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071-430-004
71-35-4 Austin M. Tipton NIS Boys Ranch Rd., app.3/4 mi.S.of Bal Rock Rd., Bald Rock Permit #5442-78P,E(ut l'.,MH) i ! ELEC . _3 SUPPORT STRUCTURE REQ. COMPACTION TEST REQ. 71J4 contr:Lincoln=Village MH erv., Oro. Permit #1061-82MHI 7 ' to / Issued �j 1-04 3 01-89P TIPTON, Leroy , 278 Hidden Springs Rd, Oroville (gas piping/MH) .13071-430-004 PERMIT#94-2157 TIPTON, LEROY ;- Iu I? 5 E1 278 HIDDEN -SPRINGS RD., OROVILLE RETAGE -ELE --SER TRAVEL -,TRAILER' r t 071-430-004 . P ERMIT#94-2157 TIPTON, LEROY 278'HIDDEN SPRINGS RD.,-OROVILLE. ,RETAGE ELE SER TRAVEL TRAILER OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By D COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916)'538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING i BUIL ING PERMIT OWN' , ROY TIPMN TELEPHONE SQ. FT. OCC. BUILDING VALUATION owNEY M^11 OR 126, BERRY CREEK CA 95916 CONTRACTOR'S NAME VWNM TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS\RUCTION LENDER WE UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH$,&i ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty S euaDI278 11DDEN SPRINGS ROADy OROVII,LE PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome 13 Other MVM TRAILER SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W 20 •CO TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 16 Installation ❑ Other 1:1Contractor Describework: TAG EI..ECTRIC SERVICE (PREVIOUS T.T. WAS PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 RfflOVED APPROX. 2 YEARS AGO) 111 OFl LESS Main Service ( 2OOA0RLESS ) 23.00 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( & ACC. BLDS. ) S0. 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 111/1, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B20 @ 1.00 Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. El I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE S Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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. I 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 c nsequence of,.the s�ranting of this permit. X ��/�'; l.�\� Datd.,iJl Y .x /`I / 7 Signature of Applicant O Ower D Contractor O Agent An OSHA permit is requirid for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43 00 HAZ. 1 0. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicatedbove for which fees have been paid. DIREO'TO OF PUBLIC WORKS B1 Date IfReceipt PERMIT EXPIRES ON , /� / r !Date/ 167261 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541_� E MIT NO. APPLICATIO�MAND PERMIT ASSESSOR PARCEL NUMBER 071-0n—nu ZONING U BUI DING PERMIT OWNTEROY TIPTON TELEPHONE SQ. FT. OCC. BUILDING VALUATION .-NEI? M�IUINRE�.426, BERRY CREEK CA 95916 IMUJ 1 CONTR� �1 EE TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.pp Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 278 HIDDEN SPRINGS ROAD OROVILLE PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other TRAVEL TRAILER SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New 1:1Addition ❑ Remodel ElUtilities D Installation ❑ Other ElContractor Describework: TAG ELECTRIC SERVICE (PREVIOUS T.T. WAS PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 REMOVED APPROX. 2 YEARS AGO) Main Service ( 200A OR LESS ) 23.00 23.0011 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. I & ACC. BLDS. ) so. 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed underrovisions of Chapter 9, Division 3 of the Business and P P Professions Code and my license is in full force and effect. cense No. Classification I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET NON -REBID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .so Ex. Occup. I FIXED APPWS. OR OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a certificate of Consent to Self -insure. shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 43.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 c nsequence of a ting f this permit. X Dat& t -.JG r ae /L17 SignatLWe of Ap cant - ❑ O er Contractor ❑ Agent An OSHA permit is requir d for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee I $ Energy Inspection Fee I $ GCC CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES IMP I FLOOD 17PARC7 HD ISS This permit is hereby issued under of the Butte County Code and/or indicate a ove for which fees have DIR O OF PU By PERMIT EXPIRES ON the applicable provisions Resolutions to do work een paid. WORKS Date !De tel 167261 Receipt WHITE-D.D.CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNT OV BUTTE Department of Dev67on'ment Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) b� 2. I (have/have not) C)67 signed an application for a building permit for the proposed work. 3. I have contracted with Name Address Phone person (firm) to provide the proposed construction: City Contractor's License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name .4�J X1 Address `/ City Phone Contractor's License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed NOTE: Property Owner Social Security Date \ / 4,U 0 This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. , o COMPLAINANT ADDRESS: PHONE NUMBER: OTHER COMMENTS: N� A.t. {:.1i�Ra�s� 4 CVllyi r 4i Ft �:F +.s � � s L r" u MA" Y 'vlfw`"�i�w�:�v`.tµti3m::: Y` r����Ucg •••i44�rR��` r278Hidden 3 01-89P Leroy Springs Rd, Oroville ing/MH) e 5-117 C. W 9a, a r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ,.11.,_ County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 � APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER J ZONI BUILDING PERMIT OWNER��- ^ �' ` o i/ f TELEPHONE 5 31-32/ SO. FT. OCC, BUILDING VALUATION OWNER'S M LI G ADOREa04 1 P'), �- 12 CO N TR TOR'5 NAME / ` ( Wl1G/ TELE HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS j /�069��//vis d. } Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF F1Duplex❑ Mobilehome❑ Otherafe .► SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S W I I 10.00e /a t�J TYPE OF WORK r� New ❑ Addition ❑ Remodei ❑ Utilities IJ Installation ❑ Other Describe work: �� k -t �ar��� ✓�►-�-- _ Permit Fee $ pv Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): + F -1f I 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 El 1, as the owner, or my employees with wages as their sone compen- sation, will do the work,and the structure is not intendedlor offered for sale. (Sec. 7044) x ® 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 CONST. / DWELLING R OCCUP.&\ '/zQsgft OACDNS, l ACC. BLDGS. / NEW CONSTR. MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occu o tDOsot p UTLETS OR FIXTURES SAL030 Ex. OCCUp. FIXED _ OUTLETS (RESID )REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 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. 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. MECHANICAL PERMIT FiIingFee 10.00 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I 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 s id Countyiip consequence of the granting of this permit. /, X Date Signature of Applicant — Owner El Contractor ❑ 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 $ Energy Inspection Fee $ occ iTOTAL CONST TYPE FEE $ �.�� • v HAz CUA PARK SCHL ELD PAR PD HD Issu This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work,.,,.indicated above -for which fees have been paid. // '-I DIRECTORIOF PUBOC�WORKS r BY �W/wA �/ 0" ate PERMIT EXPIRES Date ± Receipt No. !J �y U WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 '{ 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307. CORRECTION NOTICE OWNE-9 PERMIT NO. 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. 0 Inspector. /�/ Date / /� 7/ / COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERMIT NO/ e 7 County Center Drive - Oroville, Cali�ornia 95965 -Telephone: 916/538-7541DD� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERZONIy� "? — G� V— _86 6 BUILDING PERMIT ,. OWNER ' ovt TELEPHONE sB4 -37/ SO. FT. OCC. BUILDING VALUATION OWNER'S M LI G ADORE I c CO TR TOR'S NAME 6 fTELE HONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS aZ g �o i �S Permit fee $ PLUMBING PERMITFiling Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF F1Duplex❑ Mobilehome❑ Other t/ 041 ��, Io SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea. 1J. ego TYPE OF WORK New Addition❑ Remodel❑ UtilitiesInstallation❑ Other Describe work: �g ,e ZIP 11 a_-- �� CZf , , a Permit Fee $ o� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 my license is in full force 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 th(Sece owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.!! CC. BLDGS. ) New CONSTR.(A , h¢sgft MULTI -OUTLET NON.RESID R BANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®e0Q eALO 30 FIXED APLNS. EX. Occup. OUTLETS (PRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 d , I — Permit Fee $ 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 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 shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin g 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 agree to save, indemnify and keep harmless the County of Butte against and expenses which may in any way accrue all liabilities, judgments, costs�ethe against mid Count con e,quenting of this permit. %� � `r �a. Date / �,q Signature of Applicant — Owner ❑ Contractor ❑ 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 $ Energy Inspection Fee $ occ CONST TYPE AL TOTAL FEE $ HAZ CUA PARK FLD PAR JPDJHDJ Issu This permit is hereby issued under sions of the Butte County Code and/or work I ated above fo whieD DIR F PUORKS ZA i PER EXPIRES Date the applicable provi- resolutions to do have been paid. e Receipt No. /SI00 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT J r , rar t Y#. _ r —RZr: {� �' •ll ..ryw -+iin" ;�; 2 4 t%- V% r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 4:_ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFOANIF; 95965 - TELEPHONE: 916/538-7541 r' l PERMIT APPOCATION DATA SHEET i .� Permit No. OWNER �i�9 7-c> t-_ A. P..No. 3 .S - o c/ Proposed Building Use4, Building Inspector Date 6(�8�i At time of permit application, I was advised the following data, must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED ('� f" 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. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout-iriduplicate (required prior to plan check) 9. Mobilehome installation data including'm'anufacturer's installation instructions........................................................ 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... ertificate of Workmans Compensation Insurance .............. 3. Owner -Builder Verification (Given to owner ❑, Mail to owner . 24. Recorded copy of Agricultural Acknowledgment Statement ......... + 25. Letter of signature authorization ................................... SI 26. 27. t; When you issue the permit, process as follows:.;' Mail to owner. Mail to contractor. w p,<'� Telephone and hold for pickup at.. office. Deliver w/inspector. Other NY i- 16/' pl icant c�- (_3' L� / �J Date Copy of plans sent Health Dept., Fire Dept., —Other—Date / The following data must be submitted prior to permit issuance: (Circle new.11tem not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—Lone--mai I counter by .date Contractor, designer, owner, was advised of above required data by—/ phone —mai l_counter by date Plans checked by -,Date Plans approved by Date rf � Sets of plans on hold in . File cabinet AP folder Copy—DPW y COUNTY OF BUTTE Department of Public Works 7 County Center Drive, Or.oville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) _ t4 2. I (have/have not) N� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name -- Address City Phone Contractors License No. 4...,J plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5.. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work ' Signed: Property Owner A, Social Security Nu a ,5 — Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 198.32 of the California Health and Safety Code. This verification must be completed'and returned to our office before we are per- mitted to issue the permit. -7/- 3 S v� ;.i f Lg, L T '� r'�ri+.r Ai, fj 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 of the California Administrative Code; Title 25, Ch number 11Y-�- k-' for the following location: A/0S with the requirements toter 5. under hermit Owner Au,-S7//V T/ f'TIJ�✓ Owner's Address �/� Q1�%t 7 b C-.. 51 /.. Mobilehome Mfg.�1 t- Modeled ' Year Insignia No.0 4L 6-142— Serial No. It is hereby certified for occupancy at the above described location and may be occupied. DateBy Director of Public Works / THIS CERTIFICATE IS VOID WHEN MOBILEHOME-IS, •RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. t PERMIT NO. f 1061-82MHI(exis. site) PERMIT EXPI1. REST OWNER Austin Tipton 1�.. CONTR. Lincoln Village Mobile Homes', Oroville ASSESSOR PARCEL 71-35-4 LOCATION NIS Hidlan Springs Rd., app.7/10 mi. off Rockerfeller Rd., Bald Rock Temp. Power Pole Called PG&E ? ,Q' Temp. Elec. Service . V ,5- D--- Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) f Signature • e a J = OK 0 = Not'OK =Not Applicable MOBILEHOMES' ' = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, E°TC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails v 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood:Awn.; Posts—Beams—Rftrs.—Connec.—Shtfig.—Rig.—Bracing. - 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. 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 MOBIL OME INSTALLATION (Plans) OK ex t N's Date POOLS (Plans) OK except N's oning Requirements—setb s—Eas ents 1. Setbacks—Easements a!�otings; Si e—Spacing-101—tagr I: ... G 2. Soils; Compaction—Structure Stability Ga Test—De —Valve—co ctor 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. EI icity; MH — —Cle ces 4, Elec.; Receptacles and Lighting; Distances—GFI rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ater; MH Test—Regulator—Connector '6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Con —C o Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. G nd Electricit gged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit '9. Exits; Insp.—Sketch tGe-Cre—rt. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B- ates� and -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 0 U J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., 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. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 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/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 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 Date Card -BI Date ELECTRICAL Permit OK except k's 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 1 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. 71. Plb., Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails & Deck Construction -Post Caps 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 At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑Yes E] No; Walks E3 Yes El No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 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 p's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. 85. Gas Test -Meters Tagged; Gas -Electric Water & Sewer Connected -C/O to Grade -HD Approval 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 Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. 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-Rflr. Ties-Purlin-Roof Brac.-Truss-Shthng.-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 Framing11 (NOTE:Anentrymust be made each time you visit jobsite) �. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APP'LICATJON AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S TNG ADDRESS CONT ACTOR�'S�yrAME , h an, v► ( Lague AL -a' C1 J. TELEPHONE CONTRACTOR'S MAILING ADDRESS � Q wi CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ - O a Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD NG ADD ESS %Jl� S /e/ %�U PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 ,A7-J,,b e6?4�� Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECT FY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UEJInstalla on / Describe work:_ — r�.l ZrL_ //.�./1 � J�4 u%]L Z 797 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov DR LESS 100 AMP OR LESS 5.00 S!_V Main service/EA. ADD'L 100 AMP 2.50 NEW CONS. OR ADDNST l ACCLBLDGS.DWELING CCUP.y� 20sgft - CONTRACTORS LICENSE LAW I declare u penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Cod and license is in full rc a "d effect. License No. Classification ❑ I, as the owner, or my a ployees 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 CONSTRI. OUT LET NON-RESID BRANCH CIRC TS 2.50ea NEW CONSTR (POWER APPARATUS &I NON-RESID.SINGLE OUTLET CIR. / 50 @ 25C Ex. Occup OUTLETS OR FIXTURES BAL�1os FIXED APPLNS. OR EX. OCCUp.�OUT LETS (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. ve 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 shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3,00 Ventilation Permit 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. I also agree to save, indemnify and keep -harmless the County of Butte against s, judgments, costs, and expenses �t���nwhich may in any way ac rue County in conseg0e thg of this pe it. gisDate kapplica - Owner ❑ Contractor @;--'Xg_entEY An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storie in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Sp- 0C) OCCUP. GROUP I TYPE OF CONST. PARCEL PD I ND I ISS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for wh' h OfR06 T R OF BLIC By PERMIT EXPIRES Dat the applicable provi- resolutions to do fees have been paid. WORKS Date - L f Receipt No. ((� / WHITE-D.P.W.. YELLOW -ASSESSOR. PIN INSPECTOR, GOLDENROD -APPLICANT MOBILEHOME SUPPORT DATA I£ other than single wider-� Setup No. Cid Year ®� Mobilehome Mfr., furnish Model c7C. Width-(ft.)"'Box Length�g(ft.) Tagalong or Expando Size ^�..ft. x eft. (SHOW SUPPORT DETAILS BELOW) On all•mobilehomes manufactured after October 7,.1973; furnish manufacturer's instillation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehom unless otherwise specified, r Footings (check one) Single. Wood either_ pressure treated or foundation grade. (f .)(in:) x (i .) (in:) 2. Other (specify) Cente support loc tions* C nter support f oting sizes Supporta (check one) Concrete block.' Ej 2: Other' (specify) x (ft.) in..) Gn. (in.) <----Tagalong or Expando,' show support details. (ft.)(inj (in.) (in. x -- Typical Support (in,) in.) Footing Size X/ (ft.)(i .) .(in.) (in.) -- Max. Pier Spacing Max. Overhang (in.)oil (LL_ft._)(in.�) BUM COUNT BUILDING DEPARTMEN APPROVED *If center piers are other than drawn above, ___draw_ in -locations,_ spacing, and dimensions. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS :. 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: �i/✓ / �� 2. Instal.ler's' name: /'/1N h/ tN)eo I LLn-aL ?���� Li Aoy?,� 3. Is the site currently under permit? Yeb No 7,TK7. (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,f C No (If no, clarify ) (This information not required if pipe length less than 6 ft. on natural gas or less than`50 ft. on LPG.) 5. What is the mobilehome electrical rating? ----------------------- U� Amps 6. What is the mobilehome site service rating? --------------------- OC Amps 7.. What is the mobilehome site circuit breaker rating? ------------- �.C�} Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (I£ yes, identify the load and size: (Load) (Amps) (in.) 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? 