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Home My WebLink About079-250-032Stanley Kowalski NIS Mapl6'Ave.,app.250'E.of Upper Palermo Rd., & Citrus Ave., Palermp Permit #3979-77P,E(util.,MH) � ELEC . i' GAS I- SUPPO S C REQ. A0 ------- a COMPACTION TEST REQ. *V 6 Permit#2534-81MHI(existing site) Issued — -• a -h f Permit_ ' n-8 B(ne w,/cov r d deck/MH) Permit#1771-T2B,E(hew detached garage) A ��--asO-O73a 3a i j Stanley Kowalski NIS Mapl6'Ave.,app.250'E.of Upper Palermo Rd., & Citrus Ave., Palermp Permit #3979-77P,E(util.,MH) � ELEC . i' GAS I- SUPPO S C REQ. A0 ------- a COMPACTION TEST REQ. *V 6 Permit#2534-81MHI(existing site) Issued — -• a -h f Permit_ ' n-8 B(ne w,/cov r d deck/MH) Permit#1771-T2B,E(hew detached garage) A ��--asO-O73a 3a PERMIT NO. 17T7'_82B,$ PERMIT EXPIRES OWNER STANLEY KOWALSKI CONTR. owner ASSESSOR PARCEL 36-30-51 LOCATION 2465 Maple Lane, Oroville _ Temp: Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Service Cal led PG&E JOB FIU (Date) Signature _N J = OK ` 0 = Not OK = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) C- �Acept q 1. Zoning Requirements -Setbacks -Easements 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-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc�us,.res 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 Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N'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 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 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O 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. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK ,. O - Not OK _ - - Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) SIE Date UNDER OORPMEf'is OK except #'s Date FRAMING Continued 1.01foning requirements -Setbacks -Easements 4 operty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49a -X. Doors -One 3' -Check Garage -3rd story, 2 exits g., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5L_ -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 2 Sidi n Veneer mwalls, Garage; Steel-Blockouts-Wrapped-,0,66- S ucco 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 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 =BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date C d -BI Date i and -BI Date Date FINAk,,(PWffs')OK except p'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 57. 58. Ext. Steps -Door & Sidelight Protection -Landings Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth, Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor-TLb Access 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 84fglec. 65. 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 ELEC ICAL Per iff t OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Fixture & Transformer Clearance-ins.:'rotection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection c. Receptacles Spacing -Lights &Switches at Doors Size Boxes & No. of Conductors -Stapled apr7 p „ Elec. &Mech. Equip. Listed for cation Elec. Receptacles in Garage; Romex Protec. omex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• Insulation -Foam -Looked in Attic ❑ Yes 2 lance Circuits in Kitchen &Conductor Size 73. Guard Rails & Deck Construction -Post Caps _ 26. Subfeed Wire Size 14 / ga C or AI-A.C. Wire Size / ga. Cu or AI 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor Q Yes 27. Range Circ. / Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following inEtld_: Drive �s E] No; Walks t0'Ves ❑ No; Planters es ❑No 28. Se ice -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet othes set 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--/qr^��ard-f31 Date --t- 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Perrr,it) OK except N'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- d -BI Date and -BI Date Dat and -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Dat Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 3 s; Proper Material & Anchors _ . Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bear,ng_W_alls over Girders & Floor Nailiig 39. Draft Stop in Walls (rat proof) 46. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 4�ader & Beam -Size & Bearing 42. gangers -Post Caps-Anchors-Conr;ec_tors - 4 /Clog. Joist -Rift. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat - 45. Attic Access; Size &_Romex Protection -Draft Stop -Ins. Baffles 4_6. Bdrm. Windows or Exiting Doors -Si I Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATI,ON,ANA PERMIT PERMIT NO. ASSESSO PARCEL NUMBER ZONIN BUILDING PERMIT IV w j� 3�� j J !O SO. FT. OCC. BUILDING VAL ATION i or) ZN •� I LAM ING D� / ' V C.� RES • ®/ W V /WCJ � CONTRACTOR'S NAME O �1� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEN R UNKNOWN Total Valuation Is O , eo Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee Q ARCHITECT OR ENGIN R LICENSE NO. Plan Checking Fee Q$ $ 2 2 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD[ N ,AQ.BR ESS- p6c_ ^ - ,�. /`7 /Y/�S �/ivf/J/[7J PLUMBING PERMIT Filing Fee 10.00 A)/6ZSo ) "'4p&45 I Each Trap 2.00 Repair drainage or vent piping 5.00 /� ,., ��Ja� // / / 1.2,W6��. i40 �!/ `S /4(/E , ��(/�c_-(�f Water piping LOT NO. SUBDIVISIAON NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [1Duplex❑ Mobilehome❑ Othert�F�� C/�� SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Instal Iation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.5.50 NEW CONST. DWELLING OC OR ADDNS. (ACC, BLDGS. r v j� C+�egff o(/ 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. (cense No. Classification 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 LOUT. 2.50ea NON-RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS S� NON-RESID, (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR00 Ex. Occup.(OUTLETS (RESID•) EA. 1 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ O 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. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 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. 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 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 againsVairl County in conse ;nce of he -'I`anting of this permit. d X Date �� 2�^ by Signature of Appi' t — Owner ❑ Contractor ElAgent ❑ An OSHA permitliA permit'required for excavations over 5'0" deep and demolition or construct- ion of structures ver 3 s ories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ / ��S�I OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I :Df ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC BY P906 EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �'Qo-� Z— 9 D O _OA Receipt No. CJ 7 WHITE-D.P.W., YELLOW -ASSESSOR, PINK NSPECTOR, GOLDENROD -APPLICANT 'PERMIT NO. 4476-81B PERMIT EXPIRESlzd&� — OWNER Stanley Kowalski ' CONTR. owner I ASSESSOR PARCEL 36-30-. LOCATION 2465 -Maple Ave. , Palermo t I Temp. Power Pole Called PG&E Temp. Elec. Service + Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature { J OK w �. 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's DateCK COVE , CARPORTS, ETC. fPParfs) u:, except k , 1. Zoning Requirements—Setbacks—Easements oning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch Size—Depth—Spacing—Connectors. 3. Sewer; Location—Test—Fall-C/0—Concrete _ootings; ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) :; Posts— Beams—Rftrs.—Connec.—Shthg.—Rfg. -Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete um. Awn.; Columns—Connections—Splice—Decal—Enc.u3 .res 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG arpo ows—Doors 7. Utility Clearance Card -BI Card -BI Date —Card- BI Date Date Card -BI Date C d-61 q!�I IQ Date ?i Card -BI Date Date�� f2, and -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date PO OLS (Plans) OK except k'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—Enc losures— Pane Iboards— 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 Card -BI Date Card -BI Date = OK = Not OK Not Applicable = Not Ready RESIDENTIAL (Single'and Duplex) _ Date UNDERFLOOR Plans OK except N'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; $oils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -.heel- / /" 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 54. Glazing Area -Glass Protection -Skylights -Plastic 8. 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 Card -BI Date Card -BI Date 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. 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. 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 #'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 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. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size _- 26. Subfeed Wire Size / / ga. Cu o• 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 At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive [I Yes ❑ No; Walks ❑ Yes C3 No: Planters ❑Yes ❑No 28. Service -Riser Conductors & Grcund-Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Licht 77. A.C. Unit; Disconnect-Clrnces=Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Pibg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing 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 q's 31. A.C. Ducts; Insulation & Support 82. 83. Glass Protection _ 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. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic - -------- --- Card -BI Date Card -BI Date Card -BI Card -BI Date _ Date- _ Card -BI Date Date Card -BI Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Card -BI Card -BI Date Card -BI Date Date Card -BI Date Comments at Final: 37. 38. 39. 40. _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing___ Draft Stop in Walls (rat proof) _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. - 42. 43. 44. Header & Beam -Size & Bearing - -- --.... - - - - --- - - - - ------ - Hangers -Post Caps-Anchors-Cornectors Cing. Joist-Rftr. Ties-Purlin- Root Brac.-Truss-Shthng.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Rom ex Protection -Draft Stop -Ins. Baffles 46.Bdrm. 47. 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 P RMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSFecQR PARCEL I%JC( 2O BUILDING PERMIT owN,5)gqAlz ��g,// _E /�F-��✓ T� TELEPHONE 5 SO. FT. OCC. BUILDING VALUATION 271 &V Z ZLZ . o OWN R �/1 /- [.�C. T �J I N / •'� / AV � ,619 V G CONTRACTOR'S NAME `w TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace Total Valuation $ •Op CONSTRUCTION LENDE//�, UNKNOWN Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 3, O!J ARCHITECT OR ENGINEE LICENSE NO. Plan Checking Fee $35 Penalty $ ARCHITECT OR ENGINEE'R'S MAILING ADDRESS Permit fee $ Q BUILDING{ D t,MA-PLI AV957 Gam/ � PLUMBING PERMIT Filing Fee 10.00 S /�%�PL� n,/�' P�• �rD �, Or,/�� /�'V Jam,/ (•f Each Trap 2.00 Repair drainage or vent piping 5.00 ,/ �u � /"lgle o C� / ST7!/ �� Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent .5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [:]Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Inst I lation ❑ Other ❑ Describe work: %�� DI-�itl57AL.L. CcONe- ''V� Permit Fee $ Contractor ELECTRICAL PERMIT FiIin9 Fee 10.00 Main service 600 AMP OR LESSLESS 5•00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST. IOR ADDNS. ACC. BLDGS. DWELLING OCCUP.y, 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. icense No. Classification �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- I -OU L T 2.50 ea NON-RESID BRANCH CIRC TS NEW CONSTR POWER APPARATUS 6 NON-RESID.SINGLE OUTLET CIR. I so a zsa Ex. OCCUp OUTLETS OR FIXTURES BAL�1 Ex. OCCU IXED TS (RESAPPLNS. OR P•�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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. ❑ I have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate 2J 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. 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 s id County ' conseq nce of th granting of this permit. ' X Date fi�sions Signature of Applicant Owner ❑ Conrrocror ❑ Agent ❑ An OSHA permit is r wired for excavations over 5'0" deep and demolition or construct- ion of structures over sto�ries in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ Occu P. GROUP I TYPE OF CONST. 1 PARCEL PD 1 HD ISSU This permit is hereby issued under of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date�Z—i��-�� Receipt No. �0{�/� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT M i PERMIT NO. 3979-77P,E PERMIT EXPIRES OWNER STANLEY KOWALSKI f CONTR. owner LOCATION (A.P. 36-30-51 ) i NIS Maple Ave, app 250' E of Upper Palermo Rd & Citrus Ave., Palermo t Temp. Power Pole Called PG&E � Temp. El-ec. Serv. ,9�y_ Called PG&E Tem/ Gas Serv. Called PG&E JOB S� FINALED_ C ��7 '"' /, (Date) 0- c1ril. (Signature), back NnBIdg. Garage Footings Stemwal I Slab Carport Footings Slab Patio Footings isonry Walls Relnf. Steel Stucco 4 COUNTY OF BUTTE — DEPARTMENT OF:PUBLrC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Nrd n or ooi oor Water PI Sewer Fixtures Water Htr. Heaters Appliances Gas Piping Temp. Gas Sanitation Final I rewa 1 I Finish Sidin Roof Sh it Roofing Fdn. Vents Garage Ven Insulation Prov. for pt hand icaDDe Throat Final Test Final HeatiB' a Iy ex. RE LACE G. RE SPRINKLEF MECHANICAL PLUMBING ECTRIC'AL Rou h Fixtures Motors Water Htr. Subpanell Grd. FAR Prot. c+ro Coofflng Tffimp. Pole FI sh D is nder round Int or Lath ntllation Permanent D r Closer anal Final MOBILEHOME UTILITIES ------------------ Elec. Service �% Elec. Pedestal Water Piping ,� Sewer� 7 f Gas Piping MOBILEUOME INSTALLATION .............. Support Elec. Continuity Water Piping Drainage Gas Piping DA TE REMARKS OR CO ECTIONS l � Ig dll;l ti (NOTE: An entry must be made on this form each time you visit the job site.) COYNTY QF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Clbnter Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT vu"'or'ze represenLaUVes UI the County of Butte to enter upon the above-mentioned property for inspection purposes. 'W �� Date "S — 77 Sign*aturePe�rmitee or Agent Receipt N� 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 OOUBLIC WORKS BY Date( -L ; B Iding permit expires Date ! BUILDING Owner S -s SO. FT. OCC. BUILDING VALUATION Mailing Address 6Qs i Te h=e No. ✓✓ Fireplace Contractor ,LQ JC Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address S — � PLUMBING No. @ FEE PERMIT FILING FEE $3.00 s� dl lu �s1 Each Trap 1.50 Cs I rV R V i Repair drainage or vent piping 1.50 boning Verification Gniy Water piping 1.50 Each gas water heater or vent 1.50 A. P. N �Q �/ op Zany Gas piping system 1 - 5 outlets 1.5U ,� Each additional outlet 30 Fees W. C., Sa I n Fire Dept. Fire Zone Use Armit Building sewer 5.00 / , EOA Parking Parcel Plans Declara ' n arcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans Recd LT arcel Approval Pla pproval Permit Fee $ 33 ve NEW ❑ ADDITION ❑ UTI LITIESN, OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 8000 AMP OR1 OR LESS5.00 Z�SD Main service EA. ADD•L too AMP 2.50OVR Single Family ❑ Duplex ❑ Mobil Home [�S Others ❑ 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 NEW CONST.DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 22sq ft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTR (POWER APPARATUS &) NON-RESID. 51 GLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BALM Ex. Occup.FIXED APPLNS. OR (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 y( I am exempt from the Contractors License Laws of the State of California. Permit Fee $ D WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. X 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 1 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby (JL @ Ph.* M -C 1_ O� TOTAL PERMIT F EE $ vu"'or'ze represenLaUVes UI the County of Butte to enter upon the above-mentioned property for inspection purposes. 'W �� Date "S — 77 Sign*aturePe�rmitee or Agent Receipt N� 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 OOUBLIC WORKS BY Date( -L ; B Iding permit expires Date ! l NOTr-,All Materials &Workmanship Shall Be If, r A►cc043nce Wofh Recognized Good Practices and of a quai"y, prescribed *for the Specified use in the Uniform BLIilding, Plumbing & Mechanical Codes and the National Electrical Code. This set of plans kept on the job at all ti nd MUSS' he make any changes or alteration if unlawful to wrs. County o f Butte, 'Oen permission f; o • on soma w,Aout tic Word m the Deper®rat ®f Pub- h�Ali S�lbpck shill be 5 ft. from the 1 � p,sperf. line' mnd 5Q ft. Fenteriin� of tho ro;ld from the nwrn of q 2 f f, �avE, overhang�it►ng a maxi - out of ell easements. but entirely Septic system ell ;..dn—stub-aut= to be as Cutte County Health.: Dept. duirements. 3 �%? All utility connections shall be located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. �D OI A A V . -BUTTE COUNTY MENl APPROVED ; ' i c I j -81M I PERMIT N0. 2534 (eXlStlriq site) ' PERMIT EXPIRES��/ OWNER STANLEY KOWALSKI' CONTR. owner ASSESSOR PARCEL _36-60-51 LOCATION N,/,q Maple AvP, 250'lF iT pPr.Pal PrmQ Rd & C itru s Auta, � r i .i t Temp. Power Pole_ I Called PG&E _ i I Temp. Elec. Service i vl alled PG&E _ Te� ice Calle d PG E JOB FINALED (Date Signatur17 J = OK O = Not OK — = Not Applicable * = Not Ready MOBILEHOMES r MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 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—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows—Doors 7. Elec. Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date MOBILEHOME INSTALLATION (P s) OK except #'s oning Requirements—Setbacks—Easements Date POOLS (Plans) OK except #'s 1. Setbacks—Easements 2V-176—o6ngs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining lectricity; MH Test—Crossovers—Breakers-Clearances Drain; MH Test—Fall—Flex Connector EP-Waler; MH Test—Regulator—Connector 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/0 to Grade—HO Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater a Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit V-Cktfs; Insp.—Sketch 1O."Cert. of Occupancy 9. Health Department Approval 10, Plumb; Cir. Test—Water Supply Test C d B-Idj,/Date/,01/�Z-?(Ca,d-Bl Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date 9Q629 �- 3d J = OK - O = Not OK ti - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Re9dy Date UNDERFLOOR Plans OK exce tit'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-Blockou.s-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 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 Date Card -BI Date Card -BI 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 p's 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 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-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. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors --- 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. 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 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 ❑ Yes 26. Subfeed Wire Size / / ga. Cu cr 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 ❑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 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B-1 Date Card -BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Perrr,it) OK except O's 82. Glass Protection 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. 86, Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. _Vent Fan; Exhaust above Insulation _ _33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic _ __--- Card -BI Date Card -BI Date Card -BI_ _Date -_ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub --41.-Header 42. 43. 44. & Beam -Size & Bearing Hangers -Post Caps -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 4_6. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) t,. I ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT o. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ( �A ASSESS R ARCEL � e .. r zo "_ BUILDING PERMIT OWNEtj TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILIIP A DR S J I2- CO RAC I -S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER [� V r, UNKNOWN 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 $.�� BUILD G ADDRE S � /� =`I A4 Ave AP 6 PLUMBING PERMIT FiIingFee 10.00 lJ 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 USEOFSRUCTURE SF Duplex❑ Mobilehome Other ❑ SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New❑, Addition Remodel[:] Utilities InstationL`_T Other ❑ Describe work: r eo y IK 1% `� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.51 OR ADDNS. ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ElNON 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. icense 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 CONSTR. 1.0U. LET 2.50 ea NO N.RESID BRA CH CIRCUITS NEW •CONSTFL ( POWER APPARATUS 61 RESID. SINGLE OUTLET CIR. / so @ zgc Ex. Occup OUTLETS OR FIXTURES BAL@1 Ex. Occup.(ouTLE TS PL SID.)REA.2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. hall 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. 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 1 ount in cons quence of the, granting of this permit. X Date Sig Oture of Appli— Owner Contractor ❑ Agent ❑ An OSHA permit Is required for excavations over 5'0" deep and demolition or construct- ion of structures o r 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $CJ r OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE=OFIC By P IT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date? 7 ` Receipt No. 6739 Pl? WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT r Ir BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently undelaermit? Yes / No (If yes, furnish permit number ) OR Is 'the site ari'existing site? Yes / / No (If yes, furnish two (2) plot plans.,) 4. Will the mobilehome be located at -1 . east 5 ft. away from septic tank and leach fields and clear of.all setbacks,and easements? Yes /✓ / No ,(If' -no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- O Amps 7.. What is the mobilehome site circuit breaker rating? ------------- d O Amps 8. Is there any other electric load to be served by the mobilehome .:S siteservice? --------------------------------------------------- Yes No (If yes, identify, the load and size: (Load) (Amps) 9. What iqs„the'mobilehome site gas pipe size? =--------------------- / / LPG 10. What is ``typ.e of gas service? ----------------------------- Natural / 11 Whot,is the gas pipe length from meter or tank to the mobilehome? (ft.) �6,�mobilehome 1: atris�i gas demand? ------------------------------ ��i (BTU) r. 1. %4;Anf if length less than 6 ft. on natural ation not required pipe man gas or les 50 ft, on LPG.) e .:S MOB ILEHIDME • SUPPORT DATA f other than single wide,*• Mobilehome Mfr. furnish Setup Model 'No.�� Year Width(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). All center supports measured from front of mobilehome unless otherwise specified. l -T (ft. (in;) Center supportY locations* LTJ (ft.) (in.) (ft.)(in.) (ft.)(in.) 174-3?501 (in.) (in.) Center support footing sizes (in.) L.lr1x�� (in.) (in.) 0 � Z X761 (in.)I (in.) Footings (check one) Single 1. Wood either pressure treated or . �, foundation grade. 2. Other: (s eci y) Supports (check one) El 1: Concrete block. 2. t ep fy) *—Tagalong or Expando,' show support details. _ x -- Typical Support .) (in.) Footing Size SSB -- Max. Pier Spac; �ow (ft.)(in.) GODtQV�� r Max. OverhanP- cZ'15V (ft.)(in.) Rsnv\%,L� BUTTE COUNTY BUILDING DEPARTMENT above, APPROVED �/ *If center piers are other than drawn ab _ draw in -locatigns, spacing,. and dimensions.