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Home My WebLink About073-180-038HAROLD C. BELLOWS 73-18-38HAROLD C. BELLOWS SIS Oro-Forbestown Rd., z mi. N. Forbestown Rd, Oroville of Brownsville Rd. I Permit 1605-74P,E (uti 1 1" ir MH) H.D. CLEARANCE MH ELEC.200,,,,, GAS Z' - �P,E lutil SUPPORT. STRU&fURIE REQ .,,a COMPACTION TEST REQ._==2po—, AP 73-18-38 NTR,:,C-urley's-T.-ailer'To;U'i-ng,,Or Permit# '2692-75 EI Issued ID /lAl &1.�4?1-"75— AP 73-18-3-8 permit#�OO-7513,E(garage MH) 73-18-38 Permit #52r8:-76B,E(new ramada & cabana MH) 73-18-38 Permit #2255-79B(new open deck/MH) JwLa 5-/Aq/,7q I i f PERMIT NO. 1605-74P, E I P �M r t E ` M MH UTIL. ` IERMIT N0. 1605-74P,E - 7�PERMIT EXPIRES OWNER Tiarnld C- : Rell nws 'CggONTR. Owner VOCATION (A.P. 73-18-38 ), SIS Oro-Forbestown Rd., 2 mi. N! of Box Brownsville Rd. 6, ,sift r . Temp, Power Pole Called PG&E { Temp. Elec. Serv. A-::: — !S Called PG&E .Temp. Gas Serv. Called RG&E '-Xi 0 B FINALED (Date) t f (Si ature) roc e i ` DATE REMARKS OR CORRECTIONS b /6-73/ (Z a vIcic 0 �� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer 2— Garage Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final, Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walis Throat Rou h ~ Z- ' %f Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh �` MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts I Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS b /6-73/ (Z a vIcic 0 �� COUNTY OF BUTTE —4 DEPARTMENT OF PUBLIC WORKS 0?C/is UR _7Q5_ �- 7 County Center Drive '- Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT !� allLIIVIII-C ICtJICACI1l0LIVCJ UI LIM L.JUU11Ly UI DULM lU Clllt;l UPUl1 Me above-mentioned property for inspection purposes. X A._,lt sv4[_.0 Date Signature of Permitee or Agent Receipt No. 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) PUBLIC WORKS By - 4- Date_ / B ftng permit expires Date "� BUILDING Owner /�� / SQ. FT. OCC. BUILDING VALUATION Mailing Address ;4590. 4L -3may' .� Telephone No. 1?9 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty P. Telephone No. Permit Fee I Building Address j` d PLUMBING No. @ FEE PERMIT FILING FEE $3.00 d . Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.7��} �J `r Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe - W. . Sew4a4en- Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma 60' R/W Im rove nts P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcelpproval Plan pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 �� Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures2 be] (610 Receps„ switches & fix outlets 20025 CONTRACTORS LICENSE LAW j< I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of- d/ _Z� /Z a,, t Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. -:263 7:? -:?Classification C- G%/ Misc. wiring ❑ 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 for Workmen's Compensation. Y� 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 $ $ 1 certify that I have read this application and state that the aboveM///- information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby I TOTAL PERMIT E FE $ *Vol 616 allLIIVIII-C ICtJICACI1l0LIVCJ UI LIM L.JUU11Ly UI DULM lU Clllt;l UPUl1 Me above-mentioned property for inspection purposes. X A._,lt sv4[_.0 Date Signature of Permitee or Agent Receipt No. 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) PUBLIC WORKS By - 4- Date_ / B ftng permit expires Date "� ✓J � u 'v V "' •_ wry-% .,�'��"r."`.-� ,..,_��.. � f. ._ .,_r..-'� �� `- •� • . -. �k ..., , `-a: � ... •-.�:.:. __ . e k a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 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 property for inspection purposes. WX ( Date /0 7 Signature of Permitee or Agent Receipt No. �— 7 —2 S _ 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 OFAUBLIC WORKS By Date I'—,0Z_— / wilding permit expires Date...................?G -71,1 BUILDING Owner / SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address ,'0, 413,5- Pelephone litJ No. Fireplace Contractor �j �tJe� Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building AddressJVIZ Q `—C/ Gv PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Jr Q6 ,vr r e, Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 15-0 Each gas water heater or vent 1.50 ` _ A. P. No. A_Z Zori' an jng Gas piping system 1 - 5 outlets 1.50 (� Each additional outlet .30 Fe S Ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel D laration000, Parcel a P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plan ec'd Parc Approval Plans kPproVGI Permit Fee $ (r()p $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 30-0 Main service incl. 1 meter C?� Additional meters, each • 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home 2k Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 7 l 610 Receps., switches & fix outlets 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: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 �Q Temp. Power Pole 5.00 License No. Classification Misc. wiring ,e ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ dd 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. k ❑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 TOTAL PERMIT FEE $-2 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. WX ( Date /0 7 Signature of Permitee or Agent Receipt No. �— 7 —2 S _ 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 OFAUBLIC WORKS By Date I'—,0Z_— / wilding permit expires Date...................?G -71,1 1 MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. -Is the mobilehome located with 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 per approved plans? (Note possible variation'at spring shackles.) (Sec. 5082 & 5083) Yes No. 4. Is the mobilehome level? (Sec. 5088) Ygs"Z.No 5.. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No U A/_/4- 6. ✓_/4-6. Water. A. Is flexible connector.of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes__4 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 approved, does 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 haye.minimum per foot slope and is it properly supported? Yes No -_ �� s, C. Are any leaks detected in drainage system after running 3 -gallons of water through each'...' fixture including washing machine standpipe?, Yes N04. D. 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 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 mobilehome gas line inlet without reductions other than the mobilehome connector. Yes,"/,,No B. Test OK as per following procedure? Yes No �. Open all appliance connector valves. 112. Shut off appliance.burner and pilot valves.. 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. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water.. C. Are all appliance vents properly installed? Yes No 2 0-3,- 1 16 Qs - '719. ElectricalJ' 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__K No B. Is there proper clearances around panels? Yes, No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes No_ 1. De -energize electrical wiring system of the mobilehome at the pedestal. 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 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? I'd4 e-1,,- -11. 1,,- _11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle _5a& 6L— Length-.h / Width / �L_ Vehicle Serial No. /V�r�da; 80 Z II State Identification No. Z- 5 Additional Information or Comments: -75- C, CD(D : X :3 CD 3 Septic systerry and location o =' �o C to . be as per I �� -� m �`- Butte County Health Dept. Re- -►,.� n o, o q c, uirements. N _ 717 =-- •CD All utility(D 01 located within 4 ftc Outside -the shall be Q a � r' . third section of the mobile hhorn 0 _ on the left' (road) sideo o U home. of the mobile 3 CPc833 NOTE:—All Materials & Workmanship Shall Be in w! Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the V rm Building Code, Uniform Plumbing Code, ane' - Uniform Unifo - . the National Electrical Code BUTTE COUNTY 3 � � J 's BUILDING DEPARTM ENI APPROVE[ TMs P -73 - set of plans and specifications MUST be „ kept `on the job at all times and it is unlawful to make any changes or alterations on same without -vMtten permisson from the Department of PubfK Works, County of Butte. J t I,UUBII vi' DU11L "t-_PCLt LULCUL v1 iUUti�.. LVV1n 7 County Center Drive, Oroville, California PHONE.: 534'-4541 I N MOBILEHOME INSTALLATION INFORMATLON � Lot Facilities Mobilehome Data N 1. M rr w W o. cnt K � � Yes v No Vehicle Serial No. 5 2. n. Insignia Control No. Circuit breaker'ampacity. 2. Feeder assembly'ampacity r (D. Ampacity Power -supply cord (amps) Receptacle v : Ampacity' J -a .3.' Gas inlet size �/y . 3. N MOBILEHOME INSTALLATION INFORMATLON � Lot Facilities Mobilehome Data N 1. i' 1. Lengthy Width_ o. and utility connections? MOBILEHOME INSTALLATION INFORMATLON � Lot Facilities Mobilehome Data N 1. Plot plan dimensioned, location of mobile 1. Lengthy Width_ o. and utility connections? Manufacturer �iLTinD,PF � Yes v No Vehicle Serial No. 5 2. Electrical.service equipment ampacityjg,,4 Insignia Control No. Circuit breaker'ampacity. 2. Feeder assembly'ampacity Permanent Wiring Connection Conduit size Ampacity Power -supply cord (amps) Receptacle v : Ampacity' J -a .3.' Gas inlet size �/y . 3. Gas:. Natural LPGy Mobilehome connector size Gas riser size % '' Capacity 4. Drain inlet size 4. Drain.connector: describe on reverse side 5.. 1'Tater riser. size 3/y '� 5. Water connector: describe on reverse side 6:'Are utility connections located outside 6. Designed, loads: the rear 1/3 of. the mobilehome within Roof live load psf. 4 feet of the left Wall? Yes v No ITind load psf. If not,. sho-a dimensions. above. (only for nob l.lehomes ma.i)ufactur.ed after. 7. Is the mobilehome clear of septic tank, October 7, 1973) leach fields and located outside public 7. Manufacturer's installation instrUctiocis?. utility easements? Yes v No Yes No �. 8: Do you propose to do other work on the. 8. - Will the mobile home be installed on' -property other than the mobilehome .a separate support structure. installation which will require a permits Yes No Yes No . If so, specify . *For plans and specifications of support system, .see other side. LOAD BF.AP INNG "PORTS l/ Iv�ts ADDITIONAL COMIX.7"7S Drn.in Connector, Describe "A.S Smart 4-10 Water Connector, Described C H An_s S 6e 25r�'F X i r3 e Cazv,-z�.E c 7 ad's LOAD BEARING SUPPORT A1IL ''VOOTING I1VFOIU ATIOiv Pier Spacing Used i"e or " Maximum Pier Load ___ ,Maximum Column Load (multi -units only) Soil Bearing Capacity dL�f� Footing Dimension Used / TYPE OF PIER. USED Steel Concrete Concrete Block U Other TYPE OF FOOTING -MATERIAL USED 'Pressure Treated Wood _ Y Concrete •Redwood (Grade) Other Approved Type BUTTE COUNTY BUILDING DEPARTMENT APPROVED... A ,.'PERMIT NO. 3000-75B,E t P E M MH UTIL. PERMIT NO. #' % lam, • PERMIT EXPIRES owNER Harold Bellows jjCONTR. jLOCATION A.P. 73-18-38 ) s1s Oro-Forbe stowh Rd. ,2 mi. N. of Brownsvill( Rd., Forbe stown Temp. Power Pole Called PG&E 4 Temp. Elec. Serv. ' Called PG&E Temp Gas Serv. alled PG&E JOB FINALED !_ (D i J)_ r �e 1 (Signa rE 4 . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING " BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor • Footings — Windows 3rd Floor Stemwall — Siding _j Z— To out Slab Roof Sheathing _ 2 - 7e, Water Piping Piers Roofing _ '� Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation, Patio FIREPLACE * Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. ' Stucco Final Sub Oanels Mesh MECHANICAL Grd. Fault Pro Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC.. O;RKS %`� —�� 7 County Center Drive — Orovi Ile, California 95965 (./ Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner -IUA A Y pZ Mr7.11„ SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Contractor Mai I ina Address Building Address WE- II•A�111 Telephone No. Telephone No. A. P. No. Zoning & Planning Fe a i on Fire Dept. Fire Zone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Im rovets Plans Declaration p p men I Bldg: PI s Recd Parcel Approval Plans Approval NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home 14 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: License No. Classification Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee o,06 PLUMBING No.1 @ FEE rt�n t� PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12a less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures ReCAS., switae-S & fix ougl_$ Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wirinq rV I am exempt from the Contractors License Laws of the State of California. Permit Fee 64kMECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I 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. I certify 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 I Hood 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 Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Da -7 -7 Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF,PUBLIC WORKS By Date / •) wilding permit expires Date r r !b FA "M rt�n t� Qr a MIS 0—M 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. DIRECTOR OF,PUBLIC WORKS By Date / •) wilding permit expires Date 3 10 0 k(A-AA,4p, CA4 ANS. The BfttSetback shall be 5 ft. from the side property line,and 50 ft. from the centerline of the road'permittingnasc� a maximum of a 2 ft. eave overhang. - .4 4 e This set of plans . MUST- ba kept on the job at. all times and it is unlawful to make any changes or alterations on same without written permisson from the Department of Public _ Works, County of Butte. g� N®T'E:—All Materials & Workmanship Shah Be in Accordance with Recognized Good Practices and' of d quality prescribed for the Specified use in the Uniform-Build;ng, Plumbing & Machonicol Codes and the National Electrical' Code. BUM COUNTY BUILDING DEPARTMENT V cL 1 V L ( Zfl 4) k - i4 a a� X' O Oki � V cL 1 V L ( Zfl 4) k - i4 i w4 ON .� c O _ C N r— co `C3 z N1 rn 2 ��J• � m z �vl YPERMIT NO. 5218776B,E f PERMIT EXPIRES OWNER Harold C. Bellows CONTR. owner LOCATION (A.P. 73-18-38 S/S oro-Foiestown Rd, i mi.N.of Brownsville Rd., Forbestown Area v 7 l j` t • `� ref �l`\�, �• ' ' r� Temp. Power Pole t t.S;�,. Called PG&E Temp. Elec. Serv� Cal led, PG& E ` Temp. G Serv.' C ed PG&E B. I FINALED (Date) i j (Signature) Framin — / COUNTY OF BUTTE — DEPARTMENT OF`PUBLIC WORKS BUILDING INSPECTION RECORD Water Htr. BUILDING BUILDING (Cont'd) Final PLUMBING Setback Firewall Soil Piping Scratch Forms Parapets `` — 1st Floor Cooling Main Bldg. Restroom Finish 2nd Floor I Footings Windows / Li^ -749 3rd Floor Door Closer Stemwall Siding 0 To out Slab Roof Sheathin /,A:7/6 Water Piping Piers Roofing_' — X– Sewer Garage Fdn. Vents Fixtures Footings Garage Vents — Water Htr. StemwaII Insulation 4_z�� Heaters Slab Carport Footings handicar pehysically_ Conformancdde of ex. structure Appliances Gas Piping & Tesi Temp. Gas Slab Final 44 X-C� Sanitation Patio FIREPLACE Final Footings Footing ELECTRI Masonry Walls Throat Rou h / Reinf. Steel ` Final ZFixtures X L.- �iA —7-A GC Framin — / Test Water Htr. Stucco Final Subpanels Mesh MECHANIC Grd. Fault Prot. Scratch Heating Service Brown v Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final – (, DATE REMARKS OR CORRECTIONS • is I (NOTE: An entry must be made on this form each time you visit the job site.) t COUNTY OF BUTTE - '�D�LpgRTMENT OF PUBLIC WORKS ' 7 County Center Drive ' -, UroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT .. . 9 1cocn a.aa�vca U� uIV lJUullly UI OUllo LU tllltl UPUH lilt above mentioned propeerty for inspection purposes. Xy %-C Date Signature of Permltee or Agent Receipt No. IS -2_Z s o 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 F PUBLIC WORKS By Date /0-/-7(o Iding permit expires Date,_ /�> t� 7 BUILDING Owner C. SQ. FT. OCC. BUILDING VALUATION Mailing Address �, 13 x, 6/0 =glv0. env /✓ Telephone No. 6 7 — 29& 6 Fireplace Contractor 4_ Total Valuation Mailing Address olAl Permit Fee Z- PI an Checki ng Fee &/or Penalty Telephone No. Permit Fee $ 2-0 52-10 Building AddressPLUMBING S O/�/c6/�f3sTlOwn� No. @ FEE PERMIT FILING FEE $3.00 /1//O. OF 13Bt1WA,1:!rJ11�y� Each Trap 1.50 OI�tiN �� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. %Gas Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe �. Sa Von Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recd Par Approval Plans Approval Permit Fee $ $ NEW 10 ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL @ I FEE —No.1 PERMIT FILING FEE $3.00 9r. Main service i o°°V OR o AMP ORLESS5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ ER 600V Main service 10 0 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ` / 4✓1/4A1, NEW CONST. DWELLING OCC u2¢sq ft 6 OOR ADDNS. ACC.BLDGS. NEW CONSTR. / MULTI.OUT E NON.RESI D. `BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: BAL@1 2510 Ex. Occup(OUTLETS OR FIXTURES)@ Ex. Occu FIXED APPLNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee$ $ o 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 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 @ I FEEPERMIT FILING FEE J$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 TOTAL PERMIT FEE $ 6c .. . 9 1cocn a.aa�vca U� uIV lJUullly UI OUllo LU tllltl UPUH lilt above mentioned propeerty for inspection purposes. Xy %-C Date Signature of Permltee or Agent Receipt No. IS -2_Z s o 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 F PUBLIC WORKS By Date /0-/-7(o Iding permit expires Date,_ /�> t� 7 r: �~ 4 PERMIT NO. 2255-79B PERMIT EXPIRES/64LP OWNER Harold C. Bellows owner r a CONTR. ;LOCATION (A.P. 73-18-38 S/S Oro Forbestown Rd., i mi.N.of"BDwns- ville Rd.., Forbestown i k F Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E OB FINALED — • (DAg tMY � re) ' � 3 t (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT QF' PUBLIC WORKS � BUILDING INSPECTIONRECORD BUILDING BUILDING (Cont,d) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. s Restroom Finish 2nd Floor .Footin s Windows 3rd Floor Stemwall Siding To out , Slab Roof Sheathing Water Piping Piers Roofing Sewer i Garage Fdn. Vents A Fixtures W Footings Stemwall Garage Vents Insulation Water Htr. / 1 Heaters % Slab Carport ` Footin s Footings Slab Prov. for ph sically handica ed Conformance of ex- x. structure Final '� - __ Appliances Gas Piping & Tes Temp. Gas Sanitation % Patio FI LACE Final Footings 7 Footing j '-'ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam F E SPRIN ERS Motors Framing Test Water Htr. Stucco Final Sub aneIs f, \ Mesh Aft C HAJ I C A L Grd. Fault Prot. Scratch Heating Service. Brown Cooling Temp. Pole ; Finish A Ducts Ander round•" Interior Lath Ventilation ; Permanent \ Door Closer Final Final MOBILEHOME ILITIES---------- Elec. Service Elec. Pedest Water Piping Sewer 1 EHOME INSTALLATISN - - - - - - 77777!- - - - ---Support Gas Piping Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS t (NOTE: An entry must be made on this form each time you visit the job site.) Owner Mailing Address Contractor 10 Mailing Address Building Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive.,. - Oreville, California 95965 Tel ephone "53a-4541 APPLICATION AND PERMIT C� a5� BUILDING y A,, I SQ. FT. I OCC. BUILDING VAL A Telephone No ��-- af4 Telephone No. 0-- A. P. No. �� Zoning & Planning FjaetAAH S t t n Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im e ents Plans Declaration p rov p Bldg. Plans .ed Parcel Approyal Plans ipproval 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: License No. Classification &I am exempt from the Contractors License Laws of the State of California. 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspe tion purposes. 6 Date Signature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Fireplace Total Valuation ELECTRICAL No.1 Permit Fee PERMIT FILING P I an Checki ng Fee &/or Penalty $3.00 Permit Fee s00v OR LESS 100 AMP OR LESS PLUMBING No.1 @ PERMIT FILING FEE $3.00 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 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service s00v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Main service OVERsoov 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. DWELLING OC cup. ACC. BLDGS. 2¢Sq ft NEW` NON.RESID. CONSTR. MULTI.OUTL ET BRANCH CIRCUITS/ 2.50ea EX. OCCUD{OUTLETS OR FIXTIIRESgqL01 ' FIXED APPLNS. OR EX. OCCUp•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirinq 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ 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. DIR CTOR 0 PUBLIC WORKS By Date Building permit expires Date