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HomeMy WebLinkAbout071-300-01371-30-13 �2k i jos�eonard Boman �a 33 a.fpr:i.d:irt rd. ,a . Rock ! PP• mi y oint R;i.,app.2 mi. Enter- prise Rd., @Launch ramp, Feather Falls P�rmit' #1756-S1S,E(util.';MH) ELEC. �-/ 8/ 20S 20A GAS 6—/-,9/ SUPPORT STRUCTURE HEQ,_ COMPACTION TEST IE2, Contr : Bon }Bile Home Er e Permit#3-81MHI 1 Issued_ fo � �� N I y J ,J Y s E J I 71-30-13 �2k i jos�eonard Boman �a 33 a.fpr:i.d:irt rd. ,a . Rock ! PP• mi y oint R;i.,app.2 mi. Enter- prise Rd., @Launch ramp, Feather Falls P�rmit' #1756-S1S,E(util.';MH) ELEC. �-/ 8/ 20S 20A GAS 6—/-,9/ SUPPORT STRUCTURE HEQ,_ COMPACTION TEST IE2, Contr : Bon }Bile Home Er e Permit#3-81MHI 1 Issued_ fo � �� N I y J ,J 71-30-13 �2k i jos�eonard Boman �a 33 a.fpr:i.d:irt rd. ,a . Rock ! PP• mi y oint R;i.,app.2 mi. Enter- prise Rd., @Launch ramp, Feather Falls P�rmit' #1756-S1S,E(util.';MH) ELEC. �-/ 8/ 20S 20A GAS 6—/-,9/ SUPPORT STRUCTURE HEQ,_ COMPACTION TEST IE2, Contr : Bon }Bile Home Er e Permit#3-81MHI 1 Issued_ fo � �� N RV AA Nz -2D23-r/ PERMIT NO. PERMIT EXPIRES OWNER Leonard'Brown CONTR. owner ASSESSOR PARCEL 71-30-13 LOCATION @ end of pri.dirt rd.,app.k mi.E.of'Rocky Pt.Rd.,app.k m N/Enterprise Rd.,@ launch ramp, Feather Falls ft Temp. Power Pole— Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Servi Cal led PG& JOB 171 ED (Date) `� �" �/ Signature. ,.' r = OK O = Not OK =Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready 4 ., Date MOBILEHOME UTILITIES (Plans) OK except N's —+--•iolfing Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors IS—Sewer; Location—Test—Fall-C/0—Concrete „ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; Location—Test—Easement Needed,(Sketch) 4, Wood Awn:; Posts—Beams—Rfirs.—Connec.—Shthg.—Rfg.—Bracing ectricity; Location—Clearances—Grnd.— Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures aas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/5-7/"L"ft./ y/"LPG 6. Carports; Windows—Doors Utility Clearance _ 7. Elec. Card -BI Date l 7 Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s ing Requirements—Setbacks—Easements 1. Setbacks—Easements F Ings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GF] 5 r; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed er ajwl Sewer Con cted—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater nd Elect ' y Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit Exits; Insp.—Sketch Cert. of Occupancy 9. Health Department Approval 1c��2 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date 77 J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK exce tk's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except p's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails ---- 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. 73. Insulation -Foam -Looked in Attic [J Yes Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 75, Following instld.: Drive ❑ Yes E] No; Walks E3 Yes [3 No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77. Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. 84. _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _v 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ _33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - ------ Card -BI Date Card -BI Date Card -BI -_ Date _ _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Comments at Final: _ _ 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ 41.. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. _ Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. Inspector / 1 Date �� /¢ 0 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 4_z AYE R-Q/- BUILDINd 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. 'fir-GGI.��L,/� �Y /��y i1.J IK.L��✓ �h� .C'�iC r 1J , C" ,. Inspector � Date u 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 121-14 i - a1 for the following location: A" s -c'- Owner Owner's Address l��-*'J%'' Mobilehome Mfg. �� Model x ' Year 77 Insignia No. el '50 V `�?! Serial No. It is hereby certified for occupancy at the above described location and may be occupied. !% Director of Public Works Date�� !�•� / �� By j F THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. r COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS <PERMIT NO. / 7 County Center Drive - Oroville, CaliYornia 95965 - Telephone 916/534-45 1 APPLICATION AND PERMIT ASSESSOR PARCEL NU �fR . _30-/3 ZONING Fe -_5 BUILDING PERMIT OwpK7 ep ^�wjAjV TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CO TR Af,TOR'S NAMEH ,� ^, �/� (n/N S' /V- /y/�J'-�IV�/�j�/7-- LEPHONE 33 8�0 �% �6� / 6 FZ R•5 t.�,,41 LING ADDRESS /`/✓" • ' / ,/�`C�f= J U Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 1&'10 Penalty $ ARCHITECT OR ENGINEER' MAILING ADDRESS Permit fee $ B LDIN ADDRESS , fep.. 4W 41M/. E IvFk20 PLUMBING PERMIT Filing Fee 10.00 F 'ev. App. Z /Li/, /v e2% EN7EeP,elsgg Each Trap 2.00 . Repair drainage or vent piping 5.00 Z-ftA) 2~0 Water piping LOT NO. 11SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[]Mobilehome�ther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK ,- , New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation a Other ❑ Describe work: '"O4 :4�L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 5.00 Main service EA_ ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.N) OR ADDNS. 1 ACC. BLDGS. / 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. / y License No. ��5�`� Classification c `�� ❑ 1, 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 NEW CONSTR I -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS D� NON.RESID, (SINGLE OUTLET CIR. 5o@2ft Ex. Occup OUTLETS OR FIXTURES BAL@1 IXED APP LHS. OR EX. Occup.�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. ❑ 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 such provisions or this permit shal I 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. 