The URL can be used to link to this page

Home My WebLink About069-200-001urness A. Zimmerman 111 Kokanee Dr., lot 33, KR#3, Oroville Permit #178-77P,E(util. ,�I) ELEC. GA S tUfa 42:2 SUPPORT 5TRUtTURE REQ. COMPACTION TEST REQ. contr:Carneros Mobile Transport, Napa Permit #1760-r77;IHI Issued ,,41/ ?� contr:Holmos Mobile Home Serv.,Bangor Permit #2038-77B(new;carport awning 5 �& covered deck/ 1H) _ v i i ococ[ -zoo �r --- - �I �J �J _, �� I i _ 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 '.he California Administrative Code, Title 25, Chapter 5, under permit =.,mb-er�r for the following location: Owner tom/ /.f' CC a 7 Owner's Address <A4012 -; Mobilehome Mfg. ,97/V //44 k XEV Model -91/x/-/) aYea�� 7 Insignia No.nA I- n385_3 / Serial No. It is hereby cill e t fiMfo3occupancy at the above described location and may be occupied. Director of Public Works Date 22 By / "7 THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED 0 PERMIT N0. 1178 -7 -727E - PERMIT EXPIRES v OWNER Burness A. Zimmerman CONTR. owner LOCATION (A.P. 34-72-1 ) 111 Kokanee Dr., lot 33, M KRIP3, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. —1 Called PG&E u �� — 7 Te �. Gas Serv. Called PG&E JOB FINALED (Dat (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) & PLUMBING Newall All Pipin For4 Pahpets 1 t Floor MaAk Bldg. Rest om Finish 2n Floor Fo tins Windo 3rd Noor Stem all Siding To out Slab Roof Shea)blna Water Pipi)tg Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings V for physical Prov. handicaed Conformance of ex. structure V Appliance s Gas Pi in &Test Temp. Gas Slab A Final Sanitation Patio REP ACE Final Footin s Footing E ECTRIC L Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Bea FIRE SPRINKLEfk otors Framing Test Water Htr. Mesh MECHANICAL I Grd. F It Prot. Scratth I Heati servirl Pole F ish I D is linderground In rior Lath b ntilatlon Permanent oor Closer Inal Vinal _ MOBILEHOME UTILITIES Elec. Service ------------------ %4' 41— Elec. Elec. Pedestal Water Piping / —7 24,, Sewer -72Gas Piping MOSILEUOME INSTALLATION - - - - - - - - - - - - - - Support 0 Elec. Continuity Water Piping - ac`s Drainage —1 Gas Piping MQAf 45; DATE 4"-15—?? REMARKS OR CORRECTIONS 8 ;&vv" 7-0 0,Q o a as Alo 6XS v D Sap 4°-brw (NOTE: An entry must be made on this form each time you visit the job site.) f 9. Electrical A Is service large eno<tglt to provide adequar_e,amperage to mobilehome (must equal rating of niob1.lehome with a.-.Anv,:um of . amp) anal other faciliti_as on lot, i.e., water pumps, Uarage, cabana, c�t�.? Yes No_ B. Is ther,� proper. clearances around panels? Yes_ No_ C. Is power supply cord or feeder assembly properly fused? Yes No_ the followi,n procedure? Yes' No D. Is�erntinuity test satisfactory as per g P e -r-. De -energize electrical wiring system of the mobilehome at the pedestal. Dlalce sure that the power supply cord or feeder assembly conductors, including neutral. conductor, have been disconnected. �Switch all breakers and switches in' the mobilehome to the "on" position. Connect one lead of a test instrument to the mobilehome grounding conductor and lea , •, _,...... _ , apply ti.e G�h,�1 a.uau %O eauil TiiOul.Leiiuiue nu��ty uuflUtiCtGY, 1111 liiullt� ile�ll'Ccll, ,,'�All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas 'line, .ater line), including fixtures and appl.iances, shall be tested for continuity from such equipment and the grounding conductor. pon completion of tine 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 thecl.ectrical tests, the lot or site service equipment may be approved for energizing. n-�rything card signed by Health Department for water and sanitation? clay, sign off card and tag services. MOBILEI'!ORE DATA Manufacturer and/or Namestyle 4) 7-"' - r t.ength�_ Width Vehicle Serial No. State Identification No. 3. S 3 �-- 4&,Ltional Information or Continents: K. r `10131i,E' ME INST LAT1.0N .INSPECTION CHECK L.IST- 1 . Is the. mobileh.om,� 'loci ted wi.iai quired separation from lot lines and buildings and generally conform to plot plan? Y(!s No �. Does the mobilehome have required clearances above ground? (Sec.5085) Yes o 3. Are foot.i.nf,s and supports properly sized, spaced, and braced as per proved plans? (Note possible variation at spring shackles.)