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069-190-038
i 145 Ko Permit ELEC. GA SJ SUPP RT STRUCTURE -REQ. �. COMPACTION TEST REQ. Contr: Bernies'*MH SQr, Parisd" e Permit #405-78MHI Issued `' conHo mes M bile Home Serv.,Oro. rmit #6876-78B(new awnings &decks/ MH) - - - --- �- 069-190-038 02-1286 KELLER, DALE 145 KOKANEE, OROVILLE CONT:. ACTION HOME IMPROVE. REPAIRS TO DECKS, PATIO, RE - ROOF, & MISC. WIRING ler ahee Dr., lot 38, KR#3, Orovillo� �1818�78P,E(il. ,MH) h 069-190-038 02-2943 KELLER, DALE Ir 145 KOKANEE DR., OROVILLE CONT: PIERSON, CHARLES' SUNROOM C(vQ - Ro -, 9 :w 1CORM1201 NOTES RESIDENTIAL (069-190-038 02 -2943 - PERMIT NO, _KELLER, DALE 145 KOKANEE DR., OROVILLE CONT: PIERSON, CHARLES { SUNROOM SPECIAL CONDITIONS CHECKED SRA FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature �=OK 0 = Not OK . = NotReadyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / P Nat. or/ P' L "ft./ P LPG MISCELLANEOUS Dat 7. Well Clearance & Disconnect 8. Utility Clearance Zoning Requirements -Setbacks -Easements Footings; Soils-Siz�pth-Spaci g -Connectors -Steel 3. Decks, Girde nd/or Joi ecking-Bracing-Stairs-Rails Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except ft 6. 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line ctric, Frmg.; Sill n&o u ft 3. Gas; MH Test -Demand -Valve -Connector 9. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector oof hthg-Roofing 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged .4kiTc-ed Wall Panels 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch Date 2 11. Cert. of Occupancy Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 2. 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line Pool Structure; Steel -Connections -Thickness Dead Men -Lining 3. Blocking 4. 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test Elec.; Pool Lighting; 15 Volts-GFI 6. Water; MH Test 6. 7. Water and Sewer Connected 8. Gas and Electricity Tagged Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 9. Exits 8. 10. License Decals 11. Verify #'s with Office Health Department Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Dat DEC , COVERS, CARPORTS, GARAGES (Plans) OK except #'s 2. Zoning Requirements -Setbacks -Easements Footings; Soils-Siz�pth-Spaci g -Connectors -Steel 3. Decks, Girde nd/or Joi ecking-Bracing-Stairs-Rails 4. Wood Awn.; Pos ame nnectors Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports• indows-Doors 8. ctric, Frmg.; Sill n&o u ft 9. Sidi!2g;�Nailin eneerRtnccu-Mesh oof hthg-Roofing Steps -Doors -Landings 412 .4kiTc-ed Wall Panels Date 2 Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Pla s) OK except ft 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance -GR 5. Elec.; Pool 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-Panelboards-Ins. to Main Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 l /3alb� I)o t c/ mk --4 J=OK 0 = Not OK = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Garage Fire Protection Framing -RC Channel 1. Zoning -Setbacks -Easements -Flood -Slope Property Line Firewall & Openings 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 54. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 55. 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 56. 5. Stemwalls, Main; Steel-Blockouts-Wrapped 57. 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 58. 6a. Hold Downs and Special Anchors 59. 7. Slab, Steel -Wrapped 60. 8. Piers -Fireplace Ftg.-Steel 61. 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 62. 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 63. 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. Date 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies - 64. 15. Access & Ventilation 65. 16. Insulation 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Elec. Trim & Subpanel, Breaker Sizes & Labels 17. Water Htr.; Vent -Access -Combustion Air Baffle Stairs & Rails 18. Water Pipe; Test & Anchor -Nail Protection 71. 19. D.W.V.; Test Fittings & Anchor -Nail Protection 72. Elec. Outlets at Wood Panel, Int. & Ext. 20. Shower Pan; Test, First Floor -Tub Access 73. 21. Test Tub & Shower, Second Floor -Tub Access 74. 22. Gas Pipe; Sixe & Anchors 75. 23. Fire Sprinkler; Test 76. A.C. Duct in Garage -Damper Date Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection Card B-1 Date Card B-1 Date Plb.; Elec. & Mech. Equip. Listed for Location Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 24. Fixture & Transformer Clearance -Ins. Protection 81. 25. Elec. Receptacles Spacing -Lights & Switches at Doors 82. 26. Size Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. 83. 28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 84. 29. 2 Appliance Circuits in Kitchen & Conductor Size GFI 85. A.C. Unit Disconnect, Electrical -Plumbing 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral ❑ Yes ❑ No Water Well, Disconnect, Electrical, Plumbing 32. Service -Riser Conductors & Ground Main Disconnect Exterior Elec. Trim, G.F.I. Receptacle -Underground 33. Equip. Clearances Panels-Motors-Mech. Equip. Ventilation Throughout House 34. Clothes Closet Light -Shower Light -Spa Light 35. Smoke Detector 92. Gas Test -Meters Tagged, Gas -Electric Date 93. Card B-1 Date Card B-1 Date 94. Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s Address Posted 36. A.C. Ducts Insulation & Support Fire Sprinkler 37. Vent Fan, Exhaust above insulation Card B-1 Date Card B-1 38. Condensate Drain & Overflow, Size & Grade Card B-1 Date Card B-1 39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet Card B-1 Date Card B-1 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s 41. Sills Proper Materials & Anchors 42. Walls Studs -Nailing Spacing & Braces -Plates -Sound 43. Bearing Walls over Girders & Floor Nailing 44. Draft Stop in Walls (rat proof) 45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 46. Headers & Beams -Size & Bearing Date FRAMING (Continued) 47. Hangers -Post Caps -Anchors -Connectors 48. Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rtng. 49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 51. Bdrm. Windows or Exitina Doors -Sill Ht. & Dimensions 52. Garage Fire Protection Framing -RC Channel 53. Property Line Firewall & Openings 54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 57. Siding -Nailing Veneer 58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 59. Glazing Area -Glass Protection -Skylights -Plastic 60. Shear Walls; Nailing -Bolts 61. Brace Interior/Exterior Wall Panels 62. Insulation -Walls -Ceilings 63. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 64. Ext. Steps -Door & Sidelight Protection -Landings 65. Smoke Detector 66. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 67. Bedroom Exiting 68. G.F.I. & Bath Fixtures & Tub Access -Spa 69. Elec. Trim & Subpanel, Breaker Sizes & Labels 70. Stairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Elec. Outlets at Wood Panel, Int. & Ext. 73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance 74. Elec. Outlets & Receptacles at Kit. Counter 75. Garage Fire Door; Swing -Landing -Closure 76. A.C. Duct in Garage -Damper 77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.; Elec. & Mech. Equip. Listed for Location 79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 80. Insulation -Foam -Looked in Attic 81. Guard Rails & Deck Construction -Post Caps 82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 83. Following Instld./Drive O Yes O No/Walks O Yes O No/Planters O Yes ❑ No 84. Stucco Brown -Finish 85. A.C. Unit Disconnect, Electrical -Plumbing 86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 87. Water Well, Disconnect, Electrical, Plumbing 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground 89. Ventilation Throughout House 90. Glass Protection 91. Corrections from Previous Inspections 92. Gas Test -Meters Tagged, Gas -Electric 93. Water & Sewer Connected -C/O to Grade -HD Approval 94. Energy Compliance Certificate -Other Certificates 95. Address Posted 96. Fire Sprinkler Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE _ 29 OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact ths�e f ce immediately. , Date [S Inspector REV t0 92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ���• (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER -1 o ZONING xxxx RT - BUILDING PERMIT OWNER eel -a— TELEPHONE 5W -5 -575 - -S SpOWNERS SO. FT. OCC. BUILDING VALUATION IR i61200 OWNERS MAILING ADDRESS .100 CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS s, e 77Dlw.`l�' 6 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ !3-d BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBONIS ION'S NAME PARCEL MAP r USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeX7 Other SPECIFY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New IX Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Home ISI GI W1 @20.00 -Mobile PERMIT FEE $ Flood= X, 08250 SRA ELECTRICAL PERMIT Fling Fee 20.00 Main Service *..A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is i full force and effect. License Class Lic. No. !p �S�Z `� OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier S`j/i�l` �!!�/� Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of Calif rnia, and agree that if I should become subject to the workers' com ensatio rovisions of section 3700 of the Labor Code, I shall forthwith ply ose provisions. X Date ZO ' L�j'��%�— getAe'ofplicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service zooA To I000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( 8 ACC. BLD S. 3.52FT. T. NOWRESID. MULTI.OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. j 20 Ex. Occup. OUTLErOR FIXTURES SAL ®': o . Ex. Occup.ouFlTtETsXEDAPPWSREslO. OR EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 206.00 HAZ. ___ D. FEES ___ IMP X FLOOD ____ CDF ___ PARCEL X PO X- FID ISSUE X This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date z Dale Receipt No. WHITE•D.D.S.- ANA E R PINK -INSPECTOR GOLDENROD -APPLICANT fo COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: Items required in order to apply for a permit. All boxes MUST be checked OR ma. -,"d NA in order to apply. 1.. Plot plans, 3 or 4 sets, signedk the preparer of the plans. 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. /LJ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. it Date Receiv*d By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ` ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................... 15. Statement of Intent for Non -heated and A/C Buildings ............................... 