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 sajig CouV in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor Q Agent ❑ An OSHA permit is required for excavations over 5'0'• deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 50.00 �`, TOTAL PERMIT FEE $ 6j 1,�-o occuP. GROUP I TYPE OF CONST. PARCEL PD ND ssu� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DiREI:160OF PUBLIC By _ PER EXPIRES Date1 the applicable provi- resolutions to do fees have been paid. WORKS Date �3- 7 — 5/ 1 a Receipt No. ' WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. PA GRI Ic"I A furnish Setup Model No. Year Width -0 (ft.) Box Length `7`�' (ft.) _Tagalong or Expando Size ft.,x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Fooiinks (check ,one) '56,pP-iJL;6? pah Single- '❑--1 Wood either pressure treated or foundation grade. IZ x3�. (ft.)(in:) (in.) (in.) El2. Other: (specify) Center support locations* Center support footing sizes '. Supporta (check one) (in.) �1, Concrete block. L.— x ❑ .2 : Other. ( specify) • (ft.)(in.) (in.) (in.) v 4—Tagalong or Expando,' , show support details. (ft.)(in.) (in.) (in.) j, X 'o -- Typical Support (in.) (in.) Footing Size ZXPx3 0 (ft.)(in.) (in.) (in.) _ '' -- Max. Pier Spacing IZx3 v -- Max. Overhang (ft.)l(in.) (in.) (in.) (ft.)(in.) 20 Z3—�sl BUTTS COUNTY BUILDING DEPARTMEN` AP.PROV6D *If center piers are other than drawn above, draw in locations, spacing,. and dimensions. 0 BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 1.,`_D,0AR_J P-OUDA,) 2. Installer's name: &AA 4o t<- 3. Is the site currently under permit? Yet 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? ----------------------- Amps F6. 10. What is What is the mobilehome site service rating? ----�1-4r Z� Amps 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/ / (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? 10. What is the type of gas service? ----------------------------- Natural/ / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 57 (ft.) 12. What is the mobilehome gas demand? ------------------------------ / :Z% 19 0 0 (BTU) (This inform ation not required if pipe length less than 6 ft..on nat4al gas or less than 50 ft. on LPG.) 4k . ` COUNTY OF BUTTE"= DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, Cahfornia 2965 - Telephone 916/534-454 — ' APPLICATION AND PERMIT 6_47 ASSESSOR PAR L=BOER / ZG- i ✓L— BUILDING PERMI OWNER L EONA 2D 131ZmA% TELEPHON SO. FT. OCC. BUILDING VALUATION OWNER'S MAIL ApDRESS 1VE r �/�,/ W 2 �/AI W,2 JSS /WVluE C CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee / q $ /O- CO Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUI G DRESSPLUMBING @Eit/> of P,e/. Luer PERMIT Filing Fee 10.00 L 101/2 M/. APP '/' ti1/Lc r OF r4z& PT ,eD, APR. Each Trap 2.00 Repair drainage or vent piping 5.00 N Ot �NT�epe/SE QD. 42? JQJ,1)6f4 rAkIp. FE C2 Water piping Ov LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets /Q, tv USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome iv Other SPECIFY Building sewer /0,00 Lawn sprinkler system 5.00 -TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Instal lation ❑ Other ❑ Describe work: Penult Fee $„.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR 00 AMP ORSLESS 5.00 9-00 Main service EA. ADD'L 100 AMP 2.50 , Sb NEW CONST. \ DWELLING OCCUP.EI) OR ADDNS. ACC. BLDGS. 20 sq fit CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 0 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- tion, will do the work,and the structure is not intended or offered or sale. (Sec. 7044) 11 I, a's the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) [] I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR /POWER APPARATUS NON-RESID. \SINGLE OUTLET CIR. e1 / Do @ 250 Ex. Occup OUTTS OR FIXTURES BAL@100 IED Ex. Occup. OUTLETS P(RESID.IREA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /,6: VO Misc. Wiring 7.50 r `� rJ� _ Permit Fee $ 3 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 �f Consent to Self -Insure. 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 such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor 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 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 consequence of the granting of this permit. X Date % Signature of Applicant — Owner El Contractor ❑ Agent El An OSHA permit is required for excavations over 5'0” deep and demolition or construct- ion of structures over 3 stories in heig t. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ $ 3• S� OCCUP. GROUP I TYPE or CONST. I PARCEL PD V I 1;J ISSUE This permit is hereby issued under sions of th tte County Code and/or work in 'cafe above or which REC R OF PUBLIC By PER EXPI ES the applicable provi- resolutions to do fees have been paid. WORKS Date J Receipt No.IL93 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT This set of _plaOs and specifications MUST b@ kept on the io at all times and �t is unlrawful to mc�',ce any ch ages ori altErryi ions on yarn©wltho� written permission from the'Deparfinent of Publid Works, ounty of Butte. El � G+ 48 Iq ., a o w 1-f `RIOT E: --All Materials . �ccor dance & W Of a qualit. with Recognized rkmanshiP Shall uniform 8 Y Prescribed f P . the Nationald►ng plu or fhe Sood ractices�® Plumb- pec►fied and Electrical Code, and Codes he 331+.`L and tility connections shall be — ithtn 4 ft. of the mobilehome, eith r directly behind or within the rear half of the roadside (left) of e mobilehome. A permifi ill be required for the setback AD ft. from th% installatio of the mobilehome. roperty lines and a setback f 450f t. from the road enterline shall be clear of tructures or equipment eXCOpt r a 2 ft. save overhdng-- BUTTE COUNTY 3 BUILDING DEPARTMENT. J-, APPROVED