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HomeMy WebLinkAbout069-190-023Thomas lliams /rovil 7 Bas Ct., lot 54, KR��l Per t #5573-79P,E(ut -.,MH) ] ELEC. q �nl7q n�.�4 GAS B= ,q-79 -' UPPORT STRUCTURE REQ. -PZ O C MPACTION TEST REQ. nt Carnero Mobile Tran p ort Permi 5851-79MHI Issued r�etty WilliamsXX � .� 7 Bass Ct. , l0KR4, Orove contr: Lancaster & Son Const., Oroville Permit #2059-80B(new awning/MH) 6 9-/q- 2 3 Permit #2060-80B(new��ck/MH)� 69-19-2_3%�/a7�g� Contr: Doyle Carter �-t' Permit#1070-88B,E(new garage) eounttpxuue OROVILL E A - , CALIFORNIA GENERAL CLAIM CLAIMANT: ADDRESS: 2358 MOYER WAY CITY & STATE: CHICO, CA 95926 IMPORTANT: DATE OF CLAIM: 1 n/1 x/94 SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCR.IBE FULLY TO AVOID DELAY) AMOUNT DEPT. & SUR. PROJ. CHICO OFFICE TOOK PERMIT TO REROOF A MOBILE BY MISTAKE. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. B.P.#94-2716, RECEIPT #168814 DATED 9/28/94, A.P.#069=190-023, OWNER: CHARLES DALL) TOTAL AMOUNT PAID................................$43.00 . AMOUNT TO BE RETAINED.................... $00.00 F----GLc - .. c C� AMOUNT TO BE REFUNDED...................................—TUTAL. - -$4 .00 ; I, the undersigned, declare under penalty of perjury that the services or articles claimed hav can perfoirr� claim is true and correct as stated. i —%�— Dated this !6 ...... ..................... day of ... ... ..... 19.1.... st... .... Calif. ....... ignature of I, the undersigned, hereby certify that, to the bast of my knowledge, the services or article livered and that there is a Budget Appropriation O or Specific Board Approval O (Check one) ) Dated thls ...... 1.3.T.H.................. day of ...9CT:QD.FiR..... 19 ... 94.1 ,OROVILLE , C /l ied ove am , ..................... ........_.._................. ead or Authorized Deputy vexed, and at this performed or de- Dept. Esp. i Code(yG(�-QOZ.................... Code ,,,,,,.42.10.50 .....................PAYABLE FROM .... CONSTRUCTION --- PF.RMTTS err,.,- DO NOT WRITE BELOW THIS LINE _ AUDITOR'S ............ - USE ONLY DEPT. & SUR. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. ��----REFUND CLAIM APPLICATION CLAIMANT'S NAME t-(all r a2OLSOKS �Z C'QV Dt MAILING ADDRESS ASSESSOR PARCEL # �Q % —1`7j — Q;) PERMIT # RECEIPT NUMBER(S) Request a refund of fees paid on the above receipt number(s) for Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) [] Building Permit Fees [ ] Sheriff Fees [ ] SRA,Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at c [ ] Please mail plans to me a [ ] Please dispose of plans. SIGNA DATE 'Z f 1 t. \ Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) [] Building Permit Fees [ ] Sheriff Fees [ ] SRA,Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at c [ ] Please mail plans to me a [ ] Please dispose of plans. SIGNA DATE N ���` FOR BUILDING DIVISION USE: Receipt Information: Number: Date:�� Issued To:'/14 n �� Amount: $ -� `9 Fees Retained: Processing Fee: $ Bldg Filing Fee $ Plbg Filing Fee $ Elec Filing Fee $ Mech Filing Fee $ Energy P/C Fee $ Plan Check Fee $ Inspection Fee $ Total Amount Retained $ $— TOTAL REFUND DUE PRItit 3G� IS (0. RS ?ARC=. OWNER'S NAME: pgq 02 -61 FEES: Amount and Purpose =SZD PLAN CHECI: S BALANCE OF FEES: S ADDITIONAL. Fr"ES : S REINSPE=ON FM: S SHER2F r Fn's..' : S CHICO URBAN AREA FEE: $_ TAEMAt_ ITO/NO. ORO TRAFFI( OROVIIZE AREA TRAFFIC: $ COP=: S 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 number rr %for the following location: c? r Owner I' /r . 3 ' t r , Owner's Address Mobilehome Mfg. Model Year Insignia No. I 7 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date / C , By . THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. PERMIT NO. 5573-79P,E PERMIT EXPIRES 1a OWNER Thomas Williams ,CONTR. owner 34-71-23 !,LOCATION (A.P. ) 7 Bass Ct., lot 44, KR#3, Oroville Temp. Power Pole Ca led -PG&E Temp Elec. Serv. C Iled PG&E W 40 Temp Gas Serv. C Iled PG&E JOB NAL D �0 — (Date A)V9 (Signature) COUNTY OF BdJTTE — DEPARTMENT OF PUBLIC WOIKS BUILDING INSPECTION RECORD BUILDING A BUILDING (Cont'd) A PLUMBING a tuack rewall koll Piping FoItns Pa pets 1st Floor M n Bldg. Res oom Finish kd Floor otin s Windo s 3r Floor Ste wall Siding To ou Slab Roof Shethin Water in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab 7 Carport poConformance Footings Prov. for physic ly handica ed of ex structure Appliances :Gas Piping & Te Temp. Gas Slab y Final V Sanitation Patio F/Rlip LACE Final Footings Footinq 4 N EVtCTFIJCAL--- Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam IRE SPRINKLhFIS Motors Stucco / \ I Fi meso MECHANICAL Grd. Faidit Prot. Scra HeatIr,4 Servic B rcpfn Cool,(ng T p. Pole F ish Du s der round In rior Lath V ntilation ennanent oor Closer Inal inai MOBILEHOME UTILITIES ------------------ Elec. Service 2-=—Af—Elec. Pedestal 4ZNz=20 Water Piping — �� Sewer —�� . �lj�r Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support ^ Elec. Continuity "Z -Q Water Piping An— 12C; Drainage Gas Piping DATE / �7/ REMARKS OR CORRECTIONS �/l�v/LG �Di37 "a faf€S A40 sc.E P (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating 61 mobilehome with a minimum of 1% p) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes o B. Is there proper clearances around panels? Yes_` No C. Is power supply cord or feeder assembly properly fused? Yes—`r No— D. Is oD.Is continuity test satisfactory as per the following procedure? Yes— No De-energizeelectrical wiring system of the mobilehome at the pedestal. _3 -.,-Make sure that the power supply cord or•feeder assembly conductors, including neutral conductor, have been disconnected. witch all breakers and switches in the mobilehome to the "on" position. 4onnect one lead'of a test instrument to the mobilehome grounding conductor and apply.the other lead to each mobilehome supply conductor, including neutral. ..1 ;�/A11 non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. Upon completion of the above.procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. M?�lY job card signed by Health Department for water and sanitation? If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle oC G `V _ �� L Length Width Vehicle Serial No. State Identification No. (. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located ith equired 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) YesNo 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Ye No 4. Is: the mobilehome level? (Sec. 5088) Yes_ No— 5. If more an a single unit,.are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexibl connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes 41 "A -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(--ifo B. Does it have minimum 4" per foot slope and is it properly supported? YesL____6o C. Are any leaks detected in drainage system after running3-gallo of water through each fixture including washing machine standpipe? Yes No — I I coach is not State of California approved, does station have required trap and vent? Yes— No 8. Gas Piping and Ga Vents A. Connector - I mobilehome connected to t e gas supply with an approved 3/4" minimum mobilehome con ctor not more than 6 f . long? Note: All piping is to be at least as large as the mo 'lehome gas line iiil without reductions other than the mobilehome connector. Yes No B. Test OK as per follo ing procedu e? Yes_ No 1. Open all applianc connecto valves. 2. Shut off appliance b me and pilot valves. 3. Air test with manome to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) cal brated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas me r to mobil ome with connector, turn on gas, test connections with soapy water. C. Are all applia9te vents properly installed? Yes No t COUNTYj3F BI;TTE - DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive — Oroville, California 95965 Telephone: 52,4-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date re'll ermitee or Age t Receipt No. '7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DARECJ-Gg OF PUBLIC WORKS DateS-� P2p Building permit expires Date X1_9 -moo BUILDING Owner Thomas Williams SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Carneros Mobile Transport I Mailing Address 1290 E1 Capitan Fireplace Total Valuation Napa, CA. 94558 125�-2411 Tele hone No. Permit Fee Building Address 7 Bass Court Plan Checking Fee&/or Penalty Permit Fee Oroville CA. 95965 PLUMBING No.1 @ FEE I PERMIT FILING FEE $3.00 Each Trap 1.50 Lot 54, Unit 3 —• Kell • Ridge Estates Repair drainage or vent piping 1.50 A. P. No. 34 - 71 - 23 I EZoninq & Planning Water piping 1.50 Each gas water heater or vent 1.50 F"I" V&e, S" tff&M Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. s Recd Parcel A roval I Plan proval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ Installation cs,+2 ., 7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 800V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑X Others ❑ Main service EA. ADD'L 100 AMP 2.50 ' OV AMP V LESS Main service OVER P O 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADDNS. ACCLBLDGS.LING 0 CCUP. 2¢sgft 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 le of: Y Carneros Mobile Transport NEW CONSTR MULTI.OUT LET ....RESD. BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS .& NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXT(IRES B �@ Ex. Occu FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 110.00 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 �j� Mble. Home Insta a >on TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date re'll ermitee or Age t Receipt No. '7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DARECJ-Gg OF PUBLIC WORKS DateS-� P2p Building permit expires Date X1_9 -moo BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE:.534-4541 MOBILEHOME INSTALLATION;SHEET•. 