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HomeMy WebLinkAbout079-200-063Warren lf..0 Ambrose 2650 B ou am'Dr S #63: Oroville Permit #557-79P(util.,MH7S ELEC . GA S SUPPORT STRUCTURE REQ. i 7 �1" COMPACTION TEST REQ. vA)t � 1 contr: Loyd's Elec., rovillee Permit #1701-79E(elec. & yard Light/ MH) GUY SHIVELEY 2650 Brougham. Dr, Oroville/ Contr: Gene SchmittVilna Schmitt, site) Issued_ /p -,2 JOHN DALFOIR r ContR: Acro Lume !� l'a� Permit#3189-88B(extend casrport & patio cover) s 07R-200 R-200 Q { i { PERMIT NO. 3189-88B PERMIT EXPIRES OWNER JOHN DALFOIR CONTR. Acro Lume ASSESSOR PARCEL 36=78-63 t LOCATION 2650 Brougham Dr Oroville Temp. Power Pole i Called PG&E Temp. Elec. Service i i [ Called PG&E / Temp. Gas Service Called PG&E JOB FINALED (Date) Signature ` ",Oow� ='6K ' - 0=Not OK yable MOBILE HOMES ' = Not Ready ; MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DEC ,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements tf.7,oping Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch ootings; Soils -Size -Depth -Spacing -Connectors -Steel 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-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'U ft. / /"Nat. or/ PV ft./ /"LPG um. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. 8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh Card -131 Date Card -131 Date 10. Roof; Shthg-Roofing Card -131 Date Card -81 Date 11. Ext.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -131 Dat &_3 Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B1" Date Card -61 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit Card -B1 Date Card -61 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -131 Date Card -131 Date Card -81 Date =OK r o = NotOK RESIDENTIAL (Single and Duplex) - =Not Applicable _ Not Ready Date 'UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks; -Easements -Flood -Slope ^.., 2. Ftg., Main; Soils-Steel-Elec.,Grnd.-/ /" Ftg:•Depfh 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel- Bloc kouts-Wrap ped - 6'Stemwalls, Garage; Steel- Blockouts-Wrapped --.3 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors . 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders-Sills-Anchor.Bolts-Joists-Vents-Cripples: 15. Insulation Card -B1 Date Card -131 Date Card -81 Date Card -131 -Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail. Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21.'Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors, 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meeh. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size'& Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -131 Date Card -81 Date Card -B1 Date Card -131 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date FRAMING (Continued)' 45. Hangers -Post Caps -Anchors -Connectors 46. Cing: Joist-Rftr: Ties- Puri in=Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49, Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings r 52. Ext. Doors -One T -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd: Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -81 Date Card -81 Date Card -131 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door,& Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector- . In Garage; Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood•Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meeh. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION 9ND PERMIT ASSESSOR NUMBE ZONIn, BUILDING PERMIT OWNER I T PH NE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIL DR CONTRACT Seft �� T PHONE CONTRACT R' MAILI G AOD E 0 Fireplace +� CONSTRUCTION LE DER UNKNOWN Total Valuation $ Q Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ f Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIN A RESS Permit fee $ PERMIT Filing Fee 10.00 fPLUMBING Each Trap Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping '5.00 Each qas water he or rvent 5,00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeiL Other SPECIFY Gas piping sy.m 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition /Remodel ❑ Utilities ❑ Installation[] Other Describe work: JC/v'f� dL �— O.tj .%i�%�ed.�% G-y� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Z*- f - licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Profession Cod d license is in full for d e)feet. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( ADWELLING OCCUP.Ed) New CONST , �22sgft R.