�(Sec�5082 & 5083) Yes _ No_ 4. Is the mobile ome level.? (Sec. 50.88) Yc No 5. If mor han a single unit, are crossover connections properly installed? (Sec. 5088) 1'es No 5. Water. A. Is fle le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No / B. Test - Does wateri i v p p ng withstand working g pressure or 50 lbs, air test? Yes No P_A.Ba,�flow - If coach is not State of California approved, does station have backflow device and pressure-relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end. Yes No B. Does it have minimum �;" per foot slope and is it properly supported? Yes :� No C. Are any leaks detected in drainage system after running of water through each fixture including washing machine standpipe? Yes No ftCa.foach is not State of California approved, does station have required trap and vent?- s N o 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to he gas siipply with an approved 3/4" minimum mobilehome onnector not more than 6 long? Note: All piping is to be at least as :large as the obilehome gas line inl 4without reductions other than the mobilehome connector. Ye No B. Test OK as per fo owing procedu e? Yes_ No 1. Open all applia e connecto valves. 2. Shut off appliance urner and pilot valves. 3. Air test with manomete to 10"-14" water column, or test with slope -gauge (minimum 6oz.-maximum 8 oz.) c rated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter o mc,bile%mewith connector, turn. on gas, test connections with soapy water. C. Are all appliance v_nts properllled? Yes No )✓ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT (_I, -7 BUILDING ° Owner SO. FT. OCC. BUILDING VALUATION Mai I i ng Address A5 L T ephone No. Fireplace Contractor 00 M Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Z er.F mn Only Each gas water heater or vent 1.50 A. P. — _ �'- Gas piping system 1 - 5 outlets 1.50 additional outlet .30 s /Each on Fire Dept. Fire Zone le Use Permit Building sewer 5.00 0Q0 EQA Parking Parcel Plans Declaration Parcel Ma p 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. PI s Recd arcel Approval ��prove/�ments Plan p oval Permit Fee $ � -300 0) NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 9 co Main service ;$°1 OR LE o AMP ORSLESS 5.00CO s Main service EA. ADD'L too AMP 2.50 Sb Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service °o EAMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 �4 �()1 !( NEW CONST. DWELLING OCCUP. & OR ADONS. ACC. BLOGS. ) 20sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS)2.50ea ' FOR MOBILES (POWERNEW NON -RESIT R. SINGLE OUTLET CIR.& CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@�2 BAL�1 Ex. Occu FIXED APP LNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 od License No. Classification Misc. Wiring 6.25 LfJ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ -5-0 $ a_1SG 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. 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 C_0— co TOTAL PERMIT FEE $ 3 ""'�'•�"•'��+ •..�. Vvullly VI UUllc lV vmul UPVII LIM above-mentioned property for inspection purposes. 4F Dated Sign tureso'f�Permmitee or Agent Rece" i ct/No. 11.�(J__� Y3 White-crp.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF 'IJBLIC WORKS ByDate S �i 7 — 7 B i Iding permit expires Date �—• � 7— � This set of plans and IP—GiLeaki..m MUST besE�. > Z 2.�Cep#on the ice, of cell times and it is unlawful to Z o ° o mire any chryne ps rrr r!: rrn+irars on some wifhout wiTfen perm, �s�=on from 7'e Department of Public ° � �. ' . '{ Works, County of Quite. a � -' " D Q_ o M (OD to a oSetback shall 6e 5 {}, from the 0= a 3 ( CD D n 3 ` ' property line and 50 ft. from the n Cr -+, 0 20 crnte-linh e of fe road , permitting a maxi- � � ° �• mum of a 2 ft. cave overhang but entirely a_ p p �1 9 out of all easements. y C C / �� a --a ° n a CD 0 s, WCL m 0 / n_ e -y c� oCD Q 0-� / sfo//v f N'i/I -� ? o �o ' 1 i ' w-9 �-��r- s 1D ` D C / -\ �6e�e �� + a_a ate. Z / 9'vi,. T m / :r mob {o,. fh s ti 0 /I ® / Z v 0 Q �wti0a0 N � '� QJ '' ��,2 Z k / \� x C k hNI .