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Home My WebLink About069-210-080061 •ZO too so 4 _ 1 ' 7 (� 6 ��u cfli ani � r- 186-79B PERMIT NO. PERMIT EXPIRES Al Martin OWNER CONTR. Better Builders Const.,. Oroville 34-73-80 LOCATION (A.P. ) 258 Apache Cir., lot 211-4 KR#3 , Ordv it le Temp. Power Pole 4 Called G&E Temp. E eec. Serv. Clied PG&E Temo. Gas Serv. /FINALalled PG&E _ ED (Date) C - (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD=. -" . BUILDING I BUILDING (Cfint'd) I PLUMBING Setback IL3,D —`4�_ Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I. Slab `7 1114 Patio Footings isonry Walls Relnf. Steel Mesh Scratch (NOTE: An entry must be made on this form each time you visit the job site:) 'neap 1 111111111 1 rinai IL MOBILEHOM UTILITIES Elec. Service j 1 Elec. Pedestal Water Piping Sewer Gas Piping =E ME 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 Telephone: 534-4541 APPLICATION AND PERMIT auufulcv IvplvOvlll au vvo UI uIC L.UUllly UI DULL" IL vlllel UPUn lne abover-mentioned propgf) ection purposes. tee or Agent Recf pt t4 eN a U / U White- . – 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,which fees have been paid. / 6 _WRECK i OF PUBLIC WORKS a We— AwNBuilding permit expires Datef, i— BUILDING Owner /�` SO. FT. OCC. BUILDING VALUATION Mai I i ng Address T Telephone No. �v Contractor �/ zw /3F4,/ z E Mailing Address LA 02 Fireplace Total Valuation 4IX7r OD Telsp�,o 0o,r` d Permit Fee j CIO Building Address ` - &4 e Plan Checking Fee&/or Penalty Permit Fee oi.00J PLUMBING No.1 @ FEE n — O� PERMIT FILING FEE $3.00 Each Trap 1.50 r O Repair drainage or vent piping 1.50 A. P. No. " — 9 n g Cdr 7 &_ '^I nni Water piping 1.50 Each gas water heater or vent 1.50 F s vJ1Pn Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvem nts Each additional outlet .30 Building sewer 5.00 � �� Bldg. PI�'d Parcel A p val ans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ r�8—/lB LOGE 2, C' O TS -,6 t1y0R C o ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS too AMP LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Eq—Others ❑ -L Main service EA. ADDloo AMP 2.50 Main service OVER 100 AMPP OR LESS O 25.00 Main service/ EA. ADD•L 100 AMP 1.00 OR AODNS. ACCNEW CONST,LBLDGS,LING CCUP. 1) 20sgft C CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name St f: t ' I NEW CONSTRES,., MULTI -OUT LET NON.R ESID BRANCH CIRCUITS 2.50ea NEW CON STR POWER APPARATUS d 11 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIPES B @l 104 EX. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 2 License No. a$Q5 - c�� 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 Wor 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 (he 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 $ 32� 09 auufulcv IvplvOvlll au vvo UI uIC L.UUllly UI DULL" IL vlllel UPUn lne abover-mentioned propgf) ection purposes. tee or Agent Recf pt t4 eN a U / U White- . – 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,which fees have been paid. / 6 _WRECK i OF PUBLIC WORKS a We— AwNBuilding permit expires Datef, i— •� MCom•= �—. yr PERMIT NO. �} 1411-79B +' _,. %b PERMIT EXPIRES ✓ �� OWNER Al Matin CONTR. Better Builders Const., Oroville LOCATION (A.P. 34-73-80 ) 258 Apache Cir,. , 10t 2i' i;W#3, Oroville .Y Y i ) — i `7 i r, a '1 Y Y Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB �3 % FINALED (Date) (signature) COUNTY -OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION _RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Carport Firewall Soil Piping Forms Parapetsp 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina i To out Slab Roof Sheathing V'7 Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Prov. for ph sical A (lances Footings handicapped Conformance of ef. structure Slab Final - Patio FIREPLACE Footings —7 Footing Masonry Walls Throat Reinf..Steel Final Bond Beam FIRE SPRINKLERS 1 Gas Piping & T st Temp. as Sanitation Final ELECTRICAL — - —99' Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final — MOBILEHOME &LITIES --- --------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS r (NOTE: An entry must be made on this form each time you visit the job site.) I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone; 534-4541 APPLICATION AND PERMIT QUUHJIIcV IGj/Ia0VIILQLIvcA UI LIJU \aUUIII�/ UI