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HomeMy WebLinkAbout078-380-066V - i w ~ z • _ irf i 9�r AN i TOM MABRY 3337 Oro Bangor, Oroville i Permit_ ##5936-75B (new private _} I carport ). _" /; ""i -/�9�77 ------ \ F To L: Maury 3337 0 Bangor Hwy, Oroville nn f Permit #4 -8uP,E(uti p MH) ELEC. •- GAS 0 - Z3 - £s0 ' ' SUPPORT STRUCTURE RE , 9 . COMPACTION TEST RE Contr:'eather River Homes , Y.0 Permit*5514-80MHI i} i sued . .`_• +-rPERMIT#96;0358'-,- O Q� 1 s "MABRY; • •Thomas � ,• r , 4' '�~ _ _ � �n 3337,Oro •Bangor'Hwy. ,•{ Oroville"., '�'r. = �J {I Y4Cont: ; Steve..Rupp } � r ! Reroof 4- iir- c i r� r I • ° 1 ' r, • r, `PERMIT#96 035'8,1 �► 036-111=015 .'MABRY;r.Thomas jt-44ti 3337., Oro Bangor HwyT � -- Cont:-:Steve':Rupp H Reroof i oil L F R , • i � a t _PKc� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION +--#� 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75419 / y PER VIT NO, APPLICATION AND PERMIT („ LCA, ASSESSOR PARCEL NUMBER 36-111-015 ZONING C1 BUILDING PERMIT OWNER 7110MAS MBRY TELEPHONE _ SO. FT. OCC. BUILDING VALUATION 17 #60SO 1,020.00 OWNER'S MAILING ADDRESS 1381 PORTOFINO DR YRA CITY, 95993 CONTRACTOR'S NAME 5TM nTnyp �/jS�l•WSON T j_"U973 CONTRACTOR'jS MAILING ADDREs 22RANCif RD BENSY CRMK Fireplace CONSTRUCTION LENDER I I UNIDIOWN Total Valuation $ t,020.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ • ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDINGADDRESS 3337 ORO BANGOR MY PERMITFEE S4/.00 OROVILLL PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF qq Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: REROOF WAMP I — Mobile Home S G W @20.00 PERMITFEE 1 _ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service / 8 OR LESS 2ooA OR LESS ) 23.00 Main Service ( 200A TO IooaA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prop,ssions Code, and my license is in f I force and effect. �� I License Class Lic. No. OWNER -BUILDER DELL ATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑;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 offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ADON ( a ACC. BUDS. ) 3.5¢ Fr, NEW CONSS T.MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) d SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) BAL @ 50 Ex. Occup. FIXEDAPPLNS. OR ( OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 13- 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 01,11, have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: CarrierIII- MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling , Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number 1,) i.0 15- %- (The above sections need not be com leted if the permit is for work of a valuation of one hundred dollars ($100) or less.) 14'1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. '"` / X '.._ ', - �f _ Date _�Z_ Signature of Applicant - ❑ OwneA ❑►'Oen rector ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 47.00 HAZ. 1 D. FEES I IMP FLOOD I CDF PARCEL PO HD ISSUE 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. •— y 1 z-96 BY v tom. Date PERMITEXPIRESON' .— 9 a ` (Date) ReceiptNo. L*ijwoti WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IJ COUNTY OFBUTTE -DEPARTMENTO,FDE'®'ELOPMENTSERVICES -BUILDING DIVISION VVV 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PER IT NO. APPLICATION AND PERMIT g����� ASSESSOR, PARCEL NUMBER 36-111-015 ZONING C1 BUILDING PERMIT OWNER THOMAS MABRY TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1381 PORTOFINO DR YUBA CITY, 95993 CONTRACTOR'S NAME STEVE RUPP TE PHON 5 9--978 CONTRACTORS MAILING ADORES$ 122 SIMPSON RANCH RD BERRY CREEK. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ l,u2u.uu Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 3337 ORO BANGOR H1,1Y PERMITFEE $ OROVILLE PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑$ Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition 0 Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: REROOF W/COMP Mobile Home S G W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service OOOV OR LESS ( zooA OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in f force and effect. License Clas 6 Lic. No. OWNER -BUILDER DELL ATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADONS. ( 8, ACC. ) SO. 3.5¢ FT. NEW CONST. MULTI-OUTLEUTLE T NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 Q I.50 BAL .e0 Ex. Occup. (oFIXEDPPLN - .OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: IJ'I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the ,-erformance of the work for which this permit is issued. a- I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier � MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number /;� $;- %— $- (The above sections nee not be competed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Ci3Yrcertify 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwit comply with those p . ions. X _Date _� 02 �� ature of Applica ❑ Owner ❑ n Factor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 47.