� � � �0 Sww C �,�3a w ,:: ,COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Telephone: 534-4541 % APPLICATION AND PERMIT''> Receipt No. G, 0-72,6 v vN y White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Bwlding permit expires Date BUILDING Owner Burness A. Zimmerman S4. FT. OCC.1 BUILDING VALUATION Mailing Address Lot 33 tinit 3 Telephone No. Fireplace Contractor Carneros Mobile Transport Total Valuation Mailing Address 1290 El Capitan Permit Fee Plan Checking Fee &/or Penalty Napa, California 94558 T 252 2411707 Permit Fee $ Building Address 111 Kokanee Drive PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Oroville, California 95965 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 34-72-01Gas Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F4ej 4-6. 1 'farTft8 n I Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma 60' R/W P Im rovements Lawn sprinkler system 2.00 Bldg. ins Rec'd Parcel val �P PIans-lpprovaI Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 INSTALLATION OIG. 6-k vv► tT Main service ;°o°o AMOR LE P ORSLESS 5.00 11 -72 7 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ 600 Main service 1OOOEAMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 NEW CONST. OR ADDNS. ( DWEACCLBLDGOCCUP. &) 2¢syft NEW CONSTR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONST R. (POWER APPARATUS & NON•RESI D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Carneros Mobile Transport Ex. Occup(OUTLETS OR FIXTURES)50 @25m BAL@t FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 259158 License No. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Sign of Permit or A en Mo 30.00 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. DIRECTOR OF PUBLIC WORKS Rv �7� _,-� (? n.*o!,% /:p–? Receipt No. G, 0-72,6 v vN y White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant Bwlding permit expires Date C K ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE. CALIFORNIA 95965 PHONE (916) 533.6457 March 8, 1977 James Glander Department .of Public Works 7 County Center Drive Oroville, California 95965 Re: 77551 Dear Jim: Compaction test results are enclosed for mobile home site preparation at Kelly Ridge Estates for: Merwin KRE Weston KRE .Mudge KRE Mairani KRE Zimmerman KRE. McCarthy KRE Oro Ridge Mtn, Home Unit.4A Lot 37 Unit 4A Lot 13 Unit 2A Lot 56 Unit 1 Lot 109 Unit 3 Lot 33 -3 Unit 3 Lot 120 Unit 5 Lot 35 Representative tests indicate that the 90% relative compaction requirement has been satisfied. A location map is attached for each. Very truly yours, COOK ASSOCIATES Alan G*Brown Civil Engineer AGB/cap Attachments Client Zimmerman COO SSOCIATES Project KRE Lot' 33 Unit 3 ENGINEERING CONSULTANTS NUCIear In -Place Job No. 77551 2060 PARK AVENUE Moisture Density Test Johnston OROVILLE , CALIFORNIA 9 965 Operator ( 916 533 — 6457 TEST NUMBER 1 2 3 4 5 6 7 8 9 10 TEST DATE 3-3-77 21 fill TEST 6' in LOCATION W of E dge Center ad FINAL MODE a DEPTH 811 DT MOISTURE COUNT 1018 MOISTURE COUNT RATIO .716 MOISTURE 11.0/ PCF 17.75 DENSITY COUNT 245 DENSITYCOUNTRATIO .918 WET DENSITY 134.25 PCF DRY DENSITY / 1211655 PCF % MOISTURE 8.9/ 15.2 OPTIMUM DRY DENSITY PCF 132.5 % OPTIMUM 8.8 MOISTURE % RELATIVE /87 COMPACTION DAILY STANDARD COUNT COMMENT: DATE MOISTURE DENSITY 3-3-77 1422 267 L O ' I- .33 UNIT 3 29 0 \ \2=5.97.00' __- =75.2.3"� _ \ � 1 20 O A/ -IP h _ n %/� SET-flACJT_ 02.00- _ _ 0O'NO ACCESS S.T?/P._ C= 2(S-9705irr A7 - 2 (- i 7')ISi el ,y J MOBILEHOME SUPPORT DATA Mobilehome Mfr. Mountain Valley Hom s Setup Model No. 2BR RK Year 1977 NET Width 24 (ft.) Length ..60. (ft.•)_ ,-Expanao •Size _ ft.x ft. (Draw support details below) . On all mobilehome?s-.manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets .(if -not on .file with the County of Butte). �. Max. Pier. ..... 5 ' 6. Spacing .. Q - 0 24 .X . .30 in. in. In. - • - 24 x30i— —(in. 1Max. -3�� ( - 0 Overhang .T.3 I E _ in. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUIWING DTPA �TP4'W ,4PPK YE® . Sin le . - Footings--(check.on /X/ A. Wood 'either pressure treated o _ Center Center Support A •. -fdn.'grade.: Support Footing Sizes �] Locations (in.)• _44 . ...... 2. Concrete pad. 24 x 30 3.--Other,.-'specify =-O in. Supports (check on fCX/ 1. Concrete block 2 - 5 24 x 30 / / 2 • Concrete piers InT 3. Steel piers .. ...... . ....... . .... .. ................. Other, specify 4. .... ......... �. Typical Support 12 - Z 1 .12 24x 30 x 361 Footing Size in• in- (in.)(in.) .... ............ ....... �. Max. Pier. ..... 5 ' 6. Spacing .. Q - 0 24 .X . .30 in. in. In. - • - 24 x30i— —(in. 1Max. -3�� ( - 0 Overhang .T.3 I E _ in. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUIWING DTPA �TP4'W ,4PPK YE® BUTTE• COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center+Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Burness, A. Zimmerman 200 Amps 6. Lot 33, Unit 4A is the mobilehome site service rating? --------------------- 200 Amps 7. What -2. Installer's name: Carneros Mobile Transport 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No /RX/ 3. Is the site currently under permit? Yes /X / No What is the mobilehome site gas pipe size? ---------------------- ( If yes; furnish permit number j / 7 $ 7 "7- ) OR / / LPG 11. Is the site an existing site? Yes T_/ -0- No /X / :What (If yes, furnish two (2) plot plans.) (BTU) (This information not required if pipe length less.than 6 ft. on natural gas 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 /RX/ (If'yes, identify the load and size: (Load) -0- (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- -0- —(in.) 10. What is_the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome?-- -0- (ft.) 12. :What is the mobilehome gas demand? ------------------------------ -0- (BTU) (This information not required if pipe length less.than 6 ft. on natural gas or less than 50 ft. on LPG.) r PERMIT NO. 2038-77B PERMIT EXPIRES OWNER Burness Zimmerman CONTR. Holmes Mob13e Home Serv., Bangor LOCATION (A.P. 34-72-1 111 Kokanee Dr., lot 33, K13, 0 oville Temp. Power Pole Called PG&E /ep. /Elec. Serv. Called PG&E Gas Serv. Called PG&E JOB ` FINALED (� (Dat Z ( ignature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback.-5--7016Firewall FIRS PRI KLERS Soil Piping Forms Parapets 1st Floor Stucco Restroom Finish 2nd Floor Footings - Windows 3rd Floor StamwaII Siding To out Slab Roof Sheathing Water Pi In Piers i — 1 ? Roofing Sewer Garage Fdn. Vents Fixtures ! Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica e.1 Conformance of ex. structure A liances Gas Piping & Test Temp. Gas Slab Final ' —' Sanitation Patio FIREPL E Final Footin s— — Footing ( ELECTRICAL Masonry Walls_ Throat i Rounh Bond Beam FIRS PRI KLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh y fdEdHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under roun Interior Lath Ventilation/,/'Permanent Door Closer Final V Final MOBILEHO EUTILITIES ------------------ Elec. Service ElecPedesta Water Piping Sewer Gas Piping OBILEUDME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF 'BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephoner 534-45541 APPLICATION AND PERMIT o20v3p- 7% authorize representatives of the County of Butte to enter upon the above -m tioned property for inspection purposes. X Date �z 7 Sig4bture of Permtee or Agent Receipt No. ao,vc_Z? White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date. -3�-7 ;� B ilding permit expires Date 5�-3- BUILDING Owner DAPNIE _Z I MML-1ZMW SQ. FT. OCC. BUILDING VALUATION v Mai I i ng Address Telephone No. Fireplace Contractor D00131L Total Valuation Mailing Address LL{ Permit Fee (7 Plan Checking Fee&/or Penalty baNC T y o -e N � Permit Fee $ $ 3L C Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 L Each Trap 1.50 _ L of OAK 1 Repair drainage or vent piping 1.50 Water piping 1.50 ./ t- Rl 3 3 u/U fT 3 Each gas water heater or vent 1.50 A. P. No. S ^ 0 � Zoning & PlanningGas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees a n I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. ans Recd arcel Approval Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service io00V OR o AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 1.00 �a� �_ ,NOQ DWELLING CCUP. & NEW CONST. 20sgft OR ADDNS. ( LINO ACC. LN GO NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Q ,�) �I0Lln l� M DB LC: /%i F 4;t )d Ex. Occup(OUTLETS OR FIXTURES) @251"04 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.3�� +3 -21� 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. 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. @ FEEPERMIT 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 $ authorize representatives of the County of Butte to enter upon the above -m tioned property for inspection purposes. X Date �z 7 Sig4bture of Permtee or Agent Receipt No. ao,vc_Z? White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date. -3�-7 ;� B ilding permit expires Date 5�-3-