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2• ea /POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXT S eAL030 Ex. OCCUp. OUT ETS FIXED P( LN ID.IRE A./ 2.00 Temporary service, -`-10.00 Mobile Home Fa (lilies 15.00 Misc. Wiring g 15.00 Permit Fee $ 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 ertificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3,00 Ventilation permit Fee $ Contractor I certify that •1 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 t upon the abo e- ntioned property for inspection purposes. I al agree save, in i y a keep harmless the County of Butte agai st al liabilItIe ud e c nd expenses which may in any ay a rue ainst sai ns n -e of the granting of this pe t. Date Signature of Appl' nt — Owner ❑ Contras+ r ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , f Occu P. CONST.TYPe FLOOD P CEL PD ND SUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY — PE IT EXPIRES Date- the applicable provi- resolutions to do fees have been paid. WORKS Date inn Receipt No.�il % / WNITC-D.P.W., YELLO ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i1a4 1 ?`..:t• . Y.t •.f '.aJl �v,1--l7rr :. : ►�,��r►ir wf+c',� • i' 'A� ate;.y� ' 1`ri .�il„�nyl.:� , �� .✓tl'�+�%_ti 1 ► rJ '..�.`r ti.., R COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVAF:CALIFORNIA 95965 - TELEPHONE: 916/538-7541 ,,._ PERMIT APPLICATION DATA SHEET Permit No. OWNER J-0 /1 so 1 A. P . Proposed Building Use C��l'✓ Building Inspector Date � At time of permit application, I was advised the following data must be submitted prior to permit processing and: /or i suance: DATE RECEIVED APPROVED 1. All Items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate./triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid” Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . , , , 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. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. W en you issue the p r it .-,proc s as follows: Ma.i-I o ner, Ma I to contractor. Tele hone and hold for ieku at ��offic p ��- p p c', o� Deliver w/inspector. Other Applicant �' Date 4 gz �i Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mal I counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved by Sets of plans on hold in File cabinet AP folder Date .... . c�x,�ia�F �a.�✓oma ..... ........:. ..... ...... ... . '- Torkmanshi Shal1'Be Accordance Wi}h Recoa�i�ed ' Goad Pr��}ices , n�i ��2 of a quality prescriber) for 'rhe Soecifie� use -U be 1 Uniform Buildinry, Plumbing & Machanical Co s ,and- ' /o ' ! ��Z w Electrical Code. f 11-:5 - - ' —5�- l=— -- 2-�" rpt'----�-1-- ---- �' � - ....:._.• F f \ F rsi C I. y �� II or ect•icns small be..... )G rf rt:� r ird�s'�hFn 4 •out'side-there�ar: eC I n of\ the _..-- - w the e mof�i ia- hOff i ..- _ _ lie lef I(road\ i.c1e_a- neo ----- t 10 y I \ S t 5 ! R.S \ I r c i Cts � t f a �� I t:erti •'tv?fl ±e rgt�iced }e ailafsct3 f��. -- -- !• u f Vit`—'– _he g:bac s alf :b si�e. ,prod _ty iirE sand `�� }. cen�erlme the cndd;perr 11r, x -_'----_-'-'- - -- - ---- - wE� cif a ft. ecie.overhan b t ri hely out of all Ov l .. G � hEs`set � of` ans anei� :s cr}rcat�bns-M� ' ce�pt o:n_the�job at ali times and-it`is unlaw -io ` �I �f / tJ=.- —� i make=an ehan es=or=a tera'tioE z`3n same without �- ��-- BUILDING DEPARTMEN_i ftten:per-misson–from' the Department:]of Public ,, • Works, County of BU1tA. r t �. �A P P R O•V.E S -S) 1' "4141 C," Mr,,FCW,�&,Vorkmonship',Shall Be 3 6 Accordance with Rekoani76d Gond Pr-e-tices. and.:.. - of a quality prescribes! for the Specified use! I�- Uniform Buildinq, Lhe" Plumbing & MachonleC11 CoCo4s qnd T� ' p cl Electrical I Code. ihe, SM9'. side' prop centerline I�iurn'of a out of CH I his set. of pfaft an6 specifications M VT IS) u (ept on the job at all times and � it. is unlaw u to make any changes —o—r­aNte—rafion -9n /sva-/m"e"withouI written permi ' sso6 from the Department of Publit AA Works, County of Butte. ss /-//411A, BUILDIN.G DEPARTMENI.- .-APP.R. O.,*-V'.'.E,9, PERMIT NO. . 3035-85MHI n (existing site) PERMIT EXPIRES C OWNER GUY SHIVELEY CONTR., Gene Schmitt, Vina ASSESSOR PARCEL 36-78-63 LOCATION 2650 Brougham Dr. Oroville OFFICE COPY Address Temp. Pow ` GAS /9� �� Called Meter By Date ELECTRIC Meter By9 Date Temp. Elec. Called PG&E 4 Temp, Gas Service Called PG&E , JOB JOB FINALED el (Date) Signafure -•,� V J _ UK 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except p's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 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.—Con nec.—Shthg.—Rfg.—Bracing 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 -BI Date Card -BI Date Card -BI D e Card -BI Date Card -BI Date Card -BI Date Date MOBIL 0 INSTALLATION (Plans) OK except N's Date POOLS (Plans) OK except p's 11- o g Requirements—Setbacks—Easements 1. Setbacks—Easements 2V.901�ngs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability GasTest—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lec Ficity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI W r; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed and Sewer Connected—C/0 to Grade—HD Approval 7, EIec.; Bonding; Metal w/5'—Circulating Equipment—Heater G and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Cieculating Equip.