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Home My WebLink About072-560-007- KYE•DEEE EGG • V / "��p 0 7.225 .Fostown Rd,_ Or.ovi.11e�� Permit#1432 5P;Eti1,MH) ' ELEC SAS j -SUPPORT STRUCTURE REO--*A5_ JJ �WY� COMPACTION TE T1 REQ-.:,N. Permit�11143�i 8 M II..,J. � ti 1 .:-�- -.� __._--.�=_�_ " -- - _ -...._r _-� -... �.._�- -= =�- s--� ---�_ �. � -� . _ - `--•=tea -_•- _ - �. =-r= -'=—;� =rc=: - - =-ate �T-=� Y�� a' �_.. _�_�.� _ �- --.'c - ��-:-�:�'= 1 _ . r / f E 0 AP # OWNER F` Y r C r 46_6& PERMIT-1k.- MH ERMIT..k.MH UTIL.CLEARANCE" DATE INSPECTOR_,�� ELECTRIC GAS Support Struc. Compaction Test Re . Service Size -Other Load TyOe Pipe Size Length YESI NO YES NO I y � PERMIT NO. 1432-85P.E(MH) PERMIT EXPIRES OWNER KYE DEE L•EGG { CONTR.. unknown s , ASSESSOR PARCEL 72-29-42 LOCATION 7225 Forbestown Rd, Oroville VA 5 x, 4 . k , OFFICE COPY x`�' 51r1 Address '* ; N '' =i. �t GAS,Y- Metes B it ,. ' Date ��t °ELECTRIC} _' t " Meter, By ' _ • � _ •Dated .r. } Temp. Power Pole Called PG&E Y Temp. Elec. Service Called PG&E Temp. Gas Service CalledPG&E JOB FINALED (Date) f4 Signature ,s till J = OK 0 = Not OK' = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s y. Z ring Requirements—Setbacks—Easements S ' s; Special MH Support—Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—.Easements 2. Footings; Size—Depth—Spacing—Connectors 4,1'se�_Nw; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4 ater; Location—Test—Easement Needed (Sketch) EI ctricity; Location—Clearances—Grnd.—/ / Amp—Concrete 4. Wood Awn.; Posts—Beams—Rftrs.—Cohnec.—Shthg.—Rfg.—Bracing 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures . GaE.Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7 tility Clearance 7. Elec. Card -BI Uj Date Card - BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOB OME INSTALLATION (Plans) OK except #'s Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s .N ng Requirements—Setbacks—Easements 1• Setbacks—Easements F otings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability V Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining le icity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5, n; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI We r; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed er and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater s and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes— Enc losures— Pane lboards—Ins. to Main in Conduit E ts; Insp.—Sketch 1 Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test i, Card B -I Date eo Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date i nto 0 a J o OK 0 = Not OK Not Applicable RESIDENTIAL (Single and Duplex) Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING Continued 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11.Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. 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. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Dat@ Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes []No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ 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. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card BI Date 81• 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except p's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. 32. 33. A.C. Ducts; Insulation & Support Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates 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 -81 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. Bearing Walls over Girders & Floor Nailing 39.Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors 43. 44. 45. Cing. Joist=Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_._ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA — 534-4541 PERMIT NO. /y 31- �9J Address or location of mobi lehome %2 aS C, b -�.— �e4 Owner's name Owner's address Insignia or hud number—../ d Manufacturer's name�C: Serial number of V.I.N. Q(?< ; , r 7"_2 Year of manufacturel`%� (Official Approving Installation) / IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE IMOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT M� IT 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. Inspector_, Date_ __ t� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive - Orovill,g.,,California'95965 - Telephone 916/534-4541 APPLICATION AND PERMITIL J PERMIT /NO. ASS ESSOF3 ARCE UMBE , ZOX "Z BUILDING PERMIT OWNE d:! TELEPHONE SO. FT. OCC. BUILDING VALUATION OWN A I DDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ,^ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ^ BUILDING ADORES PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome[ii"-'Other SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK �, New ❑ Addition Remagel ❑ U :lilies ❑ E/ Installation Other ❑ Describe work: tr — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. t 2/20sgft 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 the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OLUTET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS .&) NON-RESID. (SINGLE OUTLET CIR. 20@50C Ex. Occup(o OR FIXTURES BAL®30 IXED A FIXED PPLNS, OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities ,15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. ' 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against ' Coun in con quence of the granting of this perm:. X Date %(a �r 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 $ 0 TOTAL PERMIT FEE $ 70 60 OCCUP. GROUP I TYPE OF CONST, PARVI PD —_ ND seu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI TOR OFIPUBLIC — By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date A�- Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ^- BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS+ 7 County Center Drive, Oroville,:�CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:. -e - e 2. Installer's name: 3. Is the site currently under permit? Yes / / No _L (If yes, furnish permit number- ) OR Is the site an existing site? Yes / / . No 777 (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? ----------------------- /'Q (J a 6. What is the mobilehome site service rating? --------------------- 7.. What is the mobilehome site circuit breaker rating? ------------- 8. Is there any other electric load io,be,served by the mobilehome Vie: U D Amps. siteservice? --------------------------------------------------- Yes 1_ No 777. (If yes, identify the load and size: (Load) Amps). 9. What is the mobilehome site gas pipe size? __________________ ___ 10. What is the type of gas service?_=---�---:________________ _ __ Natural 7% LPG 11. What is the gas pipe length from meter or tank to mobile e? (ft.) 12. What is the mobilehome gas demand? ---------- ------------------- (BTU) (This information not required if p e length less than 6 ft. on natural gas At or less than 50 ft. on LPG.) BUTTE COUfV1�lr fee dee 91zi DEPARTMENI yo MOBiLLHUME SUFFMCK LW A f If other than single wide, Mobilehome Mf r. r� furnish Setup Model No. Year Widt(ft.) Box Length 2 (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, r Footings (check one) Single 1 Wood ith U (ft.)(in.) Center support locations* I I (ft.)(in.) 1.__J (ft.)(in.) PAI (ft.)(in.) (in.) (in.) Center support footing sizes (in.) (in.) (in.) (in.). (in.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. e er pressure treated or foundation grade. 2. Other' (specify) Supports.(check one) 0 1: Concrete block. -2. Other. (specify) Tagalong or Expando,' show support details. i z x 36 -- Typical Support (in.) (in.) Footing Size Max. Pier Spacing ItLAC11 (ft.)(in..) 4 -- Max. Overhang NOTE:—All Materials & Workmanship Shall Be Accordance with Recognized qbod practices or of a quality prescribed for the Specified use in tl Uniform Building, Plumbing & MeL hanical Codes or the .National Electrical Code This set of plans and spec*, -n-tions MUST be kept on the job at all times ord it is unlawful to make any changes or alferatior s on same without written permission from the Depart ment of Public Works, County of Butte. A setback of 5 ft. from the property lines and a set b ck of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. Jtility connections shall be 4 ft. of the mwithin obilehome, either directly be or within the rear half of the roadside mobilehome, (left) of the A permit will be required for the installation of the mobilehome. 500 SQ. J. MINIMUM r EO,Q MOBILES J l r s w BUTTE COUNTY BUILDING DEPART/'IEN-1 APPROVE' YK A1.1'that certain real property =situate in the County of But,'e, State of California described as followp: •� ...• �Y J. L• \ The «orthr half : of`,the :,South halfr.C_ the Northwest quarter of the P'or,theast t '�� .• �rtrl Range _5 East 1,01:D.R�&ti '' ` quarter of Secti"on 2',; Tocroship l'9, , _ g - y +s�� .r ''OGE"'�'L" '•'I'^" richt of;,way„ftor• road �p'.irposes over the ilesterly 60 feet' of the .north half of the7Nor"thwest quarter. of the...Nnrth.Aa�+o>>=r}ter of A-` aid # Section 24. EXCEPTING THEREFROM said right of way_that portion conveyed to the State of California by deed recorded December 23, 1966 in Book 1454 of Official Records at page 448. f f in ress and egress and ALSO TOGETHER WITH a non-exclusive right o way or g Public Utilities over a portion o. he South half of the northeast quarter. of Section 24,•Township 19 North Range 5 East, M.D.B&M., said right of waybeing 60 feet in width and lying 30 feet on each side of the following described centerline: C0�•Ii��IEi1CII'dG at the East quarter _corner of said Section 24 ; ttzence South 87037 05" west, 631.10 feet to a point in the centerline of the Forbestot�n Road; thence leaving said road centerline, Porth 28°05' East 125.21 feet; thence South 340 16' East to the centerline of said Forbestown Road and the true point of beginning for the,centerline herein described; thence from said true point of beginning leaving said Forhestown road centerline, North 34°16` west to the South line of the North half of the Southeast quarter of the Northeast quarter of said Section 24; thence Nest along said South line to the Southwest corner thereof; thence North along the West line, of ' said North half of'the Southeast quarter of the Northeast quarter of said Section 24, to the Northwest corner thereof; thenc continuing North along the West line of the Northeast quarter of the Northeast quarter of said Section 24, a distance of 660 feet to the end of said centerline. ('EXCEPTING THEREFROM that portion lying with the above described property. OFFICIAL RECOpo,,, BUTE Return to DPW AGRICULTURAL STATEMENT, OF E ACKNOWLEDGEMENT r aalicsREQUESTET� COUNTY.- {:A1.1E : �a FOR RESIDENTIAL DEVELOPMENT R A 8 Section 26-8.1 of the Butte County Code requires this acknowledgement +� ! be recorded prior to issuance of a building permit. EL%Allofl M. CLERK - RF-'i;(;t1t)Ft? 85-14524 Pages The property described herein is adjacent to land.or included F within an area zoned for agricultural purposes, and residents of this E property may be subject to inconveniences or discomfort arising from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as_follows: r. th.t bate: PROPERTY OWNERS: t 5-1.524 L• � State of C44 ; r K.' I ) On this the/� T� day of 19 ZS , before SS. me, the undersigned Notary Public, .personally appeared. County of¢ ) El Personally known to me./ / Proved to me on the basis of satisfactory evidence. to be the persons) whose iiame(s) subscribed to the within instrument and acknowledged that OFFICIAL SEAL executed the same for the purposes therein contained. DOLORES M U NDELL IN WITNESS WHEREOF, I hereunto set my hand and official seal. r : NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY , My comm. expires SEP 19, 1987 C. Notary Public Present A.P. No. M END OF DOCUMENT + COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C60{forrtiai%965._ Telephone 916/534-4541 ' APPLICATION AND PERMIT PERMT NO. 1,41 -7-V,4�_ ASSESSOR PARCE N BER r, °�^ _ ZONI G —�� BUILDING PER OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWN 'LS M (LING ADDRESS oo n rip a CONTRACTOR'S NAKfE TELEPHONE CONTRACTOR'S MAILING ADDRESS , Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ '44-QO__ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 00 BUILDING ADDRESS or PLUMBING PERMIT Filing Fee 10.00. Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SUBDIVISION NAME PA EL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomep'�Other SPECIFY Building sewer 5.00 Mobile Home 10.00 e 3600 TYPE OF WORK New❑ Addition R odel❑ Utilities Installation❑ Other El Describe work: Permit Fee $ 'Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 b Main service EA. ADD'L 100 AMP 2:50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. t 2/20sgft 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 the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW COONio R ULT"OUBRANCH CIRCTITS 2.50 ea REr NEw CONSTR. (/POWER APPARATUS .&) NON -RES,D, (SINGLE OUTLET CIR. Ex. OccuP(oX20@50C OR FIXTURES BAL®30 A FIXEEDD APP LNS. OR Ex. Occup. OUTLETS (RESID,) EA,) 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. ❑ .l 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 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 all liabilities, judgments, costs, and expenses which may in any way accrue against sal County 'n copse ence of the granting of this per.t. X— / 2 Date �` O J� Signature of Applicant — Owner 4J'-- 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 $ TOTAL PERMIT FEE $ occuP. GROUP TYPE OF CONST. PARCE PD HD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTQR OF PUBLIC BY PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date V '�f^ Y Receipt No. -3 `neriT' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT FA