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HomeMy WebLinkAbout079-200-050'P" Warren T. Ambrose 2651 Chaise D 2666 SU'aw S 5 roville Permit #544-79 P(util., S ELEC . ae)e),4fM b GAS SUPPORT SRUCTURE REQ. Ob COMPACTION TEST REQ. 49 A. MA — — - — ---- ontr: Loyd's Elec., Orovill C" ermit lk1688-79E(elec. & yard light/MH) NEW OWNER PARE KEINE 2651 Chaise Drive, 0 ovi.11e Contr: Joel Mannie, Marysville Permit#2307-82MHI existinZ site) Issued Contr: Warren Ambrose, Oroville° Permit#2762-82B( v de k & arport/MH) Ned N Bu a r PERMIT NO. 2762-82B ',2dPERMIT EXPIRES OWNER PARKE KLINE t CONTR. W. Ambrose, Oro ASSESSOR PARCEL $'12-50 LOCATION 2651 Chaise Dr, Oroville t • 4� r ' Temp. Power Pole Called PG&E Temp. Elec. Service :w Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature V =_OK, 0- = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS OVERS, CARPORTS, ETC. !Plans) OK except #'s 1. Zoning Requirements-Setbacks—Easements t.' -Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch f� �Footi ze— pacin@—eon ors 3. Sewer; Location—Test—Fall-C/0—Concrete — 3. Decks; Girders and/or Joists—Dg—Bra ing—Stair ai 4. Water; Location—Test—Easement Needed (Sketch) 4. Wo wn.; Po —Be—RfA---'Co —Shr — racing 5. Electricity; Location—Clearances—Grnd.—/ / Amp -Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card-K!Date ,-�j C BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK ex pt 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 B. Gas and Electricity Tagged 8, Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lgh[g. 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 -B1 Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date FM V = OK , 0 = Not OK - = Not Applicable RESIDENTIAL (Sin'gle and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except #'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. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 1 6. Stemwalls, Garage; Steel-BIdckouts-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/O -Sewer Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors j 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except Nis 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above FloorDucts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 1 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; (Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65, Kit. Fixt. & Appliance;;Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture &Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above FloorMech. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -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 At, 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 1 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,iElectrical, 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 Card -BI Date 82. Glass Protection 1_ Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade i 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet - 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI _ - Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI DateCard-BI Date Card -BI Date Date FRAMING(Plans) OK except N's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: I _ 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 I 42. 43. 44. _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat I _ 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 job site) .4$ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS—. PERMIT NO. • 7 County Center Drive - Oroville, California 65965 - Telephone 916/534-4541 _ APPLICATION AND PERMIT (� ASSESSOR PARCEL M6ERIN BUILDING PERMIT oW TtLEPrHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILITM ADDRESS C T ACTOR'S NAME Se— ITELEPHONE CONTRA O 'S ING AARESS - Fireplace CONSTRUC ION L NDER UN OWN Total Valuation is 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 $ BUILDINGDDRE: G7 0-A59— ,r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent • 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehomep!r?'�Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Uti'ties ❑ Instal lat' ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. (DWELLING OCCUP.DI) OR ADDNS. l ACC. BLDGS. 22 sq ft 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 license is in full orce and effect. License No. ��Q 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON -RESIT R BRANCH LE ITS2.50 ea NEw -CONSTR. (POWER APPARATUS &) NON RESID. ( SINGLE OUTLET CIR. so 0 zea Ex, OCCup OUTLETS OR FIXTURES BAL@100 FIXED APPLES, OR EX. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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 o1 Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. j 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue_ against said C uy • consequence of the granting of this permit. Xr���• Date' 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 $ TOTAL PERMIT FEE $ Dc UP, GROUP I IP OAF /CVON$.T. TT/ PARC L PD No 1SSu�, This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date r — Receipt. No. 7177-j WN1Z E-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT N l-�,',(`.r� 4'vf�''`�'�'�""'�"i �-4'1M+'Y'-:.t-r-r'-1- ✓ '�} `' r:` .y/r , � ,`�; _ COUNTY'OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 OWNER Proposed Building Use Permit Fee Based Upon t Building Inspector PERMIT APPLICATION DATA SHEET Complete Contract Pri Permit No. A. P. No.� DPW Valuation Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED �/AII items have been submitted. . . . . . . . . . . . ��rr 2 Plot plans in dueca et /'Y i l-ilicate. • . ��-C 3�omplete plans in.d-u�plrIc to eJriplicate. . . . . . . . 4. Complete engineerepd plans and calcs. . . ... . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. _0_�_C'Fees of $ r� 0n— . . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. , Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16 Mobi leh e I stal lat' D t om n ion a a. . . . . . . .. . •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector 18. Other When you issue the permit, process as follows: Mail to owner. _ �Telephone,!2��1(�7q and hold for pickup at office. Other Date) Mail to contractor. _Deliver w/inspector. Applicant ;y ' `i/ �.�/ . .a -r " Date �? ��' Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) wjs advised of above required data by Telephone By Plans checked by Plans approved b, Other Copy—DPW Date Date Mail Other Date .... cex,���c��� ..: :.. :... _ � ...._::: __•_..: � COT .5"0 N0TV� 1'�Qa3 Ta 8?LkV• tkmanship hall Be in kbcorddnce with RAronnized Good Pro tices and. k/ of a qualitt nrescribA4 for +he Snecified use ik Uniform B ild'ing, Plumbing & Ivlachanic Codes_ Electrical Code. 7:5 ,2 _.._... 55 D - �:6a i:.�::":,oy l'�.-✓ .I.:ii i3::MgAy.'i'i[;��jy"•;>. :'::n...... .. .. _. II u ili�y. ection 1.. C~>vgithin- tt: oufside tie rear._ _ hird'sec ion' the mobile- home-_, n the le f t (roa side-of-the _..... mobile.__.. `�`�>3 .-j d +.p�,v �,�P•: qtr 3'+ 7 05.i ta— - I1 art ♦ 2Y• C t h .3 / _. ' \ .... .- _'-._:'__—_'- _ � ,.: z° rgv f�fa.h 1rr' -a y ? - - 1. - ��. �`x.,sj s $�*�^'�♦-5 -. S � � - ... - - . .. _ ...:_... ... .. J S - `ROS 1- � � 1 --o. '� 4 t q:7.f .[c3 r ��• I :0.. \ _ ._- .. .�'`:-^ ---. _..:... ,o-.w-.�� i- n �. y+. _ r' ,`—^-__•-_-._—_—_• .17 �l zz p �' •-. 1 Mg. fx,A,C�xy�kt drxY�ak` ts" Ae.• i. .. ... ". _ - ;- • 1 .r;`♦3. �. -�y"S eA.,c ..; kp r�``f,°'.t�,ax :N t 1 Q. Q t t• 1 1 ( ;{ si ���"3•t M� �st�Efl„#'kia♦X �i 1 ... _ _.__ ._ n I F q 3 c�uYf `Ff g1 \ eV M MR ._ , � •�'a't'S fy�,� Alf QyY� '�'0)'y fs qhS� Sfi _ •- -\ `` -_ - _—..__._. The, tbac% shalt 60 5 ft fr ' 3t � � �� 5v- sid pro 11 and t. rmm a �r�--✓ Sa I _..� __ _ __—. '- .. -6�1 ce t the the r d perms t� ♦'• f 2� y �4 - I . - \ _ ......_.. _ _ _ tY re i o a . ea overhan b I t of I asemektts. ssti ty s �j as K - '\ - - - - .. I C�JU N:1'.z TMFN • chis set of ans an ecitications M O BUTTE COUNTY <ept on th job at ali-times and if if, ufA�(tG �— make any changes or alterations on same thous��� .r3UILDING.DEPARTMENl written p rmisson from the Departme of Publkc Works, unty of liffe D APPROVE' IM BUTTE COUN 1.Y c /9 1 X-C VILDING DEPARTMEN' -- __ _ ---. _.- �;j -v lz 'If Tul .5 F -- -T I Ile I Ile POde adjuate bract�j, IM BUTTE COUN 1.Y c /9 1 X-C VILDING DEPARTMEN' -- __ _ ---. _.- �;j -v lz 'If - � ' -- --- -.------:���-c.