Dulls IU CIIICI UPUn Intl abov -mentioned grope ty for inspection purposes. X Date gnoture bf Pe%nv%tee or Agent White -DT'". — 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 which fees ha a been paid. Q ECT F PU IC WORKS 3-�/ Date Building permit expires Date _ — — F-0 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor41 v Mailing Address �y �"�'— Fireplace Total Valuation Z - r (J Telephone No. - b,;Z3 Permit Fee Building Address Plan Check i ng Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �O 0)9p ut LL r Repair drainage or vent piping 1.50 A. P. No. — �' O Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 I s s� Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Recd Parc royal Pla pprovaI Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR 00V OR SL ESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER P OR LESS 100 AMP O 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( DWELINGOR A.D.S. 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 Code under the ame style of: /� -r✓� '��7 /�f� //� t� a 4-r !/ L/ r NEW RES]D,NST MULNCHCITI-OUTLET NEW CO ID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON•RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTIIaES 5 L� EX. OCCU FIXED APPLES. OR P•�OUTLETS (REBID.) EA) 2•�0 Temporary service 10.00 Mobile Home Facilities 15.00 Z2-� License No. `43 Classification � s � , 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 Workme ' Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 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 aboveLand information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby. Development Fee $ TOTAL PERMIT FEE $ QUUHJIIcV IGj/Ia0VIILQLIvcA UI LIJU \aUUIII�/ UI Dulls IU CIIICI UPUn Intl abov -mentioned grope ty for inspection purposes. X Date gnoture bf Pe%nv%tee or Agent White -DT'". — 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 which fees ha a been paid. Q ECT F PU IC WORKS 3-�/ Date Building permit expires Date _ — — F-0 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Tel ephonp: 534-4541 APPLICATION AND PERMIT ,. auinunce tupFebeniatives or the County OT tsutte to enter upon the above-mentioned property for inspection purposes. X Datp l- ;� �t -7J Signature of ermitee or Agent Receipt No.2; 7d 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 pa' - RECTOR OF�PUBLIC WORKS lZi Date permit pires Date BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION Mai I i ng Address o �� f001 l2Ov t L L. �is S - Telephone No. Contractor �s Mailing Address Fireplace Total Valuation Telephone No. Permit Fee BuildingAddress ' �LC Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 / Repair drainage or vent piping 1.50 A. P. No. .. o oning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F(le I i,• ,Sartr4a+isa, Fire Dept. Fire Zone 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 d I Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ O ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 QQ SinSingle Family Duplex Mobil Home Others �1 9 Y ❑ P ❑ !!� Main service 600V OR LESS AMP LESS 5.00 EA L Main service E4. ADDI100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWE I CUP. Y OR ADDNS. ( ACC. L 20sgff y S 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: NEW CONSTR.MU NCH CIL T TI-DCONTRACTORS NON.RESID � BRANCH CRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTIIRES g L1@ 0 FIXED ALNS Ex. Occup. ( OUT ETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 LINI am exempt from the Contractors License Laws of the State of California. Permit Fee $ J $ 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 o 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 Land Development Fee $ TOT AL PERMIT FEE $ auinunce tupFebeniatives or the County OT tsutte to enter upon the above-mentioned property for inspection purposes. X Datp l- ;� �t -7J Signature of ermitee or Agent Receipt No.2; 7d 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 pa' - RECTOR OF�PUBLIC WORKS lZi Date permit pires Date _ P%RMIT NO. 5522-79B . PERMIT*EXPIRES OWNER Beverly Martin 2 Better Builders Const., Oroville CONTR. _ °' 34-73-80 LOCATION (A.P. ) 258 Apache Cir., lot 211-A, KR#3, Oroville Temp. Power Pole/ Called PG&E Temp. Elec/// erv. 