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HomeMy WebLinkAbout078-090-003,0 Z I --A -k — 7W L AP 36 27--M James Moak (SEE )�EPORT RE EX. MH Permit #271-77P E(brijig exis.NH.site up_t.p co e) SUPPORT STRUCTURE REQ. - _;t/o COMPACTION TEST REQ. A/D 36 RF -42 contr: Wilson Mobile` q e Sefv Oro Permit #31,6L:77MH AM/* Issued _e�-�'07' -2 HI BAR"V Vt4 �,',�/ 825�Kusel Rd, Oroville Per -mit #1531-78E(ele ser ch mis wiring) fertilizer packing plant �PACKMAYR GUN WORKS i -25-'KUSel R7 -870c'wi 1 18 a 0 co 1e I J'Frli iC, Oroville PUMP &'Electri, ,P e. -rVm- it #1530-78E _(_e_le_ser- IV 0& sc*Wjrin) guly Ztock marii 46 Northwest Pacific awur C e s NWcornerot Industrial Way & Commercial Way, app.1000E-of Kuse4 ODville con-tr.:-. Stuart. Const-, --Orov.j-ll.e- Permit #36-80B(add s orac�/d��oJ r/ s c 'r. 'JD'aa� comm. warehouse) X Hi -Bar ,1825- Kusoe e"Re�,Orov, 1 e CONTR: Loyd's Electrics Oroville Permit 700-80E (200 amp service/ Commll fertilizer packing plant) r V - C)��- ,0 I 11 -_j 36-80B IMI - PERMIT EXPIRES OWNER Northwest Pacific Resources 36-27-22 CONTR. ' LOCATION (A.P. 36-27-22 NW corner of Industrial Way & Commercial Way, app.1000'E.of Kusel Rd..,OroVille 83 r I Temp. Power Pole Called PG&E { Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E ( -JOB FINALED r (Date) (Signature) A t 4 Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD - bubpanels Grd. Fault Prot. 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 Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for ph sically handica ed Conformance of ex. structure Final Appliances Gas Piping& Test Temp. Gas Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Mesh rinai MECHANICAL bubpanels 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 W2Bl6EHQME 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 vislt the job site.) Owner a Mailing Address Contractor Mai I i ng Address (DiRoos t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ., " Telephone: 534` 4541 �6-90 APPLICATION AND PERMIT �% 4INes-r piw W CIDA)s �CI'7.5 414L), Building Address N )r W,�5 6�( ZAAAZ-9 elephone No. A. P. o. 6 - L7 - � oning &Planning F es .C. I S ion Fire Dept. Fire Zone Use.Permit EOA Parking I Parcel 60' R/W Improvements P ans Declaration P Bldg. fans Recd I Parcel Approval I Plan pproval NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home ❑ Others HT ZT, �lJ 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: r License No.30-7 Z. S`LT— Classification .9-'" 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 forWor men'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 ❑ piermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ® Signature of Permitee or Agent Receipt No. L P� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUILDING OZ FT. I OCC. BUILDING V LUATION 42 1 A -,- .@Sri -.9� Fireplace Total Valuation P Plan Checking Fee Vor Penal PLUMBING No.1 @ 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. @ PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. Si no ennwie err a, nae a 2¢sgft NON.RESID. % BRANCH CIRCUITS/ G.DUCt NEW CONSTR. (POWER APPARATUS && NON-RESID. `SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTIIRES) 50@250 BAL @ 1C EX. OCCUp. �OFUT OUTLETS IEI P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Cooli K Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE is 30. 1 C( 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 By Date —17-0 B ' ding permit expires Date /--17-01' Al � � I 'I hf T -7 ; =1_ + •ter ` . L 1 al V� }�/ JC V R •i c' m a 1 _--- \\"\ V 1 � y{`" tom:. �\ /�• � .�. - �� � � ,'' F _i ,� ,. " - -• V -ter � $A00. -lee j rj Q 4f `L/.l: '��. �'S lF`fj `� _ M7 !Q`'�' .Ila, y7• _ _ r% .41 TOTE: All aterials & Workmanship y accordance ith Recognized Good Practices if a �uality rescribed for the Specified use in Jniform Buing, Plumbing & Mechanical Codes Md = v� -he National lectrical Code. Thi of plans and specifications MUST be kept o a0b at all times and it is unlawful to BU F� CO make a changes or alterations on some without writte mission from the Department of Public p Blf101 G, DEB ':RT17 Works, utnty of Butte. e� gee V t. Cay) � ,•�: klm JACK STUART CWNER I STUART CONSTRUCTION* RESIDENTIAL LICENSE NO. 303255 3975 HILLDALE AVENUE COMMERCIAL OROVILLE. CALIFORNIA 95965 PHONE 534-1185 o -2 - U(0�14T e e --r I c>,, :dtov5 Li e c El �f I -rs If fl BUTTE COUN�y BUILDING DFPA-n*NA7-NT APPROVED I W I, JACK; STUART OWNER STUART CONSTRUCTION* RESIDENTIAL LICENSE NO. 303255 * COMMERCIAL 3975 HILLDALE AVENUE OROVILLE. CALIFORNIA 95965 PHONE 534-1185 GuiGc�iNf 1' l; 11 J �T— J"^ /. � G .. J i . I � G.l��• 7J USE A4 M fad v - b e -c If s r wdt StE+- ! Fk. Iluoo0 mv-0 51 4,L PI.a v O A•tv c+4o(L S BUTTE COUNTY1 BUILDING DF-P.ARTR!W -APPRO. E Owner / / / - Mai I i ng Address Contractor L Mai I i ng Address Building Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive f- Oroville, California 95965 Telephone: 5�34-4541 , APPLICATION AND PERMIT iil�4 k elephone No. �S�rfoS n a. a e& vI LC. A. P. No. Z — L Z- Zonin & Planning Flee I Wim" Saakett"on Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration P p ovements Bldg -I ani" s—ec'd Parcel Approval Plans Approval NEW n ADDITION n UTILITIES n nTHFR n7 BUILDING SQ. FT. I OCC. I BUILDING VALUATION Eireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE 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: _ w III NEW , MULTI. UTL T NON -R ES,.( BRANCH CIRCUITS)2.50ea FCIIIII I, FOC y t-' 6 0 25d 5 ELECTRICAL No. @ FEE 10.00 PERMIT FILING FEE $3.00 License No. Classification t- Single Family E] Duplex Mobil Home 6.25 Main service 600V OR LESS 100 AMP OR LESS 5.00 I am exempt from the Contractors License Laws of the State of California. Permit Fee $' WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor fl - de ' h I t b; d C h MECHANICAL Nol Others Main service EA. ADD'L 100 AMP 2.50 v 7-11-I Main service OVER a O 100 AMP OR LESS 25.00 - Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACC. BLDGS.LING CCUP. 4\ 20sq 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: _ w III NEW , MULTI. UTL T NON -R ES,.( BRANCH CIRCUITS)2.50ea NEW CONSTR. POWER APPARATUS p - NON.RESID. SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTIIRES 0 25d 5 Ex. OCCU FIXED APPLNS. OR Occup.(RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification t- Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $' WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor fl - de ' h I t b; d C h MECHANICAL Nol @ PERMIT FILING FEE $3.00 Heating c requires every e—nipoyer o e Insure against ab1llty for Workmen's Compensation. ❑/( have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X / r Date Signature of Permitee or Agent Receipt No. ,�14 rlI;i White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling 5U $ ti L.) FEE Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ _ SO This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above; for which fges have been paid. -RECTOR OF PUBLIC WORKS By. Datez- /� U Building permit expires Date Z .. 13 COUNTY OF BUTTE - DE'PARTMENT OF PUBLIC WORKS 7 County Center Drive - iroville, California 95965 Tel epF66'e: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X7 � V Date 2 / v Signature of Permit e� rr Agent Receipt No. 3 [ �� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of t tte County Code and/or resolutions to do work indicated CDhOVfoorich f es have been paid. CJOR OF PUBLIC WORKS By Date /3 �e) Building permit expires Date Z--13-81 BUILDING Owner % ��J RSQ. FT. OCC. BUILDING VAL TION Mailing Address Telephone No. Contractor L d Y 6 5 ]Fireplace Mailing Address 0. oX g n, Total Valuation Permit Fee Building Address 8 �S l`VS��Y 2�. Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each 1.50 lac.-C� Repairr drainage drainage or vent piping 1.50 �-7 A. P. No.I� L� — 2 -2 --Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 s W . Sanit Tio-n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 �, BldgF I . ans Recd Parcel A royal Plans Approval Lawn sprinkler, system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 2-- Permit Fee $ $ Zai A"P 5eetllci5 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 J.00 Main service 600V OR LESS ff��yy�� 100 AMP OR LESS 5.00 5.00 ��� Single Family ❑ Duplex ❑ Mobil Home ❑ Others Imo' Main service EA. AOD•L too AMP 2.50 Z gO f✓�iV( Q �� I � •"'►�� l/i"1/V IIER Main service 100 AJOUR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR ADDNST % ACCLBLDGS.LING Ccup- Y) 2¢sg 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 RESID, ,( BRANCHMULTI-OCI T NON -REBID l BRANCH C .LCE T, Si 2.50ea -00 NEW CONSTR /POWER APPARATU58 NON.RESID. `SINGLE OUTLET CIR, Ex. OCCUC)(OUTLETS OR FIXTURES) g L@; Ex. QCCUp.(FIXED APPLNSOR OUTLETS (RESI.D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. �� / S c* -4 �/ Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Sf 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. l�Jhave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E] 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 $JS L authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X7 � V Date 2 / v Signature of Permit e� rr Agent Receipt No. 3 [ �� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of t tte County Code and/or resolutions to do work indicated CDhOVfoorich f es have been paid. CJOR OF PUBLIC WORKS By Date /3 �e) Building permit expires Date Z--13-81 j l I 4 4 1 I r I i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT r BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/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. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 10000 AMP V OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others,❑ Main service EA. ADD'L 100 AMP 2.50 - -- Main service OVER 600v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADONST V ADWECCLBLDGS.LING CCUP. B) 2¢Sgft 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 e o- style y LF NEW CONSTR. ( BRANCH CIRCUMULTI-OUT _TITS) 2.50ea NON-RESID, NEWCONSTR. POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. EX. Occuo(oUTLETS OR FIXTIIRES 1 BAL21 EO/ FIXED APPLNS. OR x. Occup.(OUTLETS 2.00 OUTLETS (RESID,) EAJ Temporary service 10.00 Mobile Home Facilities15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ✓ ��� WORKMEN'S COMPENSATION INSURANCE 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 J 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ GUUIVIILV IGIJIG0CIIL0LIVCb UI lite UUU[ILY UI DULLU LU enter UNUn Lne above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. :DIRECTOR OF PUBLIC WORKS By Building permit expires Date Date- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Al- -1r Signature of Permitee or Agent Receipt No. /7dA, , White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Bya(%. Date- Building permit expires Date J� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address jUr%, ,�l ,a 7 /� Fireplace Total Valuation la -e ., � Telephone No. :t .. j/ / Permit Fee Building Address > � 4 '1 4 %�' �C/l Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 �y� /rLdLfifXi( Repair drainage or vent piping 1.50 A. P. No. r - `� 7- , Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees I W.C. I Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking I Plans I Parcel Declaration I Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg.•P.Ians,Rec'd. Parcel Approvol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER N' permit Fee $ $ S r r �-- / ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3/ OU Main service 100v DR LESS S ©/1 10o AMP LESS 5.00 . C JJ Single Family ❑ Duplex Mobil Home Others �` . ❑ ❑ ❑ -L Main service EA. ADD'L 100 AMP 2.50 ' ✓ �I �`��� .^� ,, `� _ J IVEI 600 Main service 1100 AMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW CONST, ( OR ADDNS. ACCLBLDGS.LING CCUP. B\ 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: �j' •�� � (/ ,rte NEW CONSTRES'D, MULTI -OUTLET `/ NON•RESI D, BRANCH CIRCUITS/ 2.50ea NEW CONSTR (POWER APPARATUS .& NON•RESID, SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTtIRES IBAL EX. OCCup (FIXED APPLNSTS (RES• OR OUTLETS (RESID,) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Y Fd" r/ Classification /° -<� Misc. Wiring 6.25 .::T ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. '1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this El 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 INo. @ 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 $ t authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Al- -1r Signature of Permitee or Agent Receipt No. /7dA, , White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Bya(%. Date- Building permit expires Date J� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Owner Mailing Address ` Telephone No. Contractor Mai I ing Address 21 FTelephone No. ti `3 - `3 Building Address /S! A. P. No. Zoning & Planning deet -1 4-C— San—if-NTion Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration P p ovements 151 gd• Plans Parcel Approval Plans Approval NEW ADDITION ❑ UTILITIES ❑ OTHER 41 Single Family ❑ Duplex ❑ Mobil Home ❑ OthersA 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 c License No. AKfJd Cl Classification C� /0 ❑ I am exempt from the Contractors License Laws of the State of California. 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. -{ -have placed on file with the County of Butte a certificate of f�=+ Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 17Z48VI White-D.P.W. — Yellow-Assessdr — Pink -Inspector — Goldenrod -Applicant _ BUILDING SQ. FT7 OCC. I BUILDING VALUATION Fireplace $ Total Valuation ELECTRICAL Permit Fee FEE P I an Checking Fee &/or Penalty $3.00 Permit Fee Main service 100v OR LESS 100 AMP OR LESS 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. @ FEE PERMIT FILING FEE $3.00 Main service 100v OR LESS 100 AMP OR LESS 5•00 Y C Main service EA. AOD'L 100 AMP 2.50 Main service OVER 100 AMPP OR LESS O 25.00 Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCLBLOGS.LING CCUP. Y) C 20sgft NEW CONSTR. MULTI-OUTL T NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. EX. OCCuo(OUTLETS OR FIXTIIRES 50@25¢ BAL@101 EX. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 ,ZA r Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating Coo I i Ventilation Hood 1 1 2.00 Permit Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 7-s This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for w 'ch fees have been paid. IREC"Date ORKS d Byate Building permit a ,' J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center D60 - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X�z C Date '— C! r Signature of .,mites or A ent 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. I EC 0 OF PUBLIC WORKS B e Date Building permit expires Date S� BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address , elephone No. Contractor FireplaceTotal Mailing Address 7 / Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. .- a.Z.► �� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fire Sa"4QUo0 Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 B. Parcel A22roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ELECTRICAL No.1 @ FEE 41 PERMIT FILING FEE $3.00 _3.- 0-0 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP O OR LESS Main service EA. AOD'L 100 AMP 1.00 NEW CONST.OR ADDNS. ACCDWELBLDGS.CCUP. 51 20sgft C / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: TLET 11 NEW CONSTR BRANCH CIRCUITS NON-RESID. ( BRANCH CIRCUITSI 12.50ea NEW CONSTR (POWER APPARATUS a NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTIIRES g N! Ex. OCCU FIXED APPLNS. OR P•�OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. �- Yf6rC=� Classification (° /�� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 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. FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X�z C Date '— C! r Signature of .,mites or A ent 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. I EC 0 OF PUBLIC WORKS B e Date Building permit expires Date S� _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS w> 7 County Center Drive — Oroville, California 95965 a' Telephone: 534-4541 APPLICATION AND PERMIT CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No Classification Ex. OCCUp(OUTLETS OR FIXTURES FIXED APPLNS. OR EX. OCCU P•(OUTLETS (RESID•) EA) Temporary service Mobile Home Facilities Misc. Wiring am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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. 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% Q Date Signature of Permitee or A9 t Receipt No. Q White-D.P.W. — Yello•,v-Assessor — Pink -Inspector — Goldenrod -Applicant PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee 2.00 10.00 15.00 6.25 @ $3.00 2.00 n H ° w c M rx H M 4* A. r 00 la. rn , fD n � V Uy �H w M rn N. r FEE N W V rt r w N r a M E n fll sv w I TOTAL PERMIT FEE 1$ LU 101 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner Ma I j SO. FT. OCC. BUILDING VALUATION Mailing Address Q Zso lee-! cta Tel eph ne No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 OVO 0 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. / Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee W. .= FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P n0' R/W ImprovementsLawn sprinkler system 2.00 Bld . Plans Recd Parcel Approval Plans Approval Permit Fee $ NEW Eo_ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home 10 Others ❑ Main service OVER 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 C �oU� NEW CONST. DWELLING . P' & OR ACDNS. � I ACC, LN GSO ) NEW CONSTR MULTI -OUTLET NON-RESID, BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR, 2¢sgft 2.50ea b m .1 •— ® TI CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No Classification Ex. OCCUp(OUTLETS OR FIXTURES FIXED APPLNS. OR EX. OCCU P•(OUTLETS (RESID•) EA) Temporary service Mobile Home Facilities Misc. Wiring am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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. 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% Q Date Signature of Permitee or A9 t Receipt No. Q White-D.P.W. — Yello•,v-Assessor — Pink -Inspector — Goldenrod -Applicant PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee 2.00 10.00 15.00 6.25 @ $3.00 2.00 n H ° w c M rx H M 4* A. r 00 la. rn , fD n � V Uy �H w M rn N. r FEE N W V rt r w N r a M E n fll sv w I TOTAL PERMIT FEE 1$ LU 101 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date PERMIT NO. 271-77P,E PERMIT EXPIRES OWNER James Moak CONTR. owner _t LOCATION (A.P. 36-27-22 1825 Kusel Rd., Oroville . y ° i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — -DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION -RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback i - 2 (o •- -7 7 la Newall Soil Piping orms Pa pets 1st Floor ain Bldg. Rest oom Finish 2nd Floor Footings Windo s 3rd Floor emwall Siding To out e S14 Roof SheaNhing Water Pi in ✓`� Pier Roofing Sewer Garage NFdn. Vents Fixtures Footin Stemwal l Garage Vents Insulation Water Htr. Heaters --"— Slab Carport Footings Prov. for physical handicapped Conformance of ex. structure Appliances Gas Piping Temp. Gas &Test % — 2 G- 7 7 Slab A Final Sanitation Patio FI 4ACE Final ` x-'77 ®V Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Stee Final Fixtures Bond Be FIOE SPRINKLE Motors Framing Test Water Htr. .------— Stucco Final L Subpanels k MECHANICAL Grd. Fault Prot. Heatin Service Cooling Temp.Pole Ducts Under round h Venti tion Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS A/a -07 Dz� S -50B -77 Q A/eed CoPct d Rrowvd Se;.I4--r- �g Le I�•c.e d % O �4I$iA,.C.LI 'fiLCG 0 � f'/Ow$ Q lN�� � 7-h< T- �r2 C / h C b,& G O �I A/�► L r (NOTE: An entry must'be made on this form each time you visit the job site.) J C ii0}3I+"Fl i0:tlI INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome: located with required separation from lot lines and buildings and generally conform to plot plan? Yes A-" No 2, Does the -.n(-)bA.ehome have required clearances above ground? (Sec.5085) Yes !/No 3. Are footin—s and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes v No 4. Is the mo'Silehome level.? (Sec. 5088) Yes PyNo+ 5. If more t_zan a Oit, are crossover connections properly installed? (Sec. 5088) Yes_ No 5. Water A. Is flexile connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No . B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes C. Backflow -if eliefAvalve? not State of California approved, does station have backflow device and pressure -r Yes No 7. Wastes and Drains A. Is -connection made with Schedule 40 DWV. and have flex connectors at each end? Yest/No B. Does °:t have minimum, 11,11 per foot slope and is it properly supported? Yes�o C. Are any leaks detected in drainage system after running3- allons of water through each fixture including washing machine standpipe? Yes No �~ D. If coach i-� ��5tate of California approved, does station have required trap and vent? Yes— No/v 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 L-_�No B. Test OK as per following procedure? Yes 4 -**No 1. Open all appliance connector valves. .2. Shut off appliance burner and pilot valves. 3. Aix 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 so_ipy water. .C. Are all appliance vents properly installed? Yes ✓ No 9. Electrical t1. Is service large eno iglk. to provide .:idequar_e amperage to iiiobiloiiume (must equal rating of nu:�bi.lehome taitli �. ::rin.ia::�nn of 100 amp) and other faciliti_c!s on lot, i.e., water pumps, ,ara-e, cabana, etc.:' Yes ✓ Io_ B. Is thea, proper clearances around panels? Yes j. -'No C. Is power supply cord or feeder assembly properly fused? Yes D. Is continuity test satisfactory as per the following procedure? Yes_ No^_ .1. De -energize electrical wiring systeri of the mobilehome at the pedestal. 2. Make sure that t1he 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 1( -.,.id of a test instrument to the mobilehome grounding conductor and ,_ . apply Lite oLhe lead to each RiUul.�ctwuie 3iippty Corld�icto'i, including rieaLral. 5. All nor, -current, carry'i'ng metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of: the above procedure, the power supply cord or feeder assembly conductor's shall be connected to the site service equipment. A further continuity te:_;i_ shall then be made between the grounding electrode and the chassis of the Piobilehome.. Upon satisfactory completion of the electrical tests, the lot or site service equipment' may be approved for energizing. ;_t?, Is job card signed by Health Departmeat for hater and sanitation? 1.1.. If e've'rything (A ay, sign off card and e.u; services. MOBTLEi ORE DATA Manufacturer and/or Namestyle Ler.gt.h ' Vehicle Serial No. 3 State Identification No. '7//aV- r.ddttional Information or Cormnents: COUNTY OF BUTTE — DEI?ARTMENT OF PUBLIC WORKS 7 County Center Drive Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 11Z c)71 -z7 Signature of Permitee or Agent vY BJP 11ding Receipt No. (� DateWhite-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING V LUATION Mai I i ng A y ress Telephone No. " Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building AddressA L4_4 ell �-' PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 4„gg /'(,•pQ Each gas water heater or vent 1.50 A. P. No. � 3�ji a %"aGas Zoning 8 Planning piping system 1 - 5 outlets /().00 Each additional outlet .30 F QWJ W Fire Dept. Fire Zone Use Permit Building sewer 560 In. 00 EQA I ParkinPlans Declare ion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd ar I Approval Plans Approval Permit Fee $ — $ �3 NEW❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,OCA r � 100 AMP OR LESS 5.00 V Main service 601v OR LESS C,b� /•q'�y/ Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ OVER 600V Main service 100 AMR OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUR. & OR ADONS. ACC. BLDGS. ) 2¢sgft NEW':--ST- NON-RESID. BRANCH CIRCUITS)2.50ea NEW CON5TR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL FIXED ALNS Ex. Occup. (OUTLETSP(RESIDIREA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00-_,&70 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ v $ 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. CO—, certify that in the performance of the work for which this rmit 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ' 1 Y <f — �Z�o .0 Yo. _ . _._ � �`1 I'll TOTAL PERMIT FEE $ rS 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 ben paid. L DIRECTOR /OFIPUBLIC WORKS Signature of Permitee or Agent vY BJP 11ding Receipt No. (� DateWhite-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant permit expires Date COUNTY OF BUTTE 4PAPTIVIENT OF PUBLIC WORKS 7 County Center Drive - jOrov(LIe,. California 95965 Telephone: a34-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �x. i_n 11� W IA Date Z a / - _2:2 Signature of Permitee or Agent /,�� Receipt No. r`r3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date wilding permit expires Date BUILDING Owner Alet /N D A jG SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor /,,J, L,S� y M o 6 , do 0.%. c Total Valuation Mailing Address '79 rs )R9 .4 v e- Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address��S4 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ® ✓ 0 V I Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. N 3 - , 7 Z Z Zoning & Planning Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 Fdvsrl#161S."tatten FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p ovements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel proval Plans - proval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �57:q GL JPTo A/ ro r- P1 ,-.. , i a 71 -7 Main service 100 AMP OR ORSLESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L loo AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS. OCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: / LLJ ��.avu. In0-e-c,Q�e_bLo-m�2�` 04 dtj�,C e i , Ex. Occup(OUTLETS OR FIXTURES)@2SC BAL�1 FIXED APPLNS. OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No 42.! `0 7 / Classification _ 6 / Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct..1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby ;Ct, 7—AU,47/e A✓ TOTAL PERMIT FEE $ 30 iyc authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �x. i_n 11� W IA Date Z a / - _2:2 Signature of Permitee or Agent /,�� Receipt No. r`r3 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date wilding permit expires Date MOBILEHOME SUPPORT DATA Mobilehome Mfr. , ��(/�,�,,,, 0,,Setup Model No. Year Width / p (ft.) Length —,Sa5 (ft.) Expando Size ft.x ft. (Draw 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). Footings (check one) r _.._a/m, 1. Wood either ' pressure treated or Center Center Support fdn. grade, Support Footing Sizes Locations (in.) Lj 2. Concrete pad. r x! 3. Other, specify {ft.){in. tin.)(in.) Supports (check one) a N/ 1. Concrete block 1 a (•ftp (in�_�_ .._-. ._� r 2. Concrete piers (in •) i n •) Jti� _ J 3. Steel piers 4. Other, specify �(t I ax�aeJ0 Typical Support Footing Size (in.)(in. L � A _ _ I 15' _6 I MSpacingr inin`.(in:) x (in.) (in.) / Max. I I - Overhang 'i)'( in. *If�enter piers are other Addrawn above, BUTTE COUNTY driw in locations, spacing, and dimensions, BUILDING DEPARTMENT APPROVED a' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name : 2. Installer's name: ( J.A.. Q.o_ev, 3. Is the site currently under permit? Yes 77/ No (If yes, furnish permit number a 71 — ? 7 ) OR Is the site an existing site? Yes N / 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 /V / No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- 3o Amps 6. What is the mobilehome site service rating? --------------------- -J n o Amps 7. What is the mobilehome site circuit breaker rating? ------------- t0 Amps a-�o-"M g' $ a �o 17n�rP 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No 77-7 (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. Whatis the gas pipe length from meter or tank to the mobilehome? a (ft.) 12. What is the mobilehome gas demand? ------------------------------ .(This`information not required if pipe length less than 6 ft. on natural gas or less than 50,ft. on,LPG.) (BTU) 3 6 j NOTE::—All M zreri-c;ls cp Worhrnans,1 ;o SJ1C-! l Le in Accordance with Recogn°. ad Good 4 actives and Of a civality prescriLed for the Speci° ied use in the Uniform Building, Plumbing & Mechani al Codes and the National Electrical Cocle, l his set of plans si - MUS -1 bt Kept on the job at all times and it is unlawful to make any changes or alterations an some without written permisson from the Department of Public Works, County of Butte. M , 'the' 5ei•bc,ck shcali be 5 ft. from 1 -he Side property line and 5ra ff. -irom the cer, erline of t ie roc,d, perroH ling a alaxi- m u n of a r if. eave overhang but eeatirely out of all easements. peptic system and location - to be as- per Butte County. Health [dept. . Re- quirements. ; I In BUTTE COUN1 y can;,cctions sf all b.y f�ii t /alw �pi�G iocaie�i dvi¢I�in 4 ft. ou Fide r`ear � DEpARTM third ion or the ��;obile home 0 N on The .left (road) side of the mobile A P P ..O V ' home. ,A, p cn'Ai wail be reakvred icr ins ral;a&ion of .the mobilehcn �0 ALJ J It P5 W TOM'S MOBILE. & MOTOR New and Used Mobile Homes 6366 LINCOLN BLVD. OROVILLE, CA. 95965- � ' l CPA a7-3z� /� �G- z-7 -z z_. 4, , Owner: Address: Tenant: BUTTE COUNfr-DEPARTMENT OF PUBLIC WORKS. SPECIAI;r"INSPECTION REPORT A.P. #� Date of Inspection Inspector rs- Building Location: /r -z.5' ' Type of Inspection requested: 1. Housing% / 2. Financing T74. Other (specify) Present use of building: 3. Change of Occupancy to e� A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: .8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments:. B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and 2. Receptacles: 3. Fusing: 4. ground: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating 4. Comments: s: STEVE YORBA WOOD SALES �O GUN WORKS, INC. 1220 SOUTH GRAND AVENUE, LOS ANGELES, CALIF 90015 TELEPHONE (213)748-7271 ZN FaV<<t9" 5.1Y 65 IM5M (continued on back) E. Other 1. Maintenance and 2. Fire hazards:_ 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic venti.latio 6. Co en , ;-)Az- tS repair: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten (10) days, then write letter. C. Write letter. D. Other: T 1^71 �7aT® L. Moak "13 rand Avenue. ^rGville, California Dear..Mr. Moak: .. is � a�ivia6 - .�..i.o POu t 4t the Butte Cunt ion at its regular ;reet3n:Q ,, `� P lanninc� Cut is g lei i<av- 2oj 1971, aPTI-oved voter. � --�lioat nr far e� use e it tri ' stall a Ml�iar 'Iom6. in an r�•: nor eG (Rea vy Indust—i-11) tDistr .:.t 01'I P` -/.pe rtylo,-' L_£+d frz; the "t . side of FUS-- row, "est Of th9 Southern Pacif ic .??gi mad,. idert.ified 35-77-22, Oraviile, California. roval of 1 cur t se rermit �•s�s �r�Zit�?G' ?u;ye _ og n conditions 1. � Pli^ant shall deed to the* t'oarsty UR rune 60 deet Of right of way for ..t�sel.. ?ua? _ longi--:�ror..�rt--frort��;¢.. ' Inst a 7 . _ation of an appro49ed reware system arca secure . a trailer living permit from Cotnty :aEaalts'; 1. f'^x» have any que-S tIc.:eS c:Jl'?C:e!1:n—jr.g .t� �-' Tatter,, please our office, Sincerely, Director of ?'a,-;niaq CC: Public F�.o,ks peal -b Fent. ;r 4068-89 SCOTT; Shane ¢ (7 1855 Kusel Rd, Oroville I ContR: Lemm Electric (.upgrade ele ser) VI 0120-0o3 1 �0 147,,► e * r t1. +�i4 ,a r , , *^ ,:Cr�a.�,s -,,- ur wz fir_ *•; ^. ; , ,��- +�- a rx7 .., ti, 4--r-.4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,�California 95965 - Telephone: 916/538-7541 1 P_�C1 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER (j36 — 27 — 3 ZONING /vJ— ;-- BUILDING PERMIT OWNER SN�4NE SCO-7-753.z-OaG� rTELEPHONE SQ. FT. DCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5' k Ll S6 I20 CONTRACTOR'S NAME TELEPHONE 3-Y CONTRACTOR'S MAILING ADDRESS F7,P-T /10 .D(J�f-� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee, $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS L D IL Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 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 STRUCTURE SF ❑ Duplex❑ Mobilehome$ Other lCrcy(LE CEt�iE2. [[[[[[������ SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: V,6Q -AyL- SE/t 411 CC A—AQAf _ l /(-j A -D 3 (,� 'ppA Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee (10.00 Main service 1001 OR LESS 100 AMP OR LESS 10.00 /O.OD Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): (f,�/I/ �J 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� ❑ 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 CONST. DWELLING OCCUP.6 OR ACDNS. ( ACC. BLDGS. , �z 2sq ft NEW CONSTR ULTI.OUTLET NO N.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS.a,) (SINGLE OUTLET CIR. Ex. OOcup(oUTLETS OR FIXTURES 20050c e AL030 FIXED Ex. Occup. OUTLETS P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 s. C — S /5. &p Permit Fee $ r2 , SV 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. 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to7save, indemnify and keep harmless the County of Butte against all liabiliti@S; judgments, costs, app expenses which may in any way accrue against sa d'County in�nsequenc �Of the granting of this permit. �% [� %� AJC Date 7� Signature Of Ap icant — OWner❑ Contractor Agent ❑ An OSHA permit is required for excavations over 0_ deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAZ [CLIA PARK I SCHL FLD I PAR I PD I HD I This permit is hereby issued under sions of the Butte County Code and/or work indic ted .alyveJor which fees D�RECTORi OF PUBLIC jj�/ BY > PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS " Date 7 �J 40- Receipt No. _5!� 5 7 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD ENROD-APPL I CANT i J • - COUNTY OF BUTTE - DFP.ARMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-75 H, APPLICATION AND PERMIT PERMIT NO. kX 4 ASSESSOR PARCEL NUMBER 0 3 ZONING /Ii Y- Z BUILDING PERMIT OWNER s 0E sc...Qr/—/ TELEPHONE 53-2-o0G 21 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS _J =' K - CON;R TOR'S NAME C� - n IIS` M 14.7 TELEPHONE OL1y3 CONTRACTOR'S MAILING ADDRESS p7eff AP,Fireplace Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS /� � /G ane �-- fee Permit $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 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 STRUCTURE SF ❑ Duplex❑ Mobilehome' Otherl&OCL.G a;� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work:ye!�-n&06 -ErLill C_ -A --0m _ l %° 10-n /A Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 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 BU$IneS$ Y -----and Professions ode and my license is in full force and effect. License No. Classification it JCJ ❑ , 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 CONST. DWELLING OCCUP.yd A New ,hltsgft CONSTR.� MULTI -OUTLET OUTLET NON.RESI0 BRANCH CIRC ITS 2.50 ea (POWER APPARATUS e ISINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 20050C Ex. OCCUp. OUTLETS iRESID,) FIXED APPLNS. REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 S, G� 17A - 1 Permit Fee $ 2 , 6 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. Contractor MECHANICAL PERMIT FiIingFee 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree t save, indemnify and keep harmless the County of Butte against all liabiliti judgments, costs, aA expenses which may in any way accrue against sa' County in c nsequen f the granting of this permit. X a, ffi Signature of Ap icont - 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 $ occ CONST TYPE TOTAL FEE $ HAz I CUA PARK SCHL FLD PAR JPDJHDJ This permit is hereby issued under sions of the Butte County. Code and/or work Indic d ab e r which fees R CTO OF PUBLIC By. PERMIT E PIRES Date the applicable provi- Date resolutions to do have been paid. WORKS Date �fv_' V -� Receipt No. �! ,<6; WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT t. r t t �,,t''"+i r •{^' tl'r, riVx'ti.cr A_4RGD COUNTY OF BUTTE -DEPARTMF.N .°°PUBLIC WORKS - BUILDIVISION 7 COUNTY CENTER DRIVE - OROVILLEKGAj.�FO1%NIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET .Permit No. OWNER 5WAnlr SCJ/%- A. P..No. 7 — 39 Proposed Building Use Bui•Iding Inspector Dated 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/triplica-te, signed by preparer of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ........ ................................. 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .....:. �,;... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation ?' instructions .......................... '........ ..................... 10. Fees of $ ............ ...... 11. Chico Urban Area fees paid ............................ ......... 12. Park fees paid ....) ....................................`.1......... 13. School District fees paid .............. 14. Sanitation approval fr,om Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... V.Pre-Inspection ovements may be required. Contact Land Development Section DPW eway permit (cons ion approval required prior to occupancy) for - I required Pre-Inspec. request to t Zoo Building Inspector / (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .:................ 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ....................... ........ . 26. 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 4. and hold for pickup at office. Deliver w/inspector. Other IT Applicant Date 1 Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked al Contractor, designer, owner, was advised of above required data by_phone_-naiI—counter,by ..date Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date Plans checked Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date 11 Q r U- "fir p f ;I f COUNTY OF BUTTE - DEPAfTMEIvT OF PUBLIC WORKS PERMIT NO. 7 Coin enter Nrwe - Orovil le, (;sliforni 95965 - Telephone: 916.538-7541 t )APPLICATION AND PERMIT ASSESSOR PARCEL NUMB E ZONING BUILDING PERMIT OWNER S X06 SCS TELEPHONE ,S_:Z-o�C SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS '� CONTRACTOR'S NAME E i4 -1,A^ C 4-E.G • TELEPHONE I d'�:77' CONTRACTOR'S MAILING ADDRESS '?�,�V Z_r Mr/✓f %'c jj . Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 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 STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: //��/`a9 96 r— C—Awm j a Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS AMP OR LESS 10.00 ��+ in100 Main service EA. ADD'L 100 AMP 2.50 !Z c,- CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business d Professions Code and my license is in full force and effect. License No. Classification �r ..../� ❑ 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 CONST.D/ DWELLING OCCUP.h) OR ACDNS.( ACC. BLDGS. y,csgft NEW CONSTR. ULTI.OUTLI- T NON.RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS IS (SINGLE OUTLET CIR. EO x. ccup(ouTLETs OR FIXTURES 20 6¢ SAL 500 FIXED PR Ex. Occup. OUTLETS IRESID IEA.Y 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 S, C — /✓c 15, &?� Permit Fee $ 2 , 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree t ,save, indemnify and keep harmless the County of Butte against all liabiliti judgments, costs, a expenses which may in any way accrue against sa County in c nsequen f the granting of this permit. X Date Signature of Ap cant — 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 $ occ CONST TYPE TOTAL FEE $ E HAz I-7ARK SCHL PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 5fJ-5`0 7 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT