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HomeMy WebLinkAbout078-260-005loo LEE 4RASSART~ Ap���� �� 4889Orov' lePermP, uti., TR RE REQ. WILL BUSBY 4895 V -C Rd., Oroville Permit# 3062-75P, E( change . of _ ne_r shit },I Permit# 306 75MHI I ssdued _ ® ° ELEC. j GAS SUPP�RT STRUCTURE REQ. COMPACTION TEST REQ. 0 /iCP.e� OkJrl �'e' — JOHN BARKER 4895 VC Rd, Oro i le / Permit, #3120-77fAHI existing site j N Issue.d.. _ B07-2314 078-260-005 MISCELLANEOUS Electric Panel NEW SERVICE - 200 AMP 4895 AUTREY LN HART DARRYL R & VERB, , d i 0 fl I 0 I M4w!'; Kc-mimp! BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 4895 AUTREY LN Owner: Permit No: B07-2314 APN: 078-260-005 HART DARRYL R & VERB, Issued Date: 11/13/2007 By GLB Permit type: MISCELLANEOUS 4895 AUTREY LN Subtype: Electric Panel OROVILLE, CA 95966 Expiration Date: 11/12/2008 Description: NEW SERVICE - 200 AMP (530) 533-3139 Occupancy: Zoning: RT1 Contractor Applicant: Square Footage: WOLFE ELECTRIC INC WOLFE ELECTRIC INC Building Garage Remdl/Addn 1300 PARK AVENUE 1300 PARK AVENUE CHICO, CA 95928 CHICO, CA 95928 Other Porch/Patio Total (530)345-2800 (530)345-2800 FEE INFORMATION DBE Single Phase Service-Resid $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B5279 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that 1 am exempt from the Contractor's License WOLFE ELECTRIC INC 844427 / C10 / 8/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) I HEREBY AF5W UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 mencin Section 00 of Division 3 of the Business and Professions Code, and my license ull for nd effect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the hXf basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 11/13/2007 the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: '-Contractors 1119naKre Date ❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). ❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑ CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractor's License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier. California InsurancePelicy Number: 460302770103 Exp. Date:/11/2007 (This section need not be completed if the permit is or one hun red dollars ($100)oror est ElI AM EXEMPT under Section B. 8 P.C. for this reason: ❑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 Workers' Compensation laws of California, and agree that if I should become subject to the workers' X 11/13/2007 compen n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owners Signature Date pro ' io X I 11/13/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building nature Date construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused by, arising out of, or in any way connected with HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND lk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. io ed props for inspection purposes. I hereby certify that I am the t of ropertyowneesbehalf. iMOMF CONSTRUCTION LENDING AGENCY 11/13/2007 40Me Of Per lttee [SIGN] 7int Date I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) ❑ Owner 1:1 Contractor OR. Agent for Owner DAgent for Contractor FILE COPY Lenders Address City State Zip r. 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (5')0)538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICA TION Website: www.buttecountynet/dds **PLEASE PRINT CLEARLY** APPLICANT INFORMATION OWNER INFORMATION Last NameFi ^ e Mailing Address City LA t)Vi 1 State Zip i Phone 2 J 3 Fax E-mail APPLICANT INFORMATION C NTRAC Name ^ Address Zip City Fax State Zip Phone Fax E-mail Lic. #(AN Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name `. Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X PERMIT NO. p.a3k BIN # //�� PROJECT LOCATION V AP# l�- uto'mb Property Address 14 1�rIL1u City ",O V r • �� WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: W v LU `� Sq FT- Living Garage Open Cov Of ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. PERMIT NO. 3120-77MHI exist Site PERMIT EXPIRES /�y OWNER JOHN BARKER CONTR. Wilson MH Service LOCATION (A.P. 36-082-30 ) 4895 V -C Rd., Oroville I r k' Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. 4 Called PG&E �. JOB 7-7 FINALED (Dat /* (Signal r ) � .� a3b-'�fTIt,F���_�vx��•�'s•'�-y. i"r 1�a-y; fid. _r -•a . 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 51 under permit Zo number�"-?7—for the following location: Owner t 1 0 r4" 1-51902 Owner's Address Mobilehome Mf L�=S`TR°�F -/�/1 Model 2-q)(-(-�,`(9 Year -7 Insignia No. �� %to Serial No ' .2/ ' LLs3c X It is hereby certified for occupancy at the above described location and may be occupied. r" �- � Directort6f Pub 'c Wolk Date ���� By C � . THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTI6N RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof.Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport Footings Prov. for ph slcally handica ed Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footina ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec.'Pedestal Water Piping Sewer G Piping 1 E ME INSTALLATION - - - - - - - - - - - - - - Support"Z ec. Continuity Water Piping � 29 77 Drainage /S Gas Piping DATE REMARKS OR CORRECTIONS 3- 7& 7 -7Sys -- (NOTE: An entry must be made on this form each time you visit the job site.) �l .-� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 il 20 / �/1 Telephone: 5344541 / APPLICATION AND PERMIT l'n authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection /purposes. ®ate v Signature of Permitee or Agent � Receipt No. L16 — Ze 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 P LIC WORKS By �� at Building permit expires Date 7— 7-1 BUILDING Owner -Alt f5cfld� ,' &Rle, SQ. FT. OCC. BUILDING VALUATION Mailing A/dress Telephone No. Fireplace Contractor /� Total Valuation Mai I i ng Address ,0�� � Permit Fee Plan Checking Fee &/or Penalty Telephone No. �- Permit Fee $ Building Address 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 A. P. — Q Z� Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 04 1 Sani*a err Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W p Improvements p Lawn sprinkler system 2.00 BI Plans Recd I Parcel A oval Plans Ap vol Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 10000 AMP 10V OR ORSLESS 5.00 ► .t r+� J� Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Single Family Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP. &) 20sq ft 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: y Ex. Occup(OUTLETS OR FIXTURES)BA@L 251Q FIXED APPLNS. OR Ex. Occup.(OUTLETS(RESID.) EA 2.00 ) Temporary service 10.00 Mobile Home Facilities 15.00 ems(/ License No. �Ja-1 � % 1 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Wor en'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. 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 I TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection /purposes. ®ate v Signature of Permitee or Agent � Receipt No. L16 — Ze 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 P LIC WORKS By �� at Building permit expires Date 7— 7-1 . ......... Thiset o �?lahs and specifications MUST be kept < n thi3. i`d�3 at all times and i} is unlawful #o —11��...1:....� ..n enmp Without shaft be 5 fit. from the o ert y line and 50 ft. from the • prappermitting a max►- ;. road, perm 9 entirely _UN_TY e to overhang but en� Y `BT.C�. ..:.:� ___..... - .. out ®fall aasements. `��' �. - gUIMINr DEPARTMENT APP :4VED BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:0' 11 2.- Installer's name: (N 3. Is the site currently under permit? Yes. / / No (If yes, furnish permit number�) OR Is'the site an existing site? Yes / P/� No e (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? ----------------------- rS__0 Amps 6. What is the mobilehome site service rating? --------------------- % Amps 7. What is the mobilehome site circuit breaker rating? ------------- Sy Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural /1'�_LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 2, (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA Mobilehome Mfr. Setup Model No. S Width (ft.) eength (ft.) Expando Size ft. (Draw support details below) . y Year 7 I x ft. ` - i i Footin s- (check. one) either . pressure treated for fdn. grade. 2. Concrete pad. 3. Other,: specify S/up"ports (check one) /v%--1. Concrete block 2. Concrete piers) LL 3. Steel piers I 4. Other, specify, Sul ze I { t 1 COUNTY � DEPARTMENT � 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). -- ,Sin le -s I t Center Center Support Support Footing Sizes Locations (in.) r 1 x3 in. in. n. ,�-- - _ -J 0 xxi� .�— ,ft5 Zink (in.)(in.)�s. `�( o - d" ft. in.) - (in.) (in.) r I *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Wn4kj) Typical SuFooting Si + r.._..---_ Max. Pier Spacing n, i Max. Overhang in.) JUTTE CO BUILDING. DE? APPR MH Util. PERMIT N0. P74-75P,E r P E M . B MH UTIL. PERMIT NO. v PERMIT EXPIRES 76 DOWNER 1CONTR. -LOCATION (A.P. 36-082.-30 ) 4889-V-C Rd., Oroville i ,P r Y i^ tf — t 1 1 A Temp. Power Pole Called PG&E i Temp. Elec. Serv. Called PG&E Temp. Gas Serv. f Called PG&E" s JOB FINALED (Date) (Signal re) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING. (Cont'd) PLUMBING Setback Firewall Soil Piping p -v 16 Forms Parapets '1st Floor ` Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping 02 ' —f1S Piers Roofing Sewer za Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaI I Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test ' Z (- 7 Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Z Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea FIRE SPRINKLERS Motors Framin Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent — — Door Closer Final Final DATE REMARKS OR CORRECTIONS � � y MOBILEHOME INSTALLATION .INSPECTION CHECK LIST 1. Is the mobilehome located with equired separation from lot lines and buildings and generally conform to plot plan? Yes : o 2. Does the mobilehome have required clearances. above ground? (Sec.5085) Yes --No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec.5082 & 5083) Yes�No 4. Is .the mobilehome level? (Sec. 5088) 'Yes G/Nof 5. If more' than single nit, are crossover connections properly installed? (Sec: 5088) Yes No 6. Water A. Is flex' le connector of adequate size and. properly installed (1/2" ID min.)? (Sec. 5566) Yes No B.. Test - Does water piping withstand working pressure or SO.lbs. air test? Yes LIN 0 C. Backflow - If coach is not tate o�.ifla approved, does station have.backflow.device. and pressure -relief valve? es- No 7. Wastes and Drains / // .A. Is connection made with Schedule'40 DWV and have flex connectors at.each end? Yes, vNo _..B., Does it hay.e;;minimum 4" .per foot slope and is it properly. supported? Yes .yNo C. Are.any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?,.Yes No L� 1 D. If coach isnot State of California approved, does station have required trap and vent? Yes No �' D 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 mobile-ome gas line inlet without reductions other than the mobilehome connector. Yes!!. No B. Test OK as per following procedure? Yes No 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? Yes 6 No 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rat n- of mobilehome with a minimum o�0 amp) and other facilities on lot, i.e., water pumpls� garage, cabana, etc.? Yes No B. Is there proper clearances.around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord.or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches'in.the mobilehome to the "on" position. 4. Connect one lead of a test. instrument to the mobilehome grounding conductor and i apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding,' gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly ; conductors shall be'connected to the site service equipment.. A further continuity test shall then be made between the grounding electrode and the chassis` of the mobilehome-... Upori satisfactory completion of the electrical. tests, the lot or site service --equipment may be approved for energizing. 10.' Is job. card signed.by.Health.Department. for water and sanitation?. 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufactur r and/or- Namestyle % .7G�`?' Length � 'Width- Vehicle idthVehicle Serial No. 'State Identification No. Additional I formation or Comments: ` COUNTY OF BUTTE — DEPARTMENT OF PUBLICR'KS 7 County Center Drive — Oroville, California 95965 Tel eph'one: 534-4541 APPLICATION AND PERMIT 3f✓W3-7 v authorize representatives of the County of Butte to enter upon the above-me ntioned property for inspection purposes. X dam//Dates" Z5 Signature of Permite-e oorr Aggent Receipt No. ��✓ L, 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. DIRECOF PU IC WORKS By i1 Date 6 Building permit expires Date 1_7�i� BUILDING Owner W I 111A A4$ SQ. FT. OCC. BUILDING VALUATION Mailing Address © k i 12 44- i > Telephone No. Fireplace Contractor ,�G:?E Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address ��GJ � d 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 A. P. No. --� 0 Z — Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F SaR4a4+em Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 ans ec'd Parcel proval Plans royal Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 —,7 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bo%1 Receps., switches & fix outlets 20 P25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑� I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this R(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 1 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 -7•!J �LG.�%d TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-me ntioned property for inspection purposes. X dam//Dates" Z5 Signature of Permite-e oorr Aggent Receipt No. ��✓ L, 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. DIRECOF PU IC WORKS By i1 Date 6 Building permit expires Date 1_7�i� V/ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC, KS 1 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT v authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / J ' X r / Date�tf�""?5' Signature of Permitee or Agent Receipt No. 74e,9 7�1 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 PL16LIC WORKS By Date i�46�7� Bim -permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address �0� 4&DC /may 1 Q� Telephone No. Fireplace Contractor noy ,Z&7e 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 / C Q( Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. " �Z —3o ng 8 Planning f:7 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F e sarritefien Fire Dept. FireZone se Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 B ans -e Parcel Approval Plans Approval Permit Fee $ $ O NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 /-- Main service incl. 1 meter Z.7 !V — 7,5_0 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) - Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner_ or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 1y I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 9,A -e MECHANICAL No. @ 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. �l certify that in the performance of the work for which this permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relatinq to buildinq construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. / J ' X r / Date�tf�""?5' Signature of Permitee or Agent Receipt No. 74e,9 7�1 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 PL16LIC WORKS By Date i�46�7� Bim -permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO - 7 County Center Drive - Orovi Ile, 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 Xr P)641-11UZ�� Date Signature of Permiteesor Agent Receipt No. /2'en 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 PUBLIC PUBLIC WORKS Cl _ e _ ByDate_ B IIding permit expires Date.....................-....�....... BUILDING Owner e ra ` SQ. FT. OCC. BUILDING VALUATION Mailing Address O . • 0 -� Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ $ Building Address _ PLUMBING No. @ FEE PERMIT FILING FEE Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping Each gas water heater or vent 1.50 A. P. No. — r Zoning & Planning Gas piping system 1 - 5 outlets 4-" Each additional outlet .30 Fs W. Fire Dept. Fire Zone Use Permit Building sewer-�-E19- EQA Parking Plans ParcelParc Declaration Ma p 60' R/W Im r p ove ents Lawn sprinkler system 2.00 Bldg. Plan ec'd Par el Approval P I a,("Axpproval Permit Fee $ $ Q� NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 -t Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bol d10 Receps., switches & fix outlets 6. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities __5.89. / Temp. Power Pole 5.00 L'cense No. Classification Misc. wiring ® 1 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 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Xr P)641-11UZ�� Date Signature of Permiteesor Agent Receipt No. /2'en 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 PUBLIC PUBLIC WORKS Cl _ e _ ByDate_ B IIding permit expires Date.....................-....�....... "I %4 A' S-5 ,Septtc system -and �Ocaflon OHM%- r to be as per ,Butte C6unty Health Dept. Re- quirements. All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. ;Setback shall be 5 ft. from 0 -'side, property line and 50 ft. from, the . centerline of the road, permitting a' -maximum of a 2 ft. eave overhang, rhls--nt, of planz qacWs4.m—= M USTU kw an" the job at all titles-krid it is vn6*4uj ja Make any changes or alterations on. same .without written. permisson from the -7Department 6f 0 U-611,_ Works. Cotin.'tv of R,,t+A BUTT.- COON IXTING _PARTMF_ -W APPROVED