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HomeMy WebLinkAbout079-200-0114 Warren T."AmbroseZ656 P eton Wa P Niamygi4i,wM. _ rove e Permit #505-79P(util., ELEC.- - _ GAS /-30- `tA;I- SUPPORT STRUCTURE ' i COMPACT -0 TEST contr: Lloyd's Elec., dr-oville Permit #1649-79E(elec. & yard light/ MH) NEW OWNER ' WALTER MIKOLAJCZAK f Contr : Lincoln Village MH Permit#2203-84MHI(existing.site)I�� Issued -7-1-7— C ont -7—Cont : Village MH Permit#2301-$ B_,(�d sc�eg r�yomAMY,�G, 1p Contr :A nccfin Vivilage Mobile Home Pe tk2520-84B(new covered deck/MH) 4 Contr : North State Alum =jIfthw, Permit#2900-84B(awning/MH) �t, l N" wmw�fir` �� PERMIT NO. 2.900-84B PERMIT EXPIRES OWNER — W.J. M-IKOIAJCZAK CONTR. No State Alum ASSESSOR PARCEL 8-12-11 LOCATION 2656 Phaeton St, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALEI Signature 12 OK ' ' = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, g0j,96S, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1, nig Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. ootings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood n.; Posts-Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Kum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 4. Z Card -BI Date Card -BI Date Card -BI Dat �� Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date - Card -BI Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. Soils;•Compaction-Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) � Not Ready Date UNDERFLOOR Plans OK exce tq's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements "' 48. Property Line Firewall &Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / ' /"" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins., 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's. 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date • PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57: 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. 17. D.W.V.; Test-Fttngs & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 18. 19. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe; Size & Anchors 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 'Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water 72. 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. 75. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes Following instld.:Drive F1 Yes ❑ No; Walks El Yes E] No; Planters ❑Yes E) No 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 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 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING Plans OK except p's Card -BI Date Card -BI Date Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. 40. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin- Roof _Brac.-Truss-Shthng.-Rfn_g_. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. ' I 7 County Center Drive - Oroville, Cal7fornia t15965 - Telephone 916/534-4541 APPLICATION ANDFPERMIT ASSESSOR PARCEL NUMBER 008-12-0-011-0 ZONING BUILDING PERMIT OWNER W.'J. Mikolajczak TELEPHONE 534-3014 S0. FT. OCC. BUILDING VALUA ION 128 68.00 OWNER'S MAILING ADDRESS 2656 Phaeton Street, OrovMe, CA 95965 CONTRACTOR'S NAME .Noeth State Aluminum Inc. TELEPHONE 343-7956 CONTRACTOR'S MAILING ADDRESS 3029A Esplanade, Chico, CA 95926 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ rr 8.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 1 .00 ARCHITECT OR ENGINEER Robert W. Haussler LICENSE NO. SE6 8 Plan Checking Fee $ 15.00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1 5 5A Keswick St., Van Nus CA 91405 Permit fee $ 0.00 BUILDING ADDRESS Same As Above PLUMBING- PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE STRUCTURE SFS Duplex ❑ Mobi lehome Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New]M Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Install 81 proj. x 161 awning attached t0 Mobile Home Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OROOV OR LESS10.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. 2I/20sgff 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. 9 F4iIQClassification B-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 CON5TR ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS. NEW CONST R. POWER APPARATUS &' NON.R ESID. ISINGLE OUTLET CIR. 20@50C Ex. Occup(o FIXTURES 9AL®30 IXED A POR Ex. Occup. OUTLETS (RESID )LNS R EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® i have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of 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. Heating Cboling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against !laid County in consequence of the granting of this permit. %� CS'�o��� �� Date 9,7ZL Signature of Applicant — Owner ❑ Contractor ❑ AgentXX An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 0. OC OCCUP. GROUP I TYPE OF CONST. r PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for hich Of TOR O UBLIC .0 By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date � ,3G / Receipt No. ST 7a —�— WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 0 Y CITY`OF' 4;�1j(-C- DEPARTMENT OF BUILDING & SAFETY PLOT PLAN 7 DATE: — BUILDING PERMIT NO. P/L NOTE:—AII Mate