&E Te p Gas Serv. Called PG&E Jm � 1 FINALED (Da (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDI G (Cont'd) PLUMBING Setback —f Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Pi in —f �'7% Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Prov. forphysically handicaooe Appliances Carport Footings Slab Patio Footings Masonry Walls. Reinf. Steel Bond Beam Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE f 14 tin! IF- Footino F ex. FIRE HA Heatin Cooling Ducts Ventilation Final _REMARKS OR CORRECTIONS_ Gas Piping & Test Temp. Gas Sanitation Final 3— (' j'`7'Z. 4 ELECTRICAL Rouah ,- ® ^ `T Fixtures Motors Water Htr. Subpanels Grd. Fault Pro Service Temp. Pole Underground Permanent Final 3—f (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical t A Is service large enonglt to provide adequate amperage to mobilclLome. (must equal rating of mobilehome witlL a :s;in.i:;:um E. 100 amp) and other faciliti.t.s on lot, i.e., water pumps, garage, caban<a, etc.7 'YerNo_ B Is there. proper clearances around panels'.? Yes)SI,No_ .C. Is power supply cord or feeder assembly properly fused? YesX No D. Is c tinuity test satisfactory as' per the follo�,Ying procedure.? Yes. De -energize electrical wiring system of the mobilehome at the pedestal. _2,-'--M`ake sure that trLe power supply cord'or feeder assembly conductors, including neutral conductor, have been disconnected. Switch all breakers and switches in 'the mobilehome to the "on" position. 4. C nect one load of a test instrument to the mobilehome grounding conductor and i r ti:e Ui iL.P_i l.c air i:u each h TLIVUL1elLUlILe supply conductor, including neuLral. "PP 3 ,,,-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 suc 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 tesU shall then be made between the grounding electrode and the chassis. of the 1110bilehome. Upon satisfactory completion of the electrical tests, the lt or site service equipment may be approved for energizing. il foband sired by health Department for water and sanitation? 1.1. eve.xything olcay, sign off card and tag s�srvices. MU13TLEi1Ut E_DATA Manufacturer and/or Namest:yle Ler.gth_, :;L-_ Width A Vehicle Serial No. State Identif. icati.on Non fu, 6 S Oo Adetit,ional Infor:nat..ion or Comments: ii013Ti,i?Ii0:1G IIV57'ALLATION INSPECTION CHECK LIST 1. Is the mobilehomt located wi.i_li quired separation from lot lines and buildings and generally conform to plot plan? Yes _ No_ , 2. DOes the mobilchome have required clearances above groynd? (Sec.5085) YesL-_--"No 3. Are footinC; and supports proper.ly'sized, spaced, and braced as per roved plans? (Note possible variation at spring shackles.) (Sec, 5 2 & 5083) Yes 4. Is the mobilehome 1 Ye G� level.? (Sec. 5088) s— No — 5. If more than a single unit, are crossover connections properly installed? (Sec, 5088) Yes kel-No 5. Water A. is fle : le connector of adequate' size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes 4__5_0*' rd flow - If coach is not State of California approved, does station have backflow device pressure -relief valve? Yes No'' 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes'z_�No B. Does it have minimum z;" per foot slope and is it properly supported? Yeses No C. Are any leaks detected in drainage system after running 3-ga'l.lons of water through each fixture including washing machine standpipe? Yes —N o Lll�-� coach is not State of California approved, does station have required trap and vent? t e No ' 8. Gas Piping and Gas Vents I A. Connector - ks mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome conctor not more than 6 f long? Note: All piping is to be at least as large as the mob ehome gas line irile without reductions other than the mobilehome connector. Yes o B. Test OK as per followin procedure Yes_ No 1. Open all appliance co -sector alves. 2. Shut off appliance burner d pilot valves. 3. Air test with manometer o 10"- ' water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) cal rated in enth pound increments. Test for 10 min, without drop. 4. Connect: gas mete/rtmobilehome with conne or, turn. on gas, test connections with soapy water. C. Are all appliance veroperly installed? YesNo t 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 the requirements of the California Administrative Code, Title 25, Chapter 5, under permit numb.rr/Qx--7-7 for the following location: r•34'u/�=�/ L 0 Ownerin)V/4 L ) L fiA.yxj S Owner's Address -5119t" xz_1 ' _ Mobilehome Mfg. -/�� /U�- Model —Year 7 Insignia No.-' At o R /no Serial No. -7/— 44 j on It is hereby ccertifieed for occupancy at the above described location and may be occupied. —7 Directorrof Public Workss�, ! Date _��' / By �i�l�C1J1 �`fl+./5" ..-� r � r THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED .71, COUNTYIOF Bt4TTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 77 Telephone: 534-4541 / APPLICATION AND PERMIT auulorize rep esentattves U1 the Bounty of Butte to enter upon the above-mentioned property for inspection purposes. X � � Date _�Z ig pt of Permftee e t Receipt No. — I to (19( I 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 PUBLIC WORKS BY Date. B ing permit expires Date _ �� 7 BUILDING Owner Donald L. Harris SQ. FT. OCC. BUILDING VALUATION Mailing Address Lot 106 Unit 3 Telephone No. Fireplace Contractor "larneros Mobile Transport Total Valuation Mailing Address 1290 El Capitan Permit Fee Plan Checking Fee&/or Penalty Napa, California 94550 Telephone No. 252-2411 Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 437 Loa eview 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. No.Gas 34-71-13 Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Saftitdtr6Tf' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcelparcel Declaration Ma P 60' R/W Provements Imp Lawn sprinkler system 2.00 Bldg. Pld Parceloval Plans oval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 INSTALLATION Main service 600V OR LESS 100 AMP OR LESS 5.00 Y Main service EA. ADD'L 100 AMP 2.50OVER , Single Family ❑ Duplex ❑ Mobil Home Others ❑ 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADONS. ( ACCLBLDGS. OCCUP. &) 20 sq tt NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEW CONST R. 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: Car_zeros Mobile Transport Ex. Occup(OUTLETS OR FIXTURES)@L @1?5¢ BA Ex. Occu FIXED APP LNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 259158Classification v J1 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 MOBILE HOME INSTALLATION 30.00 TOTAL PERMIT FEE $ -0100 auulorize rep esentattves U1 the Bounty of Butte to enter upon the above-mentioned property for inspection purposes. X � � Date _�Z ig pt of Permftee e t Receipt No. — I to (19( I 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 PUBLIC WORKS BY Date. B ing permit expires Date _ �� 7 MOBILEHOME SUPPORT DATA Mobilehome Mfr. Skyline Mobile Home Setup Model No. 815 Year. 77 NET Width 24' (ft.) Length 52' (ft".) Expando Size ft.x ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). Center Support Locations (.) (On.� (ft) (in)1 F15 8 I ..- (f t :min . ) I /0011 �. . Center Support Footing Sizes (in.) r 124 x30 �in.) (in.I r' 1.24_ X_30_ (in.)(in.) L24x30I (in.)(in.) (in.) (in.)�. S Le Footings (check one) /X/ 1. Wood either pressure treated or fdn. grade. 2. Concrete pad. 3. Other, specify Supports (check one) AX/ 1. Concrete block + 2. Concrete piers 3. Steel piers l I T—/ 4. Other, specify 11011 ^If center piers are other than drawn above, draw in locations, spacing, and dimensions. Typical Support 12x 30] Footing Size �in.n.) I + i I 5 - 6 + Max. Pier Spacing Max. r ( 1 - 0 Overhang (.ft A) Ciii.) BUILDlR� DEPARTMIEW APPROVED any BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owne-t's name: Donald L. Harris Lot 106 nit 3 2. Installer's name: Carneros Mobile Transport 3. Is the site currently under permit? Yes / X/ No ( If yes, furnish permit number ) 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 / / 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 pip.e:.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 BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT icNicaaniat vaa Ui ll to I�UUIIIY UI OUlltl LU Cfllef UPUH Inn above-mentioned property for inspection purposes. ` art ±�i> • Date 11-25K-26 Signature of Permitee or Agent (/�� Receipt No. %%-/• Sz / / 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 PUBLIC WORKS BY 1— Date permit expires Date/%/�B BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address -&/ �/� �� 4 ephone No 3 0 Fireplace Contractor Total Valuation Mailing Address Permit Fee PI an Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 / 2 'c .'P fu eoe• Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping Each gas water heater or vent 1.50 A. P. N— - Z ^ ^9 Gas piping system 1 - 5 outlets 1.50 Each additional outlet F sAccllS ion Fire Dept. Fire Zone Use Permit Building sewer EQA Parking Plans Parcel claration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans jtec'dParcel Approval PI n pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR LE Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 10 EAMP oR 60 R LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 500 5 • FT. MINI NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. 