1. Owner's name: Thomas Williams 2. Installer's name: Cameros 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 (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (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? (ft.) 12. :What is the mobilehome gas demand? ------------------------------ (BTU) (This -information' not required if pipe length less than 6'ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA 1 0 -- Max. Overhang (in.) (in.) (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMGNi- APPROVE.p *If center pier& are other than drawn above, A—. lam._._].. #—n..0 nnnnino nnri riimonsinnR_ If other than single wide, Mobilehome Mfr. Mountain Valley Home Yurnish Setup Model No. 2BDR, F&R ReversYdar 1979 NET Width 24' (ft.) Box Length 56' (ft.) Tagalong or Expando Size ---- ft. x ---- ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973,1 -furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center -supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 0 1. Wood either A A pressure treated of foundation grade. 1A4x V (ft.)(in.) (in.) (in.) ❑ 2. Other (specify) Center support Center support Supports (check one) locations* footing sizes (in.) 1: Concrete block. %aZ /fir' 3 x 30 ❑ 2 : Other ( specify) (ft.)(in.) (in.) (in.) ,(---Tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) 12 X-30] -- Typical Support (in. (in.) Footing Size -3 -9-' 3wx3v r (ft.)(in.) (in.) (in.) 5'-:6 -- Max. Pier Spacing (ft.)(in.) 1 0 -- Max. Overhang (in.) (in.) (in.) (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMGNi- APPROVE.p *If center pier& are other than drawn above, A—. lam._._].. #—n..0 nnnnino nnri riimonsinnR_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive` — Oroville, California 95965 • Telephone: 534-4541 per' APPLICATION AND PERMIT / BUILDING ^ Owner Thomas Williams SQ. FT. OCC.1 BUI LOIN VALUATION Mailing Address 2004 North Cirby Way Roseville, CA 95678 Telephone No. 916-782-7059 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 7 Bass Court Plan Checking Fee&/or Penalty Permit Fee Oroville, CA 95965 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,Qp Each Trao 1.50 Lot 54, Unit 3 -- KELLY RIDGE ESTATES Repair drainage or vent piping 1.50 A. P. No. 34 — 71 — uLing & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fkl Sa Ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' /W Improve s Each additional outlet .30 Building sewer 5.00 , 00 Bldg. P' ns Recd Parcel A provol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 r 00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 �3_0 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 OR ADDNS. ACCNEW CONST. LBLOGS.LING CCUP. 4\ 20sgft C 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: NEN CONSTR MULTC. CII T NON.CONS � BRANCH CIRCUITS/ 12.50ea , NEW CON STR (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES B L@; Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Cj License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ aS,SU $ 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. PERMIT FILING FEE $3.00 Heating Cooling ,I;NI certify that In the performance of the work for which this Ventilation ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. % . OLi� Date Signature of Permitee or Agent Receipt No. a % 7) 02_� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee ffi las-1 TOTAL PERMIT FEE 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. DIRECTO F PUBLIC WORKS BY Date B i ding permit expires Date C) ��y l_.0 0 0 ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE, CALIFORNIA 95965 PHONE (916) 533.6457 September 20, 1979 James G lander Department of Public Works 7 County Center Drive Oroville, California 95965 Re: 79551 Dear, Jim: We are pleased to submit the enclosed Report on Controlled Compacted Fill for: Williams KRE .Unit 3 Lot 54 If you have any questions, please do not hesitate to contact us. Very truly yours,. COOK ASSOCIATES Lew Hiatt Civil Engineer LH/cab Enclosures cc: Doyle Carter ®GUNTV OF 6U"p DIET. ®E PUBLIC WORKS SEP 21 1979 ARS PSI 71819110111112111213141516 ASSOCIATES ENGINEERING CONSULTANTS ,OOK2060 PARK AVENUE OROVILLE. CALIFORNIA 95965 PHONE (916) 533.6457 September 20,'.1979. REPORT OF CONTROLLED COMPACTED FILL PROJECT: Kelly Ridge Estates Unit 3 Lot 54. Williams Re: 79551 GENERAL Compacted fill was placed to provide support.,for a mobile home. The maximum depth of compacted fill is about 1 foot: - DESCRIPTION OF FILL Prior to placement of fill, the area to receive structural fill was cleared of weeds and debris. The material used for.the fill was imported to the site and consisted of cobbly gravelly silty sand as shown on the "Summary of Tests". Fill was placed in loose layers about six inches in thickness and compacted by track rolling. Water was added to the fill prior to placement of additional