—Pool Lghrg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit Ex' Insp.—Sketch 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card 8-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date r X J = OK 0 = Not OK - = Not Applicole RESIDENTIAL (Single and Duplex) * = Not Ready :E Date UNDERFLOOR Plans OK exce t#'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 4. Ftg., Porches & Decks; Soils -Steel- / /"'Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel -Blackouts -Wrapped -Slab 50. 51. 52. 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic B. D.W.V.: Fall -Fittings -Test -2 way C/O -'Sewer Test 9. Gas Pipe; Size -Anchors 55. 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 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 q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p'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. 16. 17. Water Pipe; Test & Anchors -Nail Protection 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. 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 p'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. 72• Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. Insulation -Foam -Looked in Attic E] Yes 23. Ramex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water 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 El 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 El Yes C1 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 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 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 81. 82. Ventilation throughout House 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. 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 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) 40. 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.-Rfng_. 44. 45. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) r MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE ) OROVILLE, CALIFORNIA — 534-4541 y PERMIT N0.y Address or location of mobilehome J • Owner's names-�� t •,.���.� 1 i s • Owner's address q 5'e 4.4 ,.4 (--?-.A P11 .� b Insignia or hud number- " Manufacturer's name Serial number of V.I.N.c7 Year of manufacture (Official Approving Installation) (Date) IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 5138 White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 1o. 7 County Center Drive - Oroville, Cplifornia_95965 - Telephone 916/534-4541 �Q _ APPLICATION AND PERMIT ASSESSOR PARCEL UMBE -6 ZONING BUILDING PERMIT 0WN8 1 WO] TE EP ONE SQ. FT. OCC. BUILDING VALUATION OWNER'S AI LI A DRESS �,+ A P6 re Ls( CO T ACTOR' n -M TELEPHONE CO RACTOR' MAILING AD R S Fireplace C NST UCTION LEND R ( M UNKNOWN Total Valuation $ Flling Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCH TECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee $ ARCHITEC-T OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 'n I12,2 ka Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 © J1 Solar or heat pump water heater 20.00 LOT NO. SUBD ISION NAMEPARCE kJ Jr)Each MAP Water piping 5.00 qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] MobilehomeOther X SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FG W 0.00ea TYPE OF WORK Rm New ❑ Addition ❑ ode ❑ Utilities ❑ Instal lationV Other ❑ Describe work: aI t 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 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.N 1/20sgft OR ADDNS. ACC. BLDGS. NEW CONST R. ULT' -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES !AL@30 FIXED PR EX. Occup. OU LETS (RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 1Yirin 15.00 9 Permit Fee $ 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 CertificateCoolin 91 Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, i mnify and keep harmless the County of Butte against all liabilities, judgme is cos , and expenses which may in any way accrue against s id County in se enc the granting of this permit. X Date /� 'a/ ^ _f Signature of Applicant — Owner ❑ Contractor ID' Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ ` TOTAL PERMIT FEE $ OCCUP. CONST.TYPC Fl PARCEL PD -H-0J ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date aZ2� �^ _ Z4P Receipt NO. w9� == WHITE-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT �. FOR RESIDENTIAL DEVELOPMENT R77CORCED IN OFFIC1AL RECORDS -OF BUTTE COUNT Y. CALIFORNIA AT THE REQUEST OF 'Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. PAWN SH 85-3358' 1985 OCT 21 1111 51 The property described herein is adjacent to'land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from ELEANOR M•BECKER ,the use of agricultural chemicals, including, but not limited to herlgMAC�M-ciaes, sand fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte.County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on 'adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: ..SEE ATTACHED LEGAL DESCRIPTION —06 =-21, 1985 PROPERTY OWNERS: State of Ca. ) On this the 21 day of October , 19 85 , before ) SS. me, the undersigned Notary Public, personally appeared County of Butte ) GUY L. SHIVLEY & MAMIE L. SHIVELY Personally known to me. /XCProved to me on th•e basis of satisfactory evidence. to be the person(s) whose hame(s) are subscribed to he within instrument and acknowledged that they OFFICIAL SEAL ANGELA D. HENCERSHOT xecuted the same for the purposes therein contained. y.,• NOTARY PUBLIC - CALIFORNIA N WITNESS WHEREOF, I hereunto set my hand and official seal. 9 =s PRINCIPAL OFFICE IN BUTTE COUNTY MY COMMISSION EXPIRES SEPT. 7, 1986 Notary Public Present A.P. No.—\'�_�� .DESCRIPTION: All that certain real property situate in the County of Butte, State of California, described"as follows: Lot 63, as shown on that certain Map entitled, "CARRIAGE MANOR, A PLANNED UNIT DEVELOPMENT", which Map was filed in the office of the Recorder of the County of Butte, State of California, on October 26, 1978, in Book 66 of Maps, at Pages 48 and 49. PARCEL II: Non-exclusive easements for ingress and egress, vehicular and pedestrian movement, park, recreational and for other purposes over the Common Areas all as set forth in the Declaration of Restrictions recorded March 28, 1979, in Book 2383, of Official Records, at Page 477. M S BUTTE COUNTY. DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.,CA. PHONE: 534-4541 r MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: /.j6(l1F C _/ 7?1 3. Is the site currently under permit? Yes / / No (If yes, furnish permit number ) OR Is the.site an existing site? Yes / / No ( If yes, furnish two ( 2) `plot plans..) 4. Will•the mobileh\omefbe located at least 5 ft. away from Septic tank and leach fields and clear of all setbacks and easements? Yes 777 No ( If no, clarify ) S. What is the mobilehome electrical rating? -------- ------ /gyp Amps 6. What is the mobilehome site service rating? --------------------- 6 d Amps 7.. What is the mobilehome site circuit breaker rating? ---- A0, 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) (Amps) 9. What is the mobilehome site gas pipe size? ------ -------------- / (ins) 10. What is the type of gas service? --------------------------- Natural /2 LPG _F_1 11. What is the gas pipe length from meter or tank to the mobilehome? (f t.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas . i or less.than 50 ft. on,LPG:) 3D &r BUTTE COUNTY BUILDING DEPARTMENT APPROVED MOBILEHOME SUPPORT LWrA If other than single wide, Mobilehome Mfr. 71W furnish Setup Model No. A 21 a gc� Year :9.5 Width 2 y ( (ft.) Box Length(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). p9� i PAoat Old Ptz/1 /n/� All n-- All center supports measured from front of mobilehome unle'ss otherwise specified. j r-�4 siD� oP o/3.�c/iN6S odr.K $'oe Footings (check one) Single Wood either pressure treated or foundation grade. of D x30 '2. Other: (specify) (ft.)(in.) (in.) (in.) ❑ Center support Center support locations* footing sizes Supports. (check one) (in.) 1. Concrete block. f"yE];2. Other,. (specify) . (ft.)(in.) (in.) (in.) (ft.)(in.) (in.) (in.) (ft.)(in.) (in.) (in.) c o (ft.) (in.) (in:) (in.) YJ L663piersn_cetare other than drawn above, .draw in. -locations, spacing, and dimensions. E—Tagalong or Expando,' .show support details. x -- Typical'Support (in. in. Footing Size gr o y �i -- Max. Pier Spacing (ft.)(in.) Eft Max. Overhang (.)(in..) Telephone '533-2000 North Burbank Public Utility District 1960 Elfin Street OROVILLE, CALIFORNIA 95965 DISTRICT APPROVAL AND 65-85 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: Applicant Address: Applicant Phone No.: Property Location (s): A. P. No. (s): Fees Paid: GUY L. & MANE SHIVELY. (Gene Smitt) 5295 Scottwood Rd., Paradise . 877-3909 2650 Brougham Drive, Oroville Carriage Manor Subd., Lot 63 36-78-63 ALL FEES.PAID Application for service approved: October 16,.1985 North Burbank Public Utility District Inspection(s) made and successful test(s) observed: Location: 0 Date: North Burbank Public Utility District release to close permit: Date: By: 1 b ' r � r • 'PERMIT NO. 557-79P ti. vV PERMIT EXPIRES 129lel OWNER Warren T. Atdrose x CONTR. owner t 8-12-63 x tL"OCATION (A.P. / ) 2646 Mon/Vistave., Sp.