HomeMy WebLinkAbout072-340-024l- _ -...
72-34-24
Lawrence Oates
S/S Black Bart Rd-, app. 14 mi.E.of
Forbestown Rd., Oroville
Permit 39 3-78P,E�util - ,M&) w&d
ELEC . a o
8 �
GAS 13 %
SUVO T 4 TRUCTURE REQ ._ /,,, C
,E ST �R
4
Permit #5142-78MH I
Issued
I __� - _t //a 3�
Perms -
t ��584-7 new -open deck/MH)
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IN
t
cm
M�11' M
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-s PERMIT NO. 584-79B
PERMIT EXPIRES
OWNER LAWRENCE LAWRENCE OATS
,CONTR. oNAmer
i
=LOCATION (A.P. 72-34-24 )
IS/S Black Bart Rd, app 1 a mi. E of
I
Forbestown Rd, Oroville
F
J
Temp. Power Pole
Cal(Zed PG&E
TemElec. Serv.
Called PG&E '
/JOBp. Gas Serv.
Called PG&E
FINALED "� r
(Date) � C
Gs
(Signature)
I
• 1.
I
'
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTIONIECOAD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
" Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
k Roof Sheathing
Water Piping
Piers
Roofing y
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Y Garage Vents 7
Insulation
Water Htr.
Heaters
Slab
Carport
p
Footings
Prov. for ph sic ly
handica ed
Conformance of ex.
structure
Appliances
Gas Pi In Test
Temp. as
Slab
Final —
Sanitation
Patio
; FIREPLACE
Final
Footings
-Footing
ELECTRICAL
Masonry Walls
Throat
Rou h 1
Relnf. Steel
Final
Fixtures
Bond Beam
Y FIRE SPRINKLERS
Motors
Framing Test
Water Htr.
Stucco
Final
Sub anels
Mesh
MECHANICAL
Gird. Fault Prot.
Scratch
V Heating
Service
Brown
Cooling
Temp. Pol '
Finish
Ducts
Under rou
Interior Lath
Ventilation
Permane nf
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------- Elec_ Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage'
Gas Piping
DATE
REMARKS OR CORRECTIONS
c:
(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 D4ve -6 Oroville, California 95965
Telephone: 534-4541 4�1-
APPLICATION AND PERMIT
OU LIUI 14t:IC)J1CSeIItdLIVe5 of ole t,Uunty 01 mute to enter upon the
above-mentioned property for inspection purposes.
X .��i+ Az� Date "3/- 7
Signatur of Permitee or Agent
- 31
Receipt No. 19 3_7
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.
D I R OI�F BLIC WORKS
By Date
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VAL T
A
Mailing Address 4�r6�0
r
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation ,jgs9
Telephone No.
_
Permit Fee •--�
Building AddressS (— r�-0
Plan Checking Fee&/or Penalty
Permit Fee ---
.,
4'
PLUMBING No.1 @ FEE
f•
d
PERMIT FILING FEE $3.00
Each TraD 1.50
S
v y
Repair drainage or vent piping 1.50
MI
A. P. No. ,� —.;zZ in P anning
Water piping 1.50
Each gas water heater or vent 1.50
F
Sa n Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvement
Each additional outlet 30
Building sewer 5.00
Bldg. ns Recd
Parcel A pr o
Plans A royal
Lawn sprinkler system 2.00
NEW E] ADDITION ❑ UTILITIES[*OTHER ❑
Permit Fee $
$
0 t
ELECTRICAL No.1 @ FEE'
PERMIT FILING FEE $3.00
Main service 100 AMP OR00V OR LE LESS5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100;AMP 2.50
Main service OVER 600.V-,- ;11 25.00
100 AMP OR. LESS
Main service EA:'ADD'.L 100" *MP 1.00
NEW CONST. ( DWELING
OR ADONS. ACCLBLDGS.CCUP. 51) 22 sq ft
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:
%�
NEW RESID,CO BRANCH CIRCUITS)
NON -REBID BRANCH CIRCUITS 2.50ea
NEWCONSTR. POWER APPARATUS 8
NON •RESID, SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTURES 5 250
L,200
Ex. QCCU FIXED APPLNS. OR
p• OUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am'exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
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 Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$6 1 -
OU LIUI 14t:IC)J1CSeIItdLIVe5 of ole t,Uunty 01 mute to enter upon the
above-mentioned property for inspection purposes.
X .��i+ Az� Date "3/- 7
Signatur of Permitee or Agent
- 31
Receipt No. 19 3_7
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.
D I R OI�F BLIC WORKS
By Date
Building permit expires Date
COUNTY OF BUTTE . _ .,_, t
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number -)"yam `;' or the following location: S C-2-11 C,`-
RX> 4 PR / X1 41,.,E ,E nF AO-/ ^4b
Owner L 1110X L`A/CX- O /47x C
Owner's Address FV6+ U,15k- Glee) alL L
Mobilehome Mfg. (-,gAHi1010/N Model 7l— Year Z/
Insignia No. ��� sSerial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
- / Director of
Public Works. -
Date
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
NE u T -Alf c I TIAIR T.
8 u4IC
�J —LH CAS -.3 %uo 0 "nes,
I K
Q 'i26
Or, L z, P6
16
COUNT# OF BgTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
Matter, or need additional explanation, please contact this office immediately.
�-PERMIT N0. .3903-78P,E
t PERMIT EXPIRES
Lawrence Oates
OWNER
CONTR. owner
LOCATION (A.P. 72-34-24
S/S Black Bart Rd.,app.14 mi.E.of Forbes -
town Rd.,.Oroville
r�
1 Temp. Powe Pole j +
t
Called �G& E
j Temp. ElI'ec. Serv.
CaVled PG&E
Tem Gas Serv.
} Called PG&E
JOB
INALED
(D t) V- �
(Signature)
t
t
i
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF 'PUBLIeWORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
tback
krewall
SNI Piping
Fhns
Pa ets
t Floor
M n Bldg.
Res oom Finish
2n Floor
otin s
Windo s
3rd kloor
Ste wall
Siding
To out
Slab
Roof She hin
Water PI
Piers
Roofing
Sewer
Garage X
Fdn. Vents
Fixtures
Footings
StemwaI l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Slab
Prov. for physica y
handica 'e
Conformance of ex.
structure
Final
Appliances
Gas Pip ng & Test
Temp. Gas
Sanitation
PatioIRE
, ACE
Final
Footings
X
Footing
ECTRI L
Masonry Walls
X
Throat \
Rough
Reinf. Steel
X
Fina)
Fixtures
Bond Beam
FIRE SPRINKLE
Motors
Framing /
Test v
Water Htr.
Stucco i
Final
Sub anel
Mesh
\ MECHANICAL
Grd. F It Prot.
Scratc
Heati
Servl
Bro
Coo ng \
T p. Pole
FI sh
Du is �`
oder round
In rior Lath
V ntilation
ennanent
oor Closer
Vinal
inal
MOBILEHOME UTILITIES ------------------ Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION..............Support —
Elec. Continuity /
Water Piping
Drainage
Gas Piping
DATE
7 /
Zw4l l //V
REMARKS OR CORRECTIONS
.'200.4 3s'' _4/y Z -PG No se/ P .
/Vo C wf 10
(NOTE: An entry must be made on this form each time you visit the job site.)
�+ MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located with equired 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_ o
3. Are footings and,supports properly sized, spaced, and braced as per approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_Z _
4. - Is,the mobilehome level? (Sec. 5088) Yes' ecNo_
�j� more than a single unit,.are crossover connections properly installed? (Sec. 5088)
(" Yes_ No_
6. Water
A. Is fle_xkble 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 Cho_
gjvuackflow - If coach is not State of California approved, does station have backflow device
and pressure -relief valve? Yes_ No_
r
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 4" per foot slope and is it properly supported? Yes_ No
C. Are any leaks detected in -drainage system after running3-ga ns of water through each
fixture including washing machine standpipe? Yes No
If coach is not State of California approved, does station have required trap and vent?
Yes No
8. Gas. Piping. and Gas Vents..
A. Connector - Is mobilehome connected to the gas supply with aniapproved 3/4" minimum
mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as
large as the mobileh gas line inlet without reductions other than the mobilehome
connector. Yes_ No
B. :Test�� as per following•procedure? Yes_ No '
:-t-. Open all appliance connector v..lves.
!s/ Shut off appliance burner and pilot valves.
3. f test with manometer to 10"rl4" water column; or test with slope gauge (minimum
®`/ 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without
drop.
Connect gas meter to mobilehome with connector, turn on gas, test connections with
.soapy' water.
C. Are all appliance vents properly installed? Yes_ No_
9. Electrical
A. Is service large enough to provide adequate amperage -to 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 d�o
B. Is there proper clearances around panels? YesNo
C. Is power supply cord or feeder assembly properly fused? Yes vNo
D. Is continuity test satisfactory as per the following procedure? Yes `e No
/4`.' De -energize electrical wiring system of the mobilehome at the pedestal_
�L. 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.
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
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 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. If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle ekbglnpllO-�—1
Length & Width
Vehicle Serial No.
State Identification No. 153o71a
Additional Information or Comments:
Owner
Mailing Address '
Contractor
Mai I i ng Address
Building Address
. Z
COUNTY OF BUTTE_. - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 9� _��
Telephone: 534-4541
APPLICATION AND PERMIT Ad 7/.
Telephone No.
Telephone No.
A. P. No. M Z= s
Fls 1 6X 1 S. on Fire Dept. Fire Zone Use Permit
ParkingI Parcel `i! Z��
EQA Plans Declaration I Parcel Map 1 60' R/W I Improvements
Bldg. ids Recd Parc-el-A-pproval I Plans Approval
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Single Family ❑ Duplex ❑ Mobil Home 5? Others ❑
500 SQ. FT. MINIMUM
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:
License No. Classification
_ BUILDING OF •1 1
SQ. FT. I OCC. I BUILDING VALUATION
Fireplace
$
ELECTRICAL
Total Valuation
PERMIT FILING FEE
$3.00
Permit Fee
5.00
Main service EA. ADD'L 100 AMP
Plan Checking Fee&/or Penalty
Main service OVER
100 AMPP OR LESS O
25.00
Permit Fee
1.00
PLUMBING
No.1 @
FEE
PERMIT FILING FEE
$3.00
,G
Each Trap
1.50
Repair drainage or vent piping
1.50
Water piping
1.50
Each gas water heater or vent
1.50
Gas piping system 1 - 5 outlets
1.50
IJQ Z
Each additional outlet
.30
Building sewer
5.00
,
Lawn sprinkler system
2.00
Permit Fee
$
ELECTRICAL
No.1 @
PERMIT FILING FEE
$3.00
600V OR
Main service 100 AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
Main service OVER
100 AMPP OR LESS O
25.00
Main service EA. ADD•L 100 AMP
1.00
NSTR MUL I I -VU I LCI
SID. BRANCH CIRCUITS
NON-RESID. %SINGLE OUTLET CIR. /
EX.. OCCUp{OUTLETS OR FIXTURES li
50@250
BAL@1
EX. OCCU (FIXED APPLNS. OR
p•OUTLETS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
I am exempt from the Contractors License Laws of the State of California. Permit Fee
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 Workmen's Compensation.
❑ 1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
170 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.
I certify that 1 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.
X t1Qp•�°� � Date
Signature of Permiteeeor Agent
Receipt No. Z78' Z -c 7
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
MECHANICAL
PERMIT FILING FEE
Heating
Coo I i
@ FEE
$3.00
s
Ventilation
Hood 1 2.00
Permit Fee $ $
Land Development Fee $ (4C
TOTAL PERMIT FEE 1
$
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 F LIC WORKS
By Date? % —z
Building permit expires Date 7- 7-7
Shall be
nnections de the tear
s/rte t �AJ1�ilitY hConnect
n
41t.0 uts`obile hone
ted `NJt of the m the mobile
Iota Section Side of
thin he left lroadl
s A
o _
f fhe O��e
Sept: Sys mos.
a anon_
Butte
quirernents nl' eal as per
t. Re-
fits set of plans and �
keP on the job specificatio
I at all ti M
mak any changes or ►nes and it is un wfu b&
writt n Permisso alterations on
►N�. n from the pe same out
County of Butte. Department of pub
Y
a .
NOTE:—All Materials & orkmanship Shall Be in
Accordance with Recogn- ed Good Practices and �M /
of a quality prescribed f r the Specified use in the l
Uniform Building, Plumb- g & Machanical Codes and
the National .Electrical ode.
3F03 _7.
BUTTE; COUNTY
BUILDING DEPARTM Nl
M. 04. a APPROVE
e At. 5et6ack shall 6�
/side property line and 50 ft, from the ���d
Centerline of the road
a max,
mum of a 2 ft. eave overh n, but entirely
oat of all easements.
Air
a
MOBILEHOME SUPPOkT DATA
If other than single wide,
Mobilehome Mfr. (/I�fCL��,�% furnish Setup Model No. Year/
Width_(ft.) Box Length ��—(ft.) Tagalong or Expando Size ft. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified. -
Footings (check one)
` Single M 1. Wood either
ft.)(in:)
Cente support—
loc ions*
(in.) /in.
Centerrt
footins
(in
r.
pressure treated o
foundation grade.
2. Other (specify)
Supports (check one)
1: Concrete block.
F] 2. Other (specify)
Tagalong or Expando,
show support details.
/-�- x a -- Typical Support
(in. (in.) Footing Size
X
(in ) (in.) �6— -- Max. Pier Spacing
(ft.)(in.) -
(in.)1(i )
*If center piers are other than drawn above,.
-draw in ---locations, spacing, .and ,dimensions.
-- Max. Overhang -
BUTTE COUNTY
BUILDING DEPARTMENT-
APPROVED .
BUTTE COUNTY DEPARTMENT OF PUBLIC'WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: f'-)- a-%' CA -'2
2. Installer's name: rz %xley D�/e575
7
3. Is the site currently under permit? Yes / No _L
(If yes, furnish permit number ) OR
Is the site an existing site? Yes / / No 77117
(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 M-7 No
( If no, clarify )
5. What is the mobilehome electrical rating? ----------------------- OY S-� 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
siteservice? --------------------------------------------------- Yes 777 No -
(If yes, identify the load and size: a /�1' (Load) /,5- (Amps)
9. What is the mobilehome site gas pipe size? ---------=------------ 3 (in.)
10. What is the type;of gas service? ----------------------------- Natural / / LPG
11. What is the gas pipe length from meter or tank to the mobilehome? — (ft.)
12. What is the mobilehome gas demand? ------------------------------ (BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or less than 50 ft. on LPG.)
COUNTY O,.F BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
shy -16
autnorize representatives of the L;ounty of tsutte to enter upon the
above-mentioned property for inspection purposes.
X&;;e
Signature of Peermitee or Agent
Receipt No. 1916,7W
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
abov Jor which fees have been paid.
sVM*;VOR OFIe-UBLIC WORKS
luilding permit expiresD. 470/
BUILDING
Owner LAilva r-, li �C../Vc�C� % QA S
SQ. FT. OCC. BUILDING VALUATION
'
(''
Mailing Address '?466 1 AJoop J %3-a ii! L
OV/LLE C%�9�5
➢e�1
7�b
Contractor
Mailing Address -
Fireplace
Valuation
~
Telephone No.Total
Permit Fee
Building Address S $ ,B�GK BR2T RORb �PP
Plan Checking Fee&/or Penalty
Permit Fee
M/- OF FOPWS r-OVAJ F—D,
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
ORO LILL6
Repair drainage or vent piping 1.50
(�
A. P. No. 7-.34-2 /
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
3agUatiwn
I Fire Dept.
I Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plan
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. ans Recd
Parc royal
Plans pproval
Lawn sprinkler system 2.00
NEW ❑T ADDITION ❑ UTILITIES ❑ OTHER �
Permit Fee $
$
F-0 �' 39,93-7k
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
"�
E/
Single Family ❑ Duplex ❑ Mobil Home J Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST OC cu" %ACC. BLDGS.S) 20sgft
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:
TLET
NEW CONSTR BRANCH CIRCU
NON-RESID � BRANCH CIRCUITS) 2.50ea
NEW CONSTR (POWER APPARATUS B
NON-RESID. SINGLE OUTLET CIR.
Ex. OccuD(OUTLETS OR FIXTIIRES B L@;
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ 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
r V rkmen's Compensation Insurance.
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. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
L2.00
Hood
Permit Fee $
e L
$
$30,00
TOTAL PERMIT FEE
160
$ �®
autnorize representatives of the L;ounty of tsutte to enter upon the
above-mentioned property for inspection purposes.
X&;;e
Signature of Peermitee or Agent
Receipt No. 1916,7W
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
abov Jor which fees have been paid.
sVM*;VOR OFIe-UBLIC WORKS
luilding permit expiresD. 470/