'Called G&E Temp. Gas Serv. Ca led PG&E JOB _ FINALED (D e) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIOI(RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback -nL— Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 42nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage X Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab _ Carport Footings Slab Prov. for physically handicapped Conformance of ex. structure Final Appliances Gas Piping & Test Temp. Gas -Sanitation Patio . FIREPLACE Final Footings / �' (% , FootingLECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures [Motors Bond Beam _ FIRE SP INKLERS Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooting Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M 1 EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping — _ Drainage P� Gas Piping 9 DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time -you visit the job site.) COUNTY O 'BUTTE — DEPARTMENT OF PUBLIC WORKS 1-7 CcJmty Center Drive — OroviIle, California 95965 Tel,phone:►634-4541 APPLICATION AND PERMIT Owner Mailing Address Telephone No. Contractor Mai I i ng Address o Tel one No. Building Address A. P. No. Zoning 8 Planning Sa� Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 0' R/W Improvements Plans eclaration P Bldg. PI ns Rec'd Parcel AEproval Plans Approval NEW 9 ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home UN Others ❑ _ BUILDING I-6� SO. FT. OCC. I BUILDING VA UA ON Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP CONTRACTORS LICENSE LAW NEW.ES'.. /MULT '--97L-t' -OU L T NON D, (M CONTRACTORS CIRCUITS NEW CONSTR. POWER APPARATUS I I am licensed under the provisions of Chapter 9, Div. 3, of the NON. RESID. SINGLE OUTLET CIR. State of California Business & Professions Code undVr a name Ex. Occup{OUTLETS OR FIXTURE FIXED APPLNS. OR S1Y l -cam EX.OCCUp.�OUTLETS (RESID,) EA 1_ 2 A. '� N.� Temporary service Mobile Home Facilities License No. �i 7 Classification Misc. Wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL I am aware of the provisions of Section3700 of the California Labor PERMIT FILING FEE Heating Code which requires every employer to be insured against liability for Workmecrs Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. El I certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 fpr inspection purposes. X gnature of ?ermo a or Agent Receipt Vo. t L-1 Whit, D.P W. - Yell -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling @ FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 >-2 sq ft 2.50ea 2.00 10.00 15.00 6.25 @ 1 FEE $3.00 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ 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 P LIC WORKS A 4 BY Date '/ 7 Building permit expires Date G✓�r� COUNT,V OF BUTTE zf 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 s� /for the following location: Owner A'.: Owner's Address �� •' ��' Mobilehome Mfg. L U �� ',� Model+�' ! �' -Year S'` Insignia No. �r �� Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date ! f `, By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White -Owner, Yellow - Installer, Pink - D.P.W. PERMIT NO. 5450-78P,E PERMIT EXPIRES Al Martin OWNER CONTR. owner LOCATION (A.P. .34-73-80 - i .258 Apache Cir., lot 211-A, KRJk3, Oroville 1 } V l 3 - l Temp. Power Pole Call d PG&E Temp Elec. Serv. r t— alled PG&E Te p. Gas Serv. Called PG&E JOB �r FINALED (Date) (Si n ure) f COUNTYOF BUTTE — DEPARTMENT OF PUBLIC WORKS, BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Newal.1 Sok Piping Pa ets 1s Floor g. Rest om Finish 2nd loor VFootings Windo 3rd FI r all Sldin To out Roof Shea bin Water PI kn Viers Roofing Sewer Ga ge Fdn. Vents X Fixtures* F -tin s Stem all Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sica y handica ed Conformance of ex. structure Appliances Gas Pi in & Test Temp. Gas Slab Final Sanitation Patio V IR LACE Final Footings Footing LECTRIC Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Bea FIRE SPRINKL RS ._ -Motors stucco Final f Subpanefi Mesh. MECHANICAL Grd. F u1t Prot. ScratA Heatlifil Servl e BroA Co Ing T mp. Pole FI sh D cts nder round Int for Lath entilation Permanent DoGr Closer fFinal 1kinal M BILEHOMEUTILITIES------------------ Elec. Service �O Elec. Pedestal* Water Piping Sewer p Gas Piping BI E ME rNSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity �.?� r `7 Water Piping l- _ Drainage Gas Piping DATE- �`7'�'f REMARKS OR CORRECTIONS • il— � ��" �� «/ ale r' �.