jai$ Ps 1l q*manship Shall Be in � 'Accordance with -,R=ogniwd Gon. -§ Prft+kes and 'thi t'of plans and specifications MtUSIF h,. of a quality Fresc ilaed for the Sped ias Ise in thokept on the job at all times and it is unJawf I #r.' "Uniform suildi 1g, bing & Mechanical 'Code d �- , .s qr same alterations on wi ho;.; ti+e'lVet l c Tical Cede. wrif&en permissi m �Pom the Department of Pur. lic Works, fou t !of Butte. :I MOBILE ` I HOME P/L qKL A s of k' fro, m the prep arty I ines' and a setback of _5 ft. `from .fhe road cent rlinci shallkap clear of struc ores' or ogv(p ersf e e ''ti for a 2 ft.I eave'�j�i�� -t- - =- -- �--- P /Lk ` A -S I - STREET: �w��� C` _(�� �' o i LOT No.; Name of Park: s7L-Jt-)P- p1 k, �f �rSeet' 3dWA"" ' Name of Tenant:2/.1. Mk oh6r c��;_ Brand, Name: State Approval #: r State Model �# Installer: ALac �e�F/, S X12/,•T,«.�,��..Address• r�Z4 ��SE+�C. ephone: Describe, Work to be Done: _cz_ r� C]�,�,,. , :, �•�--- G y � Cost: �,We, the undersigned, hereby approve the installation of the above structure, and I agree that the information furnished herein is correct and in accordance with all__,% applicable provisions of the Health and Safety Code and Related RuCSU�C 1,�1NTY / of .California. C 1, 1 Bi 1LDING DP EPR AT11%IE Tenant: Park Manager �% 7 ` Signature SiAtag' i- F R0V�p 2101-84 PERMIT NO. 2520-84B PERMIT EXPIRES OWNER WALTER MIKOIAJCZAK CONTR.. Lincoln Village MH ASSESSOR PARCEL 8'12-11 LOCATION 2656 Phaeton Drive, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service r Cal led PG&E JOB FINALED (Date) Signature J _ OK 0 = Not OK - =Not Applicable MOBILEHOMES M�4£�CELLANEOUS = Not Ready i Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DEC COV RS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1. Zo ' g quirements-Setbacks-.Easements 2. Soils; Special MH Support -Sketch 2Af 0 gs; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3 cks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5.tAlum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat.or/ . /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date H Card -BI Date Card -BI Date J = OK , 0 = Not OK - = Not Applicable RESIDENTIAL (gingle and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings :,H 2. Ftg., Main; Soils-Steel-Elec. Grnd.- //" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits - 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /;'_ Ftg. Depth 51. Plywood on Roof Overhang', -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 1 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 53. 54. 55. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access Glazing Area -Glass Protedt i on-Skyl i ghts-P last ic Shear Walls; Nailing -Bolts! 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test j 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. j 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date - Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's 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 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents-Clearancd-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; -C lea4rices-Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Gr..'nd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except p's 66. Elec. Outlets & Receptacl,es at Kit. Counter 67. Garage Fire Door; Swing=Landing-Closer 68. A.C. Duct in Garage -Dam er `-Comb. 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. 22. Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. 24. 25. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w:/Mech. Fasteners -Bond Gas &Water 2 Appliance Circuits in Kitchen &Conductor Size 72, Insulation-Foam-Lookedlin Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole boor -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral []Yes El No 75. Following instld.: Drive I ❑ Yes [-]No; Walks ❑ Yes ❑ No; Planters ❑Yes El No 28. Service -Riser Conductors & Ground -Main Disconnect 76. 77. Stucco; Brown -Finish 1 A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.;Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. 82. Exterior Elec. Trim; G.FI. Receptacle -Underground Ventilation throughout House Glass Protection Card B -I Card B -I Date Date Card -BI Date Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected=C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates i 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic i I Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's Card -BI Date Card -BI Date Comments at Final: 36. Sills; Proper Material & Anchors 37. 38. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 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 I 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_.__ I 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions I I 47. Garage Fire Protection Framing I (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Carifornlia 95965 - Telephone 916/534-4541 APPLICATION AND' PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER 'SS TELEPHONE SO. FT. OCC, BUILDING VA O OWNER'S MAILING �DR -•C/ONTRACTOR'S NAME !