fill. During construction of the mobile home pad, fill was placed outside the structural fill. This fill was not'tested during grading and is considered to be a non-structural fill: A typical cross-section (Plate 1) depicting this condition is attached. The approximate extent of the grading is shown on the attached drawing "Location of Density Tests". TESTING Field density tests were taken at frequent intervals near the fill surface. Representative samples -of the soil were -taken . to the laboratory for compaction.tests. The compaction tests. were performed in accordance with the laboratory standard ASTM 1557 Method C The relative density of the fill was determined from the compaction tests. Where tests indicat_e,insufficient compaction the material was removed, recompacted and retested. The location of the field density tests are shown on the attached drawing. The results of the tests are given on the table "Summary of Tests". CONCLUSIONS Based on intermittent observation, it is concluded that the structural fill was placed in an orderly and efficient manner and that the field density tests are representative of the structural fill placed. It is our opinion that all portions of the structural fill are compacted to at least. 9O% of the maximum density, in accordance with the requirements of the County of Butte.. COOK ASSOCIATES B' Y Lew Hiatt Civil Engineer RPL/cab COMPACTION TEST: Maximum dry density, pcf: Maximum size tested: Optimum moisture, percent: VISUAL CLASSIFICATION: Soil type: 132' 3/411 8 Cobbly Gravelly Silty Sand SUMMARY OF TESTS PROJECT: Kelly Ridge Estates Lot 54, Unit 3 Williams Re: 79551 FIELD DENSITY TESTS: Field _. Test Density Percent Maximum Degree of No. Date Elev. pcf Moisture Density Compaction Remarks' 1 9-14-79 1'Fill 120 8 .132 95 2 9-14-79 1'Fill 128 10 132 97 COMPACTION TEST: Maximum dry density, pcf: Maximum size tested: Optimum moisture, percent: VISUAL CLASSIFICATION: Soil type: 132' 3/411 8 Cobbly Gravelly Silty Sand LOT 54 . -!� =ioo `.'.�'/2' - • per•/t/� UNIT 3 T Co u/2 T -//L L 1A Ni p • .��, Z_ s 4--7. se, � 1 / /?= 50. Oo' r IE Limit off= Te ste cl t Fill: 2.® Loc(fition of Dmnsi ty T65t. ID \ epth �f Fill in f�'.\9 'ND.. � � �-. � Fill Slope io'\ ► 0) 10 Cut Slopes 51 �C_fjvL 41gj2 dG ,eoeg s 19—rI319eK ol= Aon Possif31-r 1 TYPICAL CROSS SECTION Not To Stale RE: ]9551: BUILDING SETBACK LINE C1&I1nll nM A Mf'7 ' VI�IV11��6. VI\I�VL URAL 4 coO SSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE , CALIFORNIA 85905 PLATE- I �ofrANEE LOT 54 • 1n, -/00 033'/2 UNIT 3 Co u,� T a11 Be ckrc'ansbap r �c l/�;J , A-1'7-Al. A/0 /-! \t4 0• s >�o° „ca§aed un te d°S n {AT o^a°Ocke ° � wL� s°of r//i{•i ; ,.! er o{a S_== 0289�23. jorr,, exy o11O f. 9£j' N A the°°'Y,e oz's /ayy7�4 O � N oo' S I iced jot b (A- Wi11 be req obileh° e'� °Z I ' b• ti f Sha11 � o / a. P lotion ° / nye ao�s a }be r tisot n 0\1ka ��pa1e o; 01 Ec•-- 0a �Sa vitaS;rk kro d ° Ire\ °me,,, I �Q, I 6' 0 The Sk�Y- Setback shall be lift. from the o`' side property line and 50 ft. from the \blCb term of th road, permitting a maxi- , hang but entirely �( out of a easements. scar L BUTTE COUNTY BUILDING DEPARTMENT APPROVED _ ��iol3i� E �{OVEO 8-/4- 79 /1�� lzvC:5i i -B- 715, / PERMIT NO. 1070-88B, E PERMIT EXPIRES OWNER TOM ILLIAMS CONTR. Doyle Carter ASSESSOR PARCEL 69719-23 h LOCATION 7.Bass Ct, ORoville (Kelly Ridge) Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E / Temp. Gas Service. Called PG&E JOB FINALED (Date) Signature = OK 0 = Not OK. = Not Readyble MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DE KS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements . Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing ' 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. g,,F'rmg; Sills-Anchors-Studs-Rftrs-Trusses 6�-3lding; Nailing -Veneer -Stucco -Mesh W. Roof; Shthg-Roofing Card -131 Date Card -131 Date Card -131 Date Card -131 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card-Bixlq Card -131 Date d-131 Date Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.;#O.00l Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -81 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -81 Date Card -131 Date Card -131 Date C irTVGC2\X = OK 0 = NotOK RESIDENTIAL,(Single and Duplex) - =Not Applicable = Not Ready ` Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One T -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors . 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -61 Date Card -B1 Date " Card -B1 Date Card -61 Date Card -B1 Date Card -B1 Date Card -B1 Date Card Date PLUMBING (Permit OK except #'s -B1 Date 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection. 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 63. Bedroom Exiting 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -131 Date Card -131 Date 67. Fireplace or Stove; Clearances -Hearth Date ELECTRICAL (Permit) OK except #'s 68. Elec. Outlets at Wood Panel; Int. & Ext. 22. Fixture & Transformer Clearance -Ina. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71: Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Mach. Protection 27. 2 Appliance Circuits in Kitchen & Conductor Size 74. Plb., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 76. Insulation -Foam -Looked in Attic 0 Yes 77. Guard Rails & Deck Construction -Post Caps 30. Service -Riser Conductors & Ground -Main Disconnect 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instld.; Drive 0 Yes 0 No; Walks 0 Yes 0 No; Planters 0 Yes 0 No 80. Stucco; Brown -Finish Card -131 Date Card -B1 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -B1 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -B1 Date Card -81 Date Card -81 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -B1 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -B1 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Wails over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit job site) 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 959E<i - Telephone 916/534-4541 APPLICATION AND PERMIT PER /1T�NO. ' ASSESSOR PARCEL NUMBER mu--�T— ZONI BUILDING PERMIT OWNER TELEPHbNt R TOM W=IAMS. 589-14. 0 SQ. FT. OCC. BUILDING VALUATION 6 '71072 OWNER'S MAILING ADDRESS ' 7 BASS CT. OROVTLI,E, CA. 95966 CONTRACTOR'S NAME TELEPHONE DOYLE W. CARTER 534-7593 CONTRACTOR'S MAILING ADDRESS F.O. BOX 1639 OROVI=, CA. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - 7 BASS CT. OROVILLE, CA. 95966 Permit fee $ / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP[ 1 Water piping 5.00 54-3 Kelly Ridge J Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome❑ Other Ga age Building sewer 5.00 SPECIFY Mobile Home S I G tfd 10.00ea TYPE OF WORK New® Addition❑ Remodel❑ Utilities Installation❑ Other ❑ Permit Fee $ Describe work: X x _ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCU AODNS. � , �Z0sgft I declare under penaltyOR of perjury y (check one): ACC. BLDGS. NEW CONSTR ULTI-OUTLET 2.50 ea ® I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON•RESID BRANCH CIRC ITS /POWER APPARATUS e ) and Professions Code and my license is in full force and effect. (SINGLE OUTLET CIR. License No. 472220 Classification geri Ex. Occu Occup(OUTLETS OR FIXTURES s20e50e ALO 30 Fl I, as the owner, or my employees with wages as their sole compen- Ex. Occup. OUTLETSED P(RESID )LNS REA.) 1 2.00 sation, will do the work, and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) ly Mobile Home Facilities 15.00 ❑ i, as the owner, am exclusively contracting with licensed Contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ® 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. Cooling g I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ 1 also agree to save, indemnify and keep harmless the County of Butte against occu P. CONST.TYPEJ PARCELJ PD all liabilities, judgments, costs, and expenses which may in any way accrue �FLoo [_.N!+ISSUE against said County in consequence of the granting of this permit. 4--7-88 XCQ��f� This permit is hereby issued under the applicable provi- _ - Date sions of the Butte County Code and/or resolutions to do Signature of Applicant — Owner El Contractor ❑ Agent work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" d ep 4�vli on or construct- DIREC R OF PUBLIC WORKS ion of structures over stoQri'es in height. CC// /3 Receipt i r �4.1 S % `J ©� By Date No. C) WHITE-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, G ENR D- T Ele P RMIT EXPIRES Date 10 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,`CAL-FGR,NIA,95965 - TELEPHONE: 916/53411541 , PERMIT APPLAhTFON DATA SHEET Permit No. OWNER Tom Williams A. P. No. 34-71-23 Proposed Building Use Garage Permit Fee Based Upon: Complete Contract Price DPW Valuation ,�� Other, -(Explain) ` Building Inspector f � fte�.f,/I y164 Date "4-12-88 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or i3SUanCe: DATE RECEIVED APPROVED 1 1. All items have been submitted. . . . . . . . . . . . w 2. Plot plans in duplicate/triplicate. . . . . . . . . . . I 3. Complete plans in duplicate/triplicate. . . . . . . 4. Complete engineered plans and calcs. . . . . . .I . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . • . . . 17. Pre -Inspection for Required- BuildingPre-InspIn request to (Dote) p q Building Inspector 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone ri 3q - rl S1,3 and hold for pickup at 0/LQ office. Deliver w/inspector. Other Applicant Ln .,�_ � �� Date 4 Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By � Date Plans checked by Date Plans approved by D Date Other: 1\ tri...' f -•' l� t � t!�"J/ Copy—DPW f '' I t , \�df�ANE E LOT 5 4 UNIT 3 C0use7- � ' /o,:LAI- L /A/+SIS /tel 7 A/. /-/ O M E 56- '^/ET .c s�c0 eta 4 �k� daa a ok Q�`0\/.. °k el� Jigs c , ---�= 6 0 2e /o I Z O f. G 1z ,p I n � 'S- .\, � opo � ' I �U E•4SEMEivT_ -S�TL3�Gf� Z•- �I ec�iicafions---�' �� _ ; I V MUST 6 8� OT pFczn3 drid it is unl^wful tb 60 on the I ink rAt ro!I times and MCII(e any chnr'f0-s or alterations on same without ,,. �o•\ I 4) written permission from the Department of Pubk � \bI 10 Works. Cou �e i GTr-- -All Materials & +i�d°� Good Workmanshill p and ��ccor:: ern c e tyi i'n i'.ecoc; ;�,e ; f� r tl a 5pecifie;i use in C a C ; .,y ;: resc-� + 64eE hanical Codes and tlni7•.:: s:, }iie tiof�al Flee}rice! Code. rZv� i -8- 75. y .S' 7 a 0 n OO G oe O C> 0 M J i /a 'ooe U a a i /a 'ooe U i /a 'ooe -o ^ • —1- r x n � � O N\ 1 X w w w n O 1 b V U N C C U t 0 0 a • - � Y R � N N N T C P J P -• • 0 4 w _ L C C P T t O n co C P T T -• t (O Ul O O m J V. c - A r o w •w ... �.- _ o ^T� nluw o os oP r c n,w O O'J V If • • • r U r JI V' O C • T 9 W V v, - N U U .-• v. D� C o P ff r sEpE,�, oD �N •y4'9" zD z X a i z r C C :0:" N N off f A m z w a n O it acQcnoamT o01+ o ao ic =< a XXX vx X Xr -.ym C 7 y mm T o £ jj[� � Q O tr N n O O 1JI O ••• ♦ Uf Q P �1 O b .� NNW 111 Ul LA P O 0• w d U1 U1 aIla\\ m Q g oom L N N $ia 2 z z ti "-1 fl 0 ��qg• m w ... v Z? r N X S A A A z N N N w N N N N Z 1 1 m w ` -•Y 4 LA Ln Qccc r- w Q ac \\\ X X V x y t a £y t J m C P• a N O m b A ri� a4 O I)IOJI00 > 0 �^ N 1EL4 O O Z Q T �� �`• C C-/ � mm fn a a cf c+ O -18 y 0 � 1 � I I � N•. j r • -� w [A w N x g w O O O O M 0 0 0 n / j ; A o a V+ a O ► p d z] N w w A NNW u A O N W m Aro r +.3� P W P O PwP 3 w a A O N rrN R 3 . . . . . . . . O N ? C T O 4C O A f ... p •0 a s a• � NAb N o � p. z • L m � P VI V? V n 8 � a n ...-...•cirGn .� :i-$ -•�� X AA 30 ;C 1^ o>rzmzz o R O T d\\ \ J X X X A P D .^ A L O A T\ A p•a. ".au.0 -a :� g eP� A P• a� ac o m .minor w> ^FS:L2n rn mi , ouloulo ; ... ~ y�y not � aL i it 57�C�3�o ^.JJ OOOm 000 OOm N 2 rNNW W 1 rNNW W 1 r rMOS je�j,U Y (V{L VINs a(•Y aC bN P 0 y a N > N to -4O ■ q i 0oss0 aa•a 2•• OA dd!- ' lvkG. �: 4 •, d �., a �� F ��� `•• �+ -� €- �R�Y g O /f � � ♦O � 3 9 N -P 11 i a a,3 ,qOTE; AO MG+eriais & Wommanshl4W1 39 Accordance with Recognized Good aes atil of a quality prescribeed for th.e pocs f ed use in Ae Uniform W!1 iing, Flumb&g & Machanical Cod" ane! 'he National Electrical Code. 'his se# of p16n5 r„c B�+p's�;',Rs _�fi be haps on ih* _^ ^�+' ' i '""r: u';in"Iful to YVi�!ioijt make cr- wrMen 7!Y o� ZI BLi31E DOIRJIi' F�U�311� L:4f31'd�' �' /OPYJ- trY i ,PERMIT NO. 2059-80B fj PERMIT EXPIRES ' OWNER Betty Williams CONTR. Lancaster & Son, Oroville 34-71-23 LOCATION (A.P. ) 7 Bass Ct., lot 54, KRO , Oroville Temp. Power Pole Called PG& Temp. Elea erv. Called G&E Temp. G s Serv. Ca ed P G& E J 9a INALED /3 (Da (Signature) a Temp. Power Pole Called PG& Temp. Elea erv. Called G&E Temp. G s Serv. Ca ed P G& E J 9a INALED /3 (Da (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback — 3-- Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Flooril Footings Windows 4 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage v Fdn. Vents Fixtures Footings A Stemwa I I Garage Vents Insulation Water HtI4 Heater Slab Carport Footin s Prov. for ph sicall handica ed Conformance of ex. structure A li nces Gash &Test Te Gas Slab Final Sanitation Patio FIREPLACE Final Footings -/3 _Z Footing ELECT RIC Masonry Walls_ Throat Rouah F Is Mesh M&4iANICAL / Grd. Fault Pro)( Scratch Heating i j Service Brown Cooling = Temp. P94e Finish Ducts Under and Interior Lath:::::Z Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MQB16EMOME 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 vist the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. j ASSESSOR PARCEL NUMBER • ZONA G BUILDING PERT OWNER crT rLL TELEPHONE SO. FT. OCC. BUILDING VALUATION crwr b. OO OWNER'S MAILING A RESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILI G ADDRESS STT c�GL , 10 J" cr ft),OAb(J7 U,, G9�i r/.S�rG.i CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ b. 010 LENDER'S MAILING ADDRESS Permit Fee $ , Ofd ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ .OQ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 19 r ba BUILDING ADDRESS G � PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 (�jt Water piping LOT NO. 5 �f SUBDIVISION NAMEPARCEL MAP 6LL ��d3 -- yy 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 2.00 TYPE OF WORK New Addition Remodel❑ Utilities❑ Installation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OROR LESS5.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUR.&\ OR ADONS. ACC. BLDGS. I 20 sq CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): [7I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions �7!Code 2and �m(y license is in f II force and effect. �/ vy -✓ I) Classification License No. — ❑ 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 CONSTRMULTI-OUTLET 2.50 ea NON-RESID BRANCCIRC ITS NEW CONSTR POWER APPARATUS .&) NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 5AL@t BAL�10¢ FIXED APPLNS. 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. ❑ 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. � shall not employ any person in any manner so as to become subjeot 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 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 above-mentioned property for inspection purposes. 1 also agree to save, i emnify and keep harmless the County of Butte against all liabilities, judgm s, costs, nd expenses which may in any way accrue agai st said Co y con granting of this p�erlmit. X Da - `6 Signal of A pli an - Owner Contractor Agent❑ An SH per i is r quired for excavations over 5'0" deep and demolition or construct- ion f st ctur s over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ Qp OCCUP. GROUP �� I TYPE OF CONST, V I IPARCELI10 _, ;_ ND _.._. ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS J' Date4-7f-,? /� q p1 ke3 3 ceipt No. 7 O T ITE-D.P.W., YELLOW- ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT -r 2060-80B PERMIT NO. PERMIT EXPIRES OWNER Betty Williams .owner CONTR. LOCATION (A.P. 34-71-23 7 Bass Ct., lot 54, KR#3, Oroville Temp. Power Pole Called PG&E _ Temp. Ele^^- Called Temp. Ga! Called JOB FINALED Footings COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ELECTRICAL B ILDING BUILDING (Cont'd) 44 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 Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Zemanhandica F s -Pr for ph sically ed ` Conformance f x. structure Appliances 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 Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOMEUTILITIES ---------•-------- Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME 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 viEit the job site.) L ;COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS "t< 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT =W, wed Wm 001 wlffip�r_ ASSESSOR PARC L NUMBER c — 71 _ ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION Zy Y d OWNER'SIMILING ADDRESS CONTRACTOR'S NA E O�L TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKN Y�6N �/ Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER a LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MA DURESS Permit fee $ -8(� BUILDING AD ESS 7 f9 -5.J PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 OA&01 LGLP Water piping LOT NO.SUBDIVISION .5 4 NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeN OtherT1 SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑Utilities ❑ Installation ❑ Other tg Describe work:— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1000V OR 0 AMP ORLESS5.00 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): I- F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. cense No. Classification I,FIXED 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 2,50 ea NON-RESID, BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS & 1 NON SINGLE OUTLET CIR. / Ex. Occup\OUTLETS OR FIXTURES 50@�a Ex. BAL�1os ALNS ` Ex. Occup.(OUT ETSP(RESID IKEA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 Ce tiff at of Workmen's Compensation Insurance or a Certificate 0 onsent to Self -Insure. 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 suchILI provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 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 ab ve-mentioned property for inspection purposes. I also agree to save, ind nify a e harmless the County of Butte against all li bilities, judgment cost and exp es which may in any way accrue again t said Co in nsequen e a 'n 'f this per it. X Date' Signatu a fpplicant Owner ❑ Contractor ❑ Agent An 0 A mit i req fired for excavations over 5;0" deep and demolition Or construct- ion o struct a ver 3 stories in height. - Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ Occup. GROUP Al TYPE OF CONST. N PARCEL PD ND _ ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PE6(T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -• —`- ���, Receip �J 7 3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT - ASSESSOR PARCEL NUMB ER — — 23 ZONING RT1 BUILDING PERMIT OWNER TELEPHONE SQ, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7 BASS CT, OROVILLE 5 141SQ OMP 870 CONTRACTOR'S NAME FOUR SEASONS ROO ING TELEPHONE 895-0418 CONTRACTOR'S MAILING ADDRESS 9358 MOYER WAY, CHIGO 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7 BASS CT, OROVILLE PERMIT FEE $ 43.013 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF OL Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: RFROOF WITH COMP PERMIT FEE 1$ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 'OV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( a ACC. BLDS. ) B 3.5C STO- CONTRACTORS LICENSE LAW I dec1we under penalty of perjury (check one) Er I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Pode nd I' ense is in full force a License No. (% Classification L�. O I, as the owner, or y employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ lam exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON -REBID. ( BRANCH CIRCUITS ) . @7.50 I POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 FIXED APPLNS. OR EX. Occup. ( OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): Pis permit is for $100.00 (valuation) or less. have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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. 