��.�a-SO �3� �-� �j� ,� �6� s�i ��u.� cs�t,�.��,� (NOTE: An entry must be made on this form each time you visit the job site.) r MOBILEHOME INSTALLATION WSPECTION CHECK -LIST .1. Is the mobilehome Located w�t}-required separation fram.lot lines and buildings and generally conform to plot plan? Yes a No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes t,No 3. Are footings and supports properly sized, spaced, and braced as Ref approved>plans? (Note possible variation at spring shackles.) (Secy: 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes _/ No 5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088') Yeso_ 6. Water A. Is f e �.ble connector of adequate size and properly installed (1/2'! ID min.,)? (Sec. 5566) Yes_ No ..B.- Test - Does water piping withstand working pressure or 50 lbs. air test? Yes Ve'No C. Backflow - If coach is not State of Cali pproved, 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 k" per foot slope and is it properly supported? Yes_ No C. Are any leaks detected in drainage system after running .3- Mons of water through each fixture including washing machine standpipe?..Yes No ((%% D. If cp ch is not State'of California approved, does station have required trap and vent?. Yes jC No_ 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance c nnector valves. 2. Shut off appliance rn and pilot valves. 3. Air test with manomete t column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibra d.in e d increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. .C.. Are all appliance vents properly installed? Yes No 9. Electrical A A. Is service large enough to prov}de adequate amperage -to mobilehome (must equal rating o mobilehome with a minimum of 106 -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 D. Is continuity test satisfactory as per the following procedure. Yep/ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. 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. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacture�r,&and/or Namestyle C:/ ID Length &q - Width Z cf Vehicle Serial No. (a 2-3 Co -2— State State Identification No. )O 5(47YO 1 0J. Additional Information or Comments: �-- .- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive. — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner Al Martin Mailing Address 14040 Collidge Avenue Telephone No. San Mnrt-in, California 95J46 Contractor (Owner) Mai I Ing Address Telephone No. Building Address 258 Apache Circle Oroville, CA. 95965 aZft-,0 SJ . �cetioo Lot 211—A Unit 3 — Kelly Ride Onl A. P. No. 34 — 73 — 80 Zon ng Plannln F64s W.C. I S64(4on I Fire Dept. Fire Zone Use Permit EQA Parking Parcel 60' R/W Im Plans Declaration prov ents Bldg. Plkes Recd Parcel Approval Plans kpproval NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ ,500 SQ. FT. MINIMUM EOR MOBILES 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: License No. Classification �so?� _ BUILDING SQ. FT7 OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service- EA. ADD•L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( DWELLING OCCUP. 6 OR ADD NS. ACC. BLDGS. NEW CONSTR. /MULTI.OUTL T $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 @ $3.00 5.00 2.50 25.00 1.00 .50ea FEE FEE NON-RESID, SINGLE OUTLET CIR. Ex. OCCUR{OUTLETS OR FIXTI]RESI 50 @ 250 BAL@1 EX. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID•) EA) 2.00 Temporary service ' 10.00 Mobile Home Facilities 15.00 /-15',00 Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued 1 shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 ' spection purposes. X 0, Date Signature of Permitee or Agent Receipt No. Z S __),J o J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant MECHANICAL N#$3. PERMIT FILING FEE Heating Coo I i Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $' . 