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Home My WebLink About073-180-11073^-18=110 ., William N. Arrendale E/S New York Flat Rd., app. -2 m?.S.'of Oro-Forbestown Rd., Forbestown Permit n #1 77-78P,E(_q il. ,MH) ELEC 1 '� p der GAS SUP OR STRUCTURE REQ . &O (WPAC ON TE TQ . _ n1® rj t 73-18=110 Contr: McMill-an MH; Paradise ; Permit #4949-78 Issueda 73-18-110 Per #5662-78B,E (new aBana/MH) 73-18-110 Perm:ist 1k2558;,79B(660 carport/MH) i � Y 73^-18=110 ., William N. Arrendale E/S New York Flat Rd., app. -2 m?.S.'of Oro-Forbestown Rd., Forbestown Permit n #1 77-78P,E(_q il. ,MH) ELEC 1 '� p der GAS SUP OR STRUCTURE REQ . &O (WPAC ON TE TQ . _ n1® rj t 73-18=110 Contr: McMill-an MH; Paradise ; Permit #4949-78 Issueda 73-18-110 Per #5662-78B,E (new aBana/MH) 73-18-110 Perm:ist 1k2558;,79B(660 carport/MH) T' PERMIT N0. 1477-78P,E u PERMIT EXPIRES ' William N. Arrendale OWNER CONTR. owner ` LOCATION (A.P. 73-18-110 E/S New York Flat Rd., app -.ami. S.of Oro- Fo:destown Rd., Forbestown 1 r � i. . p� L ' S. r Temp. Power Pole # Called PG&E ' Temp. Elea Serv. S ^ .5:1 Called PG&E 4. 7 Temp. Gas Serv. k' 31 _ 2 41--, 6& I—Ca I I ed /JOB FINALED (Date r � (S(gnature) t I R COUNTY OF BUTTE — DEPARTMENT' OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING S tback ewall S I Piping Fo s Pa ets XvFloor M n Bldg. Rest om Finish 2n Floor otin s Windoh 3rd Xoor St wall Siding To out Sla Roof Sheaking Water Pi i Piers Roofing Sewer Garage Fdn. Vents X Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. forph slcal handica edy Conformance.of ex.Gas structure Appliances Piping & Test Temp. Gas Slab V Final Sanitation Patio REP ACE Final Footings X Footing EL CTRIC Masonry Walls X Throat Rou h Relnf. Steel X Final Fixtures Bond Beam FIRE SPRINKILEFISk Motors Framing Test N Water Htr. Stucco X1 Final Sub aneIsff 14 Scratih X Heati Servicif Bro n Coo ng T p. Pole F Ish D is der round In rior Lath ntilation ermanent or Closer Final final OBILEHOME UTILITIES Elec. Service ----•------------- CJ lDstal Water Piping _ 7 Sewer Gas Piping AJ2JL6&J1QM&4INSTALLATION--------------Support Elec. Continuity Water Piping Z---- Drainage ��Gas Piping DATE REMARKS OR CORRECTIONS 7YL__1I (NOTE: An entry must be made on this form each time you visit the job site.) 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_ - B. Is there proper clearances around panels? Yes',' No_ C. Is power supply cord or feeder assembly',properly fused?. Yes_ No_ D. ntinuity test satisfactory as per the following procedure? Yes No IsDe-energize electrical wiring system of the mobilehome at the pedestal. 2,1-�Rake sure that the power supply cord assembly conductors, including neutral conductor, have been disconnected. witch 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. r r , Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected toSthe 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. AAs job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOB.ILEHOME DATA Manufacturer and/or Namestyle uxlm— Length Width ------------ Vehicle�Serial No. State Identification No.. FA - Additional Information or Comments: 1'� r MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located :::with ruired separation from lot lines and buildings and generally conform to plot plan? YesiQ0_ 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes= No 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 82 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yes_ No_ 5. If mores n aa single unit, are crossover connections properly installed? (Sec. 5088) Yese. No 6. Water A. Is fle • e connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yei, No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes= No ackflow - If coach is not State of California approved, does station have backflow device t4l_'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 4-1T5' B. Does it have minimum 4" per foot slope and is it properly supported? Yes. ---150— C. Are any leaks detected in drainage system after running 3-ga lons of water through each fixture including washing machine standpipe? Yes No oach is not State of California approved, does station have required trap and vent? Iq 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 mobilehome gas line inlet without reductions other than the mobilehome connector. Yes B. Test OK as per following procedure Yes _1. Open all appliance connector v�.lves. •hut off appliance .burner and pilot valves. 3. Air test with manometer to 10"014" water column; or test with slope gauge (minimum 0 --- 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. �onnect gas meter to mobilehorqe with connector, turn on gas, test connections with soapy water. , C. Are all appliance vents properly installed? Yes C-,- No_ 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, Chapter 5, under permit % number "i`y7 �6 for the following location: F/-5 IV'-""" YO &D IMP /z /r/i S OF F—oei3S7o(4 A/ ra,dj:S'/fV1)A/ Owner UJ /A4 /iq/Y/ AA1k%,V&I F Owner's Address Z0X X0-3 ?O Gt ,K Mobilehome Mfg. `S�!y`' Model / fs/ Year Insignia No4L /17.370�'� 7 Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Date Director of Public /Works � y / , THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. ,h COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — �Oroville, California 95965 - _U Telephone: 5�4-4541 .„ �� /// APPLICATION AND PERMIT 61_� authorize representatives of the County of Butte to enter upon the above-mentioned propert or inspection purposes. f a /� X Date ignat 're of Per�miiteeelor Agent Receipt No. Z! 7 131q White-D.P.W. — Yellow -Assessor — Ink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abo77DIRECTCRBF hich fees have been paid. PUBLIC WORKS Building permit expires Date BUILDING OwnerQ i SO. FT. OCC. BUILDING VALUATION Mailing Address D� Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address PlanCheckingFee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 A. P. `j`' Za " & I No. Water piping 1.50 Each gas water heater or vent 1.50 . Fe4 W( Sa Fire Dept. ire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans r Parcel Ma ation p 60' R/W Im rove nts p Each additional outlet .30 Building sewer 5.00 Bldg. PI s Recd � a�fA �roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ► OTHER ❑ Permit Fee $ 04 is ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 , Main service OVER 100100 AMPsoov OR LESS 25.00 Main serviceDWE( EA. ADD•L 100 AMP 1.00 NEW OR ADDNST \ ACCLBLDGS.LING CCUP N) 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: NEW CONSTR.MULTI H CII T NON-RESID (BRANCH CIRCUITS 12.50ea NEW CONSTPOWER APPARATUS a NON- R RESID, (SINGLE OUTLET CIR. Ex. Occup{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 I 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 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. 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 propert or inspection purposes. f a /� X Date ignat 're of Per�miiteeelor Agent Receipt No. Z! 7 131q White-D.P.W. — Yellow -Assessor — Ink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abo77DIRECTCRBF hich fees have been paid. PUBLIC WORKS Building permit expires Date a � } A ' K i� ^�J' a ,,? .NOT COMPARED WITH DECLARATION REGARDING LOTS OR PARCELS C RiGINAL DOCUMENT I certify that as owner of the property acquired by deed in Volume Page Official Records of Butte County, (AP# b7g� J. I am requesting permission to build or install an additional living unit on this property. I will not divide the aforementioned property for sale, lease, rent, or financing unless all applicable land division laws and map requirements are com- plied with. I am conversant with the present zoning regulations affecting the aforementioned property, and declare that I shall not violate same. I represent that the proposed use of.the additional living unit is ��)[� �y� J, 5 and that further I shall not change this proposed use of the additional living unit unless and until I receive written approval therefor from the County of Butte. I fully understand that pursuant to Chapter 20 of the Butte County Code and §11535 et seq of the Business and Professions Code that if I, in the future, sell, lease or finance the area on or adjacent to said improvement 'without fully complying with the applicable laws and ordinances, that I shall be guilty of a misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further, this statement shall be properly acknowledged and recorded at the request of the County of Butte. / Fr CiA1I, 'ails' i BUJ -1-C R E;-" 01-i F, ' KAR 30 3 23 COUNT r# 339()® 1103 Ad ress / )fate -------------------------------------- STATE OF CALIFORNIA ) ss COUNTY, OF—Butte-,-- On F—Butte= _ On this 30th day of March , 197 B,.before me, Walter D. Summers , a Notary Public in and for the County of State of California, residing therein, duly commis- sioned and sworn, personally appeared William N.Arrendale & Maxine R.Arrendalknown to me to be the persons whose names are subscribed to the within instrument and acknowledged to me thatt hey executed the same. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in the County of Butte the day and year in this certificate first above written.. S96-1275 - OFFICIAL 'SEAL' I w WALTER 'D. SUMMERS s%, NOTARY PUBLIC - CALIFORNIA n PRINCIPAL OFFICEIN BUTTE COUNTY MYCOMMISSIONEXPIRES OCT. 1, 1979 j A,da,om-;�. la&,��- Notary Public 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.) ' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS '7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Owner's �.'� " �ry✓"(P ;1.' name: -- MOMILLAN MOBIL: E-11>"MICE Installer's name: 3. Is the site currently under permit? Yes / No (If yes, furnish permit number ) 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? ----------- ---------- / d 0 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 m bi home �%'"'� site service? ---------- - ------------ -�----------- --�=`'Yes / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ----------------------- (in.) 10. What is the type of gas service? ------------------------------- Natural / / LPG /moi 11. What is the gas pipe length from meter or tank to the mobilehome? �� '000 (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.) . MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. �,'.�.�-�, furnish Setup Model No. i�oc, Year 71 Width. -Z,St� (ft.) Box Length __(ft.) Tagalong or Expando Size ft. x _f t. (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. (in.) (in.) Center support Center support locations- footing sizes (in.) 3,1X0 (ft.)(in.) (in.) (in.) OejG (ft.)(in.) (in.) (in.) 2G X 7 ef (ft.)(in.) (in.) (in.) (ft.) (in.) (in.) (in.) Footings (check one) Single 1. Wood either pressure treated or foundation grade. 2. Other (specify) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Supports (check one) �. Concrete block. F] 2. Other (specify) Tagalong or Expando, show support details. ` r /' Axa - Typical Support (in.) (in.) Footing Size 'L 11 -- Max. Pier Spacing (ft.)(in.) Q �- -- Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED &AM C'OUNTY,OF BV: TE — DEPARTMENT OF PUBLIC WORKS �7 County Center Drive — Oroville, California 95965 Tbl ephbn6: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of PPeermitee or Agent Receipt No. / Z_ 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 bee id. DIRECTOR F P BLIC WORKS ry By Date — Z` / B ilding permit expires Date BUILDING Owner•44 E. Mailing Address SQ. FT. OCC. BUILDING VALUATION Telephone No. Contractor 71x1c Mailing Address ' Fireplace Total Valuation Telephone No. 7— Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee f PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. 3-� / "-' /� Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 es Se,i anion Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1-.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BI . Plans Recd Parcel royal Plans pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ t j ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCUP. 9i) 2�sgft OR AODNS. ACC. BLDGS. 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 le of: style NEW CONSTR. MULTI.OUTLET NON.RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS.8 NON-RESID. `SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES B L9; 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 $ $ MECHANICAL NO -1 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. lave 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Et 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 relatinq to buildinq construction, and hereby 6eiid Beve4weiit Fee` $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Signature of PPeermitee or Agent Receipt No. / Z_ 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 bee id. DIRECTOR F P BLIC WORKS ry By Date — Z` / B ilding permit expires Date 1 •r r". T ' 2558-79B PERMI �� E_ PERMIT EXPIRES e 'OWNER William Arrendale owner CONTR.. • ' LOCATION (A.P. 73=18-110 E/S New York Flat Rd., z mi.S.of Oro- Forbestown Rd., Forbestown I y, + i Y 4 mp ower ole Te . P P V e"_ i _ Called PG&E Temp. Elec. Serv. 4. Called PG&E Temp. Gas Serv. Called PG&E JOB FINA D 5► #. (Date) _ (Signature) ' Footings t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD - ELECTRICAL 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 Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas c Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonr • Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heatina Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer I 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 (NOTE: An entry must be made on this form each time you visit the job site.) -� - -� COUNTY OF BUTTE —-DEPATMENT OF PUBLIC WORKS 7 County C&3wD.rive - Oroville, Caj.ifornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X WW,i"tZAeCf2J4J Date 15 ' Signature of Permitee or Agent Receipt No. 9-1- White-D.P.W. - Ye -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. DIREC"R .Of PUBLIC WORKS Byate — 4I, Bng permit expires Date �,1('� BUILDING Owner (Jt.LI-lAyw SQ. FT. OCC. BUILDING VALUATION o`zGl f L Mailing Address O (� Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee r Building Address S Y 1 Plan Checking Fee&/or Penalty Permit Fee y I:S/0 Q �71{Qj �-cs��1 �r�, PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 +CYZA'-T Repair drainage or vent piping 1.50 2 A. P. No. � �d L Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fgp4 Sa 'ti FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel PlansDeclaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A roval Pla pproval Lawn sprinkler system 2.00 NEW ADDITIOMMUTILITIES ❑ OTHER ❑ Permit Fee $ is ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 600V OR L Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 O �� Main service OVER 600v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( DWELLING