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE 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. B Date y PERMIT EXPIRES O 2— P-�L—� / I (Date) Receipt No. 191089 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;,-;&COUNTYOFBUTTE - DEPARTMENTOFDEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER M'! ek 5 /Y& A. P. No. J (� Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -inspection for required. 21. Contractor's license information. (No., Name Style, Classification). Certificate of Workmans Compensation Insurance. Pol,,-,� 23. Owner -Builder Verification (Given to owner , Mail to owner 24. Recorded copy of Agricultural Acknowledgement Statement. 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. Whe issue the permit, process as follows: Mail to owner\ I--- Mail to contractor. Telephone and hold for pickup at t office. Deliver with inspector. Other Applic Date l " EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application; plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from the date of fee payment on permits not issued, and one yearfrom the date of permit issuancefor permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 36,- /ll-OlS- ZONING c l BUILD 1 N G P ER M I T OWNER .�-( ( ►` DnMu M r TELEPHONE SO. FT. OCC. BUILDING VALUATION D v 2 v OWNER'S MAILING AD E 1JZ / o '.v o D - LL6' Cl, �i S q/ F3 CONTRACTOR'S NAME V TELEPHONE O�-7�/ CONTRACTORS MAILING ADDRESS / X Z i Nt D n/ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1 $ /0 1:R O Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 3-7 �� AN O PERMITFEE $ L -7, &-0 PLUMBING PERMIT Filing Fee 20.00 v c Each Trap 7.00 LOT NO. SUBDIVISION'S NAME - PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK / New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other L�1 Describe Work: —0 rv0f C'O�m — Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service e00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ( 8 ACC. BUDS. ) 3.5¢ FT. CNS. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) SAL 20 @ 1.00 .50 DTs PLINS.Oa ) 5.00RR Ex. Occup. (oFIXEE. Temporary Service 23.00 Mobile Home Facilities 20.00 Wisc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 4/ �, ©-'a —J— HAZ D. FEES I IMP I FLOOD I COF I PARCEL I PD I HD ISSUE 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. By Date II PfRMITEXPIRESON (Date) Receipt No. / % /.0,? 2 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 1 " o PERMIT NO. 4373-80PE PERMIT EXPIRES- OWNER XPIRES OWNER Tom L. Mabry CONTR. owner ASSESSOR PARCEL 36-111-15 LOCATION 3 337 Oro Bangor Hwy, Oroville "I i P l: v L. i' i Temp. Power Pole Called PG&E A Temp. Elec. Service ✓ {' Called PG&E / tTemp. Gas Servi ` 117 CalledP &E JOB FINA ED (Date) M1.21�4b Signature V = OK 0 = Not OK , - = Not:4pplicable RESIDENTIAL (Single'and Duplex) * = Not Ready is Date UNDERFLOOR (Plans) OK except N's 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. De 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Dep 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7.Piers-Fireplace Ftg.-Steel' 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16.D.W.V.; Test-Fttngs & Anchors -Nail Protection 17.Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI FRAMING (Continued) Date Card -BI Date Card -BI Property Line Firewall & Openings Date Card -BI Date Date ELECTRICAL (Permit) OK except N's G.F.I. & Bath Fixtures & Tub Access 20. Fixture & Transformer Clearance -Ins. Protection 62. 21. Elec. Receptacles Spacing -Lights & Switches at Doors Fireplace or Stove; Clearances -Hearth 22. Size Boxes & No. of Conductors -Stapled 65. 23. Romex Installed Close to Edge of Studs & C.J. Elec. Outlets & Receptacles at Kit. Counter 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 68. 25. 2 Appliance Circuits in Kitchen & Conductor Size Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 71. 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulation. -Foam -Looked in Attic [I Yes 73. Insulated Neutral ❑Yes 0 N Card -BI 28. Service -Riser Conductors & Ground -Main Disconnect Card -BI 29. Equip. Clearances; Panels-Motors-Mech. Equip. Card -BI 30. Clothes Closet Light -Shower Light Card B -I 81. Date Card -BI Date Card B-1 Glass Protection _ Date Card -BI Date Date MECHANICAL (Permit) OK except N's _ 31. A.C. Ducts; Insulation & Support 86. 