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HomeMy WebLinkAbout065-171-034tw �6'-171- 34` Howard Gardner • 65 Tikker Ln., S2 of lot 360, Fir Haven ti Sub, Magalia contr.: Fuller Const..,..Maga "ia�..• I Permit 1 47-78P,E(util., _ ELEC . 6a 2� I - GASb i SU P RT STRUCTURE REQ. COMPACTION.-TEST.REQ. i 65=171-34 contr: Don M. Smith, Paradise j Permit # 418;-=18B,E (new private-- garage) rivate-- garage) 65-171-34 �s Contr • Akre" bpi Ser, Ma �. Permit #5454-78MUI,� Issued IV 65-171-34 contra /Anorama Awnings, Chico Permi Y 277-78B(screen ri3om & wning/ 65-171=34 92-257P y? GARDNER, Howard & Verla a 6465•Tikker Lane, Magali -9z YY4 (LPG yard pipe)' I 065-171-034 01-2462 r GARDENER, HOWARD4 /! 6465 TIKKER LN, MAGALIA ELECTRICAL SERVICE //,/3 41 f i • I I 065-171-034 01-2462 GARDENER, HOWARD 6465 TIKKER LN, MAGALIA ELECTRICAL SERVICE i c OFFICE COPY Address GAS Meter By Date ELECTRIC J Meter By Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 * Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT l,/ � < - { AS SESSOR PARCEL NUMBER ` v ZONING BUILDING PERMIT OWNER / a ,TELEPHO %' SO. FT. OCC. BUILDING VALUATION OWNERVI RE A f CONTRACTOR'S NAME / vri O Iro TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAULING ADDRESS CheckingFee $ BUILDING ADDRES�Plan BUILDING ADDRESS6:5 ��/ ' i/�C� i•� Energy Plan Checking Fee $ PERMIT FEE S LAT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF vJ Duplex ❑ Mobilehome ❑ Other 1" sly Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Insta tion 0 Other Describe Work: ' I t �(' �r ( •( \I��',f rc �'a Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoo. oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: p.� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers_,compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date l' Signature of Applicant - Q Owner ❑ Contractor ❑ Agent/ An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service ODA TO tOooA 46.00so NEW CONST. DWELLING Occup. NR nocO NS ( ACC. 3.50. M LET =R�,D,BRANCH @7.50 OWER APPARATUS a PSM10LF OUTLET CIR. .00 EX. OCCU p. OUTLET OR FIXTURES SAL O 1. 0 PPLNS Ex. Occup. oFurr Eis RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wjrin 23.00 L P— 0 C,.a r 1:36 L7 PERMIT FEE $ 4 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ CONST. TYPE r�pv TOTAL FEE $ 42 4�ofthe HAZ. p. FEES IMP -- FLOOD CDF - - PARCEL -- PD HD ISSUE, ermit is hereby issued under the applicable provisions Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. % { By f "--t'�r Date 7 PERMIT EXPIRES ON Date Receipt No. �� 7 t�� /r, �%�J WHITE-D.D.S..�CANARY-B.6.OR PINK -INSPECTOR GOLDENROD-APPLICANT-ASSE OR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMtNT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California. 95965 • Telephone (530) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT e) 0q4tk ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER' HONE G- P�+4• iL . OWNER ' �/ + SO. FT. OCC. BUILDING VALUATION CONTRACTOR'S NAME VJ r -V-0 WJ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ / (�`,, G G• BUILDING ADDRESSqll� 5 11 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SFDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Lyities ❑ Insta tion ❑ Other Describe Work: �1���1 ,C ° �i� icl Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V LESS Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License f r the following reason: ,as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. Ias owner of the property, am exclusively contracting with licensed contractors io construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO +OSA 46.00 NEW CONST. DWELLINIG OCCUP. DWE200ALLING OR ADONS. ( a ACC. sins. SO 3.50FT. NONr-REBID T. MSRAULTI.OMH UTLET @7,50 PSr APPARATUS a SINGLE OUTLET CIR. OUTLET OR FIXTURES Ex. Occup.BAL 20 O +.00 o .50 OR Ex. Occup. ..FIXED J EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. W.Wng 8 23.00 -e _ z t ::)A PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' pensation provisions of section 3700 of the Labor Code, I shall forth mply th a provisi In Az 0of Date 2 d / nJa App Icant -fA Owner ❑Contractor ❑ AgentAnmit is required for excavations over 5'0" deep and demolition or constructioni�of sover 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPEI TOTAL FEE $ �p HAz. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby Issued under the the Butte County Code and/or indicated above for which fees have By � ✓ PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date Date Receipt No. CZ - WHITE-D.D.S.-B.CANARY-AS SOR PINK -INSPECTOR GOLDENROD -APPLICANT .�'y d ., hcMi iraY,.;...W ;"xv:F.J z'),*%'>r J+,"'F ?t1=' -v't. . wpss.�e+•" , , tib'li- c :z.`za"`:t,�*k•.'%:- ` "� �. •S � � .•4^�'T - Y,•r-^w•(� �Ayl'� �•..' �'ir� vd '+� "; t w.. .j.- i 65-171-34 GARDNER 6465Tikke ward &ver 92-257P (LPG Yard PiPe) e' Magalia ' piton, so -bb/RSiv,✓ b1g 4. 0 ..,c ren- r -e re— yC ali� .,rRi7Li0- �cs� 1 i t ' ., ✓ tMo / +...�,•r• .-.p..,..-,.- „�qs�r, - *� �'a, i�'?� �' y�7F, .fit , , 1�+..:c ... V m COUNTY OF BUTTE - 'DEPARTMENT OF PUBLIC WORKS PERMIT NO.,, 7 County Center Drive - Orovlllet California 95985 - Telephone: 918/538-7541 f` ,... 'z ~4 _ *� APPLICATION AND PERMIT 7 ASSESSOR tl yi+u Z "I A BUILDING PERMIT OWNER IiMARD &VERLA S.��ATRD�A T � }r+ '% SQ. FT. OCC. BUILDING VALUATION OWNER'S MAe{:tt,J: 1.�.�. XEib2 � AGALIA 959% C' 1-4t1 CONTRACTOR'S NAME UMMN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6465 MEM LANP ar Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME FIR HAVEN PARCEL MAP piping 7.00 Each Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[]Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets5.00 Building sewer ±L:15:.0::0: Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 9l Installation❑ Other ❑ Describe work: L.F.G. YARD PIPE Permit Fee $ .00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO IOOOAI 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 F]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) Q 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.h\ OR ACDNS. ACG. BLDGS. lI _37.50 3.64sq.ft. NEW CONSTR ULT' -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e) SINGLE OUTLET CIR. / EX. Occup\OUTLETS OR FIXTURES 20S76 A FIXED Ex. Occup. OUTLETS PIRESIO.IAPLNS.REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. �Yirin 9 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 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. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling Hood 6.50 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. also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence, of the granting of this permit. X Date -l- $ignature of Applicant — ' Owner] Controctor ❑ Agent ❑ SiOSHA An 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 S Ener Inspection Fee $ 9Y P OCC CONST TYPE iTOTAL FEES 30 -MI I HAz OFEES IMP I FLOOD CDF I PARCEL I PD I HD ISSu This permit is hereby issued under the sions of the Butte County Code and/or work indioied above for which fees DIRECTOR OF PUBLIC BY � , - PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS ;' Date -- ; Receipt No. /` WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Date �� Inspector COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS S7 rfx 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 538-7541 -� 747 Elliott Road, Paradise— Phone: 872-6307 CORRECTION NOTICE rV9R 2 si- 9�, x OWNER PERMIT NO. �j �u A routine inspection indicates that the following violations of County Ordinance x exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. w Date �� Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 918!538-7541 APPLICATI& AND PERMIT PERMIT NO_� AaaE a _ _ z " A BUILDING PERMIT OWNER HOWARD & VERLA S. GARDNER T(7/JPHN 7 SQ. FT. OCC. BUILDING VALUATION OWNER'S MF}�:If�1G �V�E102 MAGALIA 95954 NAME CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 6465 TTKKER LANE MAGAT TA Permit fee $ PLUMBING PERMIT Filing Fee 15.00 (OFF WOOD DRIVE) Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME FIR HAVEN PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities® Installation❑ Other ❑ Describe work: L.P.G. YARD PIPE Permit Fee $ 30,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOAI 37.50 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. License No. Classification El 1, 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) C9 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./ 3.6Qsq.ft. DWELLING OCCUP.g\ OR ADDNS. ( ACC. BLDGS. // NEW CONSTR ULT' -OUTLET @ 5.00 NO N•RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20 76 FIXED APPLNS. EX. OCCUp. OUTLETS ((RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 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 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g rHood 6.50 I Ventilation mi pert Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Date l Signature,of Applicant — Owner171 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 $ Energy Inspection Fee $ DCC CONST TYPE I TOTAL FEE $ 30.00 / 'M HAz I DFEES I IMP FLOOD CDF I PARCEL HD ISSU This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indi d ab for which fees have been paid. R OF PUBLIC WORKS By t� Date o2. PERMIT EXPIRES Date 2 3 if f— Receipt No. / S 6 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. �� 7 County Center Drive - Orovllle, Cellfornla 95965 - Telephone: 916.'538-7541 APPLICATIOPLANC PERMIT A33E33 R PARCEL NUM59R 3V ZONING X I h BUILDING PERMIT OWNER / TELEPHONE Ze3% SO. FT. OCC. BUILDING VALUATION P o. /50x /02- a� w - ---TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ C 16 5 T/ kkf�„) r PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 GF Woof %f2 Solar or heat pump water heater 20.00 LOT NO. Soorl,/Z 3(o SUBDIVISION NAME it f/1 k1iVfL/J PARCEL MAP Water piping 7.00 Each pas water heater or vent 7.00 USE OF SF ❑ DuplexMobilehome Other ❑ SPECIFY Gas piping system 1-- 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I giW I @ 15.00 /jam TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities Installation ❑ Other ❑ Describe work: Q/a zd b(,Oe– Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 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 Main service 20CATO t000A, 37.50 NEW CONST,( DWELLING OCCUP.EI) 3.64 sq.ft. OR ADDNS. 1 ACC. BLDGS. NEW CONSTR. U TI -OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. OCCup(OUTLETS OR FIXTURES 20 @ 76 FIXED Ex. OCCUp. P OUTLETS IRESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin 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 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Irl1 �Qr 14 Date Signature of Applicant — OwnerI 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 S Energy Inspection Fee $ CONST TYPE TOTAL FEES 3� 04 Ecc HAz 1 0FEES I IMP I FLOOD I CDF PARCEL PD HO ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date PERMIT EXPIRES Date Receipt No. % S�' — WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO,VIL)_�-CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET ff Permit No. OWNER kcvJ ^ad V CR LA V A 1 jryeAA. P. No. � S 1.7 Proposed uilding Use %�'1K L'���l ���'L' Building Inspector Date j 30- 9 2 - At At tim f permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .. .. ........................... 2. Plot plans in duplicate/triplicate, signedf'by°preparer of plans ........ 3. Complete plans in, duplicat'e/triplicate,"signed by preparer. of plans 4. Complete engineered plans and calcs, with wet signature on plans 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13• School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. 