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HomeMy WebLinkAbout069-220-011Oro R dge Prop ties (� 26 Skipper Ct lot 20 Permit # 0 76P,E(uti��3' Oroville ELEC. - GAS SUPPORTJSTRUCTURE REQ, COMPACTNN TEST REQ; MEWOWNER -- - - CiARLE_S� IAR_T_ / Contr: Lon's MH Ser, Sacto --Permit-#6 C)ON6MHI Issued__ con-t-r A-mira-I-Awn ings, Sa to• Permit X6749-76B(new dec & 2 awning � � Permit ��59 77B,E n s Ps 1 ✓a1� �.,, M L a. 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS -Y7 COUNTY CENTER DRIVE CERTIFICATE -0F OCCUPANCY This mobilehome has been installed in accordance with the of the California Administrative Code, Title 25, Chapter 5, number4;OO (0^ 7 for the following location: 7" requirements under permit Owner C"54XI ) i /1—NIZ 7— Owner's Owner's Address xz- Mobilehome Mfg. —EX/7--/ X. Model -24 4 f/ year Insignia No.C'At 0/6 22 2 C A. W4-2—. ) Serial No. (,3/-�> It is hereby certified for occupancy at the above described location ai4 may be occupied. - Director -of Public Works Date'9 .7 B Y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED L �.G Ala - ,PERMIT NO. 5801-76P,E ° PERMIT EXPIRES /49 y OWNER Oro Ridge Properties t; �CONTR. owner a rLOCATION (A.P. 34-74-11 ) +,>..26 Skipper Ct., lot 270, KRO , Qeoville ti ,RI 9i A Temp. Power Pole Called PG&E y Temp. Elea Serv. —k--74 C)IIed PG&E A&W-. Gas Serv. CaIIedA2QA@H- _� "1 ayllq�' C14 l.. &S JOB H U FINALED�'j-� '� / ( ) C (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD . BUILDING BUILDING (Cont'd) PLUMBING Setback Forms Main Bldg. Footings Stemwal I Slab Piers -a-/- Firewall Soil Piping Parapets 1st Floor Stemwa I I Slab Carport Footings Slab Patio Footinas Reinf. Ste4 Bond Bean Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer Restroom Finish Windows Sidirig Roof Sheathing Roofing Fdn. Vents Garage Vents Insulation Prov. for phsically handicaooed Conformance of ex. FIREPLACE Footing Throat 2nd Floor Fixtures 3rd Floor Motors Topout Water Htr. Water -Piping L Cr - Z ) - ?�-& Sewer L.O -zJ -7 L Fixtures Service Water Htr. Temp. Pole Heaters Underground Appliances Permanent Gas Piping & Test /Q' - Temp. Gas Sanitation Final % -%� ELECTRICAL Final 1 Fixtures FIRE SPRI LERS Motors Test V Water Htr. Final Subpanels __... VMECH-A AL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent Final Final DAT �a I -REMARKS OR CORRECTIONS RP -o AE P- :5;4pcam,,. /A/57;F,gm or-- .2X �� R It) G' F,X �A �!� p R-% e0A,-,1C c-15 A. /. 42z- 7 76 r�b W4 74,t P� �� 47- � 17, 4.F- IA15-T OF, 7 gym IAIS r I (NOTE: An entry must be made on this form each time you visit the job site.) lam?/A/76 Vis. ' •4 9. Electrical A. Is service large enoiigl. to provide adequate ampc?rage to mobilcltome (must equal rating of Tllobi_lehorie cAtli J. :lt1ClU!iU1n100 amp) and other facilities on lot, i.e., water pumps, .,:mage, cabn.na, ett. YcsY\ No_ � b 7T. /�-7-�'G. Ti-l.[T�" /�.(A dt-- l;. Is ther.-� proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? YesX No D. Is ontinuity test satisfactory as per the following procedure? Yes Xs No De -energize electrical wiring system of the mobilehome at the pedestal. �'Z. Dlalce sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected: 1,3X -Switch all breakers and switches in the mobilehome to the "on" position. 4V_11, Connect one 1 -:ad of a test ins trument.to the mobilehome grounding conductor and •, ,. , Fil}' tt�c "oi.i�.�' a.�ad to each riio' "ehofl-1, siippiy coYiu�ictG'r, llitilitg Freui'rSl. A1.1 non-current, carrying metal' -par . ts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from C/o ich 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 te;;t shall then be made between L.he grounding electrode and the chassis of the mobk1ehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. ;' Is Job card si-ned by health Department for water and sanitation? b . If everytliing okay, sign off card and t.a; services. MOBTLi;ilUML•' DATA Manufacturer and/or Namestyle ��i� Y � � /-���YJ,� �r✓ s JfV (t_, "Length 4 Z Width �> Li k-y_PdgA1DZ),, IV X• l co Vehicle Serial No. State Identif. icat:i..on No. 64-1. 0 /6 1 C%4� b 14 P&I,i_tional Info-nnat9on or Cornments: i•i013L,I?Ii0,',IE INS'I'ALLA'1'lOk4 INSPECTION CHECK LIST 1. Is the mobilehome located wi.!.h required separation from lot lines and buildings and generally conform to plot plan? Y(!s i\ No 2, Docs ,thE! m )bil.ehome have .required clearances above ground? (Sec.5085) YesA No 3. Are foot.i.n,s and supports properly sized, spaced, and braced as per approved plans? (Note possible varication at spring shackles.) (Sec, 5082 & 5083) Yes No A. Is the mobilehome level.? (Sec. 5088) Yes K No� 6. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes-2�—No 5. ` Water A. Is flexible 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? YesX No ..ttC. Backflow - If coach is not State of California approved, does station have backflow device PV" 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? Yeszl--,No B. Does it have minimum ." per foot slope and is it properly supported? YesX No C. Are any leaks detected in drainage system after runnin-gallons 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? OYes— 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? YesX No J� Open all appliance connector -valves. Shut off appliance,burner-and pilot valves. 11 Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. Connect gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes -X No V J . COUNTY OF BUTTE 7 County Center Driv Telep APPLICA DEPARTMENT OF PUBLIC WOR S 6006-176 e — Uroville, California 95965 hone: 534-4541 TION ,AND PERMIT ..1y...... er.onee or ragenr / /�Y-5 g �7 Date Receipt No.III p White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date n BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace ContractorTotal Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty o. Telepho36;L-120 0 Permit Fee $ tl Building Address sZK" PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning $ Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Parcel Declaration Parcel Ma P 60' R/W Im P rovement Lawn sprinkler system 2.00 �Planss Bldg. PI sSf s Recd Pa.cel A " o�ol Plans royal Permit Fee $ N W ❑ ADDITI N ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 60 Main service 00 AMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR A.D.S. ACC. BLDGS. ) 22Sgft 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�- � 7 `%Z )_'L O�(/ Ex. Occup(OUTLETS OR FIXTURES)@L�0( BAL�1 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. CP -9/9 / 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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit F e $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County OrdinancesOTAL 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. % ate _/ZZ PERMIT FEE $ Q 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 bee paid. � DIRECTOR PUBLIC WORKS ..1y...... er.onee or ragenr / /�Y-5 g �7 Date Receipt No.III p White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Building permit expires Date n BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Y. 1. Owner's name:. 2. Installer's name: 3. Is the site currently under permit? Yes/ No: (If yes, furnish permit number OR .t 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, aw y from septic tank and leach fields and (If yes, identify the load and size: (Load), (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the. type of gas service. ----------------------------- Natural LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) / / / . clear of all setbacks and easements? Yes No (If no, clarify ) 5. What is the mobilehome electrical rating? ---------------- ------- /00 fps.., •, 6. What is the mobilehome site service rating? --------------- -e-___ Amps, 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required ifpipe length less than 6 ft. on natural gas .or less -than 50 ft. on LPG.) 7. What is the mobilehome site circuit breaker rating?----------�-- Amps.�'. 8. Is there any other electric load to be served by the mobilehome --------------------------------------------------- site service? Yes No /y / 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required ifpipe length less than 6 ft. on natural gas .or less -than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA ��f�� '/ Mobilehome Mfr. Setup Model No. �-3��`t`%0Y ar Width (ft.) Length (ft.) Ekpando Size /0 ft.x ft. (Draw supp rt details below) Oniallmobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not .on .file with the County of Butte). Single - Footings - (check, one) Center/Center Support SuppoTt Footing Sizes Locations (in.) Vin".J�y3n. J in •(in.)(in.) 4 � zn. `off/ 3ls (in.) (in.) t_ e :� ft. ' in. �� . � , (in.X •) �t *If center piers are other than drawn above, draw in locations, spacing, and dimensions. 1. Wood. either pressure treated or fdn.. grade. 2. Concrete pad. O / 3. Other,: specify I Supports (check one) 1 — 1. Concrete block 2. Concrete piers 3. Steel piers I l� 4. Other, specify �. I Typical Support Footing Size i )Max. Pier _0 0 Spacing t. in. 1 _ i a - Overhang ink BUTTE COUNTY BUILDING DEPARTMENT APPROVED Y •• .� a .. � . �. #; 4..-�y COUNTY OF BUTTE' DEPA_ RTM�ENT OF PUBLIC WORKS r 7 County Ctnter Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property f inspection purposes. X too Signature o Per ee or Agent Receipt No. - 9 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 een paid. DIRECTO 0 PUBLIC WORKS BY Date /0- zC- 7 uilding permit expires Date ��' — ? BUILDING Owner aTZp Z/��c-' /zOP c SQ. FT. OCC. BUILDING VALUATION Mailing Address 4-0 Tele hone No. Fireplace Contractor 4041=2 A7Total Valuation Mailing Address Permit Fee P I an Checki ng Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING @ FEE —No.1 PERMIT FILING FEE $3.00 x.00 /� (-i,�s, Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1:559- /a. 0 0 sm A. P. No. �� r i Zoning -$,.-Pi ening Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.5U a . 00 additional outlet .30 Fe W. 0 Fire Dept. F, re Use Permit Building sewer 5.00 0. � EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements_Lawn sprinkler system 2.00 Bldg.Plans Recd Parcel A pp a Plan pproval Permit Fee $ X3.00 $ 3T 0C NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 0 0 Main service V OR LES 100 AMP ORS SLESS 5.00 5-,490 Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service �00EAMP oR LESS 25.00 Main service EA. ADD•L too AMP 1.00 - • PM NEW OR ADDNS. ( ACCLBLDGS.DWELING CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS & NON•RESID. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(ouTLETS OR FIXTURES) 500254 Ex. Occu FIXED APPLNS, 'OR P•(OUTLETS (RESID,) EA) 2•�� Temporary service 10.00 Mobile Home Facilities 15.00 yr• 0 0 License No. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 2 JQ $ 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 cWo kmen's Compensation Insurance. ertify that in the performance of the work for which this perm(t is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ —77 authorize representatives of the county of Butte to enter upon the above-mentioned property f inspection purposes. X too Signature o Per ee or Agent Receipt No. - 9 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 een paid. DIRECTO 0 PUBLIC WORKS BY Date /0- zC- 7 uilding permit expires Date ��' — ? Ac;: Shall' --rdlance wilt Be I'm .GT" a. G-01od' Pracl,icos and h Uniform Eu%'dinart0 [vile- us n the the National Ei"ecfl-j- c-fa--ical Codes and cal Code. -56 7-,6A C7< LOT 270 UNIT 3 /Z, 7- kep rhj, sef Or 0,'7 plons, Nj7ao �, o " -4j 0" VVOrks,17 'r Us T -9 '0f!�) 4.A Aje 49,3 o", - 1 '7,5 " fy 0 uCoi �171n, L'Pol-e-t-t, 0017� Of P"L,-f Nit r 0 0 FA All utility connec I shall be located wi?hin 4 ft. do fh third section o -F .13 e rear mobile home �� " ` pon the left C (road)Sid of the mobile home. X 0, ?D - -eQ2. 0 16 0-60 126 /Z -5-0. 0 a'. - L The Jj%,ScfL'c'_k Sh fit. from side pron c;"d 50 ft. from the p=niilfing a maxi- - mum of a 2 j _,ve overhang but entirely out of all easements. Cc><-11gME COUNTY PUILDING DEPARTM'100T joe3'/t LP _PA ;7. 7� t. .NOTE:—All Materials & Workmanship Sball Be in -Accordance with Recognized Good Practices and LOT 270 UNIT 3 7— of a qualrry prescrived for the Specified use in the ke . /S $ ' ' . : _� / Uniform Building, Plumbing & Mechanical Codes :amd pt et of h® dVation l Electrical. Code. a� tge , w , e a ° � �"/' o'ns OP 1)70 COvnty'°f ��t� %v_,� e 00 ° B thy. ,°S ¢ %s &N, oop0' mesh a t / oe 7✓ o• °f pob/%t ' J FACI t, Cj V Cy �� 'k k X11 ti �0). oINC' The - C.' shaff 6e 5 Tit. from the sig; perfy line and 50 .4..f1:oin f�?' line ;r., e peY.'jiii finq a rnvxi- tC � mum of a 2 . ea e overhang Nast er;- ireiy out of all easements. PERMIT NO. l 59-77B,E PERMIT EXPIRES OWNER Charles Hart CONTR. owner LOCATION (A.P. 34-74-11 y, 26 Skipper Ct. lot 270,KR#3, Orovi lie .. ;l9 ;1 w. • Temp. Power Pole Called PG&E Temp. El6c. Serv. Called PG&E Temp. Gas Serv. Called PG&E OB C, FINA LED ' (Date) . 1 ( ignature) v COUNTY OF. BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback,! — 4;2 Firewall f Soil Piping 'Forms , Para ets 1st Floor Main Bldg. Temo. Gas Restroom Finish y 2nd Flo r Footings Final Windows 3rd Floor Stemwal l �� /` �� SidingTo out Slab -- �- Roof Sheaths Water Pi in Piers Subpanels Roofing ` Sewer Garage Service Fdn. Vents Fixtures Footings Stemwal l Under roun Garage Vents Insulation Water Htr. Heaters Slab Carport Final / oZ Prov. for physically handicapped Conformance of ex. Appliances Gas Piping Test Footings Slab Patio Footings Masonry Walls Reinf. Steel Mesh Scratch Brown Finish Interior Latl Door Closer I DA TE structure Temo. Gas �' ) Sanitation _Final FIREPLACE Final Footing—EL Throat Rough 7 Final Fixtures FIRE SPRINKLERS Motors Test I Water Htr. Final Subpanels MEC NICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Under roun Ventilation Permanent Final Final / oZ OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) L ' f. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive" —'� U ivii-le, California 95965 / .y 7 Telephone: 534-4541 APPLICATION -AND PERMIT .cFe cii.oiivaa V. L116wII ULY UI Duue tv tinier upon me above-mentioned property for inspection purposes. _ Z Date _/ 7Z 7 ignature o/P�emitteee or Agent Receipt No. 3, 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' DIRECTOR OF P IIC WORKS By Date / _ ? — Bu ding permit expires Date % 7J> BUILDING Owner e SQ. FT. OCC. BUILDING VALUATION Mailing Address 5 ct- r Oro U 'e Telephone No. Fireplace ContractorTotal Valuation . c9 o Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address Sk PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 (�O ! 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. i`� / Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. FireDept. Firezone Use Permit Building sewer 5.00 EQA Parkin Pal Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval I PI Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEEPERMIT FILING FEE $3.00 Main service 1000 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others LI -N OVR 600V Main service 100E EAMP OR LESS 25.00 Main serviceNEW CONS./ EA. ADD'L 100 AMP 1.00 OR ADDNST (ACCLB LDGS.0 &) 20sgft Q � NEW CONSTR. MULTI.OUTLE NON-RESID. (BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON -RES,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: Ex. Occup(OUTLETS OR FIXTURES) @2-109 Ex. Occup. ( OUT ETS ((RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Q $ 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 em p employ y an y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ .cFe cii.oiivaa V. L116wII ULY UI Duue tv tinier upon me above-mentioned property for inspection purposes. _ Z Date _/ 7Z 7 ignature o/P�emitteee or Agent Receipt No. 3, 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' DIRECTOR OF P IIC WORKS By Date / _ ? — Bu ding permit expires Date % 7J> ERMIT NO. 6749-76B r< tit PERMIT EXPIRES * ' - DOWNER Charles Hart a E' &CONTR. Admiral -Awnings, Sacramento .LOCATION (A.P. 34-74-11 � 261Sldpper Ct., lot 270, KR#3; Oroville a . . 1{i. 4 �I{ - ,% t M' hQ Y E �r Temp. P� wer Pole Called PG&E f Tem 61ec. Serv. alled PG&E q' T mp. Gas Serv. Called PG&E ` i JOB— jt FINALED { (Date) ` (Signature) .4 . J t Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwal I Slab COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION, RECORD BUILDING BUILDING (Cont'd) PLUMBING -5-5 F. Slab Patio Footings isonry Walls . rewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidina To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents .Insulation Water Htr. Heaters Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & T Temp. Gas Final — Sanitation o FIREPLACE Final L .' to Relnf. Steel Final Fixtures Bond Beam FIRE SPRAKLERS Motors Framing Test Water Htr. Stucco Final A Subpanels Mesh MECHNQICAL Grd. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole Finish Ducts 1 UndergrourA Interior Lath Ventilation ` Permane Door Closer Final Final DATE / ` 7d REMARKS OR CORRECTIONS' p fit/,sPliG k 0-A4L� Foil- �$'-f2f�il?- ekpin � (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 Dcive —,, Oroville, California 95965 l/� 7%� Telephone: 534.-4541 7` APPLICATION AND PERMIT BUILDING Owner %,' SQ. FT. OCC. BUILDING VALUATION Mai l i ng Address Contractor ZIA Mailing Address Building Address .� P— _ if•71 f].r . i A. P. No.3 7� Zoning Fire Zone Fire Dept. SaniTlttrb � Plannint Plans Fees W. C. R/W Encroachment NEW LJ ADDITION ❑ OTHER ❑ I a - USE OF STRUCTURE Single Family ❑ Duplex ❑ Others .CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of alifornia Business & Professions Code under the name style of* C r 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 incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, dryer or water heater Oven, Cook -top or space heater Light fixtures Receps., switches & fix outlets r Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Misc. wirina License No.Classification o--% i ❑ i am exempt from the Contractors License Laws of the State of California. 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. F I have placed on file with the County of Butte a certificate of �l 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. 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 m nt'oned property for inspection purposes. X Date Signatt e of ermitee or Agent Receipt No. 15(/�.T _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant FEE $2.00 1.50 1.50 1.50 1.50 1.50 .50 5.00 2.00 Permit Fee - $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Coo I i Ventilation 3 2--G�) Permit Fee $ $ SntatetFee tation rogram $ for Strpng Motion srumen$0.07/ 1000 Evaluation $ I TOTAL PERMIT FEE $ 3� 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 ByDate 7% Building Permit Expires Date C �• � - Y