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HomeMy WebLinkAbout072-100-00272-10-2y Armond DellaMggiore E/S pri:dirt rd.,app.400'N.of Wakefield dr., app.3 0 mi.W.of Feathervale Dr., 0roville y74*11.21 Z ©/'? Y I Permit #641-78P,E(util. MH') C ELEC._) � // �g /CYJ�l�rcTP -� GAS / �i `���00- ._,._ SUPPORT STRUCTURE REQ. &J) COMPACTION TESTREQ.A/Q •.��i714 i lz-a/ /Y' 72-10-02 Contr : Oroville Trailer Sales ermit #7114-78E (add' 1 e.le)...MH. eo%W /;Z�p�7� 72-10-02 D.er.mit #7139-78P-.(-g.as.__line-)__MH_-_ 72-10-2 Contr: Oroville Trailer Sales Permit ##6967-78MHI swell 7wmNlmr�7 PERMIT NO. 6418-78P,E APER ondl Dela Maggiore OWNER onner CONTR. 72-10-2 LOCATION (A.P. E/S pri.dirt rd.,app.400'No.of Wakefield RX Dr., app.3/10 mi.W, of Feathervale Dr., Orov ille 3 , R 4 l f� j • r C _ } Temp. Power Pole Called PGI-olE Temp. Elec Serv. -% Caled PG&E Gas Serv. c Called PG&E /17i JOB/ F FINALED L (Date) (Sig A t e) COUNTY OF BUTTE — DEPARTMENT OF JPUBLIC WORKS �! ^--�► BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING ioacK FI ewall §pII Piping FliIrms Par ets 1st Floor aln Bldg. Rest om Finish d Floor Footin s Windo s A Floor emwaII Siding To o SI b Roof Shekthino Water king Pies Roofing Sewer Gara a Fdn. Vents Fixtures Footin s Stemwal Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov, for phsic ly handicapped Conformance of ex. structure Appliances Gas PI in & Tes Temp. Gas Slab Final Sanitation Patio AIR LACE Final Footings Footing ELECTR AL Relnf. Steel Final z I Fixtures Bond Beam FIRE SPRINKLENRS I Motors T Mesh MECHANICAL Gird. fault Prot. ScratA eat Ser ce Bron ID o Ing emp. Pole F ish is Under round In rior Lath entilation Permanent or Closer nal Final MOBILEHOME UTILITIES ---- -- - • - - - • - - - - - Elec. 'Service -20,0 t Z 11— 7 Elec. Pedestal 1-61J,4 7 Water Piping Sewer _ �_7Ad Gas Piping fV 674e ME INSTALLATION - - - - - - - - - - . • .. Water Piping C3 - Support ` Drainage Elec. Continuity Gas Piping DATE REMARKS OR CORRECTIONS - �l zoo a4 s • )0 04 (NOTE: An entry must be made on this form each time you visit the job site.) .COUNTY OF.6UxT7E.u" 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^15, •under permit number ++ '772 for the following location: _ fir' zll;.,rla.:%..��.. Owners' Owner's Address-✓1�'Ii:fr+",` V Mobilehome Mfg. F �a� Model' 4t. Yearn Insignia No. f �'fg�� 77T'17?,,CS �j � Serial No.7210 14 t✓ J It is hereby certified for occupancy at the above described location and may be occupied. ,• (� Director of Public Works Date /" /7K' g y THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 9. Electrical A. Is service large enough to provide .A'adequate 'amperage=td.mobilehome (must equal -rating of- mobilehome ,with a minimum of 100 amp) and ;other facilities on lot, i.e.,, water~pumps, garage, cabana, etc.? Yes No .B. Is there proper clearances around panels? Yes No ,C. Is power supply cord or feeder -assembly properly fused? Yes 1=lNo D. Is continuity test satisfactory as per the following.procedure? Yes No 1. De -energize electrical wiring system of:the mobilehome at the ped al. 2. Make sure -that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a-testTinstrurnent "to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts'of the'Mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from sucWequipmerit and the --grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly 1 conductors -shall be connected to the site service equipment. A -further continuity test, shall then be made between the grounding electrode and the chassis•of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health -.Department for water and sanitation? 11.1f everything okay, sign off card and tag'%services. _J MOBILEHONIE DATA Manufacturer,and/or Namestyle Length ,�. W idth / T Vehicle Serial No. *7ZL9 9 State Identification No./���/ Additional Information or Comments: MOBILEHOME"INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wi required separation from lot lines and buildings and generally conform to plot plan? Yes_ No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes" No 3. Are footings and supports properly sized, spaced,' and braced as er approved plans? (Note possible variation at spring shackles.) (Secy. 5082 & 5083) Yes_ No 11 4. Is the mobilehome level? (Sec. 5088) yes_ No 5. If mor; than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water " A. Is fle le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No_ B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes ��. No C. Backflow - If coach is not State of California p es station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. 'Is connection made with Schedule 40,DWV and have flex connectors at each end? Yes No B. Does it have minimum '" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after running 3-VIlons of water through each fixture including washing machine standpipe?'..Yes No D. If coach is not State of California a r vel!,- station have required trap and vent? Yes_ No_� 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas -'su'p'ply with an approved 3/4" minimum mobilehome. connect "r not more than 6 ft. long? Note: All piping is to be at least,as large as the mob7home gas line inlet without reductions other than the mobilehome �\ \ connector. Yes No ZN9" . Test OK as per following procedure? Yes 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. ` C. Are all appliance vents properly installed? Yes No ' T COUNTY OF BUTTE DEPAR.TANT OF PUBLIC WORKS �7 (4unty Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner _6b IDEUTA. "C-[ 7 L? IO e-Iff Mailing Address Contractor 400y Mailing Address /71, 4049t1la-6 Building Address e ephone No. ARI. ,blP- 27ir. A -A?, ADD /, /t0 DJ 14 a� A. P. No. 1 —/0 -2- Zoning &Planning F W Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im rovem is Plans Declaration p p Bldg. P ns IRec'd Parproval P4es Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER f #/ J44, 4 /,WY - Single Family ❑ Duplex ❑ Mobil Home L'7 Others ❑ _ BUILDING SO. FT. OCC. I BUILDING VALUATION FirepYace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER soov 100 AMP OR LESS $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 $3.00 FEE FEE ❑I cer.ify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of 1 Hood 1 1 2.00 California.. IPermit 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 representativesy County of Butte to enter upon the above-mentioned pr ert for insp ction purposes. Date Sign ure o( Per iteehor A ent Receipt No. IB6,6"2� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant L / $ 30 a -e) TOTAL PERMIT FEE $ �� This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE 0 F PUBLIC WORKS 11ding Date/ Z- -� Z.- 7�7 permit expires Date � Main service EA. ADD'L 100 AMP NEW CONST. / DWELLING OCCUP. S OR ADDNS. % ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of the State of ifornia Bu i ess & P fessions Code ridIthname style o rc �- NEW CONSTR (MULTI -OUTLET NON.RESI D. BRANCH CIRCUITS NEW CONSTR. (POWER APPARATUS.8 NON.RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRE: FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA Temporary service Mobile Home Facilities License No. ©� Classification '- e � Misc. Wiring ❑ I am ex--mpt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Work s Compensation. ave placed on file with the County of Butte a certificate of Workruen's Compensation Insurance. PERMIT FILING FEE Heating Cooling $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 $3.00 FEE FEE ❑I cer.ify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of 1 Hood 1 1 2.00 California.. IPermit 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 representativesy County of Butte to enter upon the above-mentioned pr ert for insp ction purposes. Date Sign ure o( Per iteehor A ent Receipt No. IB6,6"2� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant L / $ 30 a -e) TOTAL PERMIT FEE $ �� This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE 0 F PUBLIC WORKS 11ding Date/ Z- -� Z.- 7�7 permit expires Date � Owner Ap 0/L] ,D� Mailing Address 908 i Contractor Mai I i ng Address COUNTY OF BUTTE �DEJARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,nom A5LC.A A4447 C /02e IA/s2 9,5-61(05 =�73 Telephone No. Building Address 615 PRI , D127-Qj), APP 400 A), of W4A�E FIELD b R. , APP, 3ho A-11, 'VII. OF r647VE,_ l/gLE P)O. / t�i40 lLLG- A. P. No. 7Z-/ 0, — OZ Zoning�_Pla nl F slt San Ire Dept. FireZone Use Permit EQA I Parking I Parcel 60' R/W I Improvements Plans Declarat' p ovements Bldg. Planilli"IT-ec'd Pa a val A Pla n Z.Al rp"roval NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ BUILDING SO. FT. I OCC. I BUILDING VALUATI Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600v 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADONS, DWELLING OCCUP. S ACC, BLDGS. NEW CONSTR. IMULTI.OUTL T Ex, OCCU131OUTLETS OR FIXTURE Ex. Occup ( FIXED APPLNS. OR OUTLETS (RESID,) EF Temporary service Mobile Home Facilities Misc. Wiring License No. Classification am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE 1 am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. f $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 2.00 10.00 15.00 6.25 $3.00 FEE FEE i 0o 10C :5, Co $ P, 3 1 aD FEE Wcertify that In the performance o the work for which this Ventilation ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. 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 aws relati building construction, and hereby authorresentati es th Count of Butte to enter upon the abo - ti ed pro erty r i sp ti rposes. i CZ. e Signature of ermitee or Agent Receipt No. 193 M White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ aZ !�­ 00 TOTAL PERMIT FEE $ &,D This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above r which fees have been paid. I E T R OF ELIC WORKS J o B Date /` Z Building permit expires Date X0017 C -A Ohl Septic system and to a i n Os Per 4"9— Butte County Health Dept. fie` quirements. FAUST be Ccific-tions (his set of plan d sp it is ,unlawful to '1 tunes and withOui the !°b' at ��P�3tions on same kep} on ch. nr4ps r alio a artment of Pub make any from the D p writkon permission of Butte. 11c works, Count NQTE:_All MaTe' w h Accordance rest of a quality .p Uniform B ild-in ec' the Ration T1ft. Setback shall be 5 ft. from the si a property, line and 50 ft. from the ceterline of the road, permitting a maxi- m m of a 2 ft. eave overhang but entirely. ,3u of cOl easements. Shall Be 11 & W or�mansh'pPraGtian ces ani -Led Good use in t1 for the eGhenica Codes _,ten � P/1 All utility co inections shall be located within ff. outside tho rear third section c f •ihe mobile home on the left (roa ) side of the mobile horse. Allow r8 --7� �U E CUUN�� �UILDI G DEPARTMENT P ROVE J COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �(dC..,,..,. .,..�.., ...,..... Signature o Permitee or Agent ate Receipt NO.e' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date �/ BUILDING �j �J Owner iej1/jp/,%� DE"/�t_%i/�l/�l. 6Ive-6 SO. FT. OCC. BUILDING VALUATION Mailing Addressq0&7 WsR �0V`"iG �4 91s -q&5 I �ne 72_ Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address C—//s P/Q/. ix:i, .b1RPlan �D' Checking Fee&/or Penalty Permit Fee p2. PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 tQ® Each Trap 1.50 Repair drainage or vent piping 1.50 n 7'2- l iV'—Q2 Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F*6-s-No. rimes W 8eni�letiefl- Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 f EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Ble j-�fasrfR�e+d Parcel AEErovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Da__permit Fee $ e00 $ 64-S LIQ 4e 1AJS?AL-1_ �. . �-, ELECTRICAL No. @ FEE rDe_ 81" PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ©' Others ❑ -L Main service EA. ADD100 AMP 2.50 Main service OVER e00V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 OR ADDNS. ACCNEW CONST.LBLDGS.LING Ccup. 4) 2¢sgft C CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style le of: NEW CONSTR BRANCH CIR T NON.CRESID.ONST BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS & NON-RESID, `SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 5 L 250 , Ex. OCCU 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 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. certify that in the performance of the work for which this QI mit 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 n Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above informatio is correct. I agree to comply to all County Ordinances and S e Laws relatingto building construction, and hereby auth r presentativ o the County of Butte to en r upon the a -m oned pr y f r inspection purposes. Land Development Fee $ TOTAL PERMIT FEE $�.� Th' ermit is hereby issued under the applicable provisions of a Bu to County Code and/or resolutions to do work indicated above or which fes have been paid. /-,li iLT lino n� DIIRI it- wnQLec / �(dC..,,..,. .,..�.., ...,..... Signature o Permitee or Agent ate Receipt NO.e' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date �/ COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS ❑ 1 am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the 6visions of Section3700 of the California Labor Code which re res every employer to be insured against liability f=Workmeompensation. ed on file with the County of Butte a certificate of ormens 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. I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to bu' ' onstruction, and hereby author' pres t(ves of Count f Butte to enter upon the abole-mentioned nsfte4 fg oses. of Receipt No. 'oe U Ay W / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee $ � MECHANICAL iNo.1 @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE is Z) This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abovef which fees Pave been paid. RE OF P IC WORKS Date Building per 't expires Date _ ✓ �_ 7 County Center Drive - Oroville, California 95965 ' Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner Mailing Address ©gOV SQ. FT. OCC. BUILDING VALUATION Telephone No. t Contractor Mai I i ng Address Fireplace Total Valuation ee Tlhone No. 164, Permit Fee Building Address ® / Plan Checking Fee &/or Penalty Permit Fee .? 3 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ` Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. ! — / 6 Zonin & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fig 6L0! .Saok.i"on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration I Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 BI s Kec Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ZOJ2 4,1154A ELECTRICAL No.1 @ I FEE s PERMIT FILING FEE $3.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 600V OR LESS 100 AMP OR LESS 5.D0 Main service EA. ADD'L 100 AMP 2.50 is Main service OVER 100 AMPs0ov OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCuP. B) 20 sq ft CONTRACTORS LICENSE LAW I am llc ed under the provisions of Chapter 9 State o lifornia Bus' ess & rofes 'ons Co styl it Vx_ D' 3, of the de the name NEW RESID,CONSTMULTI.OUTL T NON-RESID `BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS d NON.RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTIIRES 5 L 250 ,@ FIXED APPLNS. OR EX. Occup. (OUTLETS(RESID.) EA) 2.00 Temporary service 10.00 obile Home Facilities 15.00 License N s Classification Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the 6visions of Section3700 of the California Labor Code which re res every employer to be insured against liability f=Workmeompensation. ed on file with the County of Butte a certificate of ormens 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. I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to bu' ' onstruction, and hereby author' pres t(ves of Count f Butte to enter upon the abole-mentioned nsfte4 fg oses. of Receipt No. 'oe U Ay W / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee $ � MECHANICAL iNo.1 @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE is Z) This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abovef which fees Pave been paid. RE OF P IC WORKS Date Building per 't expires Date _ ✓ �_ Workmanship $haR Be in, NOTE:—All Materials & Recognized Good Practices an Accordance with Specified use in t� of a quality Prescribed for the p undines Plumbing & Mechanical Codes Uniform B '4he National Electrical Code. Septic system and location 4 6AL to be as per Butte County Health Dept. Re- quirements. HousE &IRVED, Wn j- �QEMo E TD AW V DA-T7aN 1414 -US system and locationto be as P Coun�alth Dept• Re- gents. w%/r A` , This set of plans and kept on the jab at all ti+ matte F^V 6,angvs or al, writit-en n�rmi,s* Irom !;r VJorks, County of I: PJa &ft G K?o y 1� 30 .T6 ;ifications MUST bE and ilt is unlawful to ions on same witheui Department of BUILDI COUNTY DEPARTMCN1 AP ROVED 318. G3 41H The Ift Sef6a side property li centerline of the mum ofa2ft. ec out of all easerr All utility c, locatod within third section on the left (ro hall be 5 ft. from the and 50 ft, from the +d, permitting a maxi - overhang but entirely neations shalt be ft. outside the rear the mobile home I side of the mobile Pg1ve `v L� 74 d s ecifications BUST E. OTE:—Al! Materials & Workmanship Shall Be in This set o .,pans . times and i} is unlawft`i OTE. kept on the job at"a same with• ccordance with Recognized Good Practices and. „ Ae,ations on of a quality prescribed for the Specified use in the �, chan9eS ° m the Department of P. make c.:Y Uniform Budding, Plumbing &Mechanical Codes and Writc9en permissiofl f .f gaffe. the National Electrical Code. lic orks, County SSP' `Lot, 4' / 9 The � S tbeck shall be 5 ft. from the side roe Ime* , ' P P y and 50 ft, from the to.K.*y centerline o the road, per a maxi- mum `of a 2 t. eave •overhang but entirely ® S, out of all sements. .� $1!�?N�U� �vILL REl�ro'� �• ... t{,' - f0 t`ouiV �i4T1 taN t�V/�•l.1,S , i t B TTE CQUNTY SbJfL ING DEPARTMENT �p APROVED Of .:�. ^ HIVE 0 ot .�,� Aob