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 UBLIC WORKS By ate Bui ding permit expires Date "T' ;% NOTE: All Mateiials & Workmanshi Accordance I -' I f - with Recognized Good Pr Stall Be in and �i j I of a quality prescribed for the Specified uses Uniform Building, Plumbing & Mechanical n the P M tog- A? 1.4 A ; _ " ► N Codes the National Electrical Code. . and _ v„ham ` This set of plans and specifications MUST be kept on the job at all times and it isunlawful to 1 make any changes or alterations on same withou4 written permission from the Department of Pub. liic Works. County of Butte, .r ji The gig. Sebadk sh II be 5 ft. from /f J hes side property IIIte a d 50 ft, from the centerline of the, , permitting a axi- o j / � mum of a 2 ft, eave verhang but en irel y,Z out of all easemo -ci ! \ 1 1 I .', _ o 10 c.1 o F ^+ r f All utili located �fy �onnect ons shall be ,,'th n 4 ft, -- third utside the rear d ,. sectio�i of A ! on the left (� mobile home home. /0 si a of the mobile �v7 9 e 0,1_5 ,5.. %V f i S�So- 7 8 BUTTE COUNT BUILDING DEPARTME ,J/--- --� _ 0 , APPROVED i COUNTY OF BUTTE — DEPPcriTMEIyT OF PUBLIC WO 7 County Center Drive - Oroville, California 95965 Telephone: 53x14541 101 APPLICATION AND PERMIT or 1'A_1 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address �i0 00/,"0 • Cc vL Contractor ,C fC Mailing Address V0e}'N to-' Fireplace Total Valuation l t (. Teleph a No. Permit Fee Building Address_ 1 i A C �� 1 Plan Checking Fee &/orPenalty Permit Fee 1 1 1, l lz V I PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 t�U _73 ? A. P. No: T V Zonin &Planning Water piping 1.50 Each gas water -heater or vent 1.50 F Saa+>:aiisn f=ire Dept. 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. Pla c d I Parcel A oval I Plans oval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee ' $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service a00V OR LESS 10o AMP LESS 5.00 Single Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ -L Main service EA. ADD'L too AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. AOD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. �) 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 StyleFIXED G r &5;7e5, �t' /!l/��1� ��le NEW RESID,CONST[MULTI-OUTLET NON.RESID � BRANCH CIRCUITS) 2.50ea CIRCUITS) NEW CONST(PO ER APPARATUS 8 NON -RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXT11RES B L , AP Ex. Occup. ( OUTLETS P(RESID.)LNS REA) 2.00 Temporary service 10.00 Jd67 %4 Mobile Home Facilities 15.00 q VO y j License No. 49f Classification �O 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. 5G/jam 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 $ $ C� 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 l $ TOTAL PERMIT FEE $ �6 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ��/ ��✓ Signature of Perrnite_eorollgent Receipt No. �/,�- l/� 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 09'PIBLIC WORKS nuildinag Date��"-� permit expires Date /,Z-1 -7 r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: z4 L ,u -,d 2. Installer's name: d,L51", C ' 3. Is the site currently under permit? Yes / No r (If yes, furnish permit number ) OR •.}� 3'� , _73— b v 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 z-- No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 00 Amps 6. What is the mobilehome site service rating? ------------=-------- Q O Amps 7. What is the mobilehome site circuit breaker rating? ------------- Q 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? /tip f (ft.) 12. What is the mobilehome gas demand? ------------------------------ iv V -9.4 .f (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 If other than single wide Mobilehome Mfr. 6016,c, IVcs f furnish Setup Model No. ?e_ D� G 3 Year Width (ft.) Box Length (ft.) Tagalong or Expando Size -,0 ft. x 3 6 ft. %(SHOW SUPPORT DETAILS BELOW) fi 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. Footings (check one) �4--Tagalong or Expando, show support details. 38 -;� . (ft.)(in.) (in.) (in.) %� -- Typical Support (in.) (in.) Footing Size F4!�-U (ft.)(in.). (in.) (in.) �6l� -- Max. Pier Spacing (ft.)(in.) x 54 0 -- Max. Overhang (ft.) (in.) (in.) (in.) .(ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED *If center piers are other than drawn above,. draw in --locations, spacing, and dimensions. Single 1. Wood' either Adim Apressure treated o DA foundation grade. (ft.)(in:) (in.) in.) 02. Other (specify) Center support Center support locations* footing sizes Supports (check one) 4?1: Concrete block. W 2. Other (specify) x (ft. (in.) (in.) �4--Tagalong or Expando, show support details. 38 -;� . (ft.)(in.) (in.) (in.) %� -- Typical Support (in.) (in.) Footing Size F4!�-U (ft.)(in.). (in.) (in.) �6l� -- Max. Pier Spacing (ft.)(in.) x 54 0 -- Max. Overhang (ft.) (in.) (in.) (in.) .(ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED *If center piers are other than drawn above,. draw in --locations, spacing, and dimensions. C ❑ ❑ K ASSOCIA � am:eS:=G�lander Department of Public Works 7 County Center Drive Oroville, California 95965 :NGINEERING I ' 2060 PARK AVENUE OROVILLE. CALIFORNIA 95965 PHONE (916) 533-6457 CALIFORNIA P. E. NEVADA P. E, OREGON P. E. October 18, 1978 Re: 78551 Dear Jim: We are pleased to submit the enclosed Report on Controlled Compacted Fill for: Martin KRE Unit 3 Lot 211-A If you have any questions, please do not hesitate to call. Very truly yours, COOK ASSOCIATES G.m'iL ew Hiatt Civil Engineer LH/CAB Enclosures DR. LLOYD M. COOK ED, D. JOE E. COOK M. E. DAN J. COOK C. E. 1 06, .. Ad�'�''�'r'��rr��6�8� onnp,� IN do ��ne a sno dp 44kftg COOK ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK AVENUE OROVILLE, CALIFORNIA 93965 PHONE (916) 533.645.7 o;_:ii:. F. F c:_•t.a,7a -r. e,or.e:�or: October 18, 1978 REPORT OF CONTROLLED COMPACTED FILL PROJECT: Kelly Ridge Estates Lot 211-A, Unit 3 Martin Re: 78551 GENERAL Compacted fill was placed to provide a level mobile home site. The maximum depth of compacted fill is about two feet. This report concerns only the placing of compacted fill and is not intended as a soils investigation. DESCRIPTION OF FILL Prior to placement of compacted fill, the area to receive fill - was cleared of weeds and debris. The material used for the fill was imported to the site and consisted of gravelly silty sand. Fill was placed in loose layers about six inches in thickness and compacted by track rolling. Water was placed on the completed . portion of the fill before the placement of additional fill.. The approximate extent of the grading is shown on the attached site plan. TESTING Field density tests were taken at frequent intervals near the fill surface. A representative sample of the soil was taken to the laboratory for compaction tests. The relative density .of the fill was determined from the compaction test. DP. LLOYD b7. COCK Ery, D. J0E E. C 0 0 K M. F. - PAN J. COOK C Where density tests indicate insufficient compaction, the material was removed, replaced in layers, and compacted to the required density. The location of the field density tests are shown on the attached drawing.. The result of the test is given on the table "Summary of Tests". CONCLUSIONS Based on intermittent observation, it is concluded that the fill- was placed in an orderly and efficient manner and that the.. field density tests are representative of the fill placed. It is our opinion that all portions of the fill are compacted to . at least 90% of the maximum density, in accordance with the requirements of the County of Butte. COOK ASSOCIATES By _�✓, Lew Hiatt Civil Engineer RPL/cab SUMMARY OF TESTS PROJECT: Kelly Ridge Estates Lot 211-A;' Unit 3 Martin Re: 78551 FIELD DENSITY TESTS; Field Test Density Percent Maximum Degree o.f No. Date Elev. pcf Moisture Density Compaction Remarks 1 10-2-78. l'Fill 99 12 126. .79 Failed 2 10-5-78 l'Fill 119 15 .132 90 Retest 1- 1 10-5-78 2'Fill 114 13 126 91 COMPACTION TEST:. Maximum dry density, pcf: 132 126 Maximum size tested: 3/4" Optimum moisture, percent; 11 11 VISUAL CLASSIFICATION; Soil type:. Gravelly Silty Silty Sand S and LOT 21 1-A :_ LOCATIOWOF DENSITY EST.S -{ . UNIT 3 Nj A RT IN _ 1 l LCI '' r r , LYI 0. • 1, ��.' � }�` .! l� T a; , ... �.. /-. . is ' �• .- _.�_- —• -_ .—.... .. '_ _.. LEGEND Limit ot.Testq,d Fill. 2.. Locdtion of .: Density Tzst.. : 0 Depth - of Fit l i n ff .. �� . Fill Slopz COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION- AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING " BUILDING PERMIT TELEPHONE SO. FT. OCC. BU LDING VALUATION OWNER'S MAILING ADDRESS C 7 ACTOR'S NAVME TELEPHONE '} CONTR CTOR'S MAILING ADDRESS, l � `- t%�e ;6fl �° ' A-- r�Xt It Fire place CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE �� NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS A 00 PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. �.., / SBDIVISION NAME PARCEL MAP Uj,. Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑"' Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 _ /, // ``1 yy .