2¢sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea FOR MOBILES NEW CONSTR. POWER APPARATUS &) NON -RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)BAL� FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lice se No. Classification Misc. Wiring 6.25 21"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 W kmen'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 ",g C� TOTAL PERMIT 17,41P $ icNicaaniat vaa Ui ll to I�UUIIIY UI OUlltl LU Cfllef UPUH Inn above-mentioned property for inspection purposes. ` art ±�i> • Date 11-25K-26 Signature of Permitee or Agent (/�� Receipt No. %%-/• Sz / / 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 PUBLIC WORKS BY 1— Date permit expires Date/%/�B This sot of plans a+ MUST b¢ kepF 8n i•h-� ink rpt r11 ;.;—'s r. n if is ur►riwful to -MC16 any or on some without written permission from the Department of Public Works, County of. Butte. NOTE:—All Materials & Workmanship Shall Be in Accordance wifh Rocognized Good Practices and of a quali'ry prescribed for the Specified use in the Uniform Buiiding, Plumbing & Mechanical Codes and the National Electrical Code. ET=B:4 Cf�" SST-- BA CJ-�'__ CUT LOT 10G UNIT 3 " s - Ii/, All utility connections shall be located within 4 ff. outside the rear third section of the mobile home on the left (road) side of the mobile home. r p 0. Y l�� 'ns�o�� f'f � i �A/ • O \ � fhb moo;/� / obi eboo�17& = s� f� 40 .SC A YP"E /"= 20' The JW. Setback shaft be ft. from the side property line and 50 ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely, out of all easements, . L OOGEI//Cw 4; Ie7 .- BUTTE COUNTY BUILDING DEPARTMENT APPROVED fl lO.oE17 MDB/L E //-/� 76 ?vim C 1313 K ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE. CALIFORNIA 95965 PHONE (916) 533-6457 James Glander Department of Public Works 7 County Center Drive Oroville, California 95965 Re: 76551 Dear Jim: December 22, 1976 Compaction test results are enclosed for mobile home site preparation at Kelly Ridge Estates for: Crouch McCarthy KRE Unit KRE Unit 3 3 Lot Lot 161 109 3 `f -75- 3a` `.3q-71 —I-q- /� F 3: KRE Unit 3 Lot 151 6'f-7 �� '- Harris KRE Unit 3 Lot 106 3q71 Representative tests indicate that the 90/ relative compaction requirement has been satisfied. A location map is attached. Very truly yours, COOK ASSOCIATES 4 6;�&P7 Alan G. Brown Civil Engineer AGB/cap Enclosures 1�2. L (�Y � I , ra _._._ '�w �. - I vial d0 �Ld J119f*]A*"'S��Oj 1M(19 d0 )Jago Client Harris COO SSOCIATES Project KHa Unit 3 Lot 106 ENGINEERING CONSULTANTS NUCIear In -Place Job No. 76551 2060 PARK AVENUE Moisture DensityTest Johnston OROVILLE , CALIFORNIA 95965 operator ( 91 6) 533 — 64 57 1976 TEST NUMBER 1 2 3. 4 5 6 7 8 9 10 TEST DATE 12-20 6x20 TEST SE Cor LOCATION 4' fill FINAL MODE 9 DEPTH 8" DT MOISTURE COUNT 973 MOISTURE COUNT RATIO .708 MOISTURE 8.9/ PCF 17.50 DENSITY COUNT 261 DENSITY COUNT .974 RATIO WET DENSITY 131.0 PCF DRY DENSITY 122.1/ PCF 113.5 % MOISTURE 7.6/ 15.4 OPTIMUM DRY 133.0 DENSITY PCF % OPTIMUM 12.0 MOISTURE % RELATIVE 92/ COMPACTION 1 85 DAILY STANDARD. COUNT COMMENT: DATE MOISTURE DENSITY 12-20 1375 268 LOT 106 UNIT 3 (D 5ET-BsACK 5 • 2oa- iY1P_-a 77-- BSI Cf,(-- . CuT ti 7809 N V SC.9 L E 11 20' �.. L'OOGEYiE`t/ r PERMIT NO. 2500-77B ' PERMIT EXPIRES OWNER Donald Harris b CONTR. Owner LOCATION (A.P. 34-71-13 437 Lodgeview Dr., lot 106, KRYP3, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E /Tem•. Gas Serv. alled PG&E _LED /® —/ (Dat (Signature) 7-1 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIN RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback < Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Sidina To out Slab Roof Sheathing Water Piping Piers V Roofing Sewer Garage A Fdn. Vents Fixtures Footin s Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicapped Conformance of ex. structure Appliances Gas Piping & Te t Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings 41-10- Footing ELECTRICAL Masonry Walls Throat y Rough Reinf. Steel Final Fixtures Bond Beam FIRE SP +INK ERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECAAN AL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts 1 Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTI TIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - • - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) V COUNTY OP BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 04-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-me�y�oned property for inspection purposes. X Date Signature o ermitee or ent 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 PUBLIC WORKS By /��___.� ` In —Z— B ding permit expires Date —y 7 BUILDING Owner adzd � SO. FT. OCC. BUILDING VALUATION z ov Mailing Address 7D7 Telephone No. Fireplace Contractor Total Valuation Q Mai I i ng Address Permit Fee o Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ d /D Building Address LJ%`7 �,®��^ PLUMBING No.1 @ FEE PERMIT FILING FEE $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. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. P ns Rec'd Parcel A royal Plan proval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100V OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service _ OVER 600V 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Z Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLLING OCCUP. & BLDG ) 20sgft NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@L@1 BAL1 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ' I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-me�y�oned property for inspection purposes. X Date Signature o ermitee or ent 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 PUBLIC WORKS By /��___.� ` In —Z— B ding permit expires Date —y 7