1 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 said County in consequence of the granti g of thi permit. X` Date Signature of Applicant - ❑ Owner C4 -Co actor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ GCC CONST. TYPE TOTAL FEE $ 43.0 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butt my Code d/or Resolutions to do work indicate above r whic s have been paid. By Date PERMIT EXPIRES ON (Date/ Receipt No. WHITE-D.D. 16 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT lar I EVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER nZONING ,o� lTTELLEPPHONE BUILDING PERMIT OWNER LES DALL SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS ASS (a , OROYILLE 95965 141 SO OF 870 CONTRACTOR'S NAME , FOUR SEASONS ROOFING TELEPHONE 895-0418 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7 BASS CT, V PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF (I Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑• Addition ❑ Remodel ElUtilities ❑ Installation ❑ Other Y1 Describe Work: REROOF WITH COMP PERMIT FEE 1$ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 2OOV OR LESS ) 0OA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 DWELLING OCCUP. NEW CONST. DW8, ) OR ADDNS. ( ACC. BLDS. S , 3.50 .TO. CONTRACTORS LICENSE LAW I declare re undei'penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions ode and r I' ense is in full force agd License No. Classification G ❑ I, as the owner, or y employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI-OUTLET@7.50 •( ► NOWRESID. BRANCH CIRCUITS ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.00 Ex. Occu FIXED APPWS. OR p' ( OUTLETS (RESID.I EA. ► 5.00 d Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. B'11�have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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.. 1 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 said County in consequence of the granti g of thig permit. X Date?—;2 Signature of Applicant - ❑ Owner f9 -C actor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TYPE TOTAL FEE $ 43.0' "AZ. I D. FEES IMP F100D CDF PARCEL PD HD I ISSUE This permit is hereby issued under the applicable provisions of the Butt my Code t1d/or Resolutions to do work 4aindicate above r whic e'es have been paid. BY Date PERMIT EXPIRES ON -2f �f-s_ /Dere/ Receipt NOD.D. �o� �, WHITE-D.D.S'.`B°."(j'. -` CANARY -ASSESSOR PINK -INSPECTOR GOLD ENROD•APPLICANT COUNTY OF BUTTE - DEPARTMENT OP DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT - ASSESSOR PARCEL NUMB ER - ZONING -- RTI - BUILDING PERMIT OWNER CHARLES DALL TELEPHONE SQ, FT, OCC. BUILDING VALUATION 14k SO W 87 OWNER'S MAILING ADDRESS 95965 DVILLE CONTRACTOR'S NAME FOUR SEASONS ROOFING TELEPHONE 895-0418 CONTRACTOR'S MAILING ADDRESS MOYER WAY 26 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 23.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7 OROVILLE PERMIT FEE $ 43.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF (5 Duplex ❑ Mobilehome O Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ElUtilities ❑ Installation CIOther Describe Work: REROOF WITH M. PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 20OA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLOS. ) g 3.5C FT., CONTRACTORS LICENSE LAW I dec re under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and Tense is in full force a d license No. I Classification �,,__ ❑ I, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 RAL. I@ so Ex. Occup. FIXED APPWS. OR p' (OUTLETS (RESID.) EA. I 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 :d WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. O'I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 said County in consequence of the grantifig of thi. permit. X / Date7, Signature of Applicant - ❑ Owner 5 -CA actor ❑ Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height.Rece Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 43.0 HAZ. 1 D. FEES I IMP I FLOOD I CDF PARCEL PO HD ISSUE , This permit is hereby issued under the applicable of the Butte_C my Code end/or Resolutions indicated above r which fees have been y� BY - / ` L PERMIT EXPIRES ON (Dere/ provisions to do work paid. Date QQ�4 WHITipD.D.S. WHITE-D.D.S. B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT