HomeMy WebLinkAbout072-310-02372-31-23 (3
W. B. Townsley n
f T /S Forbestow�l. ,1�2 mi E. f{Ltfmpkin
y Rd., Forbestown area
i Rrmit � 642-77P,E.(util. MH) �r
ELEC. S OO �
GAS} 1�2e i
SUP r T TRUCTURE RE 4 /
COMPACTION TEST REQ._�� A41N )
-��_ �72-31-23
Contr. The Oaks
` at Lake Oroville
I Permit #5094-77MHI/*ur-./I -
I -s -sued �)
31-23
contr: Kenneth Rash, Palermo's
ermit #5547-79B,E(new pri.det.garage)
sms
l
)PERMIT NO. 55+7-79B,E
{
PERMIT EXPIRES T
OWNER W. B. Townsley
CONTR. Kenneth Ragh - B1dg.Specialty Oro.
72-31-23
LOCATION (A.P. )
NW/S Forbestown Rd., 1.2 mi.E.of Lumpkin
Rd., Oroville
l
jx
1
✓ a
Y
. 11
n �
Temp. Powe Pole
Calle PG&E
Temp. lec. Serv.
Iled PG&E
Te p. Gas Ser".
Called PG&E
1•. JOB
FINALED
(Date)
(Signa ure)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
• ea : , ca
BUILDING BUILDING (Cont'd) PLUMBING
Setback /o-"-22 -2fpz, Firewall Soil Piping
Forms Parapets 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
StemwalI Sidin To out
Slab Roof Sheathing Water Piping1
Piers Roofing Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
Stemwa I I Insulation Heaters
Slab Prov. for physically Appliances
Carport handicap ed
Conformance of ex. Gas Piping& Test
Footings structure Temp. Gas /
Slab Final ;Za�� 4t--- Sanitation
Patio FIREPLACE Final
Footings Footing ELECTRICAL
Masonry Walls Throat Rough l - d
Relnf. Steel Final Fixtures a 1/51-yo
Bond Beam FIRE SPR 1'ftK LE RS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown V Cooling Temp. Pole
Finish A Ducts A Z Under round
Interior Lath Ventilation Y Permanent
Door Closer Final Final l 3-IF bCLQ
MOBI LEHOME UT [TIES - - - - - - - - - -•- - - - - - - Elec: Service Elec . Pedestal
Water Piping Sewer Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
55 F
DATE— J s a REMARKS OR CORRECTIONS
64Z C• 4"AfeaTCom' . �L✓1� l„LJ b 1.5 C/
W Z- P� !'/£ iso/D�-P%� D2�'`f L�� • -S co"O l 17
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIt
authorize representatives of the County of Butte to enter upon the
above-mentioned proper for inspection purposes.
X Date _,
Signature of Permitee or Agent]
Receipt No. 0, ` 1 /
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 BLIC WORKS
By A --Date C;' -2 -LL 79
BU ding permit expires Date ` f` ;I—q-000
BUILDING
Owner
SQ. FT. OCC. I BUILDING gALUAON
Mailing Address
Telephone No.
Contractor
Mai Ii Address A 40 446
Fireplace
Total Valuation
f C4
Telephone No.
Permit Fee
Building Address •
Plan Checking Fee &/or Penalty
Permit Fee
• Z
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
7 _ ��
A. P. No.
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F AIS
C.
S Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
ParcelEach
I Declaration
I Parcel Map
60' R/W
Improvements
additional outlet .30
Building sewer 5.00
Bldg. PI s Recd
Parcel A rovaI
Plans Approval
Lawn sprinkler system 2.00
NEW
ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP OR00V OR SL=SS 5.00
Singl,q Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L loo AMP 2.50
n
� J
Main service OVER 25.00
100 AMPP O OR LESS
Main service EA. ADO'L 100 AMP 1.00
NEW CONSDWELING OR ADDNST ( ACCLBLDG_ 2�sgft e
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Calif is usiness & Professions Cod nder the name
style
17-
NEW CONSTR BRANCH CIRCUITS)
NON-RESID BRANCH CIRCUITSI 2.50ea
NEW CONST R. (POWER APPARATUS 8
NON-RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTURES a X25
APP LNS. OR
EX. Occup.2•00OUTLETS (RESID.) EA)
Temporary service 10.00
Mobile Home Facilities 15.00
License No. ��f'L Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ 7 7i
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.
ave placed on file with the County of Butte a certificate of
Workm 's Compensation Insurance.
ertify 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
Land Development Fee
$
TOTAL PERMIT FEE
authorize representatives of the County of Butte to enter upon the
above-mentioned proper for inspection purposes.
X Date _,
Signature of Permitee or Agent]
Receipt No. 0, ` 1 /
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 BLIC WORKS
By A --Date C;' -2 -LL 79
BU ding permit expires Date ` f` ;I—q-000
0—
COUNTY
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, pter 5,� under permit
number a' for the following location: S� LLL
t
L 7i�
Owner _
Owner's Address
Mobilehome Mfg.
