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078-010-070
JOHN PERMANN, JR, y”- -/© W/S pri Rd (Serene Rd) at end off one Tree Rd, app 200!'-'5 of •Poj�rY" Hn"RP. Hill Rd; Oroville Permit ##139 79P,E (ele & wtr pipin, for well) �y�tl 31�y' 77 Permit 31- 80P,E(util.,MH) ELEC. — GAS SUPPORT STRU'TURE RSP. COMACTION TES REQ. Permit##1509-80P Jas P'pin 80) 5/631- 3 C Contr: incoln Vill. e + ro Per#1573-89MH IsSrued /l'2Z/� >r- Permit #2507-80 (new covered,d ckhl g Permit #761-82B(add cov red deck/.MH) ,Permit# 661-83B(lst ewal/'k -85 7) cov deck r 83 Bronson Ct Oro.ville - Permit #1033-87B,E(new garage) 1///3A7 c�D 87B, PERMIT NO. 1033 - E PERMIT EXPIRES OWNER JOHN J PERMANN CONTR. owner ASSESSOR PARCEL 36-50-49 LOCATION 83 Bronson Ct, Oroville Temp. Power Pole Called PG&E Temp. Elegy qpruira Calle Temp. Ga! Calle JOB FIN,4 Signa y -1 S' n 0, K - = Not OKE' Not Applicable RESIDENTIAL (Single and Duplex) Not Ready Date RNDERFLOOR Plans OK except q'sDate FRAMING Continued Zoning requirements -Setbacks -Easements 48. the trewall &Openings 2. Ftg. Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth . Ext. Doors -One 3' -Check Garage -3rd story, 2 exits g., Garage; Soils -Steel- / /" Ftg. Depth 50. t - ea room -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth Plywood on Root Overhang -Attic Vents -Rafter Outriggers 5. mwalls, Main; Steel-Blockouts-Wrapped-Slab Siding -Nailing -Veneer . Stemwalls, Garage; Steel -Bloc kouts-Wrapped-S lab 53.- - creed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. - s Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55.4 Sbaar a s Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test - Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date9/-/ -r Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI e -5 Date / i Card -BI Date Date FINAL (Plans) OK except k's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's Ext. Steps -Door & Sidelight Protection -Landings 5 . _Water Ht.; Vent -Access -Combustion Air 58.-. s- learance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. edroom Exiling _ 17. Shower Pan; Test, First Floor -Tub Access 60. a tx u & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels _ f9. Gas Pipe; Size & Anchors 62.--64atr9-&-Ra I,., _ _ 63. - learances-Hearth 64. d Panel; Int. & Ext. Card -BI Date Card -BI Date 65 'ance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 6 eceptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67 ing-Landing-Closer ^amper 20. Fixture & Transformer Clearance -Ins. Protection 69. en s- learance-Comb. Air-Connector-P.R.V.- I arage; Above Floor-Mech. Protection. 1 Elec. Receptacles Spacing -Lights &Switches at Doors 22.-Size-8V%93-&-ffo'. of Conductors -Stapled 7 quip.Lis Locati on t'Romex Installed Close to Edge of Studs & C.J. : Elec. Receptacles in Garage (G.F.I.)- oats Protec. - 2 Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Iasctatiott-Fvam Looked in Attic Yes _- 25. nce ircuits to Kitchen &Conductor Size 11 6. Subfeed Wire Size / / ga. Cu r AI-A.C. Wire Size / / ga. Cu or AI 73. Construction -Post Caps 74. Fd tns a o ffo l Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ___ - - 27, Ranges rirr i i ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral -:,Yes ]No ice- iser Conductors & Ground -Main Disconnect - 29.-Equip.-G•learances: Panels-Motors-Mech. Equip, 75. 76sh Following instld.: Drive es ❑ No; Walks El Yes Planters El Yes o _ 77. t-Clrnces-Brkr. & Cond. Size -115V Outlet - Card B -K2.*, Card B -I 30. es Inset Light -Shower Light -- - ---- - - Date p Card -BI Date �? Date Card -BI Date 78,-VerrtT-ATIr7T'RDof--Plbg.-Appliance-Fi rep 1. -Clearance to Opngs. 79. WatM Wult70TSeoRf1eCt, Electrical, Plumbing 80. 87. Exturtl7rETec. Trim; G.F.I. Receptacle -Underground 1 House 82 -amass Peeteelion Dat v MECHANICAL (Permit) OK except H's ✓83 Corrections from Previous Inspections 84, ged; Gas -Electric Card -BI Card -BI 3t. A.C. Ducts: Insulation & Support -_ 32. Vent Fan; Exhaust above Insulation _ _ - 33. Condensate Drain & Overflow; Size & Grade 34. Furnace Vent. Access -Comb. Air -Return Air AirVent-_115V outlet 35. Attic Access & Platform if Furnace in Attic Date Card -BI _ Date - Date Card -BI Date 85.ewer-o nected-C/0 to Grade -HD Approval 86."Fn`ar9y-Camp1'I'ance Certificate -Other Certificates - Card -BI Card -BI DateJ.)_ Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: Sills; Proper Material & Anchors 4Z`Walls _tu Sds-Nailing, Spacing_ _ & Br_acing-PI_ates-Sound- 338. Bearing Walls over Girders &_Floor -Nailing 39.--8 op in Walls (rat proof) 46--Fire-3tII T -Furred Ceilings -Stairs -Chases -Tub 1-1411. Header & Beam -Size & Bearing 42:- ers-Post Caps -Anchors -Connectors ✓43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. 44. tes o ype A Flue -Fireplace Throat 45. A & Romex Protection -Draft Stop -Ins. Baffles 46. or xiting Doors -Sill Hgt. & Dimensions 47. Garage-F4re-Prrn2c1ion Framing - - - _ - (NOTE: Anentry must be made each time you visit job site) -J =OIC O = Not OK - = Not Applicable * = Not Ready -Ar.. t_ MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec.. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI . 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card=B1 Date Card B -I Date Card -BI Date Card -BI Date Card -BI' Date .. - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico— Phone: 891-2751 7 County Center Drive, OroviIle — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872.-6307 CORRECTION NOTICE 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, p ease contact this office Immediately. .au ► a �n Virra - zv-e_lr �-- � -, V a-., Inspector • V0AIM Date ) I ! l et- '"^li 1 v _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Cal ifornia95965;Telephone 916/534-4541 APPLICATION 'AND PERMIT v ASSEs�pt� Pr "-YMY (o .50 Z° �.� BUILDING PERMIT OW �n T�ELIEP E L�3 SQ. FT. OCC. BUILDING VALUATION OWNER'SMAI ING ADDRESS ro f ✓` -I/ ' % C' CON CTO 'S NAME TELEPHONE CON AC OR'S MAILING ADDRESS Fireplace T$_ CONST CTION LENDER UNKNOWN Total Valuation Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ — f ARCHI CT OR ENGINEER A10 RI -c— LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 5 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 IN Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTUR SF [_1Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00ea TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP V OR LESS 10.00 Main service EA. ADD'L too AMP 2.50 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 1, 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. 704.4) ❑ I am exempt under Sec. , Business and Professions Code for this reason OR ADDNSCONST DWEACCLLIN GS. OCCU /z--- Itsqft NEW CONSTR ULTI.OUTLET 2,50 ea NO .RES', ESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20090Q eALO 30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ 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. 1�f I shall not employ any person in any manner so as to become subject Y� 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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 County of 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 said Co ty in consequence of the granting of this permit. X ���^^� ,�_ Date 3'3 / �f6 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE occUP. CONST.TYPe I FLOOD P L PD HD 139uII This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �' �,'�� ,d Receipt No. 0(_-1 L _ WHIT&-D.P.W.. YELLOW-ASSC990R, PINK -INSPECTOR, GOLDENROD -APPLICANT ,�c•,..i •:a : fy , .K.. f.t . S � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORUA-95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER L/ -(J Proposed Building Use Permit No. + f A. P. No. Building Inspector Date At time of permit application, I was advised the following data must be -submitted prior to permit processing and:/or issuance: ' DATE RECEIVED APPROVED 1. All items have been submitted. ... . . . . . . . . 2. Plot plans in duplicate./triplicate;"signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . .91 QjK- _10. L&ter of signature authorizat' n. Sanitation approval from Vo U Health Dept.. Ale 11. Planning approval for (A) Use: (B) Parking: 12, Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) . 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ), _15. Improvements may be required. . . , . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre-Inspec.request Pre -Inspection for Required. Building Inspector to (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. WhVe you issue the permit, process as fol lows: Mai I to, �ffn,,er 4Telephone bice, Mai I to contractor. and hold for pickup at c / v Deliver w/inspector, Other.A711 Applicant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submittedi to permit issuance: (Circle new item not checked above). 1. Index permit for above Jtems No. 2. Additional items required: t Contractor, designer, owner, was advised of above required data by_phone_lnail—counter by date Contractor, designer, owner, was advised of above required data by—phone _mail—counter by date Plans checked by Date Plans approved by to Sets of plans on hold inVFile cabinet AP folder — Flours: 10:00 a.m. - 3:00 P.M. Copy—DPW r To: :suilding Departs i:�nt From.: ?nvironmental llc:ath Subject: Sanitation Clearance Dimer Location Plan Approved for: Hold final for: Final clearance O.K. for: Sewage disposal Clearance for bedrooi,: m;obil.e noire. Other 34 _rV -� API i;ater supply i;ater supply seater supply Tanitari Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your. signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing youi.building permit: No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) S 2. I (have/have not) :-,Z Hyq-c/P signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No, 4. I plan to provide portions,of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work•but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner ^per Social Secur y Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. r1P PERMIT NO.� PERMIT EXPIRES C�l John Permann OWNER ;CONTR. owner `:`LOCATION (A.P. 36-50-49 ) W/S pri.rd.,(Serene Rd.), @ end of Lone Tree L Rd., app.200'S.of Power House Hill Rd., Oro. •1 Temp. Power Pole_ Called PG&E Temp. Elec. Serv. Called PG&E � •��Gas Serv. l� QuLe1LQ6n� JOB FINAL ED (Date) 9 (Signature)! I— :COUNTY OF BUTTE — DEPARTMEN-I OF PUBLIC WORKS BUILDING INSPECTION.RECORD BUILDING BUILDING (Cont'd) PLUMBING Seltack F ewaII All Pipin ForAs ar ets 1 t Floor Mai Bldg. fRiestom Finish 2n Floor Fc tin s indo 3rd loor StemaII idin To out Slab Roof She in Water PI i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s V Slab A Prov, for phsical handicaped Conformance of ex. structure Final A Appliances Gas Pip ng & Test Temp. Gas Sanitation Patio FfR EP ACE Final Footin s Footing E ECTRIC L Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea FIRE SPRINKLEA I Motors Stucco Final Sub anel Mesh MECHANICAL I Grd. F It Prot. Scra h Heati Servl Brg4n Coo ng Tomp. Pole F nish D is linderground In prior Lath ntilation Permanent & Closer Inal inal MOBILEHOME UTILITIES �e� ®Q /� Elec. Pedestal Water Piping — -3 —.qty — Sewer i 0 Gas Piping Ir B EHOME INSTALLATION - - - - - - - - - - - - - - SupportJ--/6Elec. Continuity Water Piping — Drainage Gas Piping ki DATE REMARKS OR CORRECTIONS 3' 1 a - s? 0 S)'+ - RV 00 -Z-gam c / ° fro o; q-c—(za (NOTE: An entry must be made on this form each time you visit the job site-.) Sem/-� 9. Electrical A. Is service large enough to provide adequate amperage -to mobile[Zome (must equal rating of mobilehome with a minimum 'o f' 100 ' p) acid 'other facilities on lot, i.e., water pumps, garage, cabana, etc.?: Yes o_ 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 o 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 fixturbs and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the,grounding electrode and the chassis of the _mobilehome. upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. 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 Length_ Width co�RT s - Vehicle Serial No. = �-�-� B©f Z2',h State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1—t Is the mobilehome located wit required separation from lot lines and buildings and generally we.w ' 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 pe ed plans? (Note possible variation at spring shackles,) (Sec. 5082 & 5083) Yes 1/No 4. Is the mobilehome level? (Sec. 5088) Yes 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No 6.. Water A. Is flexible onnector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Y e sPd B. Test —.Does water piping withstand working pressure or 50 lbs. air test? Yes vivo C. Backflow - If coach is not S•ta e o California approved, does station have backflow device and pressure -relief valve? Ye _ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes—k!--'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 runni 3 -gallons of water through each fixture including washing machine standpipe? Yes, o D. If c c -not State of California approved, does station have required trap and vent? Yes o , 8. Gas Piping and Gas Ven - s 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 mobileho as line inlet without reductions other than the mobilehome connector. Yes o / B. Test OK as per following procedure? Yes_L,PKO 1, Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. 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, 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Ye &,," No. COUNTY OF BUTTE 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. M ?1A ,Inspector Date ft C -. ,'. 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' :?— S(Ia for the following location: Owner 7T;? L 4• V %e^ —A, h VIN Owner's Address X-73-79 O Y P d,ti Jo P 7)Y 1 ,/t 0 Mobilehome Mfg. r�Ecol,, 1.0-1n rjMode1 +� Yea Insignia No.) 9_2 4 d /L Sr -9 Z `7 Serial Nol Ag(R A4(') I, 7 )- It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date 4-10 — 01 By 0— THIS THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. r o COUNTY ®F. BUTTE — nEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT . Owner Mailing Address G_� Contractor 1, 1 Mai I i ng Address ,"-1/Z Telephone No. CRO (� rf (L i Tetepbane Np�1 Building Address J, U S A. P. No. a 10 Zoning & Planning toW-(!:rl .Szai-1:et Fire Dept. Fire Zone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Im r Plans. Declaration P p ovements Bldg. s Recd E Parcel royal Pla Approval NEW ❑ ADDITION ❑ UTILITI�S ❑ OTHER Single Family ❑ Duplex ❑ Mobil Home �' Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State ofalifornia Business & Professions Code under he name style of d License No. caC �/ 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. FLI—I-hplaced 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 abov men 'oned property for 'nspection purposes. X 0�'�`� Gate 3 lea lto�; Signature Permitee or Agent Receipt No. > 6 C -S (. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SQ. FT. OCC. BUILDING VAL ION Fireplace Total Valuation ELECTRICAL Permit Fee PERMIT FILING FEE Plan Checking Fee &/or Penalty Main service Permit Fee 5.00 PLUMBING No. @ FEE 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 00V OR 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Main service OVER eoov 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS. OR ADDNST ( DWELING ACCL BLDGS.CC UP. Y) 2¢sq ft NEW CONSTR. NON.RESID. (MULTI -OUTLET BRANCH CIRCUITS) 2.50ea Ex. OCCUD(OUTLETS OR FIXTURES) 'BAL C81 e @Z*10 EX. Occup.(OUTLETS P(RESIO.)RE A) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirinq 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Coo I i Ventilation Hood 1 1 2.00 Permit Fee $ Land Development Fee i _ �s--- TOTAL PERMIT FEE �) This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abov r which fees have been paid. IRE R OF UBLIC WORKSI 14AS q% �i/7'� Date # Building permit expires Date BUTTE COUNTY, DEPARTMENT ,OF PUBLIC WORKS �. 7 County Center Drive, Oroville, CA. PHONE c 534-4541.. MOBILEHOME INSTALLATION SHEET - 1. Owner's name: ® 1A:Z12X)1UA)V / dn' name: 1 N � LSI dI 3.. Is'the' site, currently under permit? YeS;,� No / / • (If yes, furnish permit number (O Is the site an existing site? Yes (If yes, ;furnish two (2) plot plans.) 4. . Will the mobilehome be located at least 5 ft: away from septic tank and leach fields and' clear-of all setbacks and easements? Yes % No / ' (If no, clarify { ) 5. What is the mobilehome electrical rating?----------------------- ���� Amps 6.` What is the mobilehome site service rating?----------- - ------ Amps 7.. What is the mobilehome site' circuit breaker rating?=------------ ��® A,� -hps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes�/�c/ 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/ 11. What is the gas pipe length from meter or tank to the mobilehome? 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_L.PG.). MOB ILEHOME SUPPORT DATA If other than single wide, / #� Mob'ilehome Mfr., r1CC I ]i� furnish Setup Model No. �21Uy�C Year Width(ft.) Box Lengthy (ft.) Tagalong or Expando Size (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 � _l Wood either pressure treated or foundation grade. 27 x� 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) to Concrete block. 2. Other (specify) (ft.) (in.) (in.) (in ) f R --t-.T( —in.) (in.) (in.) Tagalong, or Expando,' show support details. Lx -- Typical Support .) (in.) Footing Size (ft .X in.) (in.) (in.) -- Max. Pier Spacing (ft.)(in.) ( t.)�(in.) x (in.)I (in.) *If center piers are other than drawn above, draw in. -locations, spacing,.and dimensions. Max. Overhang (ft.)(in.) BUTTE COUNII BUILDING DOARTMEN APPROVED D �� 17 L.'ea Nr! .' P"f�r�.9�v.✓ ✓1P + .._ /¢f' 3G -sem q + _ _ ry I i + r �• 1 -'i---F. - .3r•% % 9 e �1 �1,J���G/� 1V/cr - } -1- - - .� - I + - . _ � * � P�<v,✓rr � S-3 3=1 / 3 �•- ' - I - ,— r I S" 1, ' N6TEc--Al1 Mat rials '& Workmanship ;Shall Be in - + - - - + - �- -- +- r _ - t rAccordance with .Recognised ; Good Practices- and- -� fi- -: _ .} Utility conn ions shall be within _ . -•+ _+of,a_yualitv..pre ribed for' the Specified use in the 4 ft.' of them bilehome, either Uniform Building, umbing & Machanicalj Codee aad _.__ t -` t - T - directly beliin or within the rear - ; the National-� 'cal Code- *- t-T -4 — - t- - J - ----half-of the-roa side (left)-of the mobilehome. set' of This plans and specif►cafions MUST 6 1 _kept on the job at all times and' it is unl.wful fo - make any changes r alterations en same-wlAout- + - _ t :`foo 'wri#en permission f om the Departrnent P blit ,Works,oem Cty of alta. i f _ _ . I � � � � rt - W - •-SIPS'_ I p ! I Q • - r I - I - 'A setback of 5 ft. f r om the ;properly lines and A setback- I ' � of 50ft. from the r d ' . �•. , ` -�,; + - } ' _ + o . * + 'centerline shall be clear of ;structures or.equip ent except �.•"� ' j + for a 2 ft. eave ova hang. i ' , • 1 f I t 4 1 i ! T. r , { . I & - + BUTTE COUNTY BUILDING DEPARTMENTAP -ROYED-j r I 1 • COUNTY O� BU�TE — DEPARTMENT OF PUBLIC WORKS +' 7 County Center Drive - 5 le, California 95965 Telephbne: 534-434-4541 //� V•(Y/ APPLICATION AND PERMIT w / autfwncc reprro5en1auvrZ5 or the bounty ur tsutte to enter upon the above-mentioned property for inspection purposes. Date .2- 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. DIRE R OF�P LIC WORKS By , Date permit expires Datev --�� BUILDING Owner0-,v E12Y1� SQ. FT. OCC. BUILDING VALUATION Mailing Address 6-5-19 5 1(ZI066 OL,53 Telephone No. 3- 1 'L Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Buildin Address _ g s 2f U �� b Plan Checking Fee&/or Penalty Permit Fee vC 4ec- PLUMBING No.1 @ FEE _ PERMIT FILING FEE $3.00 ,UO Each Trap 1.50 ��. Repair drainage or vent piping 1.50 A. P. No. �- Q- 2 Zan ng & Planning Water piping 1.50 6,00 Each gas water heater or vent 1.50 F&gs I W e LS# FireDept.Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W Improvements Each additional outlet .30 wilding sewer 5.00 p,00 j��� Bldg. PlansrRec'd T � arcel A royal Plans Approval Lawn sprinkler system 2.00 P Y NEW ❑ ADDITION ❑ UTILITIESR OTHER ❑ Permit Fee $ Z3, -Oe $ Z� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 : on� Main service 100 AMP 00V OORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST OWELLING OR ADDNS. ACC. BLDGS.CCUP. a� 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 le of: NEW CONSTR (BRANCH ULTI-O NEW CO ID `BRANCH CIRCUITS 2.50ea CIRCUITS) NEW CONSTR. POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES g 2@51004 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 /57,06 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ I ,OO $ 4a G 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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ _ TOTAL PERMIT FEE $ autfwncc reprro5en1auvrZ5 or the bounty ur tsutte to enter upon the above-mentioned property for inspection purposes. Date .2- 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. DIRE R OF�P LIC WORKS By , Date permit expires Datev --�� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - 5 le, California 95965 /�O�— 9 3el°ephorre: 534-434-4541 / /VI// APPLICATION AND PERMIT (/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 3'z� Signature o Permitee or Agent Receipt No. —3 6 6, Z. 0 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions o` the Butte County Code and/or resolutions to do work indicate(= above for which fees have been paid. ECTOR OF BLIC WORKS BY Date % Building permit Aires Date �_/ ge1g.- BUILDING Owner �' SQ. FT. OCC. BUILDING VALUATION Mailing Address 5-3 7 45Z, d [�- -telephone No. v�L L >' 5 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address,t," t 5 Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Igp 0-- Repair drainage or vent piping 1.50 A. P. No. Q-- ��,¢¢ Lon &Planning Water piping 1.50 Each gas water heater or vent 1.50 F61's SartTta n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 b a EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Pd I Parcel Approyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ® OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR LE 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 100 100 AMPeoOR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW Y)CONS' 22sgft OR ADDNST ( ACCLBLDGSCCUP. 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 RESID, BRANCH CIR T NEW CO ID `BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS 8 NON .RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTI pES) 6 L 250 1 FIXED APLNS Ex. Occup. ( OUT ETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 t�iam 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. ®: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 $ $ 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 11 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 3'z� Signature o Permitee or Agent Receipt No. —3 6 6, Z. 0 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions o` the Butte County Code and/or resolutions to do work indicate(= above for which fees have been paid. ECTOR OF BLIC WORKS BY Date % Building permit Aires Date �_/ ge1g.- AGRICULTURAL BUILDING Exemption Form I, �/� Hw / PMR i».4 ✓✓�/ c/i� , owner of the property. located at (please print) Assessor Parcel �� 3 l Sd — y q , intend to construct a �' x �O ' 6k/c" 1� I—W, -A,-►C agricultural building on this property. (specify type of construction & siding) I declare the building will be used to house* ,y iy, ,d/ 'r X , (specify use from definition below) which conforms to -the Ag. building definition.. Agricultural building is defined .as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, .or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. I understand.if I change the use or occupancy of this building I will be sub ject to the necessary permits, inspections, and approvals from the Butte County Building Department. 141-5 Signature of. Property Owner Date s Building Inspector receiving form _,._.... Comments: Duplicate.to field inspector, - Date pe 139- -7 9 ri COUNTY OF BUTTE °—"DtPARTMENT OF PUBLIC WORKS - - W 7 County Center Dri� - Oroville, California 95965 TelepP)one: 5;04-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date/ Signature of Permitee or Agent f 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 0 UBLIC WORKS By —Date -L U .,. / permit expires Date / _'r�T BUILDING Owner f /-SQ. r FT. OCC. BUILDING VALUATION r Mailing AddressrJ 'Telephone No. Contractor CL Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address C-' 1 - - Plan Checking Fee&/or Penalty Permit Fee y PLUMBING No. @ FEE v F ,. r: fc PERMIT FILING FEE $3.00 Vv Each Trap 1.50 :,fid,•. Repair drainage or vent piping 1.50 C A. P. No. J 5 ' Zoning & Planning Water piping 1.50 j'Q Each gas water heater or vent 1.50 Fees W G�.- Sanitation 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 Bldg. Plans Recd I Porcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERQ permit Fee $ M ' $ y ELECTRICAL No. @ FEE SCA +`�Z�t� PERMIT FILING FEE Main service 800V OR LESS 100 AMP OR LESS 5.00 00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 V Main service OVER e00V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW ACNS. ( ACC`BLDGS.LING CCUP. 4\ OR D I 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 style of: NEW CONSTP_ MULTI. UTL T ....RES'.( BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS e NON.RESID. (SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTI-RESjg L iP FIXED APLNS. Ex. Occup. (OUTLETS P(RESID )REA� 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 Cal ifomia. 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. iecertify 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 relatinq to buildinq construction, and hereby Land Development Fee $ TOTAL PERMIT FEE Is authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date/ Signature of Permitee or Agent f 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 0 UBLIC WORKS By —Date -L U .,. / permit expires Date / _'r�T COUNTY OF BUTTE �DLPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oville, California 95965 Tel ephdlie: 534-4541 APPLICATION AND PERMIT 9IS162-9 n� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date/—�� — � q Signature of Permitee or/�A��•g��ent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions on the Butte County Code and/or resolutions to do work indicatec above for which fees have been paid. 00, DIR TO UBLIC WORKS c.. BY Date'— permit expires Date BUILDING Owner nor SQ. FT. OCC. BUILDING VALUA I Mailing Address 3 ° Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee pzc� PLUMBING No. @ FEE aoil F p/f PERMIT FILING FEE $3.00 V� Each Trap 1.50 Afa Repair drainage or vent piping 1.50 A. P. NO. 6 `3-D _ Zoning &Planning Water piping 1.50 S� Each gas water heater or vent 1.50 Fees Fire Dept., Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 au Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ly, 6-0 $ Lilly ELECTRICAL No. @ FEE `PERMIT FILING FEE $3.00 T. o Mainservice 600V OR LESS 100 AMP OR LESS 5.00 0 Single Family Duplex Mobil Home Others ® P ❑ ❑ ❑ Main service EA. ADDtoo AMP 2.50OVER (� Main service 00 AMP OR LESS 25.00 Main service EA. AOD•L 100 AMP 1.00 NEW CONST'(OR ADDNS. ACCDWELLING BLDGS.CCUP. 22sgft 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: Y NEW CONSTR.S'.. TI -OUTLET LET NO N•R ESI D, BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS B NON.RESID. \SINGLE OUTLET CIR. Ex. Occup {OUTLETS OR FIXTIIRE550@25C BAL@1 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 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ gi 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. 1 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. FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation 42.00 Hood 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 Is TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date/—�� — � q Signature of Permitee or/�A��•g��ent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions on the Butte County Code and/or resolutions to do work indicatec above for which fees have been paid. 00, DIR TO UBLIC WORKS c.. BY Date'— permit expires Date T PERMIT NO. fffl� PERMIT EXPIRES 1?113 OWNER John Permann, Jr. w CONTR. owner ASSESSOR PARCEL 36-50-49 LOCATION WAS Bronson Rd., @ N.end, Oroville 1? i ,i if Temp. Power Pole _ t Called PG&E _ Temp. Elec. Service Called PG&E _ Temp. Gas Service _ Called PG&E _ JOB FINALE[ Signature V = OK. 0 = Not OK i... — = Not Applicable MOBILEHOMES =..Not Ready _ �- MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS, CO RS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements1' n' g Requireme ts—Setback basements 2. Soils; Special MH Support—Sketch _ gs; S' %A—S ing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) ood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete -,&�tAlum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L' -'ft./ /"LPG -,=^.Carports; Windows—Doors 7. Utility Clearance 3.- a ec. Card -BI Date Card -BI Date Card -BI n Date ���� a `J�63rd-BI Date Card -BI Date Card -BI Date Card-BIkv.-Patea-4_ _ Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except it's 1. Zoning Requirements—Setbacks—Easements Date P OLS (Plans) OK except q's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test-Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date r = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'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 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 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 Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail 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. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 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 E) Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 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 0 N 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. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 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 -BI 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 #'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. 40. _41. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. _Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS » 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER v r ZO ING BUILDING PERMIT OWN,TELEPHONE h 1J_ • K-3-3 Q\ 3 2. SQ. FT. OCC. BUILDING VALUATION E R'Y M Al L 10 DOrRESS 9 �- O C N ACTOR'S NAME TELEPHONE ay CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation - $ _ Filing Fee ' $ 10,00 LENDER'S MAILING ADDRESS Permit Fee I $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADD E S Permit fee $ BUILDING DDRESS - S YD-YtS �,.� �. PLUMBING PERMIT Filing 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 t� SF ❑ Duplex ❑ Mobi lehome ❑ Other.l,, L) SPECIFY Building sewer 5.00 Mobile Home S I G I W10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ In�sttalllajtiionp❑ Other Describe work:�Q� Q�%_74- I / (Q 7 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V 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. , 2/4sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business20@SOC and Professions. Code and m license is in full force and effect. y LI rise 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. MULTI -CUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR.POWER APPARATUS & NON-RESID. ( SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES eALesOe XEDA PPLNSOR FIXED A Ex. Occup. OUTLETS (REST. Do Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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 C nsent to Self -Insure. 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 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. 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 agains aid my in c sequence of the granting of this permit. X Date 3 —/l —�3 ignature of Applicant — Owner ontractor ElAgent❑ 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 I TYPE OF CONST. PARCEL PD ND ssuE . This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which 1 FECTOR OF PUBLIC By. � �AV PERMIT EXPIRES X.I. the applicable provi- resolutions to do fees have been paid. WORKS Q Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSP RMIT Ng, 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 0.1411 APPLICATION AND PERMIT ASS SOR PARCEL UMBER ZONI G BUI DING PERMIT OwTELEPHONE . Y h t SQ. FT. OCC. BUILDING VALUATION V l O ER'SAILING ADD ES 0 1 CONTRACTOR' NAME Q TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER r ` LICENSE NO. Plan Checking Fee $ „ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD[ N ADDR S C PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomep�K Other ' SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition R model ❑ Uti I'ties Instal I ion ❑ Other F-1Contractor Describe work:_ Permit Fee $ I ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 5.00 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. / DWELLING OCCUP,N) OR ADONS. \ ACC, BLDGS. I 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): F-1NON-RESID. I am licensed under provisions of Chapt. 9, Div. 3 of the Business a d 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. I.OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS &% SINGLE OUTLET CIR. / 500@1 Ex. OCCUp OUTLETS OR FIXTURES BAL FIXED APPLNS, OR Ex. QCCUp.�OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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 Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. U ' 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 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 said County in consequence of the granting of this permit. 057 X Date 3 ^^ 3 !/ —� ignature 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 $ TOTAL PERMIT FEE $ OCCUP• GROUP TYPE F CONS IPA C L PD ND 55u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R O PUBLIC, BY *----Date PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS a/ �•� _ V Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT E ? �=t r2507 -80R PERMIT NO. PERMIT EXPIRES OWNER John Permann CONTR'. owner 36-50-49 LOCATION (A.P. ) W/S pri.rd.,at end, off Lone Tree Rd.,app. 200'S.of Power House Hill Rd., Oroville 1'N j a f r. y Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS r� a 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 1- Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Car rt Po Footings Prov. for ph sically handica ed Conformance of ex. e Z Appliances Gas Pi in &Test Temp. Gas Slab Anal Sanitation Patio _ _ / A REP ACE Final ELECTRICAL Heint. steel Final Fixtures Bond Beam --)_FIRE SPRINKLERS Motors Fra mIn Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatina 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 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 - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CF ifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. — 0. /. ASSESSOR PARCEL NUMBER Z _ 0 — ZO NG oZ BUILDING PERMI OWNER - 4 O TELEPHONE SO. FT. OCC. BUILDING WrtUATION OWNER'S NTAIL G ADDRESS -4 9200 CON RACTOR'S NAME TELEPHONE CONTRACTOR'S MAILINd ADDRESS CONSTRUCTION LENDER - UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ S ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING -;DRESS PLUMBING PERMIT Filing Fee 3.00 JG2tLt� Each Trap 2.00 Repair drainage or vent piping 2.00 b .... ••sem ��G �(�< <,1S, Water piping LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome® Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities [:1 Installation❑ Other [d Describe work: C�✓die _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING O OR ADDNST ( ACCLBLDGS.CCUP.&) 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F-1NON-RESID. 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) El 1, 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 CONSTRMULTI-OUTLET NON-RESID. BRANCH CIRC ITS 2.50 ea NEW (POWER POWER APPARATUS . & SINGLE OUTLET CIR ExOccu 50 @ zsa . P(OUTLETS OR FIXTURES BAL@10¢ FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor 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. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 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 County of 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 id ty in consequence of the granting of this permit. Date 6�77� i % — kla IgnatUre of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit .is required for ex ons over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCC P. GROUP _ I TYPE OF CONST. PARCEL t% PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. % �S WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -- P,- - lot U4 WN CKY i 1 e" e' <�..: ,.. r..!, r .eP ry i♦ N ,.dr,!'1_ '!' 1 r, gor:, pIN=e* " .{. , ks�i. ..;� . -f._ 'K: ,:r..�p -,�� ' :,:a r .—,•..r , c , !.;;' . , �;� , . :, w. e�Ys .:., ,; + ... •-•x i.. i - •' "'P „�', r.ri: ! F. a .. . ?.: FA: R� ,7 1.. Y.,"r'�v'�r?'k�. a+ :.k: 1 7 ,A'"'•"f*. TI.,.I !: +�' i „ ,{� . !. "i": ;,4 1 ql art , i., r, 1 d. 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