�i�-til T _ i� M• �� . k y/ �=��i,(/��r o�l��'. A BUTTE COUNT I BUILDING DEPARTMEN A ROV6,D PP Z7 41, 7 af 7—C tl x4 l' fl BUTTE COUNT I BUILDING DEPARTMEN A ROV6,D PP ,~ PERMIT NO. 2307-$2MHI-'•ex site PERMIT EXPIRES�2/83 OWNER PARKE KLINE CONTR. Joel Mannie (' c ASSESSOR PARCEL 8-12-50 - t t LOCATION 2651 Chaise Dr..Oro r ti. f Y Temp. Power Pole Called PG&E Temp. Elec. Servic/ Called /Vic Temp. Gas See Cal led /&E JOB FILED , (Date) v �2-- x Signature 141 J = OK 0 = Not OK = Not Applicable Not Ready MO•BILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) (j .. xcept 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4• Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enciusures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILIWOME INSTALLATION (PI OK except q's Date POOLS (Plans) OK except Vs ng Requirements -Setbacks -Easements 1. Setbacks -Easements F tings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability Pf'Gape!VIH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining t-Ifflectricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI j!6rain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed ater and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater A- G and Elekvtf<ily Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit Exits; Insp.-Sketch &e"C-ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test C B -I Date f and -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Cp O7 p4i a J = OK 0 = Not OK Not•Applicable RESIDENTIAL (Single and Duplex) ='rNot Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang=Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 52. 53. Siding -Nailing -Veneer, 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-Ancfiors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date - Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except f#'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date. PLUMBING (Permit) OK except q's 57. Smoke Detector 14.' Water Ht.; Vent -Access -Combustion Air 58. 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-Ftthgs & Anchors -Nail Protection 59. 60. Bedroom Exiting G.F.I. & Bath Fixtures & Tub Access 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date. 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. 71. Plb., Elec. &Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E] Yes 73. Guard Rails &Deck Construction -Post Caps - 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance , Looked under Floor E) Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 75, 76. Following instld.: Drive ❑ Yes ❑ No; .Walks ❑ Yes ❑ No; Planters El Yes 0 N ti Stucco; Brown -Finish 28. Service -Riser Conductors & Ground=Main Disconnect 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 ' . r -- 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date_ _ Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Card -BI Date 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. 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 _ DateCard-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except 11's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing_ 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers-PostCaps-Anchors-_Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ _46. 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) 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 2nd— rolfor the following, location: Owner ,`��/�'� -•~ Owner's Address-- Mobilehome Mfg.` --- % &-�'eModel x fyG7 Year'"" Insignia No. 9 4 127176 �7 Serial No. '-�%� 1 /9 k It is hereby certified for occupancy at the above described location and may be occupied. �--- Y Director of Public Works Date � t � 17-� -2---- " BY., THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. J .. 1 1* COUNTY OF BUTTE- DEPARTMENT OF 7 County Center Drive - Orovilles California 95965 - PUBLIC WOR S Telephone 916/5 4-4541 APPLICATION AND PERMIT ERMIT NO. ASSESSOR PARCEL NUMBERI G BUILDING PERMIT ID OWN ,_ TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C\��.CTO •S N 1J 0 �hip TELEPHONE 22.2 ' CONTRACTOR'S AILING ADDRE S rP Fireplace ONSTRUCTION NDER UNKNOWN Total Valuation Is Filing Fee $ 10•Q0 • LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER I LICENSE NO. Plan Checking Fee -`% $ V Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS SP PLUMBING PERMIT Filing Fee 10.00 Ile ASAVO Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO.S S0Gas DIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 piping system 1 - 5 outlets ULISE OF STRUCTURE SF ❑ Duplex❑ Mobilehomep�_Other - SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ InstItion2_1/other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.aJ OR ADONS. ACC, BLDGS. 22 sq ft CONTRACTOR LICENSE LAW I decl e Iunder penalty of perjury (check one): �Uj am licensed under provisions of Chapt. 9, Div. 3 of the Business50 and Professions Code and my license is in full force and effect. License No.yu9/0-� Classification 1/� ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting. with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NON -RESIT R. BRANCH CIRCUITSTS 2.50 ea NEW CONSTR. / POWER APPARATUS & NON-RESID• 1SINGLE OUTLET CIR. @ 25¢ Ex. Occup OUTLETS OR FIXTURES BAL@1 Ex. Occup.00 FIXED APPLNS. OR (OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home.Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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 liabilities, judgments, costs, and expenses which may in any way accrue against County in consequence of the granting of this permit. %� Date Q _o2 -Q o� Sign -of Applicant – Owner ElContractor 11Agent ❑ An A permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST, PARCEL PD ND ISSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By Pol#T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 8!–) I?— J, 211 Receipt No. l 6 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT II f ' ` COUNTY. OF BUTTE - DEPARTMENT OF•PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE" CALIFORNIA 95965 - TELEPHONE: 916/534-4541 R, i ' PERMIT APPLICATION DATA SHEET, , , Permit No. OWNER A. P. No. 6 r Proposed Building Use Permit Fee Based Upon: Complete Contract Price -'DPW Valuation th x lain) Building Inspector U _ u Date At time of permit application, I was advised the following data must be submitted prior to permit processing z 95V94 DATE RECEIVED APPROVED en submitted. . . . . . . . . . . . licate- iplicate. 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non-Heated and AC Buildings. 8. Fees of $ . . . . . . . . .- Letter of signature authorization.. . . . . Sanitation approval from Al .� •. �i . r filth Dept. 11. Planning approval for (A) Use: (B)' Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner-Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •. . Pre-Inspec. request to (Date)* Pre-In tion for equired. Bu ;n9 nspector Other When you issue the permit, process as fo ws: Mail o owner. Mail to contractor. Telephone and hold for ickup at office. Deliver w/inspector. Other j , Applicant /.�- .F' �5� o Date -a -(9 Copy of plans sent Health Dept., Fire Dept., Other Date During -the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No., 2. Additional items required: (Contractor, Desiger, n - s dvised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Vw VX11 Date Other: Copy—DPW North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 37-82 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS Telephone 533.2000 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: Applicant Address: PARK KLINE 815 Florin Road, Sacramento, CA 95831 Applicant Phone No.: 916-392-0454 Property Location(s): 2651 Chaise .Drive, Orovil.le, CA 95965 Carriage Manor Subdivision, Lot 50 A. P. No. (s): 08-12-50 - ' Fees Paid: ALL FEES PAID Application for service approved: North Burbank June 16, 1982 Public Utility District Inspection(s) made and successful test(s) observed: Location: Date: North Burbank Public Utility District release to close permit: Date: By: r.. MOBILEHOME SUPPORT DATA Iftother than single wide, 16_(dn441 1�'i' aQo�� Model d Year 15V Mobilehome Mfr. t furnish Setup No. Width a q (ft.) Box Length (o4 (ft.) Tagalong 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. Footings (check one) Single - 1. Wood• either pressure treated or bkb foundation grade. an 2. Other: (specify) Center support locations* Center support footing sizes '. Supporte.(check one) (in.) 1: Concrete block. x� ❑ .2: Other. (specify) (ft.)(in.) (in.) (in.) < —Tagalong or Expando,' show support details. (in.) (in.) �aZ x,34 -- Typical Support (in.) (in.) Footing Size x3 (ft.)(i .) (in.) (in.) �- ' -- Max. Pier Spacing Max. Overhang (ft.) (in.) (in.) (in.) BUTTE COUNTY: BUILDING DEPARTMENT APPROVED. *If center piers are other than drawn above, draw in -locations, spacing,. and dimensions. 'Y-. BUTTE COUNTYDEPARTMENT DEPARTMENT OF PUBLIC ' WORKS '- •.7'County Center Drive; Oroville, CA. PHONE:' 534-4541 MOBILEHOME INSTALLATION SHEET _ (?6Mpr A naMA r /-Q �:�C - /r /, 2. Installer's name::. :. J )R 3. Is the site currently under permit? Yep / / No (If yes, furnish,permit' number ) Is, the site an existing site? Yes / / No (If yes; furnish two (2).'plot plans.) 4.' Will the mobilehome be located at least 5 ft. awa from septic clear of. all setbacks.and easements? Yes / /, No (If no, clarify . JI and leach fields and 5.,What is the mobilehome electrical rating?-------�-- ------------ Amps .- :. +4 •� • • _ 7 6. What is the mobilehome site service -rating? ----------7-1 a 4 d Amps • 7..What is the mobilehome site circuit breaker rating? ---------==-- Amps a:. 8. Is there any other electric loadto 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.) I 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? �Z ( t•) 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 7 and leach fields and 5.,What is the mobilehome electrical rating?-------�-- ------------ Amps .- :. +4 •� • • _ 7 6. What is the mobilehome site service -rating? ----------7-1 a 4 d Amps • 7..What is the mobilehome site circuit breaker rating? ---------==-- Amps a:. 8. Is there any other electric loadto 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.) I 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? �Z ( t•) 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.) - Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 82-246,95 `Auc 40 The property described herein is adjacent to land or included EL£ANORIr•�F•��E�t } within an area zoned for agricultural purposes, and residents of CLERK-RECDh R, this property may be subject to inconveniences or discomfort arising'" EE from the use of agricultural chemicals, including, but not limited to herbicidea,;;,,5 pesticides, and fertilizers; and from the pursuit of agricultural operations ing whichcluding$. but not limited to cultivation, plowing, spraying, pruning, and sionally generate dust, smoke, noise, and odor. Butte County has established.agricul- tural zones which have as a priority use for productive agricultural purposes, -'and residents within said zones from normal,ent nece5saryty should be farm operationspared to accept such inconvenience or discomfort All that real property situate in the County of Butte, State of California, described as follows: Lot 509 as shown on that certain Map entitled, "CARRIAGE MANOR, a planned unit development", which Map was recorded in the office of the :ry recorder of the County of Butte, State of California, on October 269 1978, in Book 66 of Maps, at page 48 and 49. Non-exclusive easement for ingress and egress, vehicular and ped- estrian movement, park, recreational'and for other purposes over the Common Areas all as set forth in the Declaration of Restrictions recorded March 2811 1979,,in Book 2383, of Official Records, at page'477. Date: •t PROPERTY OWNERS: P r, Xfi� - T i PARKE K. KLINE X DOROTHY INE State of EA. ) On this the 11 day of AI —, l9 -Z2— SS. before me, the undersigned Notary Public, personally County of Ciu.ttc ) appeared PARKI?, K. HLINE,_,tand DOROTHY JUNK: KLINE ONLY known to me to be the person(s) whose name(s) ArP OFFICIAL •ALsubscribed to the within instrument and acknowledged � ANGELA D. KELLY executed the ' same for the purposes, f NOTARY PUBLIC • CALIFORNIA that they _ ,PRINCIPAL OFFICE IN therein contained.hand and official BUTTE COUNTY IN WITNESS WHEREOF' I hereunto set my MY COMMISSION EXPIRES SGPT. 7, 1982 seal. �u otaryPblic k. . LOT 50 NOT '`�� �AaWlgs PK)WA' ' nship Shall 'Be in Accordance with REq.oc;nized . Good Practices and of a quality preSG-r;WA dor the Specified use ' Uniform Buildinq, Plv,',inq & Machanical Codes a d A, r;cal Code. s 'I The Bldg. S. side :proper centerline o .Xjuf of all E —10/k/ FRO�/T .�u AP . o BU�E �ONTY this set of plans and specifications MUST I �_ kept on the job at al $s times an t�anW6 /ic ( BUILDING DEPARTMENT make any changes or alterations on same without J} ermisson from the Department of Public I Wo kg, County of. Wu -" O.- l r t • I i APErAMIT NO. 5„44-7.9.P PERMIT T EXPI ES .. R Warren T. Ambrose OWNER ., CONTR. owner 8-12-50 -ALOCATION (A.P. ) 2646 Monte Vista Ave., Sp.#50, Oroville aPh Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called,PG&E _ Temp. Gas -Serv. _ Called PG&E _ JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Se ck rewall Soil Piping For4 PA@pets 1st Floor Mai Bldg. Rest om Finish 2nd Floor Fo ' tins Windo 3rd Floor Stem all Sidina To out Slab Roof SheaNhina Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Prov. for phsical Appliances Carport handicaped p Conformance of ex. Gas Pf in &Test j Footings structure Temp. Gas Slab Final Sanitation Patio FIREP ACE Final Footings Footing ELECTRICAL Masonry Walls Throat -Rough Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLE Motors I 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 MOBILEHOM TILITIES------------------ Elec. Service 3 v Elec. Pedestal � Z iWater Piping Sewer S �_ ✓ Gas Piping BILEHOME INSTALLAT SON - - - - - • - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS IJ v (NOTE: An entry must be made on this form each time you visit the job site.) i AP # � ) 71 OWNER PERMIT # 4 Lt —71 MH UT IL.CLEARANCE DATE C) INSPECTOR ELE TRIC GAS Support Compaction Pipe St c. Test Req. Type I Size Length YES NO LYES I NO Service Size Other Load COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — ©roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 'r' d e:: Date Signature of Permitee or Agent Receipt No. Iy. 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. DI C 0 OF PUBLIC WORKS s� By Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I ing Address 5 �� o �I ( t, Telephone No. 5 Contractor �J Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address C V Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 P-\0 - �� %/'� �a Zbnin 8 awning Water piping 1.50 /6, �--p Each gas water heater or vent 1.50 F s i, i 4� Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking EQ Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 jv ✓-- Bldg. ans Rec'd Parcel royal Plan pprovoI Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ J -- .$ _33 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 CONST. ( DWELLING OCCUP. 5)2¢sq ft OR ADDNS. ACC. BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9. Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID,CONSTBRANCHCIRMULTI-OUTLET NON-RESID (BRANCH CIRCUITS 12.5.0ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUD{OUTLETS OR FIXTURES g L25� FIXED APLNS. Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL N0.1 @I FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section 3700 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. ZJI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee TOTA L PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 'r' d e:: Date Signature of Permitee or Agent Receipt No. Iy. 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. DI C 0 OF PUBLIC WORKS s� By Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - ' Oroville, California 95965 / 9 Telephone: 534-4541 APPLICATION AND PERMIT ll NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family ❑ Duplex ❑ Mobil Home EV Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. 2( 1 �2✓ Classification ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ie certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Ci Date 2- i / 41 ignature of Permitee or Agent Receipt No. / d-4Z.2=J White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee 1500 0@ 256 BAL@1 ELECTRICAL PERMIT FILING FEE BUILDING 600v OR LESS 100 AMP OR LESS Owner EA. ADD -L 100 AMP Main service OVER 600V 100 AMP OR LESS SQ. FT. OCC. BUILDING VALUATION EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. 1 Mailing Address (MULTI -OUTLET \ BRANCH CIRCUITS Telephone No. Contractor Mailing Address ,d> Fireplace Total Valuation � C) Telephone No. Permit Fee Building Address �a �v� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE S� PERMIT FILING FEE J$3.00 Each TraD 1.50 �.-0A Repair drainage or vent piping 1.50 A. P. No. �" /2" �� o rfg��lanning Water piping 1.50 Each gas water heater or vent 1.50 Fides I W4 I Saai4 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 BldgdRs-Rec+d Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family ❑ Duplex ❑ Mobil Home EV Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. 2( 1 �2✓ Classification ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ie certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Ci Date 2- i / 41 ignature of Permitee or Agent Receipt No. / d-4Z.2=J White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Permit Fee 1500 0@ 256 BAL@1 ELECTRICAL PERMIT FILING FEE Main service 600v OR LESS 100 AMP OR LESS Main service EA. ADD -L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. 1 DWELLING OCCUP. S ACC. BLDGS. NEW CONSTR. NnN. (MULTI -OUTLET \ BRANCH CIRCUITS $3.00 5.00 2.50 25.00 1.00 Ex. OCCUR(OUTLETS OR FIXTURES) 1500 0@ 256 BAL@1 FIXED APPLNS, OR EX. Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee MECHANICAL No. @ I FEE PERMIT FILING FEE J$3.001 Heating Cooling Ventilation Hood _�+2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE $ 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 �7� ko-nIAA�-- Date 3—.:t>- 79 Building permit expires Date —.;Z-7--gP6