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit........................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: D K (B)Parking: (C) Parcel Check: 0-4-02- 0 )-ty_g2❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 22. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed _ the ab ;Mems and requirements for obtaining a building permit. Applicant: �lCj.� Date: 1. In 'ex permit application for the above items numbered: a,Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised cf the above data by f� phone, ❑ mail, ❑ counter, by eW_Date: G Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: A _Date: / Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellnw• Ruilrlino r)i66 E I .0®W Il4rr i CJWC) o. � J c � i �N k s .0®W Il4rr i CJWC) r � � i ys xol�ww 6W -5T7 _ ...- BUTTE -CO TY - S33 EUILIHNG DEPARTMENT 'PP' I&AA . _ 0 - LOT - 38 UNIT 3 L = R I T T zoo At�lp p a 0 = -S -r-All L- 200 AMP. -5�—c- 7--,5 A Ch -,C' C,/ rl J c / r o k N7- Ic 0 49 -'AFlo."00,23" ze 451. 00' Da, VV / o LF,6- 7--.Zaxi Cf -r -/ 0 O'IVO'A C C-47-55 -5 7-lebw M0514-'-= AC)JDzr> 3-G -78 0 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541yl�_/g�IT NO. (Rev.12/96) APPLICATION AND PERMIT 1/ ASSESSOR PARCEL NUMBER 069-190-032 ZONING BUILDING PERMIT OWNER 17 ,. , TELEPHONE SO. FT. OCC. BUILDING VALUATION 5 S 300-00 OWNERS MAIUNG ADDRESS 145 TKOKANTE.E., o 45966 CONTRACTOR'S NAME TELEPHONE cont CONTRACTORS MAILING ADDRESS 99 nC-4-059-66 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 5,300. 0 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ 81.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 149 KOKANEE, MUMIE Energy Pian Checking Fee $ $ PERMIT FEE $153.65 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: REPAIRS TO DECKS, PATIO' RE -ROOF} & ritisc. G7IRIN1,1 TO FOU TAIN & IIGHT POST. Gas piping system t - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home s G w !@?20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full f rce and effect. ,// r,� O (�j License Class LIC. NO. �E� jj T OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a ACC. sLDS. 3.5¢FT: T. REOSINEW U MULTI.OUTLET 97,50 FOWER APPARATUS a swGLE OLmET CIR. 20 Ex. Occup. OUTLET OR FD(TURES BAL �'. 0 Ex. Occup. opsAEslo ° & 1 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 Dre-insD2ction 123.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 11h re Irm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if should become subject to the workers' compensation provis' f section 3700 of the Labor Code, I shall forthwith c ly with those s X _ Date Signatu of Applica t - ❑ Owner ❑ Contracto Agent An OSHA permit is required for excavations over 5' deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 219.65 HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Butte Coun Code and/or Resolutions to do work ind' t ab a for which fees have been paid. ^ i By Date 0 L PERMIT EXPIRES ON S 3 I r(D,f, Receipt No. 165 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538.754 APPLICATION AND PERMIT P 1'/96} li tev i .:SESOAnAACEL M/MeFj1 (� I (� 2 ro�.Ne BUILDING PERMIT cNNen _1j� `J TEN BUILDING VA S FT. I OCC. LUATION Cw�.Eq 9 MA,U I _ CONI aAC rOI+ NAME ITELEP�ONE I p Co,jTR..c ESS CONS IaVCIWNIFNO EA LE,,OEA SS wIUNG ADOREss Fireplace Total Valuatlon S — -- AAc. rrecr OR ENGINEER UCENSE NO I E Filing Fee 20 C, ^ACHY Ecr on ENGw EEAS MALNG AOCAESS Permit Fee $ BV -C:7v10 ADOgE557 1 J Plan Checking Fee S Energy Plan Checking Fee S (�S LDINO. SUe0N60N4 NAl/E PMCEL NAP S PERMIT FEE S PLUMBING PERMIT Filing Feel 20.00 USEOFSTAUCTURE SF ❑ Duplex ❑ Mobilehom Other SPECWY Each rep 7,00. -- Soler or he um water heater 23.00i Wnter pipin 15.00, TYPE OF WORK New ❑ Addition ❑ Remodel ❑s�UElibes ❑ Installation 0 Oth Describe W { Gi t (_J +0 �(l��j Y I�� v Each gas water heater or t I I 1S.00' Gas piping system 1- 5 outlets I _ 15.00,1 Buildingsewer I 15.00: Mobile Home I S I G I W I I � 0.00' I PERMIT FEE I S ELECTRICAL PERMIT I Filing Fee' 20.00 Main Service 800v OR LESS iaoA OR LESS 23.00; /'� A J _ " FEE PA10 �( Sn . . . �V'1 SHERIFF OTR AAkbVNT RECEMb : l - Main Service 200A TO IOWA I _ I 46.00• NEW CONST. Owuliko OCCUP. OR ADONS. ( L ACC NLDS. So. I 3•5CFT.; MW NON•gE5 0' MULTI -OUTLET 97.50; POWER APPAAArus � SNOLE OURET CIq I " -- I Ex. Occup. wn*, OR ncTURES _ 6AL ' Ex. Occup. FL1iE0APPLNS. OR OUTLETS Esso E� I i I 5.00: Temporary Service I I 23.00 Mobile Home Facilities i 20.00; fisc.I i 23.00 PERMIT FEE S —� MECHANICAL PERMIT Fling Fee 1 20 00 Heating Coolin I Hood ( I 6. SO Ventilation ; 42 • TO N NT 2NT0 COAAPVM OY- I WHITF-.O. PERMIT FEE I S Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST "I TOTAL FEE 1 NAZ. 10. FEES I IMP I n.000 COP PAACEL PO 1 "D ; SSt s permit is hereby issued under the applicable provisions ffth Butte County Code and/or Resolutions to do work iclikatted above for which fees have been paid. BDate ERMIT EXPIRES ON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 \ (J ��.PERMIT APPLICATION DATA SHEET 1�( 1 `-rte R PARCEL NUMBER G G �V OWNER: A ESSO ^� Proposed Building Use: `� ^' I C er Technician: Da)e: SS. G t do Items required in order to ap ly for a permit. All boxes MUST be checked OR ma ed NA'in order to apply. ❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other .... Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ............................... ./Encroachment Permit forveway the Public Works Dept. (construction approval prior to occupancy). 2. Pre -Inspection for �n_5 required ................ ❑ 23. Contractor's license information. (Number, Nabe Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier, and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑'Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed ofpKe above items a �d-equirements for obtaining a building permit. � - �-) 6 Applicant: Date: 1. Index permit application for the above items numbered: _ 2. Additional items required Contractor, designer, owner, was advised'of the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: ❑ phone, ❑ mail, ❑ counter, by ❑ phone, ❑ mail, ❑ counter, by _ Plans approved by: _Structural approved by: Yellow: Building Division Plan Check Letter _Date: Date: Date:_ Date: t".^ -•a^+ -•:i;.: - ^'wee,:gi".r?.`iaw••e.•4_{ r:t�.:..__,�;� _ ..7.s W wG•�-:5i)':or. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date / ' d �--- Inspector REV 1042 1 U COUNTY OF BUTTE Oroville, California G NERAL CLAIM r 4 CLAIMANT: C -e�� � C es ADDRESS: CITY B STATE: DATE OF CLAIM: O �— IMPORTANT. • SEE INSTR10CTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERV/CES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT CLERICAL. ERROR (AP # 069-190-038 BP # 02-1286, RECEIPT # 353686, DATED 5-21-02, OWNER; KELLER, DALE.) TOTAL AMOUNT PAID 219. 65 RETAIN BUILDING PERMIT FEE & FLILING FEE 101. 00 RETAIN ELECTRICAL PERMIT FEE & FILING FEE 43. 00 TOTAL AMOUNT RETAINED 144. 00 TOTAL REFUND DUE 75. 65 II 1 1 TOTAL 1 -7 s. I r- s II I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or livered, and that this claim is true an as stated. -TJ Dated this [�L day of U v 20_, at Calif. IV Sigfiarure of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles sp ified above have bM perfo ed or delivered and that t Budget Appropriation [ I or Specific Board Approval [ I (Check one) for the same. Dated this 15th day of JULY '2002 , at OROVILLE Calif.'kai ---� or Authorized Dept. Code 440-002 Exp. Code 4210500 PAYABLE FROM CON8TRUCTION PERMITS Dept. Code Exp. Code PAYABLE FROM De t Code Ex . Code PAYABLE FROM DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. b SUB. I PROD. I SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. I GROSS AMT. i FOR BUILDING DIVISION USE: Receipt Information.- Number: nformation: Number: ,r Date: Issued To: c4ion u0me "KeDai �. Amount: a• 6S Fees Retained: ` Processing Fee: $ vIfIdg Filing Fee: $ AM O0 Plbg Filing Fee: $ od kflec Filing Fee: t 6t $ Mech Filing Fee: $ �i Energy P/C Fee: $ Plan Check Fee: $ nsp _ nn Fee: $ SRA Fee: $ i x.10 Total Amount Retained $ TOTAL REFUND DUE $ �• �OS �G o'er r" REFUND CLAIM APPLICATION r�r CLAIMANT S NA_ M'E I ©�y �Y1 -P r �� to S MAILWG-ADDRESS 1 P w AS-SESSOR PARCEL #:, 60 RECEIPTTNUMBER(S) 3 Request a refund of fees paidn the above receipt number(s) for the following reasons: ,Plea a efund any'applicable fees in .the following categories: (Check those categories which you wish -to -,have refunded.) &Z- Building Permit Fees ( ) Sheriff Fees ( ) SRA Fees (CDF Fire Planning) ( ) Urban Area Fees �D-isposition of -Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( Please dispose of plans. ) P SIGN-A—T RE A DATE_._._.. � ^ � � • ��G `�- PLEASE DATE AND SIGN THE ATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMATION ON THAT FORM. CLAIMANT: COUNTY OF BUTTE Oroville, California GENERAL CLAIM ,< � er--J I r F ADDRIE S' fCITY £t_STA TE:---�- DATE OF CLAIM: .'2 �F-6 IMPORTANT. • SEE INSTRUCTIONS ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT S -2i o� w p ac,2 G �, v s U r t �� I Vk TOTAL I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or deliver, d, and that this claim is true an as stated. Date -day—of -20b ? at ---1 J -G-1- --, .Calif. ( Signature of Claimant 1, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or delivered and that t Budget Appropriation [ I or Specific Board Approval [ I (Check one) for the same. Dated this day of 20_, at Calif. Department Head or Authorized Deputy Dept. Code Exp. Code PAYABLE FROM Dept. Code Exp. Code PAYABLE FROM Dept Code Ex . Code PAYABLE FROM DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. 6 SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. INSTRUCTIONS TO CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or work performed, quantities, description and -unit prices of.articles furnished or delivered.. Claims must be certified bythe�claimantand submitted tothe Department head for, approval. Uponapproval the Department head will forward claim to County Auditorfor payment procedure. Do not file with the County Auditor first. Claims should be presented to officialsforapproval immediately upon completion of services requested or material ordered. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably . . t FILE June 11, 2002 Action Home Repair 22 Chaparral Dr. Oroville CA 95966 RE: AP # 069-190-038 Building Permit # 02-1286 Owners name: Dale Keller Address: 145 Kokanee, Oroville CA 95966 Dear Action Home Repair: You are due a refund from our office. Please find attached a general claim form ready for signature. Please sign only where indicated and return to this office so that we may process your refund. Should you have any questions concerning this matter, please contact me at (530)538-7541. Yours very truly, /a�mamiUe Powell Plans Applicant Assistant attachment - —w--- - w- ww 1 1, - Lov—viiiin1mcm yr UCvtLV1-MtN I btHvlct5 - UUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538.7541 APPLICATION AND PERMIT PEA"'' .J 1OM/O BUILDINGPERMIT GMK• / (IfI�QN Sq FT. I OCC. I BUILDING VALUATION Y� LQ CO •R iAC'O• Ww< TEtEIr.ONE 1 __ I I ._ Fireplace I I -- Total ValuatlonTZ CO•/r 4AC A yIIESf C���s rauC nON 1LNO EA �c..oca ss .wv+c AooAEss _ AAC.•rTECr OR ENGEA NEI UCENSE NO Filing Fee I $ 2] Permit Fee E —' "a..orCCT OR ENC,NEEAS k-UNG AOCRESS M.��olO AOO REff,1� Y� 2Q� Plan Checking Fee =E�5 Energy Plan Check ng Fee . i II NO 3Ue0Np1011l NALf ►AACCI MAP PERMIT FEE S ee 20 C: Filin�7. PLUMBING PERML=4 Each rep 00; USEOFSTRUCTURE SF O Duplex O Mobilehom Other f nEc sv Solar or he um water heater 23.00i Water piping1S.00 TYPE OF WORK Nir- O Addition ❑ Remodel ❑ Uliftes O Installation 0Building Describe W f- c •t ( J +0 cl c��01h ��� '� v h Each as wa!er healer or t I j 15.00' Gas piping system 1 • S outlets ( 15. 0 0! sewer 15.00' Mobile Home S j G l W I j 0.00' I PERMIT FEE I S t ELECTRICAL PERMIT I I Filing Fee: 20.0: Main Service =on mss I 23.00: /'� * ` ' `� \^J/ ((( PERMIT FEE PAM $--2 �/1 SRA SHERIFF f O AAouNT RECGMb w � �� to TO IN h" � 001MAn R10. Main .Service 2012A TO IMCA I I 46.00: NEW CONE". / Owe •r{ OCCUV. OR AOONS. \ f KC alns I 3.5cFTSO NEW CONS MUM-OUTLET NOraRESiO @7.50; OWE11 AV►AAATUf - -' -10= 0=0 CIR I I _ EX. Occup. OUTIfT OR rDOWES SAL I fo I Ex. Occup. ruEOA -- ,0 OUTURS ElIO EA. I i S.00' Temporary Service I 23.00. Mobile Home Facilities ! 20.00' fisc. ! i 23.00 1 PERMIT FEE MECHANICAL PERMIT Filing Fee 1 29 C: Heatin I CoolingI , Hood I I 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee S Energy Inspection Fes S «c «KT ^K TOTAL FEE $ pies i W► r1000 COI IAACQ This permit is hereby issued under the applicable proviSiOr.s of the Butte County Code and/or Resolutions to do wort indicated above for which fees have been paid. By Receipmo• PERMIT EXPIRES ON WNIT�•O.O.i.•O.O. CANARY-A!>f933011 PINK•INS►RCTOR 4110L08N1100•APPLICANr Oats—_- REQUEST FOR IN Locafon: • Owner: k Permit No. Comment: HK-oi ,06 BLDG. PLUMB/MECH ELECTRICfFFnd/Ftg M.H.U. PRE - 4 Mr J INSPECTION Form Rough Rough Frame/Underfloor TopOut Temp. Service Job Status Stucco Lath Gas Pipinglrest Main ServiceoStucco ermit Renewal Brown Temp. Gas Underground Verit i i i Woodstove Sewer Piping Well CircEx Moi i e Brace Panel Insulation Water Piping Shower Pan \1 POO Nailing Gunite 1/ ' Demo �� W Bonding -{�G Corrections Corrections Correction Light ache Final Final Final CorrectionsNq Ready for Final Inspec. on: Date: CallO Phone: PRE -INSPECTION REPORT OWNER: LOCATION:._ CONTRACTOR: L('�1 PRE-INSPETION FOR: 1 - L ;;� DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE X) AS BUILDING INSPECTOR'S REPORT Banding Description: Commercial/Wage: Residential/# of Units: Currently Occupied Electric: Gas: Abandoned/Vacant Yes No Electric currently On Off Condition of Electric DATE: S- t �� AP.#dUl:�k go -62 ZONING: Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: LSSIJE: HOLD FOR Inspector.�� Sketch buildings on .reverse and indicate location on property V VUf`I I T yr ou t 1 t • ULIJARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538.7541 'AZ -001P' APPLICATION AND PERMIT PER"'' "- S ArsE::ooPAAceIwMeEA c) I BUILDINGPERMIT S FT. I OCC. BUILDING VALUATION CO WTAAC TON I TEL(I•.O"E 1 COrRMC N} �U NESS�- _ �plt I C3nSrauCrIONLENOEA :LaOEp ss MNL:Nc ACONEss Fireplace I --- APC•`rrECT ON ENGNEER UCENSE NO ..acmirECr ON ENGrNEERS LAA•LNG ADCPESS Total Valuatlon— Film Fee I S Permit Fee b 20 C: _ a� LJo,6 ADDRESS y I�LJI� 1 T 1 `SL LJ ` Plan Checking Fee S Energy Plan Checking Fee E -- - LOr NO SUSONe CMT NAME PARCEL VAI PERMIT FEE S PLUMBING PERMIT Filing Fee 20 GO USEOFSTRUCTURE Each Zrap 7.00; SF O Duplex O fvtobilehom Other SPECWV TYPE OF WORK `e'N ❑ Addition O Remodel O Utilities O Installation O Oth Describe W t' G +C �� >�� —T t Solar or he um water heater I Water pipin Each es weer heeler or t � Gas piping system 1 • 5 outlets I Building sewer Mobile Home ! S I G I W j PERMIT FEE I f ELECTRICAL PERMIT 23.00i 15.0 � 15 - 0 0 �, is 00, 15.00' -e,% --o 00' 1 I Riling Fee' 20.0 Main Service e00v OR LESS 200A OR LEss 1 2.3.00; Main Service 200A TO IMOA I I 46.00; _ NEW CONST. CII Occup. OR ADONS. ( a ACC BIDSOW SO —• I 3.SC,T : NEW CONST NON,AESIOMULTI.OVn.ET @7.50; POWER APPARATUS 1 SNOLE OLRIE'r CIA I "'- I Ex. Occup. r OUTLET OA nm AES 20 I S01 .``J`/ t _ "PEP IT FEE PA10 $i EJC. OCCU �EO'�� OR OUnETS F310 EA I I 5.00I Tem orer Service I P3.001 Mobile Home Facilities ! i 20.00` SPA �I1 !isc. W—WAQ 23.00 SHERIFF PERMIT FEE S� O MECHANICAL PERMIT Fling Fee 1 20 0*3 Heetin ' I CoolingI Hood I 6.50 ; . , ventilation � � AAS bWr RFZ46b l EC� TO " !VT 2NT0 COMPVTlR PERMIT FEE I S Mobile Home Installation Fee $ Energy Inspection Fee S occ CONST rrPi TOTAL FEE $ NAI 10. Fln i IMP /1000 COR ►ARCA PO 1 �:• I I . This permit is hereby issued under the applicable provisions of the Butte County Code end/or Resolutions to do work indicated above for which fees have been paid. By Date RecelptNo. PERMIT EXPIRES ON WHITI-0.0.5.