/ TELEPHONE 6-a —777 CONTRACTOR'S MAILING AqFDRESS 'G�� d Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ ^ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Q, BUILDING ADDRESS � _ PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME CC PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 Of USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehomeF,-V Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e rr�� TYPE OF WORK R', New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: KQ 9 — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP.&1 // 21/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): �� L� l am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in fuI force and effect. y 66i License No. T�Z4 3�%� Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET NON.RESID, BRANCH CIRCUITS) 2,50 ea NEW CONSTR. POWER APPARATUS & NON-RESIO. � SINGLE OUTLET CIR. Ex. Occu 20@soc p�o OR FIXTURES RAL®soa IXEDTs EX. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. VI 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, in mnif a d keep harmless the County of Butte against all liabili 'es, judg a is 'c ts, nd ex s which may in any way accrue agains s d don co a en a of t gra Ing of this permit. X Date 7 A� Con actor Agen Signature of Applicant — OwnteU�I. An OSHA permit is required for etions o er 5'9"' eep on d olition or construct- of structures over 3 stories in Mobile Home Installation Fee $ TOTAL PERMIT FEE $ , 0 Occup. GROUP TYPE OF CONST, PARCEL PD ND 65U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — 3�� / 5 Lio,n ceipt No.�����' TE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i PERMIT NO. 2301-84 � l PERMIT EXPIRES OWNER WALTER MIKOLANZAK CONTR.. Lincoln.Village MH ASSESSOR PARCEL 8-12-11 t s LOCATION 2656 Phaeton Drive, Oroville rrr i I- r f ' 1 . t k r Temp. Power Pole Called PG&E ! Temp. Elec. Service Called PG&E r Temp. Gas Service Called PG&E JOB FINALED (Date) Signature J = OK 0 = Not OK - = Not Applicable * T Not Ready MOBILEHOMES MI�_C_ ELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except p's Date DECKS COV S, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 1 ng Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Foo ' gs; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. ecks; ' ders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wo Awn.; Post s-Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5.Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card-BI Date Card -BI Date Card -BI Date X I Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except a's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -B1 Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J OK 0 = Not OK = Not Applicable �E = Not Ready_ RESIDENTIAL'(ging'le and Duplex) Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) I 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits ' 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. -Plywood on Roof Overhang; Attic Vents -Rafter Outriggers 52.*Siding-Nailing-Veneer 6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts' 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except H's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sidelidht Protection -Landings 57. Smoke Detector . 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection, 58. Furnace; Vents-Clearancd-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I: & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date - ELECTRICAL Permit OK except Ws 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water 72. Insulation-Foam-Lookedlin Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. Vents & Crawl Hole[Door-Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes 0 N 75. Following instld.:Drive f E) Yes ❑ No; Walks El Yes [I No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish i 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.'-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F11. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except p's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval ` 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date :`3"y Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except q'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) I 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 1 42. Hangers -Post Caps -Anchors -Connectors j 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_. I 44. 45. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 1 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing 1 I (NOTE:Anentrymust be made each time youvisit jobsite) COUNJY OF,.BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 959,65 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO.)"Y a - ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT rJ OWN RTELEPHONE SQ. FT. OCC. BUILDING VALUATION Ma oe) OWNER'S MAILING ADDRESS' / CO TRA TO y� 'S NVFJ n©%�/ T LEP ON CONTRACTQ.