Insignia No. ,'A -L,
It is hereby cerrtti
may be occupied.
Date
Model =
Serial No,
JWP'
Year
foroccupancyat the above described location and
Direct, r of Public Wor
THIS CERTIFICATE IS VOID WHEN MOBILE OM IS RELOCATED
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OFOCCUPANCY
Thismobilehome has been installed in accordance with the requirements
of` ttlie California Administrative Code, Title 25, 'a ter a,_under permit
number for the following location:/w S 1'O'eLS77��1i�
Owner
Owner's Address.
Mobilehome Mfg..,
Insignia No.(A L
It is her by
may be occupied.
Date
.T05AE Com -
3^ 7 '-/ (YIEJ Model —1J Year
r
070 70 Serial No.
certified fooccupancy at the above described location and
Direcct6r of Public Works
Y r
THIS CERTIFICATE IS VOID WHEN MOBILEH�OME,IS RELOCATED
i O 4
4 5��
� � CEIzi op SCD
f
4642-77P E-. _ K'
PERMIT NO. ' ---1
PERMIT EXPIRES
OWNER W. B. Townsley
f CONTR. owner
LOCATION (A.P. 72-31-23
NW/S Forbestown Rd., 1.2 mi.E.of Lumpkin Rd.,
Forbestown Area
t
4 CPC
I
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
MSG- Ga4ed-P881
B jj c
FIONALED
(Date)
(Signature)
L;
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
Stucco
Brjfwn
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Se ack
nder round
Soil pin
Forks
1st oor
Ma Bldg.
Finish
kRoofSheatXIno
2nd FI r
F otin s
3rd Floo lk
Ste wall
To out
Slab
Gas Piping ado 7�
Water Pi inPiers
- - - - - - - - - - - - - - Support
/0/;z r Z
Sewer
Garage
Fdn.Vents
Fixtures
Footinak
StemwaI I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for phsical
handica ed
Conformance of ex.
structure X
Appliances
Gas Piping &Test
Tem . Gas
Slab V
Final
Sanitation
Patio
IREP ACE
Final
Footings
Footing
LECTRICAL
Masonry Walls
Throat
Roucih
Reinf. Steel
Final
Fixtures
Bond Bea
FIRE SPRINKLEft
Motors
Stucco
Brjfwn
o Ing
emp. Pole
nish
is
nder round
I erior Lath
entilation
ID
Permanent
oor Closer
anal
Final
MOBILEHOME UTILITIES ------------------ Elec- Service
77777 4
,7) %7 91 lec. Pedestal
Water Piping - -7 -,?
Sewer
-Q6,- Cly
Gas Piping ado 7�
_ 1 E E INSTALLATION
- - - - - - - - - - - - - - Support
/0/;z r Z
,moi Elec. Continuity
Water Piping
Drainage�
a Ate— Gas Piping G
DATE
`SHIT T_0
Gloelvp AID
REMARKS OR CORRECTIONS
62D -;)O-->4 w 1 00
;3uPPa2T-
(NOTE: An entry must be made on this form each time you visit the job site.)
0
Nlals k
I
9. Electrical I . I
A. Is service large enough to provi•e adequate amperage -to mobilehome (must equal rating of
mobilehome with a minimum of 4N amp) and other facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes �/ No s,
B. Is there proper clearances around panels? Yest/No_
C. Is power supply cord•or feeder assembly properly fused? Yes_,-, No_
D. Is continuity test satisfactory as per the following procedure? Yes_
,l /�De-energize electrical wiring system of the mobilehome at the pedestal.
.f2- Make sure that the power supply cord -or feeder assembly conductors, including neutral
conductor, have been disconnected.
Switch all breakers and switches in the mobilehome to the "on" position.
Connect one lead.of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
v5. 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
such equipment and the grounding conductor.
6 Upon completion of the above procedure, the power supply cord or feeder assembly.
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site
service equipment may be approved for energizing.
010. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off.card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length 5]2 Width :,>- `-
Vehicle Serial No.—�
State Identification No. O 4-/ 0,0 70�5_
s,
Additional Information or Comments:
MOBILEHOME,INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located wit 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 t No
3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5 82& 5083) Yes_ No
4. Is the mobilehome level? (Sec. 5088) Yes_ No_
5. If mor han a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6. Water
A. Is fle il'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_
�.0ackflow - If coach is not State of California approved, does station have backflow device
`1 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? YesL-_`No
B. Does it have minimum " per foot slope and is it properly supported? Yes I—N o
C. Are any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes No
Dtf coach is not State of California approved, does station have required trap and vent?
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 m6 gas line inlet without reductions other than the mobilehome
connector. Yes_LZ No
B. Tes -OK as per following procedure? Yes_Z_"N0
eOpen all appliance connector valves.
-27. Shut off appliance burner and pilot valves.
it 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. onnect gas meter to mobilehome with connector, turn on gas, test connections with
soapy water.
C. Are all appliance vents properly installed? Yes °"N -a-
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
aulnonce representanves or the uounty or butte to enter upon the
above-mentioned property for inspection purposes,. r
X ate a ' `!
Signature of Permitee or Agent
Receipt No. 170 /a 0 —
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
DIRECTOR 0 PUB ICWORKS
By / Date /0— '� — %/
Bung permit expires Date
BUILDING
Owner Wz4149 ,/ C.
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor C G
Total Valuation
Mailing Address 7�� QQp DAP-4�d
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
S3 3 toe
Permit Fee $
Building Addresss `
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
o 4 Jf'I
Each gas water heater or vent 1.50
A. P. 0 - 3<- O. O2 3 � ® Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C.
eDept.
Fire Zone Use Permit
Building sewer 5.00
EOA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Imp rovements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd Parcel Appl aC al
Plons provol
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
1f1.41y^4,C �p�
Main service io00o AMP ORLESS5.00
ZY -17_
!J /
Main service EA. ADD'L loo AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. OR ADDNS. ( DACCLBLDGSLING OCCUP. &) 2¢sq ft
NEW CONSTR. MULTI -OUTLET
NON.RESID. (BRANCH CIRCUITS) 2.50ea
'
NEW CONSTR. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW.
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of: /
"A //4C
Ex. Occup(OUTLETS OR FIXTURES)@L25G
BAL@1
FIXED APLN9-.
Ex. Occup. (OUTLETS (RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No._33 i!Y eq Classification /
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
VWrkmen's Compensation.
have placed on file with the County of Butte a certificate of
orkmen'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 1 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
�#
0 .,b^44 11,4VIo
4fTOTAL PERMIT FEE
$ .30 t
aulnonce representanves or the uounty or butte to enter upon the
above-mentioned property for inspection purposes,. r
X ate a ' `!
Signature of Permitee or Agent
Receipt No. 170 /a 0 —
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
DIRECTOR 0 PUB ICWORKS
By / Date /0— '� — %/
Bung permit expires Date
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: �f �� E i'' o"• •� �% 0.'y'''� 3/'. O %'
2. Installer's name: <f
3. Is the site currently under permit? Yes No
(If yes, furnish permit number 31 - -02-3-0 ) 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
6. What is the mobilehome site service.rating?--------------------- 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 /4-1
No
(If
yes, identify the
load and
size: ��e� /`oj (Load)
�2-
(Amps)
9.
What
is
the mobilehome site
gas pipe size.
in.
10.
What
is
the type of gas service?--------------------------�---/,-��
Natural / /
LPG
11.
What
is
the gas pipe length
from meter or tank to the mot5`f`Y&e
�� `
(ft.)
12.
What
is
the mobilehome gas
demand?
------------------------------
(BTU)
(Thisf,information not required if pipe length less than 6 ft. on natural gas
or •less than -50 ft!. on LPG.)
MOBILE/HOME SUP/PORT DATA �r •'
Mobil ehome Mfr. �`1j/�//YG 627-10 f C AIC) Setup Model No. 907 Year
Width .(ft.) Length 15 26– (ft.) Expando Size ft.x ft.
(Draw support details below)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structur1 se up she tsp(�if not on file ith the Cou ty of Butte)..
ti 0;v �� fir
Sin le Footings (check one)
_.a �. Wood either
T' pressure treated or
Ce ter Center Support fdn. grade.
Suu ort
. / 1\ u. .
Footing Sizes
(in.)
n j(iri.�
�r
(ft) (ina
(ff- in.' j
(in.)(in.)
(ft. in. tln.in;)
I )
�- Yn.
I
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
BUTTE COUNTY
BUILDING DEPARTMEt0
A P P R•O-V E 9
2.
Concrete pad.
3.
Other, specify
i
Supports (check one)
=W101.
Concrete block
2.
Concrete piers
3.
Steel piers
4.
Other, specify
- - Typical Support
Footing Size
kin.j in.)
i
1
i
Max. Pier
Spacing
n.
•i
Max.
'
. Overhang
(ft:0Cin.)
BUTTE COUNTY
BUILDING DEPARTMEt0
A P P R•O-V E 9
COUNTY OF,,BUTTE — DEPARTMENT OF PUBLIC WORKS
v 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 )(
APPLICATION AND PERMIT
above-mentioned property for inspection purposes. r V
A lam/
Date
gnature of PPeermitee or Agent
Receipt No. /6 9<77�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
I nls 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.