•x.0. CANARY -ASSESSOR PINK -INSPECTOR OOL0ENA00•APPLICANT ____. - 1T1eller ® 7 I 145 Kokabee Dr., lot 38, KR43, OrovillE Permit #1818- ---7&p ,MH) 4 > > GAS 7 zj SUPP R STRUCTURE REQ, u COMPACTION TEST REQ, Contr: Bernies-MH Sir, Par ise Permit #405 -78MHI (Issued / jcon Holmes M bile Home Serv.,Oro.1 'Permit #6876-78B(new awnings &decks PERMIT NO. 1818-78PE� � PERMIT EXPIRES v OWNER Dale Ke ler CONTR. Owner LOCATION (A.P. 34-71-38 ) 145 Kokanee Dr., lot 38, KR#3, Oroville f 1 Temp. Power Pole •i Called PG&E Temp. Elec. Serv. Called PG&E Temp. as Serv. ailed PG&E /FOINA u� LED (Da ) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Aback F ewall SoX Piping For Parvets 1 Floor Malle Bldg. Restr om Finish 2n loor Owings Windo 3rd Nor Ste wall Siding To out Slab Roof Shea'hing Water Pi i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph sical handlca edy Conformanceof ex. structure Appliances Gas Piping & Test Temp. Gas Slab A Final Sanitation Patio X FIRED ACE Final Footin s Footing ECTRIC Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea FIRE SPRINKLER • Motors Framing Test Water Htr Stucco Final Sub ane Mesh " MECHANICAL Grd. F ult Prot. Scralth Heaing Servl e B n Co Ing T mp. Pole F ish D cis finderground 1 rior Lath V entilation Permanent oor Closer anal Inal MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal :;>006� Water Piping — _ %/z__ Sewer Gas Piping sJ1QK MQBILEtjOME INSTALLATION - - - - - - - - - - - - - - Support —7 y Elec. Continuity Water Piping i Drainage Gas Piping y� DATE .7. S� % a 5 ZAR- 7a 6,t0 REMARKS OR CORRECTIONS 02604 /"ra Co s4 s /l'O S CtP'1&4e-q— eft (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE-- L. 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 erf✓�0 —%Y for the following location: /5!S xblclmlE/ ,F. —I A2 1 n T - P /C< * --� OkOa/C /, Owner?)AI F Kf,.-- L L Owner's Address -29M)El Mobilehome Mfg LAS 44fW24—s /1VC' Model/ l%f3 Year7K Insignia No.CA ISD-V-2 (o IrAL 16%51% Serial No.0 /4- 406: � It is hereby certified for occupancy at the above described location and may be occupied. Date Director of Public Works � - %-2J� By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 1W amp) and other facilities on lot, i.e., water pumps,_ garage, cabana, etc.? Yes�/ No_' B. Is there proper clearances around panels? Yes= No C. Is power supply cord or feeder assembly properly fused? Yes No .J D. ,eontinuity test satisfactory as per the following procedure? Yes_ No PDe-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. J.—Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 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. t, 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 est 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? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle S / rnc� GIy Length . �7 Width o��1 i Vehicle Serial No. (03 �l3 State Identification No. CAL 102,5-)-(- /DXS-'-V/_ Additional Information or Comments: i J O 4 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with aired separation from lot lines and buildings and generally conform to plot plan? Yes o 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yesv No 3. Are footings and support's properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 50 2 & 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 flex' le 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= No_ Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ Ido_ 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? Yesz"_ o C. Are any leaks detected in drainage system after running 3- ons of water through each fixture including washing machine standpipe? Yes No coach is not State of California approved, does station have required trap and vent? es No 8. Gas.Piping and Gas Vents A. Connector -,Is mobilehome connected to the gas su y with an approved 3/4" minimum mobilehome c\follow' more than 6 ft. Ion ? Note: All piping is .to be at least as large as theas line inlet w' out reductions other than the mobilehome connector. B. .Test OK as pproce ei YesNo 1. Open allnn forv�.lves. 2. Shut off applianc urn r and pilot valves. 3. Air test wit manometer to 0"014" water column or test with slope gauge (minimum ® 6oz.-max" 8 oz.) calibrate in tenth pound increments. Test for 10 min. without drop. 4. Cont gas meter to mobilehotge with onnector, turn on gas, test connections with soa y water. C. Are all appliance vents properly installed? Yes No COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WJTTNS 7 County Center DriVe — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. -7 X ; Date 7- �- Signature of ermi or t Receipt No. / / 0 -y-en 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 0 UBLIC WORKS BY Date 7-1,7_--7J;'_' Bui144 permit expires Date 7-1 Z -7,- 7 BUILDING Owner L2LL SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address 57_Q-,K,Fireplace �� �Er Total Valuation o e- - �- Telephone No. O Permit Fee Building Address — Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 (, --' '�3 Q/2D /L,[? Repair drainage or vent piping 1.50 p� A. P. No. /% — `7/ — -3 O Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 FIlf's I WLCIFireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg.ns Recd I Parcel A royal I P s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER �? permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 00V OR Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 600V 100 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ACCLBLDGS.CCUP. S) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions ode under the name style of _ / r • � NEW CONSTR BRANCH CIRCU NON-RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS b NON.RESID.SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTI I7E5 g L , EX. OCCu FIXED APP LNS. OR P• OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.26 7XS-5 I_ 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. QI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this 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 $ 00( TOTAL PERMIT FEE $ D bc authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. -7 X ; Date 7- �- Signature of ermi or t Receipt No. / / 0 -y-en 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 0 UBLIC WORKS BY Date 7-1,7_--7J;'_' Bui144 permit expires Date 7-1 Z -7,- 7 MOBILEHOME SUPPORT DATA If other than single wide, ?I Mobilehome Mfr. L _ 5 ,R/L�S �itT� furnish Setup Model No X,4 /j Q3' j003 Year,: Width_(ft.) Box Length (ft.) Tagalong or Expando Size-45�P" ft. x *6' f:t., (SHOW 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). All center supports measured from front of mobilehome unless otherwise specified, t fi"ale V .)(in:) Centerpport locati ns* t.)(in.) *j*.il X o (in.) (in.) Center support footing sizes (in.) X� (in.) (in.) (in.) (in.) � 1 , �• x (ft )(in.) (in.) (in.) Z X D in. in. *If center piers are other than drawn above, i,,'draw in locations, spacing, and dimensions. Footings (check one) 1. Wood either pressure treated or foundation grade. 2. Other (specify) Supports .(check one) 1; Concrete block. E] 2. Other.(specify) <--Tagalong or Expando, show support details. r y x3V -- Typical Support (in.) (in.) Footing Size Max. Pier Spacing (ft.)(in.) -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DENARTMENI APPROVED �7� BUTTE COUNTY DEPARTMENT OF PUBLIC'=WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 P MOBILEHOME INSTALLATION SHEET 1. owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes / X/ No (If yes, furnish permit number l !�'/ g— %! ) OR Is the site an existing site? Yes / / No (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 1% No (This information not required if pipe length less than 6 ft. on --natural gas or less than 50 ft. on LPG.) (If no, clarify. ) 5., What is the mobilehome electrical rating? ----------------------- 2 DSO Amps 6. What is the mobilehome site service rating? -------------------= Amps 7. What is the mobilehome site circuit breaker rating? ------------- fps ,.`8. Is there any other electric load to be served by the mobilehome ' site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: 4D.-- (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural LPG n!/ 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? �� ) _ s (BTU) (This information not required if pipe length less than 6 ft. on --natural gas or less than 50 ft. on LPG.) COO ASSOCIATES James Glander Department of Public Works 7 County Center Drive Oroville, California 95965 Dear Jim: ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE, CALIFORNIA 95965 PHONE (916) 533-6457 CALIFORNIA P. Z. N7VADA P. C, (TNEC .ON T. E. June 28, 1978 Re: 78551 Compaction test results are enclosed for mobile home site preparation at Kelly Ridge Estates for: Keller KRE Unit 3 Lot 38 Representative tests indicate that the 90% relative compaction requirement has been satisfied. A location map is attached. Very truly yours, COOK ASSOCIATES t ay . Lew Hiatt'. Civil Engineer LH/cab Enclosures OR, LLOYD M. COOK Eo, D. JOE E. COOK M. E. DAN J. COOK C. E. Client Keller c®®.�®ClATr=S ProjectKRE Unit 3 Lot 38 ENGINEERING CONSULTANTS NUdear in -Place Job No.. 78551 2060 PARK - AVENUE Moisture Density Test Gillispie OROVILLE , CALIFORNIA 95965 Operator ( 91 6) 533 —6457 TEST NUMBER 1 2 3 4 5 6 7 8 9 10 TEST DATE 5-4-78 E Cor. TEST Pad LOCATION .3' Fill Final MODE 8c DEPTH 811 DT MOISTURE 964 COUNT MOISTURE .COUNT RATIO .677 MOISTURE " PCF 16.5 DENSITY COUNT 184 DENSITY COUNT RATIO .705 WET DENSITY PCF 145.0 DRY DENSITY 128.5 PCF % MOISTURE 11.4 OPTIMUM DRY DENSITY.PCF 135.2 11/6 OPTIMUM MOISTURE 11 % RELATIVE COMPACTION 95 DAILY STANDARD COUNT COMMENT: DATE MOISTURE DENSITY 5-4 1423 261 LT �� CA . UNIT 3 A 353.00'. 1 14I / \� - ff 0 2 0 200 AMP. PcD.S i AL I j 2 AMP. f (V 7 loco'- SCT-Z3�1 CiT.. . r MO(31L= ADD=D 3-6-78O D D. COUNTY OF BUTTE DBFT, OF PUBLIC WORKS JUN 0 i AM�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Cenjer Drive' - 0roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT /P/F zf nV;/ authorize representatives of the County of Butte to entei upon the above-mentioned property f�ection purposes. t /!� X�_�•%�: �'e/ Date'/y� Signature of Permiteeeor Agents Receipt No. /'4/ � 22� White-D.P.W. — Yellow -Assessor — Pink -Inspector — 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/fl BLIC WORKS BY Date Budding permit expires Date -vo - 7 BUILDING Owner Dale Keller SO. FT. OCC. BUILDING VALUATION Mailing Address P.O. Box 415 Point Reyes Station, CA. 949 415 T6elep'6163N4180 Fireplace Contractor (Owner) Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address 145 Kokanee Drive PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3, o -C' Oroville, CA. 95965 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 /0. DD Loninq -eri cation Qnl� Lot 38, Unit 3 - Kelly Ridge Estates Each gas water heater or vent 1.50 A. P. No. 34 — 71 — 38 %ZT- zorlin Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 / . -p sSanitation Fire Dept. Fire Use Permit EQA Parking Plans Parcel De aration Parcel Ma 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parc4,xpproval Plo s Approval Permit Fee $ e73.c $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 0V OR L -E 100 AMP ORSLESS 5.00 5: 0-0 Main service EA. ADD'L 100 AMP 2.50 5 0 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER s 25.00 100 AMP O OR LESS Main service EA. ADD'L loo AMP 1.00 T I_1 MINNUM NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &\ 22sgft / NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea EOR 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_q FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /5'•t�0 icense No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ a?S C $ St 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 TOTAL PERMIT FEE $ 73 S C authorize representatives of the County of Butte to entei upon the above-mentioned property f�ection purposes. t /!� X�_�•%�: �'e/ Date'/y� Signature of Permiteeeor Agents Receipt No. /'4/ � 22� White-D.P.W. — Yellow -Assessor — Pink -Inspector — 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/fl BLIC WORKS BY Date Budding permit expires Date -vo - 7 _PF.RMIT NO 6876-78B PERMIT EXPIRES OWNER Terry Keller CONTR. Holmes Mobile Home Serv., rov;lle 34-71-38 ° LOCATION (A.P. ) 145 Kokanee Dr., lot 38, KR#3, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E emp. Gas Serv. Called PG&E • FINALED (Da G v (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS— BUILDING INSPECTION RECORD ` (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont'd) PLUMBING Setback —2—Z—? Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows I V 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping% Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall V Garage Vents Insulation Water Htr. Heaters SlabA Carport Footin s Prov. for physically handica ed Conformance of ex. structure Appliances I Gas Piping &(-Test Temp. Gas Slab Final — 5-f' `rLi Sanitation Patio FIREPLACE Final Footings Footing ELECTRttAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRES INKLERS Motors Framing — Test A Water Htr. Stucco Final Sub aneIs Mesh MECHANICAL Grd. Fault Prot. Scratch Heatino Service 1 Brown Cooling N 7 Temp. Pole Finish Ducts1)4 Under roup Interior Lath Ventilation Permanent Door Closer Final Final MOBILEH ME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MRS16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity , Water Piping Drainage Gas Piping DATE v�G ' A(41 T 4A �'6 REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) am COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 Coanty Center Drive — Oroville, California 95965 _ Telephone: 534-4541 APPLICATION AND PERMIT (� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ZL 1_39A7,10 Ignature of Permitee or Agent Receipt No. /rg6`L��_1 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"n paid. DIRECTOR 0,P PUBLIC WORKS BY Date wilding permit expires Date BUILDING Owner �� SO. FT. OCC. BUILDING V LUATION Mailing Address 2019 Telephone No. Contractor)G�— Mailing Address 3� �� Fireplace Total Valuation 1// T lep ,one No. y Permit Fee Building AddressNEI Plan Checking Fee&/or Penalty Permit Fee 8 PLUMBING No.1 @ FEE E6L OP,0�// PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. t3� �� Tei n g &Planning Water piping 1.50 Each gas water heater or vent 1.50 F Sfe44aUoa Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Parcel Plans eclaration Parcel Map 60' R/W Improveme is Each additional outlet .30 Building sewer 5.00 Bldg. Pans Recdov Parcel A rol Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ _ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 V OR LE Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home 2�r Others ❑ Main service EA. ADO'L too AMP 2.50 i y� / N/ -VQL �CJci .� , DE A./ "^` / OVER 60 Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELLING OCCUP. S OR ADDNS. ACC. BLDGS. ) 20sgft 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: L/i t AS NO&I-e- YM� � VIti T NEW CONSTR BRANCH CIRCUITS) NON-RESID. � BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. `SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTI1RES1 50@ BAL@10¢ FIXED APPLNSOR . p•/OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.�,J`3 P%� Classification ._ /� % Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. `i�'I have placed on file with the County of Butte a certificate of .���..111 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 1 1 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ZL 1_39A7,10 Ignature of Permitee or Agent Receipt No. /rg6`L��_1 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"n paid. DIRECTOR 0,P PUBLIC WORKS BY Date wilding permit expires Date