�t'S AILING ADDRESS �/y Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ -Q0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ :O Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS rr PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ��Q O E// Water piping 5.00 LOT NO. SUBDIVIS19N NAME Cb}� PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 /11 SE OF STRUCTURE SF ❑ Duplex❑ Mobil homep--'Other SPECIFY Building sewer 5.00 Mobile Home ISI G W 110-00e TYPE OF WORK New El Addition( Remodel tilitiesInstallation❑ Other Describe work: TC' /2 rPLL -X 81l�❑ ❑ — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2:50 NEW CONST. DWELLING OCCUP.&` OR ADDNS. (ACC. BLDGS. / 2h0SQft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and y license is in ful fore and effect. /$_ License No. L Classification ALL / ❑ 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 NEWCONSTR ULT' -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS. NEW CONSTR POWER APPARATUS &' NON.RESID. (SINGLE OUTLET CIR. 20e50t Ex. OCCUp(OUTLETS OR FIXTURES BAL®30 FIXED APPLNS. OR EX. ---OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. m I terve placed on file with the County of Butte Building Department 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. Heating Cooling Hood 3.00 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabi (ties, judgments, costs, and expenses which may in any way accrue a aid County in con seq of the nting of this permit. X to7 �O-�" Signature of A licant — Owner ❑ Contractor gent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE ✓ $ �• �% OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO)rO)= PUBLIC By. PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date '7 266--� r33—stories Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J PERMIT NO. 2203-84MHI ex site PERMIT EXPIRES OWNER WALTER MIKOLAJCZK 4 CONTR.. Lincoln Village ASSESSOR PARCEL 8-12-11 LOCATION 2656 Phaeton Dr, lot 11, Carriage Manor, Oro t Temp. Power Pole t Called PG&E Temp. Elec. Servi Called PG&E i } Te • G S mp. as ervi c� . I Cal led PG&E _ 4 JOB FINALEI Signature ` OFFICE COPY Address .. GAS Meter By Date-� ELECTRIC �/,��j, Meter By Date �L J = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready k MISCELLANEOUS _ Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—.Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearanc s—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; LL"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearancff 7. Elec. " Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILP6YE INSTALLATION (Plans) OK except a's Card -BI (Date Date Card -BI Date POOLS (Plans) OK except N's 1 ng Requirements—Setbacks—Easements 1, Setbacks—Easements 2. F Ings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability G, 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4 tricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5 D •in; MH Test—Fall—Flex Connector ; 5. Elec.; Pool Lighting; 15 volts—GFI, 6,r; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. er and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. d Electricity Tagged 8, Elec.; Grounding; Equip. w/5'—Circulating Equip. -Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit its; Insp.—Sketch A'. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test I Card 13-1. ate and -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Single and = Not Ready ' Duplex) Date UNDERFLOOR Plans OK exce t#'s . Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements ' 48. Property Line Firewall & Openings .' 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / ./" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. 'Ftg., Parches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed=Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer -Test 9. Gas Pipe; Size -Anchors 54. 55. 'Glazing Area -Glass Protection -Skylights -Plastic . Shear Walls; Nailing -Bolts 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 Card -BI Date Card -BI Date Date Card -BI -Date - - Card -BI Date Card -BI Date Card -BI Date Date Card -BI .Date FINAL (Plans) OK except #'s Card -BI Date Card -BI Date Date - PLUMBING (Permit) OK except #'s 14. • Water Ht.; Vent -Access -Combustion Air- + 56. Ext: Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector-,, In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor-Tub'Access 60. G.F.l.'& Bath Fixtures &'Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter . Date ELECTRICAL Permit OK except #'s - 67. 68. 69. Garage Fire Door; Swing'' Landing -Closer A.C. Duct in Garage -Damper. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equ1p. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water 72• Insulation) Foam -Looked in Attic [:] Yes 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks [:]Yes ❑ No; Planters ❑Yes ❑No 28: Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish , 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79, Water Well; Disconnect,;Electrical, Plumbing Card B -I Date Card -BI Date 80. Exterior Elec. Trim;'G.F.I. Receptacle -Underground 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation & Support 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade. 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Comments at Final: Card -BI Date Card -BI Date Date FRAMING Plans OK except #'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. 43. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfn_q_.__ 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. 46. 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) 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 `US $%/ for the following location: 24 •1.�.Owner Owner's Address •C "Wee Or Mobilehome Mfg. `/ -�'r«% Model 0(/-& p Year�k Insignia No. t�S"`'� '1 f<�;-- Rq Serial No. Zl / Z A p It is hereby certified for occupancy at the above described location and may be occupied. f Directo/rrof P/ubbllicWorks Date/L? / Q By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. v COUNTY OF BUTTE- DEPARTMENT "OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 D �� APPLICAT'IOWAND PERMIT on ASSESSOR PARCEL NUMBER 1;2l ZONING BUILDING PERMIT OWNER 1-14 p 9 //f�J W04Go % 7^I ` o / I C Z TELEPHONE SQ. FT. OCC. BUILDING VALUATION " OWNER'S MAILING ADDRESS Z & s(o 1>11 -4e -1-0A1 P.-? 6", Ile C NTRA TC R'S NAME '� TELEPHONE t ly l LLQ �� 53 y7`T CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKN WN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$• Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME Co/ e • qArDR PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home JSJGJW.J 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR ADONS. ( ACC. BLDGS. 1 / 220sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): -am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code and y license is in fullfor e a d effect. p License No. L Classification _ ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am 'exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET NON.RESID BRANCH CIRC ITS. 2.50 ea NEW CONSTR. (POWER APPARATUS &'\ NON-RESID. (SINGLE OUTLET CIR. / zo®soa Ex. Occup(o XEDTS OR FIXTURES 9AL®ao FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Eg__!._tsve 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 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 Iia ilities, judgments, costs, and expenses which may in any way accrue sail County in consequence of the ranting of this permit. Date / Sign ure of Appli ant - Owner ❑ Contractor Agent ❑ An OSHA permit is required for excavations over 5' " deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ' Di OCCUP. GROUP I TYPE OF CONST, PARCEL PD ND 1Vssa E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR TO OF PUBLIC BY � PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 7—�'� S� Receipt No. Ce L-3 ,,S `T WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Telephone ' 553.2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 35-84 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the Butte. County Department of Public Works - Building Department prior to issuance of•a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: WALTER J. MIKOLAJCZAK Applicant Address: 3074 Oakbridge DrD, San Jose, CA 95121 Applicant Phone No.: X22M 533-3014 Property Location (s). 2656 Phaeton Drive A. P. No. (s): Fees Paid: Carriage Manor - Lot 11 - 0081-12-0-011-0 All fees Paid, Application for service approved: July 16, 1984 North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: By: Date: North Burbank Public Utility District release to close permit: Date: By: MOBILEHOME SUPPORT DATA ~a If other, than single wide, Mob 11ehome Mfr. 1--e e– furnish Setup Model No. Year /61/0 Width .(ft.) Box Length -(ft:)- Tagalong'br- Expando-'Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) l 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. (check one) I —� x�o (ft.)(in.) (in.) (in.) It supportCenter support locations* footing sizes �jj .(in.) �- "11K x� (ft.)(in.) (in.) (in.) 'N' `s U z� (ft.)(in.) (ft.)(in.) t _ 4_ .(in.) (in.) Z x� (in.) (in.) • x� Single c, " .;�. \. Wood either pressure treated or foundation grade. 2. Other: (specify) Supports (check one) 1: Concrete block. '2: Other,. (specify) 4 --tagalong or Expando,' show support details. fY x 3c -- Typical Support in.) (in.) Footing Size (, -- Max. Pier Spacing (ft.)(in.) . ` 0 -- Max. Overhang BUILDING DEPARTMENT ' *If center piers are other than drawn above, APoWv" ,'draw in -locations, spacing, and dimensions. -'BUTTE COUNTY BUTTE COUNTY_. DEPARTMENT "OF "PUBLIC .WORKS � s 7 County Center Drive, Orodille'.`CA. PHONE: '534-4541 ► : �� { MOBILEHOME- INSTALLATION .SHEET =1.- Owner's name: . 2. Installer's name: /40/✓GYo.�/� 3'. .Is the•site currently under permit? Yes / No (.If yes, furnish permit .number ) OR` Is the site an existing site? Yes / No (Ifyes, furnish two (2) plot plans.) 4. :Will the mobilehome be located at least 5 ft. away from septic tank and leaah°,efielde and , ,.:�.. clear of all setbacks. and easements? Yes No t ' ('If no, clarify `5.: •What is the mobilehome electrical rating? ---=------------------- Amps t 6. What is the mobilehome site service rating? ------------- - Amps- • 7.. What is the mobilehome site circuit breaker rating? ------------- /'y Amps 8. :Is there any other electric load'`to be,served by the mobilehome siteservice? ------------------------------------------------- Yes • .. No (If yes, identify the load and size: (Load) .40 (Amps). 9. What is the mobilehome site gas pipe size? --=------------------- -31 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.) (Signature) "PERMIT N0. 505-79P e. Y, PERMIT EXPIRES O Warren T. Ambrose n OWNER CONTR. owner i° LOCATION (A.P. 2646 Monte Vista Ave., Sp.#11 , Oroville qa t E . ' k - f F , Temp. Power Pole ` Called PG&E ! Temp. Elea Serv. ( Called PG&E I R. Temp. Gas Serv. Called PG&E JOB ` FINALED (Date) (Signature) I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING SetbaNk Fir all Soil Piping Forms Para is 1st Floor Main kidg. RestroV Finish 2nd -Floor Foots s Windows 3rd Floor Stemw I Sidin To out Slab Roof Sheathng Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footings Slab Prov. for physicallk handicaped Conformance of ex. structure Final Appliances Gas Piping & Test Temp. Gas Sanitation Patio FIREP ACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLE • 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 l d Water Piping / �j O Sewer Gas Piping c� I E M INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS C5 P (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-.,— , OySoville, California 95965 r TeIeph�irie: f534-4541 APPLICATION AND PERMIT SDS - authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. xzf! �Z Date /,,3/— 719 Signature of Permiteee or Agent Receipt No. / Xa '2 74,- 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. D ECT OF PUB IC WORKS 110 A V0 Date Building permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address (✓ _ �eLe�hone o.� 5� Contractor Q 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 3.0,0 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 0�=��- "' �/ Zohing Ing Water piping 1.50 /L1. 0 Each gas water heater or vent 1.50 Fees . SQt FireDE Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 0 E A Parking plans Parcel Declaration P Map 60' R/W Impro/ements Each additional outlet .30 Building sewer 5.00 16F.00 Bldgs Rec . o d A - Parcel royal Plans W\.provol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $3 3r— I— ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADONST V ADWECCLBLOGSCCUP. 4� 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 st le of: Y NEW CONSTR MULTI.OUTLET ID BRANCH CIRCUITS) 2.50ea NEW CO (POWER NEW C ON ST R. ( POWER APPARATUS.6, NON-RESID, OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTIIRES 5B L:; Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 0I 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 Cal i forni a. I 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 $ ;X — TOTAL PERMIT FEE $ �Q authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. xzf! �Z Date /,,3/— 719 Signature of Permiteee or Agent Receipt No. / Xa '2 74,- 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. D ECT OF PUB IC WORKS 110 A V0 Date Building permit expires Date COUNTY OF BUTTE – DEPARTMENT OF PUBLIC WORKS X 7 County Center Drive - .34-45 le, California 95965 /� Teleph e 534-4 : 541 APPLICATION AND PERMIT Out lulILC ICllICSCIItdUvCS oI trle t,ounry or tulle to enter upon the above-mentioned property for inspection purposes. X-a.G-t. le A41Z Date 8'�27-7 Sl nature of Perrmitee or Agent Receipt No. �i .��`—� 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 a." A A *=- Date 25 Building permit expires Date A - .A -7-9-b BUILDING Owner et�rx �rb5 SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address ,2 • L Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �•- � Zan 4rPvlann`in9 Water piping 1.50 Each gas water heater or vent - 1.50 es Wej S&w%4m 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 04g-4km,_ELeod Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 2 Permit Fee $ $ �L ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,ccs 60ov OR LESS Main service 100 AMP OR LESS 5.00 -'- Single Family ❑ Duplex ❑ Mobil Home © Others ❑ Main service EA. ADD'L 100 AMP 2.50 Z�Q P Q'y �b o I" Main service �00 AMP VER oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBL GS.CCUP. 1) 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: _14 c /t NEW RESID,CONSTMULTCH CIRCUITS) NON-RESID BRANCH CIRCUITS 2.50ea NEWCONSTR. POWER APPARATUS 6 NON .RESID. SINGLE OUTLET CIR. EX. OCcuo(OUTLETS OR FIXTIIRES BALM EX. Occup`OUTLETS FIXED TS (RES. ORSID.) EA2 00 • � Temporary service 10.00 - Mobile Home Facilities 15.00 j ,.� License No. b s. Classification e_ -I& 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 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 $ j Out lulILC ICllICSCIItdUvCS oI trle t,ounry or tulle to enter upon the above-mentioned property for inspection purposes. X-a.G-t. le A41Z Date 8'�27-7 Sl nature of Perrmitee or Agent Receipt No. �i .��`—� 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 a." A A *=- Date 25 Building permit expires Date A - .A -7-9-b Warren T. Ambrose 2660 Phaetog Wag, oroville Permit #506-79P(utit., ELEC . 7 - �� GAS —7 SUPPORT STRUCTURE REQ. XT COMPACTION ST RE All fill—, contr: Lloyd's Elec., Orov.11; Permit #1650-79E(elec._& yard light/] NEW OWNER WAYNE NEW1 AN 2660 Phaeton Way, lot 12, Orov it Contr: Kentwoo y9d MH, i C co / rr Permit#6889�i711`79 Issued Qarc.,... � .... Permit #7199-79B(new awning/MH)' Permit #166-80B(new open deck/MH) Permit #1782-80B(new awing/MH) 12.Ni079 012- /V fs s s 1F�� `� = 1 �'