11100, When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date a*?, Copy of H.az-Mat form sent Health Dept. _Fire Dept. ----Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By 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._maiI—counter by Contractor, designer, owner, was advised of above required data by—phone _maII—counter by Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder ..date date Date r � •4187478B,E PERMIT NO. PERMIT EXPIRES r Hoard Gardner OWNER CONTR. Don M. Smith, Paradise LOCATION (A.P. 65-171-34 ) 65 Tikker Lane, lot 10, Fir Haven Sub, Maga { 7.Y I t 3 Temp. Power Pole Called PG&E Temp. Elec. Serv. w Called/PG&E t Temp Gas Serv. k ',Called PG&E OBB FINALED ' (Date) ff (Signatur ) 8 p v' Setback Forms Main Bldg. Footings StemwaI I Slab Piers COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDIMG (Cont'd) PLUYBING Firewall Soil Piping Stemwa I I l Slab t,,7 7— Carport Footings Slab Patio Footings isonry Walls Reinf. Steel Restroom Finish Windows Sidin /01- — Roof Sheathing Z Roofing 42- _ 9 Fdn. Vents Garage Vents Insulation Prov. for phsical handicaooed Final .47(1-. FIREPLACE SPRINKLERS 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Motors ELECTRICAL mesn MJECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under roun ) I 9,�6 Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping OB16EHOME INSTALLATION - - - - - - - - - - - - - -Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS /�-/8-7�' ;�F�24T� coag �}GJ' /���.✓ dc'vP��ao� zo /7�P-�.� � >Oo/c I a (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF, BUTTE — DEPARTMENT OF PUBLIC WORKS .,. 7 county Center Driye Oroville, California 95965 f. Telephone: 534-4541 APPLICATION AND PERMIT authorize r r sentatives of the County of Butte to enter upon the Xabomeed pr perty for i ection purposes. Datee of PPermiteeeor Agent ° 51i Receipt No. 06 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�F P BLIC WORKS BY Date Building permit expires Date BUILDING Owner SQ. FT. OCC: BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address / C L Fireplace Total Valuation Telephone No. Permit Fee Building Address/ g` X e % Iz h '4 /L' Plan Checking Fee&/or Penalty . Permit Fee p d PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent piping 1.50 A. P. No. L Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F W. --C-.- Saon Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parki—ngl-- Plans ParcelEach Declaration Parcel Map 60' R/W I Improv additional outlet .30 Building sewer 5.00 �� Bldg. P16n-9 ec'd Parcel A a PI Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 DO Main service 600V OR LESS 10o AMP LESS 5.00 Single Family Duplex Mobil Home Others 9 Y P ❑ ❑ -L Main service EA. ADD'L 100 AMP 2.50 Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING O Z OR AODNS. ACC. BLDGS. 20sgft//.-S-0 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: (� (� C \ _` 1 \y' \ J �lTIV•` NEW CONSTR.BRANCH T NON.RESI D. BRANCH CIRCUITS) 2.50ea NEW CON ST R. POWER APPARATUS B NON.RESID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES B L�1 FIXED APLNS. EX. QCCup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 2 .3 9 I &SMisc. 1S Classification Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ j WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code hich requires every employer to be insured against liability G W kmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 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 ws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ �i authorize r r sentatives of the County of Butte to enter upon the Xabomeed pr perty for i ection purposes. Datee of PPermiteeeor Agent ° 51i Receipt No. 06 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�F P BLIC WORKS BY Date Building permit expires Date "n. n D PERMIT NO. '1847-78P,E PERMIT EXPIRES OWNER Howard Gardner CONTR. Fuller Const., Magalia LOCATION (A.P. 65-171-34 ) 65 Tikker Lane, lot 360, Fir Haven Sub, Maga., 4 (. r p p, 4. {j � AR S 4 Temp. Power Pole Called PrULF Temp. Ele Called Temp. Ga! Called JOB FINALED MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. as the mobilehome located withhequired separation from lot lines and buildings and generally - conform to plot plan?4 Yes 'v No 06 Does the mobilehome have required clearances above ground? (Sec.5085) Yes2-I�No (0-L Are footings and supports properly sized, spaced,'and braced as per approved plans? (Note possible variation at spring .shackles.) (Sec. 5 82 &-5083) Yes_ No AvLis the mobilehome level? (Sec. 5088) Yes_ No_ If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No_ Water A. Is -flex' le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. -air test? Yes No Backflow- coach is not State of California approved, does station have backflow device and presXu relief valve? Yes_ No R NbWastes and.Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? es No B. Does it have minimum k"per foot slope and is it properly supported? Ye No C. Are any leaks detected in drainage system after running 3- lons of water through each fixture including washing machine standpipe?.Yes No If co s not State of California approved; does station have required trap and vent? Yes Gas Pi ing and Gas Vents ., A. Con ctor - Is mobilehome connected to the gas supply with an approv'd'3/4" minimum mobil ome connector not more than ft. long? Note: All piping is to be at.least as large a the mobilehome gas line rilet without reductions other than the.mobilehome connector. Yes No B. Test OK as pe llowing pro edure?' Yes_ No' 1. Open al,� la liance con ector valves. 2. Shut of -nce urner. and pilot valves. 3. Air test with m meter to 10"-14" water column, or test.with slope gauge (minimum 6oz.-maximum 8 oz. calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect s meter to mo ilehome with connector, turn on gas, test connections with soapy ter. C.. Are all'.applianee°vents properly installed? Yes_ No a Electrical 9/c Is service large enough to provide adequate amperage -to mobilehome (must equal rating of • mobilehome with a minimum of 1 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No ' Is there proper clearances around panels? Yes ZNo Is power supply cord or feeder assembly properly fused? Yes No Is continuity test satisfactory as per the following procedure? Yes -LZ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument�to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral, 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from, such equipment and the grounding conductor. 6. Upon completion of the above procedure,'the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle { , i ��� 197X Length Width z,/ tel/ /& 'X 3 Vehicle Serial No, p2© .;s-- A Zo Am An7u—olzo State Identification No. Additional Information or Comments: 'goo aikl 'FEItal 61,- '96v A01 y�ZZ-�8 �;�?O ��, ez � 1010' 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 5under permit number+CU4-iJ— 7 C4 for the following location: �_ �' /fear✓ �� >�r A// Owner •• �� ®fir '4s/-0,—IdJ-E40 Owner's Address <� S� Te�f /�'uFGSiG/C+ Mobilehome Mfg. 2/1/Al'C Model r35 C Yea/>» Insignia No.l // 747' ,/J 1/ 7.3V11171/ Serial No)/I0 14!`1leA41 C' u09 It is hereby certified for occupancy at the above described location and may be occupied. r Director of Public Works Date By _-. —Age / THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED - White - Owner, Yellow - Installer, Pink - D.P.W. back 'ms in Bldg. otinas 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS Y • BUILDING INSPECTION RECORD - it BUILDING BUILDING (Cont'd) A PLUMBING ewall Ski Piping P pets Nt Floor ReshDom Finish 2n Floor biam Roof She in Piers Roofing Garage Fdn. Vents Footings Garage Vents Stemwal I Insulation Slab Prov. for ph sical Carport handica ed Conformance of ex. Footings structure Slab Final Patio J 3rd loor To out Water PlApg Sewer Fixtures Water Htr, Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLE Motors Framing Test warp. Htr ticratcy N Heatjhg Brow 111D o Ing FI sh cts E Prot. ole und Int for Lath entilation Permanent or Closer Final Final MOBILEHOMEUTILITIES ------------------ Elec_ Service 7 7 _ Elec. Pedestal 6 Water Piping 29 Sewer Gas Piping E OME INSTALLATION - - - - - - - - - - - - - - SupportElec. Continuity Water Piping O— Drainage Gas Piping T— DATE REMARKS OR CORRECTIONS LECTRIOeAL (NOTE: An entry must be made on this form each time you visit the job site.) POUNTY-OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive" — Oroville, California 95965 Telephone: 534-4541. APPLICATION AND PERMIT Owner6 oLA Mailing Address T� Telephone No. Contractor e Mailing Address (V r �J Telephone No. Building Address 4000.D IDTt . /Ov�JAN/N A. P. No. 5- Zoning & Planning F s Sa&Klap Fire Dept. Fire Zone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Improvements Plans Declaration P p ovements Bldg. 0-F'6ns Recd arcel Approval lans Approval NEW [:] ADDITION E] UTILITIES Q OTHER E Single Family Duplex Mobil Home® Others ❑ mbWe &_ LSW(,A,00 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 i)L9_ U ► Cb - gDYK,.'_ DawLC' 9 License No.mlq Classification C`�( E] 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. � I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the' performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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 Date 9-11!0q Signature of Permitee or A nt Receipt No. , l 0 21 y3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING tid SQ. FT.7 OCC. I BUILDING VALUATION Fireplace $ Total Valuation No.1 @ Permit Fee $3.00 P I an Checking Fee &/or Penalty 15.00 Permit Fee 2.5'50 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No.1 @ PERMIT FILING FEE $3.00 Main service 6111 OR 100 AMP ORLESS5.00 15.00 Main service EA. ADD'L 100 AMP 2.5'50 Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 Ex. OCCUD(OUTLETS OR FIXTIIRES 50@ 250 BAL1� I FIXED APPLNS, OR EX. OCCU P•(OUTLETS (RESID.) EA) 2.0011 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirinq 6.25 Permit Fee $ MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling ,20 Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee p, ap $ TOTAL PERMIT FEE $ p at) 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. DIRECTO OF PUBLIC WORKS By �^ Date F— 7P B ilding permit expires Date • BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 r 0 MOBILEHOME INSTALLATION SHEET 1. owner's name:�21 AkU R C`yAeA 2. Installer's name: 3. Is the site currently under permit? Yes No / / (If yes, furnish permit number ) OR A 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. away from septic tank and leach fields and clear of all setbacks and easements? Yes .,.No (If no, clarify ) 5. What is the mob,ilehome•electrical rating?.----------------------- QA,Q Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / No (If yes, identify the load and.size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in'.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to'the mobilehome? (ft.) 12. What is the mobilehome gas demand? =----------------------------- - (BTU) (This information not required if pipe length less. than 6 ft. on natural gas or less than 50 ft. on.L'PG.) MOB ILEHGOI�F ST?PPORT DATA If other than single wide, S1SJ ��I& Mobilehome Mfr. i furnish Setup Model No. J Year t( Width 2q (ft.) Box Length Cp.0 (ft.) Tagalong or Expando Size 10 ft. x 31 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. Single (ft.)(in.) Center support locations* Ftk— 2- (ft.)(in.) =IZVZ (ft.) (in.) F5' y (ft.)(in.) R -ab (ft.)I (in.), Footings (check one) 1. Wood either pressure treated or foundation grade. E] 2. Other (specify) Supports (check one) r. 1: Concrete block. 2. Other (specify) Tagalong or Expando, show support details. Typical Support Footing Size -- Max. Pier Spacing -- Max. Overhang BUTTE COUNTY $UIL.DING DEPARTMENT APPROVED *If center piers are other than drawn above, 3 draw in locations, spacing, and dimensions. COUNTY OF BUTTE Department of Public Works 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL'INFORMATION FOR DE -RATING MOBILEHOMES Owners CCC. e Location ( ILCle— Mobilehome Installation Permit No. - FILL IN INFORMATION FOR ITEMS 1 THRU 10 Watts 1. Width -– x Box Length x 3 2. 2 Kitchen Appliance Circuits = 3,000 3. 1 Laundry Circuit = 1,500 4. Ovens .....................:................... _ 16610 5. Cook Stove Top = 29,00 . 6. Hot Water Heater _ a0 7. Dishwa'sher'& Disposal ........................ 8. Clothes Dryer ................................ 9. Other (specify``, i.e., motors,II exhaust fans, et i Sub -total - Watts ..... 3� First 10,000 watts @ 100% = 10,000 Remaining iZ 15'5, 5 watts @ 40% ........................ = - Io 501 10. Air Conditioner watts. @100%.. Largest Demand = Central Heat System watts @ 65%.. = lk-1 TOTAL DEMAND WATTS REQUIRED ............. 30j aZ.% g , 5 "Demand Watts Required - 230 ............ ............ = r1 0, V. AMPS De -rate Mobilehome to ............ ' cS� _AMPS BUTTE COON I Y BUILDING DEPARTMENT APPROVED � ,as L a COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS - 7 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT AA out I IUI IGC ICFII I: J CIILOLIVU0 UI tilt:UUU[ILjr UI DULIV IU CALCI UPUn tileabove-mentioned property for inspection purposes. X M&:&2�(&&pate Signature of Permitee or Agent Receipt No. ��{5 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. DIRECMOBLIC WORKS Date F_ BY _���— ,Z ilding permit expires Date BUILDING Owner Howard Gardner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Fuller Construction, Inc. Mailing Address P. 0. Boxx 509 Fireplace Total Valuation Magalia, Ca 95954 Tele�(} N�668 Permit Fee Building Address Fir Haven,:!'/,Jot 360 Plan Checking Fee&/or Penalty Permit Fee Tikker Lane Magalia, Ca 95954 PLUMBING No. @ FEE .PERMIT FILING FEE $3.00 Each Trao 1.50 Z9*9 Yerificafio Repair drainage or vent piping 1.50 r_ ! r / A. P. o. J / �0— � ning Water piping X -9-ST16, D6 Each as water heater or vent 1.50 es *.C.'FS; i ion Fire Dep . Fire Zone ermit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declarations cel ap 60' R/W Improveme s Each additional outlet .30 Building sewer XX -b:-e0 10�e � arc rov �l PlAl Lawn sprinkler system 2.00BI NEW ADDITION ❑ UTILITIESER OTHER ❑ Permit Fee $ 71, Q ELECTRICAL No. @ FEE PERMIT FILING FEE X $3.00 0 Main service 600V OR LESS 100 5.00 100 AMP OR Less Cf Single Family ❑ Duplex ❑ Mobil Home QX Others ❑ Main service EA. ADD•L 100 AMP 2.50 FT MINIMUM EMN MOBILES Main service fOO OEAMP OR LESS 25.00SQ. Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST % ACCLBLOGS.OCC up. s� 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 style of: Fuller Construction, Inc. T NEW CONRES BRANCH NON•R ESI., BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 0 NON•R ESID. SINGLE OUTLET CIR. Ex. OCcuD(OUTLETS OR FIXTURES BAL@1 FIXED APPLNS. OR1, Ex. OCCup.(OUTLETS (RESID.) EAY 2.00 Temporary service 10.00 P.O. BOX 509 Magalia, Ca 95954 Mobile Home Facilities AX 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No'.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 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 Land Development Fee $ TOTAL PERMIT FEE $ out I IUI IGC ICFII I: J CIILOLIVU0 UI tilt:UUU[ILjr UI DULIV IU CALCI UPUn tileabove-mentioned property for inspection purposes. X M&:&2�(&&pate Signature of Permitee or Agent Receipt No. ��{5 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. DIRECMOBLIC WORKS Date F_ BY _���— ,Z ilding permit expires Date *Gardner Fuller Construction, Ino. �689d Oak Street P.O.- Boa 509 t earor�t; Via. 94536 Magalia, Ca. 95954 ' �l 791;1874 Its, 04. 95954 _Tikkar bane } j, its a '� .-. �.., 'r - " ... ,..r � ,iP_ . '1• It � �a � - "�.. . .v�'E:e :-:, y�, ..�. `,j rp - - �^ "�.�1"�V 61� 4..0 `^',- - � i �•e' P.L• W. 2.2_. .. ?, ! '�`' • .. :�.�;,;,�,,, ' w 'rte+-�.�-. .�w...�,.,.• ��SMrT�� L % /JIB' �;• AAA Alk 1 .tip �. •l5 1 25); ^'D 4 16 ;� . ; •, f1� • �)+�' ♦1 bt%:r 7► �.� � � • � 361 .L.17VE } i. �..Ob. t. t• .. . ' r 190cJE� �.) 1 ��•� , � , � , ` .•. ���,N,T� ./f X17 -� �� NAIL: A al yr , +- 6277-78B PERMIT NO. PERMIT EXPIRES TES! Howard A. Gardner OWNER CONTR. Panorama Awnings, Chico LOCATION (A.P. 65-171-14 ) 65 Tikker Lane, -lot 34,.Fir Haven Sub; Maga. Temp. Power Pole Called PG&E Temp. Elec. Serv. 71 PG&E C��a11ed Te p. Gas Serv. Called PG&E .JOB /li �� — ZZ FINALED (Signature) V COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD. BUILDING BUILD NG (Cont'd) PLUMBIPIG Setback - --7 Firewall Soil PI in Forms t Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows/Z—s -7 4S:0 3rd Floor StemwaII Siding ze2 To out Slab Roof Sheathing �— Water Piping Piers Roofing % -J, - Sewer Garage Fdn. Vents 12? -1- Psi Fixtures Footincis Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Slab Final Z S - % Sanitation Patio FIREPLACE Final Footings - - Footing E L EC TFtfCAL Masonry Walls Throat Rou h Reinf. Steel 44JV Bond Bea Final FI SPRINKLERS Fixtures Motors ramin -� Test Water Htr. f��L$SlLeee /-L ~7 Final Subpanels ' Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping M9816EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping ' /f/o& £a/o? 'apew ZT5T ." 77 5o E,I'£� DATE REMARKS OR CORRECTIONS /��7�-%� �%�2o vrG(€. (o (� ���4GN-� Vic / � �2 . w oo ci /5zAo44W1'r (_ �Pi'� d� Ori' �% c✓ov c ee (NOTE: An entry must be made on this form each time you visit the job site.) �yiNi +ham COUNTY OF BUTTE — DEPARTAIlE1T OF PUBLIC _ 7 County Center Drive .0,rovi'Me; California 95965 Telephone: 534=4541 APPLICATION AND, PERMIT WORKS /19 1 Di autnonze representatives or the my Or twite to enter upon the above -men io ed property for ' s ection rposes. X Date /d 2 Signature of Permitee or Agent Receipt No. 193F.01> 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 01E PUBLIC WORKS By Date fo-_3 4•-7. B ding permit expires Date BUILDING OwnerSO. LcJ D IZ FT. OCC. BUILDING VA ATION eo by , GO Mai I i ng Address D dl ( 3 G d . 60 Telephone No. Contractor �Afd,Q,� w��,��� S Mailing Address �� � 0 � GIAZ Fireplace Total Valuation 13 44, Ob /� Ci 4l GD 9� .i..G Telephone No. l} % Permit Fee 4.00 Building AddressPlan Checking Fee&/or Penalty Permit Fee 14, or, O( Sloo' j,.J GY- o A D 42, PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 kt,7 ;ff %,,- A71 1,4 Repair drainage or vent piping 1.50 A. P. No. �� 7 �// q Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel I Declaration I Parcel Map 1 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg.ans Recd Parcel rovol I Plan pproval Lawn sprinkler system 2.00 NEW Z ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ _ J - ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home [g Others ❑ Main service EA. ADD'L too AMP 2.50 -�G2Ge-0 k.! W Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST %ACCLBLDGS.LING Ccup- 20 Sq ft 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 Stx 21 )O�4 AN I /A S �1�1�� �ln NEW CONSTRES,., MULTI-OUTL T NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS e NON-RESID. SINGLE OUTLET CIR. �� Ex. DCcuo(OUTLETS OR FIXTIIRES4,16.25 FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID.) EA�0.00 Temporary service 0.00 Mobile Home Facilities 5.00 License No.3I-S 78-3 �.�(P� Classification Misc. Wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. -Dave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ autnonze representatives or the my Or twite to enter upon the above -men io ed property for ' s ection rposes. X Date /d 2 Signature of Permitee or Agent Receipt No. 193F.01> 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 01E PUBLIC WORKS By Date fo-_3 4•-7. B ding permit expires Date