��63, Oroville - i ft F i 1 ft •i ' t ' � M t 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 FI wall Soil (ping For s Para is 1st loor Ma Bldg. Restro Finish 2nd oor Fo tin s Windows 3rd FI . r Ste all Sidina To out Slab Roof Sheath Water PI in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Prov. for phsically Appliances Carport handica ed p Conformance of ex. Gas Piping &Test Footings structure Temp. as Slab Final Sanitation Patio PfREPLXCE Final Footin s Footing E CTRICA Masonry Walls Throat Rough Reinf. Steel Jr Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Grd. Fa t Prot. Scratgg Heatink Servic Bron CoolAg TqAp. Pole FI ish Du s der round Int for Lath V ntllation ermanent D or Closer anal anal OBILEH94 OME UTILITIES lec_ Service s'� Elec. Pedestal Water ng Sewer O - Gas Piping OBILEHOME INSTALLATION "77- - . - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS v ' v U , %0 (NOTE: An entry must be made on this form each time you visit the job site.) r • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive.:— `.Orflville, California 95965 Telephone. 534-4541 APPLICATION AND PERMIT In BUILDING Owner^—' � w irvlv� � SO. FT. OCC. BUILDING VALUATION Mai I Ing Address -S V A Telephone No. Contractor w Mai I i ng Address Fireplace Total Valuation Telephone No. Permit Fee Building Address �� 6 SAM,LS Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE ' PERMIT FILING FEE $3.00 Each TraD 1.50 1f Repair drainage or vent piping 1.50 g Water piping 1.50 lQ�--. Each gas water heater or vent 1.50. s APWTFire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 / EQA Parking Plans Parcel Declaration- Parcel Map 60''R Its Each additional outlet .30 Building sewer 5.00 T.Bldg. s Recd 1\1::::R2.00 Parce royal Pla Approval Lawn sprinkler system NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ 3 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 100 AMPP OR LESS O 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.DWELING CCUP. 'I)2¢Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: %� NEW RESID, MULTI -OUT LET NON-RESID BRANCH CIRCUITSI 2.50ea NEW CONSTR. (POWER APPARATUS.B NON•RESID, SINGLE OUTLET CIR, Ex. Occup{OUTLETS OR FIXTIiRES g 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 a1 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 ­ +;f that ' th f a f th w k f hi h th' MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling y a per orm nce o e or or w Ic )s Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood EL 2.00 California. $ $ Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 1 • �,ioDate Signature of Permitee or Agent Receipt No. / A A:2 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ ;Z�"-- 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. -Cy O+PULIC WOR;1t17 R Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive _ O,roville, California 95965 Telephone: 534-4541 / /�/ 7 APPLICATION AND PERMIT .crI-n aoalvco vI uIV vuunay uI IULw au Intel uNun ulc above-mentioned property for inspection purposes. X 7/"'l Date " Q Si .tura of Permitee `'orr Agent Receipt No. a 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. z") , DbRECTOB OF PUBLIC WORKS Building permit expiresDate1 BUILDING Owner rte, SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address �� Fireplace Total Valuation Telephone No. Permit Fee Building Address e v� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE `.� ✓ PERMIT FILING FEE $3.00 Each Trap 1.50 rt,�j Repair drainage or vent piping 1.50 A. P. No "/� _ [�' niofg & 'terming Water piping 1.50 Each gas water heater or vent 1.50 F s "W• n I Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans ParcelEach Declaration I Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 --���� fjl_d ha d" Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee a $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 800V OR LESS AMP LESS 5.00 Single Family ❑ Duplex Mobil Home Others ❑ ❑ EA -L Main service E4. ADD100 AMP 2.50 4. - - 1 / / Main service OVER 600V 25 00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST %ACC. BLOGSCCUP. N) 20sq ft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: _ NEW CONSTRES'D. -OUTLET 1 NON.RESI D. BRANCH CIRCUITS) 2.50ea NEW CONSTR POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 5 L� FIXED APPLNS. OR Ex. OCCU P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 .� LicenseNo. Classification zf—o 16 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 1$ �S 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. 40nXflave placed on file with the County of Butte a certificate of 1 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 $ As—I Z: .crI-n aoalvco vI uIV vuunay uI IULw au Intel uNun ulc above-mentioned property for inspection purposes. X 7/"'l Date " Q Si .tura of Permitee `'orr Agent Receipt No. a 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. z") , DbRECTOB OF PUBLIC WORKS Building permit expiresDate1 o- / Ltn heJ.l?Pnwa (E/K/eud L1i.tE law Jh. •r ..^.:' .. lie f0•/.00P/win n -- 9 � I . sn 1 Y A /raw Pitch- j perfeef A. Dech II �Ta) YPa' j i• I co"'.alig Moir Q U seam P /0 co% 9- mor. ' fosclo - AAen• o 4.so Oso 4 -SO PLANj to% /1 -O' mer. 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