-„i VEL•. /:*1.... TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation.0l Other ®-" Describe work:— 4>�')f�1� tri/ >'ttr= i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 oR LESS 100 AMP OR LESS 5.00 Main service EA- ADD'L 100 AMP 2.50 NEW CONST. ODWELING R ADDNS. �ACCLBLDGS.CCUP.y) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q-1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full�rce,and effect. License No. _� ,✓�- `2_. Classification .+/G..;: , ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do tbe•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 NON .RESID CONSTR. BRANCH CIRCUITS 2.50 Be NEW CONSTR,POWER APPARATUS S1 NON _RES ID, SINGLE OUTLET CIR. I Ex. Occup OUTLETS OR FIXTURES a @� IXED APPLNS, OR Ex. OCCup.GOUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I 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. O I 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 suchPermit provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation —+ Fee S Contractor 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. 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 consequenceTof%the granting of this permit. t� ! y ._. J X �� -'G"b Date '' s "" Si natur Applicant — Owner r Signatur'e' PP ❑ Contractor Agent ❑ An OSHA/permit is required for excavations over 510" deep and demolition or construct -jt ion of stfiuheight. over 3 stories in hei ht. Mobile Home Installation Fee $ TOTAL PERMIT FEE O� OCCUP, GROUP I TYPE OF CONST. PARCEL PD HD ssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicate above for which fees have been paid. d DIRECTOR OF PUBLIC WORKS ,e f i tf //,, B ri�li Date A�' � — C� PERMIT EXPIRES Date /7—. Receipt NO. GoG� U WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 0 6 2ib,�/" H COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 198 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-454 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE d S V R Pwe-lae- e l m BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. ?z Pool= Abg-- inlSP.t�cT n! r Inspector�`'!�� / Date—� 1-7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS /; PERMIT O. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSgR rRC/l, NUM&:,R ZONING BUILDING PERMIT ONU/D Md&I SQ/ v I TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C�A TO ' S N 291e�� ✓I / �r/ V ✓ T �.i / 7'✓� . CO 7CCT R'S M ILINr�A ESX,/, /UNKNOWN Fireplace CONSTRUCTION LEND -/,- Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING D�Rgs �J �Ci/ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO., / SUBDIIVVI�ISII0 ME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer Lawn sprinkler s stem 5.00 C V 1 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ui lities, / Installat-ion Other Describe work: /¢��/l� GtJ Permit Fee $ 0, 0.6 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR0OV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y) OR ADDNS. ACC. BLDGS. _ 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): [�a am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions ode and my license is in full rce and effect. License No. Classification ❑ 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 NNEW ON -RESIT a BRANCH CIRCTITS) 2.50 ea NEW CONST R. ( POWER APPARATUS S) NON -RES (SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES a �@ IXED APPLNS, OR Ex. QCCUp.�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I 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. IQi 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 such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3,00 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also a to save, indemnify and keep harmless the County of Butte against all li (lit' Iud Tents, sts, and enses which may in any way accrue again id Co co sequence a granting of this permit. X Date �Q "" y=� Signae pplicant — Owner ❑ Contractors Agent ❑ An 0it is required for excavations over 5'0"♦deep and demolition or construct-iiECTOA ion ofs over 3/s'torries in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 50. pU OCCUP. GROUP TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sio of the Butte County Code and/or w rk indicate above for which OF PUBLIC B PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS q p Date /D' / `O O� 7 Receipt NO. 5667t� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT