Loading...
HomeMy WebLinkAbout071-190-00571-19-5., William L. Grove 440 ( 7537 LumPkin, 71-19-05 MIS LumpR:i'n Rd. a Rd Feather Falls ,app.Gold ermit#112-88A AArir Flake Bar stlivestock al BldR '5 8;: 7 7-P.,'E (u t i�. 9 �MH) 'Permit -A 4 _of']-ive , st ock usage) 196yaa, �-7 c UP, WT_STRUCTTAE''`PMQ: �o °COMPACTION TEST REQ.. 71 -:19 -15 - Permit #549-7-7MRI I I Issued loft% COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 . i .a 11 AGRICULTURAL BUILDING EXEMPTION PERMIT P IT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING /r27 S OWNER PHONE NO. OWNER'S ADDRESST. 7,53 3 S 9, C LOCATION OF BUILDING � 7 4 � Ae_ �/ //s `� 1�'d. r a r o x Te m /ze P_ Fro.>^ -1-i c 100 .y,, l USE OF BUILDING . / l—[ �. LL �c r i 7 u SIZE OF STRUCTURE J X _ 1600 SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME —.X_STEEL CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVE NG L FLOOR TYPE E ESTIMATED COST OF CONSTRUCTION $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: � � FRONT SIDES REAR 4 O AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1.000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome;,and 23 feet from a commercial building. . AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date l�_ �� _ Signature of Owner Permit Fee - $25.00 Receipt No. 2.7 5 3 1. The above described AG Building is exempt from a building permit. Director of Public Works By. Date l�%r� White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant b . c. 1�7.Y�"fv.?"'�,• `Y '�~ F 1' A i(� '�t�'%�'V.!`j'!.'4 �',�t1� ` ��' 1. COUNTY OF BUTTE - DEPARTME OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE OR2,VI4�E, CALIFORNIA 95985 - TELEPHONE: 916/538-7541 ' PERMIT APPLICATION DATA SHEET Permit No. OWNER (t )� I l i:a� �T' a V �°_ A. P. No. —7 ' 1 _ O 05 Proposed Building Use �4 XIf- 'An4/,QALI y Building Inspector le e. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and1or issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. , 3. Complete plans in duplicate. /triplicate, signed by preparer of plans, ` 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings.` 8. Fees of $b 9. i Letter of signature authorization. 10. Sanitation approval from Health Dept. t 11. Planning approval for (A) Use: (B) Parking: 12. Certificate;,(# Workmen's Compensation Insurance. . . . . . +� 13. Contractor's License Information (no., name style, classif.) Y 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for Required. Pre-Inspec. request to " (Date) Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement, 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses;rn.duplicate (required prior to plan check). 22, Ci1A FEES RECEIPT db When you issue the permit, process as follows: Mail to owner, Mail to contractor. I e p h o n e 533 541 Oy and hold for pickup at tQ office, Deliver w/inspector. nthPr Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2, Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nall—counter by date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP;fdlder- 'Copy—DPW NOTE:—All Mate:iols &., Workmanship Shvll Be In h This set of plans and spec;cations ROUST. Z Accordance vhT$" *Recognized Good Prac'ri,.es a,d kept on the io'� at or tames and it is unlawful •kb I m e an changes or hltemti4ns on some withoui of a quality prescribed for the Specified use in. The artranent o Public Un' iform Cuildi% Plumbing & Mechanical Godes and r written permission from the Dep fhe Na~ional Electrical- Code. Works, County of Butte. =a \ A J fhAW Sgfback shall be s ft. from the side property line and 50 if. from. the centerline of the road, permr�ting a.rnaxi- �• mum of a 2 ft. *eve overhang but entirely out of all easements. BUTTE COUNTY-, , BUILDING DEPARTMENT APPIROVED COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number - for the following location:�'�> �. Owner - Owner's Address Mobilehome Mfg. Model Year Insignia No % ! ' Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Direct' of Public Works,.- Date orks.--Date iPg' By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED t� PERMIT'NO.—_+_;5G•8--77P,E ' PERMIT EXPIRES 'Grove : OWNER William L. - _ - _ _; CONTR. owner • 71-19-5 LOCATION .(A.P. ) - W/S Lumpkin Rd.,'app:1 mi: above Gold Flake Bar, # rovil'. O ; 9f IT Temp. Power Pole x y ;a. Called PG&E .. �. - Temp. Elec. Serv. b Called PG&E + + Temp. Gas Serv. A. Called PG&E ti - t ' 'JOB FINALED R' (Dat§6 C e Ive '• (Signature) III COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING A BUILDING (Cont'd) PLUMBING belVaCk F ewall SoXI Piping For Pakpets 1 t Floor Mal'k Bldg. Rest om Finish 2n Floor Jr Fo_. tin s Windo 3rd oor Stem all Siding To out Slab Roof Sheallbina Water Pi I ' f+ Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwall �� Garage Vents Insulation Water Htr. Heaters Slab F Carport Footings Prov. for physical handica ed Conformance of ex. structure V Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio REP ACE Final Footinos Fnntina Fi CTR1�` Bond Beam FIRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Subpanels/ Mesh MECHANICAL Grd. Fa t Prot. Scra h Heatl Servic BrqAn _ Coo ng Te/ho. Pole InPrior Lath ntllation ermanent oLr Closer Inal inal MOBILEHOMEUTILITIES ------------------ Elec- Service L 7 �C96 A Elec. Pedestal Water Piping .;X_ Sewer Gas Piping BI ME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage 7 Gas Piping DAT _, _/g) "% % REMARKS OR CORRECTIONS pti0 wl,�.� g -a c•>.�cL, CG6 SS 78 Ccs i_A L /,z(-OC,4;PF_ c�plL l .CSS k Std dura i )eiL 4 Ccs�. cam 7_0 uJ�x P - F r/ iT/1v4s ;:6/L )ODAaDa47 y� 14) L 2" o (NOTE: An entry must be made on this form each time you visit the job site.) J�f ' ..� a 'MQBT!,EH0M ' INSTALLA' IMI INSPECTION- CHECK• LIST 1. Is the. mobilehomt.located w'.�ai .r.equired separation from lot lines and' buildings and generally conform to plot plan? Yes2. 2. noes; the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footin,s and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec, 5 2 & 5083) Yes _ No_ 4. Is the mobilehome le .7 Yes ' vel (Sec. 5088) No+ 5. more than a single unit, are crossover connections properly installed? (Sec. 5088) -01; I' s_ No - 5, o5. Water ' A. Is fle ;-)le connector of adequate size and properly installed (1/2" ID min,)? (Sec. 5566) Y'es W •No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No Backflow - If coach is not State of California approved, does station have backflow device /1—and pressure -relief valve? Yes_ No r ti 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each .end? esti < B. Does it have minimum per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after runnin 3 allons of water through each fixture including washing machine standpipe? Yes No k./'AL-coach is not State of California approved, does station have required trap and vent? ` I - es 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 mobile me gas- fine inlet without reductions other than the mobilehome connector. Yes_JZ No B. TestOK as per following procedure? Yes_ Ydo I�. OOpen all appliance connector valves. 2! Shut off appliance burner and pilon valves:, ` ', �• C. :i�Ir 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. r- Connect: gas meter to mobilehome with connector, turn, on gas, test connections with soapy water. Are all appliance vents properly installed?''Yes l! No . A 'a. a. Electrical A. Is service large. enaugli to provide- adequat-_e amperage to mobilehome. (must equal rating of mobi_lellome with a-,An.0-:um of I amp) and other faciliti_c!s on lot, i.e., writer pumps, gaga -e, cabana, etc.:,' Yes No B Is they--� proper clearances around panels? Yes 4,No C. Is power supply cord or feeder assembly properly fused? Yes - hc,— D. 'Is /continuity test satisfactory as per the following procedure? `aY'es �No _ ,Y De -energize electrical wiring, system of the mobilehome at the pedestal` &/Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3..�Swi.tch all breakers and switches in the mobilehome to the "on" position. � 4,.,—ConneC17 one lead of a test instrument to the mobilehome grounding conductor and , , _, , _ , apply the oiuer Icau %U eaca riiuu'itCUUiite SlipPly cuCtuuct0' , ilii iiillYrg YL0�1L'rdl. 11 nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuityfrom such equipment and the grounding conductor. Upon completion of: the above procedure, the power supply cord or feeder assembly conductors shad be connected to the site service equipment. A further continuity te.�:t shall then be made between the grounding electrode and the chassis of the rroi)ilehome.. Upon saL-i_sfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. Is j-ob card signed by health Department for water and. sanitation? ll.. If everything ol:ay, sign off card and ta.- services. MOBILi:iTUML DATA Manufacturer and/or Namestyle W I I�� � Z Ler.gtli.- 5-�5- Width Vehicle Serial No. State Identif.icat:E.on No. 12-7 _ ARILtional Informat=ion or Cormnents: 3 --1*'7 ) 7-F S oi-1 'Ti€SI' d raot-inf�s s�ag0 .4S P�4 O oILY77411Y 6,4S-PeltM/7, � 7;F57— Lc/� �iAov D s� AMP Wk 6 b, i COUNTY 0'P BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner 6rou e SQ. FT. OCC. BUILDING VALUATION Mailing Address �6� r SO � Tele h� e N Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ Building Address ka t4PLUMBING (A 111a N0.1 @ FEE PERMIT FILING FEE $3.00 x,00 Each Trap 1.50 ' Repair drainage or vent piping 1.50 Water piping 1.50 (,,Up Zontng Verifica!15P Onll Each gas water heater or vent 1.50 A. P. N — ! ZO " Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. Fire Dept. Fire Zone Use Permit Building sewer 5.00 (�,� EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 I n lec'd Parcel Approval Plansproval Permit Fee $ Z .'70 $ NEW ❑ ADDITION ❑ UTILITIES$0 OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,rya Main serviceOR LESS 5.00 5,0Y0 100 AMP OR LESS _100 T Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGLING OCCUP. &) 2,tsgft 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 le of: style Ex. Occup(OUTLETS OR FIXTURES) BAL� Ex. Occup. FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 .Ja License No. Classification Misc. Wiring 6.25 VN I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ,Z,6 0 $ (o 1 ,f 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. Pt1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ ,S authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. V X Date " �' 7 Signature of Permitee Agent -51 Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisio s of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 BLIC WORKS By Date?--&� 411ng permit expires Date 7--9-- 7'r r • NOTE. --All Materials & Wok rkmanship Shall Be in Accordance with Recognized Good Pra6ices Grsd This set of plans as MUST be �. w kept -on the job at alt times sand it is wilnwfk4! 4,,-) of a quality i;rescribed for the Specified : ia�� in "r h, i. make any chrincges or altera+inns on same vjith'hu} Uniform Building, Plumbing & Mechanical Codes and .,written permission from the Departrament P of � b16 the Ncional Electrical Code. .wr Works, County of Butte. Septic system and. location to be as per " • Butte County Health Dept. Re- quirements. • �� �0 SEPf tC. 'I ANI< aired for the Bi J� 77 it will th m,obilehome� K 5°�ca�e.4. Ei.ie. �` pallatior,'of . All utility connections shall be l cn 0 Q+i.�C located within 4 ft. outside the rear �o��a third section of i•he. mobile home ' on the left (road) side of the mobile U�U.L hom.Qe. ' Qa T ..Setback shall be 5 ft. from the side property !!no and 50 ft. from the centerline of tl:e road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. BUTTS .000NTY BUILDING DE?ARTN4rNT APPROVED COUNTY OF BUTTE ' C:EPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 a APPLICATION AND PERMIT /l Owner Vi A A, CSI/ O'lte Mailing Address 16141 Ju,,IVA may, Contractor �� A Mai I i ng Address Building Address Telephone No. Telephone No. e* 1n A. P. No. �-/— 1q_,,5,- Zoning & Planning Fees C. Fire Dept. Fire Zone Use Permit EQA - I Parking Plans Parcel Parcel Ma I 60' R/W I Improvements Plans Declaration P p ovements _ BUILDING - \ SQ. FT. I 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 $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE T11*L.Affi Parc royalI P1eIis Approval Permit Fee $ $ ' NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 J Main service 100v OR LESS 100 AMP OR LESS 5•00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home g Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00 NEW LING O OR ADDNST ( ACCLB DGS.CCUP. &\ 2¢sq ft / NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS.&I 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 le of: style Ex. Occup(OUTLETS OR FIXTURES) 109 Ex. Occup. FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 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 FeeLAJ $ 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. !� 1 certify that in the performance of the work for which this` JOU 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 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. moi( Date.2— H 7% Signature of Per►mmiitee o Agent Receipt No. 1-5-6` //9 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant O/Zt& 30' CJo TOTAL PERMIT FEE Is -,3d 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 aid. DIRECTOR P BLIC WORKS By Date,_3 —/ 6 - 7� uilding permit expires Date �'�� ' i - 4\ MOBILEHOME SUPPORT DATA Mobilehome Mfr iXs 5 '� �^/� �� Setup Model No. Year Width % (ft.) , Length S .S�' (ft.) EkpandoSize ft.x ft., (Draw support details below). On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). *If center piers are other than drawn above, draw in locations, spacing,,and dimensions. Footings (check one) /K/ V. -Wood either pressure treated or fdn. grade. f�x2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support Footing Size i ii 717 _ 1 Max. Pier Spacing Max. A&OJ Overhang in._). BUTTE COUNTY BUILDING DEPARTMENT PROVED 1161 9 T smom onand =0 '1d34 u"na d0 ;x11(100 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owners name: 2. Installer's name: S 3. Is the site currently under permit? Yes No ( If yes, furnish permit number OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will*the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify ) 5. What is the mobilehome electrical rating? -----------------0-1- -- J © Amps 6. What is the mobilehome site service rating? -------------------- _ �(� Amps IJ------- 7. What is the mobilehome site circuit breaker rating? ----% S 1 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes /X/ No / / (If yes, identify the load and size: l PP %�ct,y/� (Load) 20 (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- f�� (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ----------------------- ----- t f( ) (This information not required if pipe length less than 6 ft. on -natural gas or less than 50 ft. on LPG.) a�R� COUNTY OF BUTTE —' DEPARTMENT OF PUBLIC WORKS 7;7/ 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. —7 X ;R� Cwlzi}2 Date Signature of(rP_ermitee or Agent Receipt No. % 1n0 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 / Al Date �7 permit expires Date YA&_ - BUILDING Owner ` Q 0 e- SQ. FT. OCC. BUILDING VALUATION Mailing Address 4 Telephone No. Fireplace Contractor W rN If Total Valuation Mai I ing Address Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ Building Address G&tl�% PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 (T IpC,� �L/�l��r Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 / �y�! r A. P. No. 77 J Zoning & Planning Gas piping system 1 - 5 outlets Vic? / Each additional outlet .30 Fe9&4W-E. FireDept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg,-L:I.aa.c-Reed Parcel Approval Plans Approval Permit Fee $ ( $ NEW ❑ ADDITION ❑ J)TILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 A00V (0-11 OR Main service 100 AMP ORSLESS 5.00 AY �+ e% 7 J Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. OR ADDNST ( ACCLBLDGS.DWELING CCUP. &) 22sgft NEW CONSTR. MULTI.OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR 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 st le of: y Ex. Occup(OUTLETS OR FIXTURES) 50 BAL� Ex. Occu FIXED APP LN S. OR P•(OUTLETS (REST D.1 EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 91 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 TOTAL PERMIT FEE $ I /3 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. —7 X ;R� Cwlzi}2 Date Signature of(rP_ermitee or Agent Receipt No. % 1n0 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 / Al Date �7 permit expires Date YA&_ -