32. Vent Fan; Exhaust above Insulation 33. Condensate_ Drain & Overflow; Size & Grade 34, Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI_ Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except H's 36. Sills; Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing--.--- 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hpl. & Dimensions 47. Garage Fire Protection Framing Date FRAMING (Continued) Smoke Detector 48. Property Line Firewall & Openings 59. 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits G.F.I. & Bath Fixtures & Tub Access 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 62. 51. 52. Plywood on 'Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer Fireplace or Stove; Clearances -Hearth 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 65. 54. Glazing Area -Glass Protection -Skylights -Plastic Elec. Outlets & Receptacles at Kit. Counter 55. Shear Walls; Nailing -Bolts 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation. -Foam -Looked in Attic [I Yes 73. Guard Rails& Deck Construction -Post Caps Card -BI Fdn. Vents &,Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Date Card -BI Date Card -BI 76. Date Card -BI Date Card -BI A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation. -Foam -Looked in Attic [I Yes 73. Guard Rails& Deck Construction -Post Caps 74. Fdn. Vents &,Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 0 N 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. 79. 80. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE: An entry must be made each time youvisit jobsite) J = OK 0 = Not OK = Not Appl MOBILEHOMES MISCELLANEOUS' = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Zo 'ng Requirements—Setback's—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements 13. Soi ; Special MH Support -Sketch 2. Footings; Size—Depth—Spacing—Connectors ewer; Location—Test—Fa11-C/0—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater obi+ n—T®et�E d (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing rlectricity; Loc on—Clea ces-$Grtid.—/Z Amp—C rete _ 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures s; Location—Test—Wrap:/ /"L"ft./ t. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors �. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date , Q LCard-BI Date d Card -BI Date / and -BI Date Card -BI Date Card -BI Date Date MORI' FHOME NS ALLATION (Plans)OK except H's Date POOLS (Plans) OK except a's oning Requirements—Setbacks—Easements 1. Setbacks—Easements ootings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability as" H Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectr' ity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI rain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GF] Wat • MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed Wa nd Sewer Connected—C/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater Gas_apd Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit qr,rx-qInsp.—Sketch 1 ert. of Occupancy g. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-174 Dateand-BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, OroviIle— Phone: 534-4541 Y Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPER Y ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. 0/1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5. under permit number for the following location: Owner Owner's Address Mobilehome Mfg. ` - '�` Model Year Insignia No. ' ' Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date` By _ f THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100,amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes' Vo_ B. Is there proper clearances around panels? Yes 4 o— C. Is power supply cord or feeder assembly properly fused? Yes «No D. Is continuity test satisfactory as per the following procedure? Yes e ---Wo 1. De -energize electrical wiring system of. the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to -each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the ' mobilehome. Upon satisfactory completion of the d ectrical 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 DATAn Manufacturer and/or Namestyle ��- �- � . 9 CS Length 7` Width Z Vehicle Serial No. ,0L10 71 491 State Identification No. 1 13.1 -7,� Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located withX'quired separation from lot lines and buildings and generally conform to plot plan? Yes L-10 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 Z/lOo — 4. Is the mobilehome level? (Sec. 5088) Yes _✓�No 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6: Water A. Is flexi connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes o B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No, 7: Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes—No B. Does it have minimum '" per foot slope and is it properly supported? Yes a/10 C. Are any leaks detected in drainage system after runni. g 3 -gallons of water through each fixture including washing machine standpipe?,Yes_ If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobile a 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. r 2: Shut off appliance burner and pilot valves. I. 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- No'_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _PERMIT 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 / pV APPLICATION' AND PERMIT ASS 55 R PARCEL NUMBER ZONING r _ I— BUILDING PE J 0 1 " 1 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNILR'S MAILING ADDRESS C 9./d4RA T R'S NA TELEPHONE s 1 C NTRACTOR'S MAIL;j�j(]JG AAp RESS CONSTRUCTION LENDER N NOLWT, / Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILINGDD A R SS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Y-0 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomee Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ (� e�modeI Utilities ❑ Installation v Other ❑ Describe work:] r tG3"73''�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 8000 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUP OR ADDNS. .& ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare rider penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full orce and effect. License No. 617-1 Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST1OUT NO R BRANCH CIRCTITS 2.50 ea NEw CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 50@25C Ex. Occup(ouTLETs OR FIXTURES BALLa101 FIXED ALNS Ex. Occup.(OUT ETS P(RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one):. ❑ The permit is for $100.00 (valuation) or less. Q,� 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 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, inde nify and keep harmless the County of Butte against all liabilit' judgme , costs, a expenses which may in any way accrue against Co y ' conseque of the granting of this permit - Date Signature o(Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and 'demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP TYPE OF CONST. PARCEL PD I—HO ISSUE' This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PERO EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date <:) ��_ c�— g Receipt No. �� �� I' WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT MOBILEHOME.SUPPORT DATA If other than single wi e Mobilehome Mfr. UNt3� furnish Setup Model N � Year $ ®, Width _(ft.) Box Length (,:P -y ("ft..) 'Ta'galong 'or Expando Size ft. x' ft: (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. LTJ (ft.)(in:,) Center support locations* (ft.)(in.) (in.) (in.) Center support footing sizes (in.) �x�® I (in.) (in.) (in.) (in.) (ft.)(in.) (in.) (in.) L Single A : �'• ': - Footings (check: one) 1. Wood either pressure treated or foundation grade. 2Other (specify 5.4 ew, it Su p or fs b(leck one) 1: Concrete block. f�❑' 2. Other (specify) tr *-Tagalong or Expando, show support details. x 13 0 -- Typical Support (in.) (in.) Footing Size �- o -- Max. Pier Spacing (.ft.) (in.) D d C) (ft.)I (in.) (in.) (in.) 7a V641 9 _171fiClL *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. -- Max. Overhang. clo `BUTTE COUNTY BUILDING .V PARWFNT APPROVED 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET PMA r 3. Is the site currently.under permit? Yes No Yes / / No (If yes, furnish permit number Ll � %,?j = (If yes, identify the load and size: (Load) ) OR Is .the,• sitte an existing site? Yes / / No (in.) 10. (If yes, furnish two (2) plot plans.) is the type of gas service? -----------------------------• Natural LPG 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 77-7 No is the gas pipe length from meter or tank to the mobilehome? ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- �Q C� Amps 6. What is the mobilehome site service rating? --=------------------ Amps /ao ------------- 7. What is the mobilehome site circuit breaker rating? � 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 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (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.) , r � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT No. %% 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 1 APPLICATION AND PERMIT &A f✓ A SSOR-P RCEL BER ��� -toe- G I) BUILDING P T TELEPHON ---Q05 7� SQ. FT. OCC. BUILDING VALUATION _ ��% A,6 //�� �%f'/ /53 333- MAILING ^F /V O/�� � OFiv Y/ Y/ CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace LENDER'S MAILING ADURESS Total Valuation $ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee M $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL ING ADDRESS' 3 0/00 611A l df, y PLUMBING PERMIT, Filing Fee A1o0 Each Trap 2.00 Repair drainage or vent piping 2.00 �y� Water piping .00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets 1 00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomeg?"-Other SPECIFY Building sewer 49e00 Lawn sprinkler system 2.00 TYPE OF WORK New F1Addition ❑ Remodel ❑ Utilities R- Installation C Other ❑ Describe work: Permit Fee $ , Contractor ELECTRICAL PERMIT Filing Fee 11900 1 OR L Main service 1DD°D AMP ORSLESS 5.00 X00 Main service EA. ADD'L too AMP 2.50 25� NEW CONST. DWELLING OCCUR.& OR ADDNS. ACC. BLDGS. 20sgft _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full- force and effect. License No. Classification 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 NON-RESID CO"STR*(MULT'_OUTNEW BRANCH C RCTITS 2.50 ea NEw CONSTR POWER APPARATUS &) NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES 50@ BAL@tOt Ex. OCcu FIXED APPLES• OR p•(OUTLETS (RESID.) EA. � 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 5- 0 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X2_6r jg:�=4 Date k'-��ti �� Signature of Applicant — Owner[] Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3//stories in height. Mobile Home Installation Fee $ Land Development Fee $ _ TOTAL PERMIT FEE $ 82 "S OCCUP. GROUP I TYPE OF CONST. I PARC PD J;J ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC BY PER I EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date 1 6 6 `moo Receipt No. (7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 1 I .1 A setback of 5 ft. from tie property lines and a setback of 5oft. from the road centerline shall be clear of structures or equipment except for a 2 ft., eave overhang Shall Be in aterials , Qd°r food ip _AII M Pnc�tices and NpT�: with ,ecogn+ Soecif ied use in' the Accordance prescribed -for the Of a quality p plumbing � Mechanics! Codes and U e NafonaldElectrical code. the 'This set of plans and specifications MUST Vvv kept on the job at all times and` it is unlawful fot., make any changes or alterations -on same witfiacF � written permission from the Department of Public -- Works, County of Butte. � T °wi11 bE re A perm+t ®� she 1 i ----- tation . 2- XC i �•-�-�- �� ,.,.sem I Utility connections shall beWIThill- 4 ft. bf the mobilehome, either directly behind or within the rear half df the roadside (left) of the nnobilehorne. I t 1 _4373 -Sd BU17E COUNTY BUILDING DE?ARTMENI APPROVED 3� �jPERMIT NO. 5936-75B P t" E. M MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Tom Mabry CON TR. owner t'3 LOCATION (A.P. 36-111-15 ) 3337 Oro Bangor, Orovil.le 1 , Y ) Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. . i Called PG&E JOB d 7 q FINAL ED (Q (Date) Y' (Si na re ti _ COUNTY OF BUTTE — DEPARTMENT OF" PUBLIC WORKS BUILDING INSPECTION RECORD - BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents. Fixtures Footings Gara a Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Roucih 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 DATE REMARKS OR CORRECTIONS f Owner Mailing Address 3 r Contractor Mailing Address COUNTY OF BUTTE — DEPAR-TMENT OF PUBLIC WORKS 7 County Center Drive — troville, California 95965 Telephone: 534-4541 APPLICATI10N Ah[D PERMIT Building Address .3337 ePU elephone No elephone No. A. P. No. 6p — I Zoning & Planning F an Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im r Plans Declaration P p ove nts Bldg.40fans Recd Parcel royal Plans Approval NEW 0 ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home ❑ Others -0 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: qs6-7L�r _ BUILDING SQ. FT. T DEC. I BUILDING VALUATION Fireplace 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 Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 M� m License No. Classification Misc. wrong I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILIN FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this Ventilation permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �l-�-�-f- Date Signature of PermitedVor Agent Receipt No. f3 0 White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant ;,q TOTAL PERMIT FEE I$ C2.(j6-- 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. ll DIRECTOR OF PUK)C WORKS By _2ate fl- Z- rlding permit expires Date