DIRECT F PUB WORKS /
By �J/L/li Date 4?—/"/ _7f7
Building permit expires Date __ ,`A-- z t?
BUILDING 11f i
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 93 V
Telephone No.
Fireplace
Contractor7)11 14 0
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building AddressAIJIAPLUMBING
No.1 @ I FEE
PERMIT FILING FEEJ$3.00-3,06
Each Trap 1.50
Repair drainage or vent piping 1.50
?ming Ve #icat'on Only
Water piping 1,50 D0
Each gas water heater or vent 1.50
A. P. No.3 ^—
"9
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
W S Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00 (00
EQA
Parking Parcel
Plans Declara '
Parcel Ma
60' R/W
Im rovements
p
Lawn sprinkler system 2.00
Bldg. Plans Recd41T Parcel proval
Ions Approval
Permit Fee $is
NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 d
Main service 600V OR 100 AMP ORLESS5.00
Main service EA. ADO'L 100 AMP 2.50 S�
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 100 AMP oR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. OR A.DNS. ( ACCLBLOGS.CCUP. &) 20sgft
NEW CONSTR MULTI.OUT LET
NON.RE51 D. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) @25¢
104
Ex. Occup. (OUTLETS ((RESID.)REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00.S Q
License No.Classification
Misc. Wiring 6.25
X' I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
Wz
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
P/\
'\ N 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.1 @ 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 renrPsantnti,,ae of tha rte^. +.. ..i m.
Q,
TOTAL PERMIT FE
$
above-mentioned property for inspection purposes. r V
A lam/
Date
gnature of PPeermitee or Agent
Receipt No. /6 9<77�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
I nls 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.
DIRECT F PUB WORKS /
By �J/L/li Date 4?—/"/ _7f7
Building permit expires Date __ ,`A-- z t?
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NOTE:—>_ -All Mgterials VW.:xkr+:►�t ikp SWId ` Be hi % y -
`AccoMzince— with Recognized Gc�od: practices and., .
of a goal;ty. . prescribe for. the, Specified use in thee^
Uniform Building, PI4mVng.& 'Mechanical. Cosies and
the National Eleetriccl Code. +
This set of plans and specifications MUST bt
kept on the job at all times and 4 is unlawful t,
r alterations on same witheb;
make any changes o
wriffen permission from the Department of Pub-
lic Works, County of Butte,
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The 9,&rg. Setback shall be 5 it. from Ad
side property line and 50 ft. from the
centerline of the road, permitting a maxi-
mum of a 2 ft. eave overhang but entirely ,
-out of all easemenic►
The South half of the South half of the Southeast quarter of Section 13,
Township 19 North, Range 5 East, M.D.B. & M.
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?'a' EXCEPTING THEREFROM the following described parcel of land:
fi'!` iir.r',,: i3@ ronin 'at � iF {•, g g•a l l/2 -inch iron pipe with brass cap
marked FFR -89 from wifch •
the, South quarter corner of said Section 13 bears South 650 01' 59" West, 20Lll
1. ic)* feet; . thence from. said point of beginning North 560 23' 151' East, 440 146
°',}, r;i,' f" •" ° ' ' ' " 41 feet; thence North ?10-19!.'121' r
�,, eet,•.'therice North, 13 OS 12 East. 113.
st,'',�.53.49,16et to 'a.,l 1/2 -inch iron pipe with brass cap marked FFR -95; �.
thgnce ,froin a, tangent which bears,North 400 55' 4711 East along a curve to'
the ie'f `,having a radius' of 1,220.110 feet through a central angle of 100
551• ;,3501 'ah 'arc' distance'.'of 232.66 feet to a poi nt on the North line of, the y,
;P }3j, J,�outh half of the'4South Half of said Southeast quarter; thence along said ,%?
�S;r r�hline'•North 890 15.' 5811 East; 171.26 feet; thence leaving said North ,
line, froin` a .tangent which ' bears South 260 20' 24" West along a curve . to the ;
ght'heving a' radius of .1,370.00 feet through a central angle of 010 22' 03"'``
arc distance `of 32.70 feet to a l' 1/2- inch iron pipe with brass cap _ a', _•
,.ttiar6d FFR -78 from which said monument marked FFR -95 bears South 600 52 11" r, A
Npst;•• 333.34 feet; thence South 270 421 27" West, 395.42 feet; thence South r
58° ' 23' ' 15" West 541.00 feet to a point on the South line of said i t♦
thence along said South line, South 890 23' 28" West; 315.61
f'feet, • to a point from which the South quarter corner of said Section 13 bears c!
�>{South 89';1:23' 28" West, 59.62 feet, also. from which point the point„Qfz;.,•,.r.iw.-=
beginning ''bears North 550 31' 3011, East:_ ihaite .' . .
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tng drain stub -out to be as per
die 'mo}b�ile home Butter�: • RCounty Health Dept pe-
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