CCUP. 71) l OR ADDNS. ACC. BL GS.20 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 style of: NEW CONSTR. MULTI-OUTL T NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONST R. (POWER APPARATUS 8 NON•RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES B L@; FIXED Ex. Occup. (OUTLETSPLNS (RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , Misc. Wiring 6.25 License No. Classification I 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 Workmen's Compensation Insurance. I certify that in the performance of the work for which this d� 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. PERMIT 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 relatina to building construction, and hereby Land Development Fee $ TOTALPERMIT FEE _ $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X WW,i"tZAeCf2J4J Date 15 ' Signature of Permitee or Agent Receipt No. 9-1- White-D.P.W. - Ye -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. DIREC"R .Of PUBLIC WORKS Byate — 4I, Bng permit expires Date �,1('� PERMIT NO. 5662-78R,R • t l�. i PERMIT EXPIRES l O _:meq OWNER William N. ARrendale owner C' CONTR. LOCATION (A.P, 73-18-110 ) E/S New York Flat Rd., app.2 mi.S.of Oro- - Forbestown Rd., For_bestown ' r. y . Temp. Power Pole ^ - ; Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E ^ JOB FINALED (Date) (Signature) E 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 1 - BUILDING INSPECTION RECORD _ BUILDING BUILDING (Cont'd) PLUMBING Setback !d Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows fQ 3rd Floor _ Stemwal I Siding To out - Slab ' Root Sheathin Water Piping Piers V Roofing Garage Fdn. Vents Fixtures Footin -s Stemwa l l Garage Vents Insulation X Water Htr. Heaters Slab Carport Footings Prov. for ph sically . handlca ed Conformance of ex..'Gas structure Appliances Piping &Test Temp. Gas - Slab Final Sanitation Patio FIREPLACE Final Footings ./� Footing ELECTRICAL ' Masonry Walls Throat Rough Reinf. Steel IV Final Fixtures Bond Beam FIRE SPJRINKLERS Motors Framing' Test Water Htr. Stucco Final A Subpanels Mesh MjErCHAWJCAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation. Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec.-Pedestal Water Piping Sewer Gas Piping MRSI6EWOME INSTAhLATI N - - - - - - - - - - - - - - Support Elea Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS f (NOTE: An entry must be made on this form each time you vislt the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC r 7 County Center Drive — Oroville, California 95965 Telephone: 53k-4641, APPLICAT'i0N AND PERMIT authorize representatives vof the County of Butte to enter upon the above-mentioned property for inspection purposes. Date 171f6if 1/ i nature a 'rmlt a or Agent Receipt No. AA 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. DIRECTO 0 UBLIC WORKS By Date uilding permit expires Date BUILDI Owner klak j A A4 P ree C—AJz),9(� S0. FT. OCC. BUI DIN VALUATION / Mailing Address P, 0. 8ox ,Q 3 rCOES TOW AJ Ci' gS"7W leh,eN�» Contractor Mailing Address Fireplace Total Valuation / 9;, 0 Telephone No. Permit Fee A0,00 Building Address,6s V6mj Do2K r4 -AT 00A -D PlanCheckingFee&/or Penalty Permit Fee R0, O .20 1.0c ,0, I2 ,or— PLUMBING No.1 @ FEE )20.4-1D, PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 �/ A. P. No. '73 ' �O i HO Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 l Fire Dept. I Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im roveme p Each additional outlet .30 Building sewer 5.00 Bldg. lane Rec'd Parcel proval Plans Approval Lawn sprinkler system 2.00 NEW 2--' ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 ,j,00 Main service 100v OR LESS 100 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home ®Others ❑ Main service EA. ADD'L 100 AMP 2.50 T�o G�6/ 7bM / Main service OVERs00v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OC�jj Y 20S OR ADONS. ACC. BLDGS. % q / ft go 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: NEW CONSTR.MULTI.OUTLET NON.RES,D BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS d NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURESg L@j Ex. Occup.(OUTLETSPLINIS (RESID FIXED OR EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 License No. Classification am exempt from the Contractors License Laws of the State of California. Permit Fee $ , o $ �G 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. E] I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this 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. PERMIT FILING FEE $3.00 Heating Cooling Ventilation +2.001 Hood 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 $ 94 authorize representatives vof the County of Butte to enter upon the above-mentioned property for inspection purposes. Date 171f6if 1/ i nature a 'rmlt a or Agent Receipt No. AA 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. DIRECTO 0 UBLIC WORKS By Date uilding permit expires Date