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than`50 ft. on LPG.) i a f'- PERMIT NO. 5�F42-78�LF _ PERMIT EXPIRES ----���` i OWNER Austin M. Teton CONTR. owner 71==35-4 LOCATION (A.P. ) G N/S Boys Ra Rd., a .3 k Rd.; o i' f 6 � ( Temp. ower Pol Iled PG&E Te P. Elea Seru Called PG&E ,/Called Gas Serv. Called PG&E JOB / FINALED C Kelnt. SteelI Final /1 Fixtures Bond Bea FIRE SPRINKILEAS I Motors stucco Final Sub anel Mesh MECHANICAL Grd. FaIdIt Prot. Scrajth X Eentilation Servi, B n T p. Pole nish der round 1 erior Lath Wermanent oor CloserN MOBILEHOME UTILITIES ------------------ Elec_ Service - p �%-(-'����� Elec. Pedestal Water Piping l/ -r - 7 -ffW Sewer (- 1- '� �/� Gas Piping 70 _ BILEH )ME INSTALLATION --- - - - - - - - - - - - Support _ Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS O ORRE - IONS (NOTE: An entry must be made on this form each time you vislt the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback likewall Soil Piping rms Pa ets 1st Floor 14pin Bldg. Rest om Finish Nnd Floor ootin s Windo Floor S mwaiI , Siding Too , Sla• Roof Shealbing Water Nping Piers Roofing N Garage Fdn. Vents tlx Footin StemwaI I t Garage Vents Insulation tr. res Heaters Slab Carport Car p Footings / , Prov. for phsica handicaped Conformance of ex. structure J& Appliances Gas Piping& Te Tem . Gas Slab Final Sanitation Patio IRE ACE Final Footings / Footina J, I EffFrTMI-AI Kelnt. SteelI Final /1 Fixtures Bond Bea FIRE SPRINKILEAS I Motors stucco Final Sub anel Mesh MECHANICAL Grd. FaIdIt Prot. Scrajth X Eentilation Servi, B n T p. Pole nish der round 1 erior Lath Wermanent oor CloserN MOBILEHOME UTILITIES ------------------ Elec_ Service - p �%-(-'����� Elec. Pedestal Water Piping l/ -r - 7 -ffW Sewer (- 1- '� �/� Gas Piping 70 _ BILEH )ME INSTALLATION --- - - - - - - - - - - - Support _ Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS O ORRE - IONS (NOTE: An entry must be made on this form each time you vislt the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Tel epfione: °534-4541 APPLICATION AND PERMIT authorize representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. X �i��-GL1�- Date Sign ure of Pe'rmite or Agent Receipt No. Ig�,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 been paid. IREC R OF PU06LIC WORKS D '"� 70 By �Z Date Building permit expires Date �� -249 BUILDING Owner At�S774) A4 T/ P7-0&1SQ. FT. OCC. BUILDING VALUATION Mailing Address 733 S?--+/gew Yl- AkllSme 04 T l�h—e7w6 Contractorf Mailing Address Fireplace Valuation Telephone No.Total Permit Fee Building Address �GyS ��� /-D. Plan Checking Fee&/or Penalty Permit Fee APP. S, or k3m_D PLUMBING No. @ FEE n1/j/ lou'/_ P , PERMIT FILING FEE $3.00 n Each Trap 1.50 Zoning Verification Onlaj��,��d jGK Repair drainage or vent piping 1.50 A. P. No. !%�'-,� '" i7" l-- Zoning & lanning Water piping 1.50 Q�DD Each gas water heater or vent 1.50 Fp< I &,--.. S ion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 ,LD EQA Parking Parcel Plans Declaration Parcel Ma 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 /000 Bldg. Plan ec'd orcel proval Plans Approval Lawn sprinkler System 2.00 NEW ❑ ADDITION ❑ UTILITIESY OTHER ❑ Permit Fee $ 3100.$ 3 10 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. AOD'L 100 AMP 2.50 2,50 Main service 0100 AVERMs0ovPOR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW OR ADDNST C ACCDWE•BLOGS.LING CCUP. 9) 22sgft 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: %) TLET NEW RESIO.CONSTBRANCHMULTI.OCIRCU NON-RESID ` BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTIIRES B LM Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities License No. Classification Misc. Wiring 6.25 U p 7-03 ALP Z00 coI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ JL Z 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. ❑1 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 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 42:00 Hood 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 $ p'LS-oO TOTAL PERMIT FEE 71 $ g� authorize representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. X �i��-GL1�- Date Sign ure of Pe'rmite or Agent Receipt No. Ig�,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 been paid. IREC R OF PU06LIC WORKS D '"� 70 By �Z Date Building permit expires Date �� -249 e NOTE. --All" Oafe'ri;ls & Workmanship Shall Be in Accordance* wjKh,,Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Mechanical Codes and the National Electrical Code. This -set of plans and specifications MUST be kept on the job at'all times and it is unlawful to make --any changes or' alterations onsame withbui written permission from the Department oCPub- lit Works, County of Butte, _LAA t I - i0l- All utility to rineeflons Shall ba located wifhi-i 4*. outside the re&, third section of the mobile home" on the left (road) side of,the mobile home, MIH- TheWg.'SOback Shall. be 5 4. from the side prbp'6rty line and 50 f -. from the centerline of the road, permiting a maxi. mum of a 2 ft. eave overhang fbut entirely out of afl easements. -A 0 � o Septic system and locationmoon 'o"W" 1 to p@P}a Butte CounfyHealth. perst.. Ile quirements, ;izo q J BUTTE COUNT' -BUILDING DEPARTM A' D LATr1_P R 0 V P I/1 Fj Assessor's Map No. 71- 43 County of Butte, CO *EVISED: 1-92, 17)-02. 71-34 6 74-53i t