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Home My WebLink About065-280-017e 77 65-28-17� Howard Bonniksen 0 , V �p /�� 1, 8 S O I�Ma ;a . contr: Aiken & Fairbanks, Para, Permit #5582-79P,E(uti1:,MH) ELEC./,0-1:7-:)!f GAS ZO--/7--7 -7- SUPPORT STRUCTURE REQ. AP/,O COMPACTION TEST REQ. loyo zi;t 1. 1 65-28-17 - Contr: Hilton's Mobile Home Ser Magalia Permit#6837-79MHI�� q ssued /�-' _7 65-28-.17 Permit #k6793-79B(new pri.garage) 65-28-17 Permit#114 8OE (ele/6793-79 ar. . OeAOPi4 / � o?)j' _- --- 65-28-17 Permit #2382� 80B(mw covered deck/MH) 1.9 Z65=28--1 Permit #k3171-80B(new storage room/MH) //hi yl 65-28-17 Permit##4343-81P,E (ele u plbg/ 3171-80) storax bldg p AM e ' "�*ERMIT NO. 3171-80B PERMIT EXPIRES /? f ,OWNER Howard Bonniksen_ ' owner f %, CON T R. ' 65-28-17 t LOCATION (A.P. ) 36 Pineview Dr., lot 58, SD0#1, Magalia IT z L �t F� Temp. Power Pole- Called PG&E'�' Temp. Elec. Se v. Called PG&E Temp. Gas erv. Called PG&E ., JOB 1�1 FINALED (Daa te) Ie—) (Signatur ) • # w jpr REAL ESTATE (530) 872-5483 BUSINESS (530) 876-1900 DIRECT (530) 965-1902 CELL (530) 877-5460 FAX CA DRE # 01147468 a david@toadtown.com 7020 Skyway 1 DAVID M. JACKSON, GRI, a -PRO' Paradise, CA 95969 ® Each Office is independently owned And Operated. Q 4 Fixtures Bond Beam I I FIRE SPRINKLERS I Motors � stucco " Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final MOBILEHOME UTILITIES ------------------Elec. Service Water Piping Sewer MQB16EHOME INSTALLATION - - - - - - - - - - - Support Water Piping Drainage DATEU?G/ 8 V. / u / REMARKS OR CORRECTIONS -7// - I Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final Elec. Pedestal Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION'RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor r StemwaII - Siding To out Slab Roof Sheathing Water PI in Piers - Roofing Sewer Garage' Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Prov. for ph sica y Appliances Carport handlca ed Conformance of 6x. Gas PI in & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREP Final Footings Footing ELECTRICAL Fixtures Bond Beam I I FIRE SPRINKLERS I Motors � stucco " Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final MOBILEHOME UTILITIES ------------------Elec. Service Water Piping Sewer MQB16EHOME INSTALLATION - - - - - - - - - - - Support Water Piping Drainage DATEU?G/ 8 V. / u / REMARKS OR CORRECTIONS -7// - I Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final Elec. Pedestal Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) . I -_ 1 . .. , COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICAYI-A AND PERMIT /PERMIT N %� ASSESSOR. PARCEL NUMBER S � — ZOXG BUILDING PERM( OWNE TELEPHONE SQ. FT. OCC. BUILDING V TION 04 OINN'S MAI ING ADDRESS CO TRACTOR'S NAME TELEPHONE CONTRA OR'SAILING ADDRESS CONSTRUCTION LENDER ``S��C UNKNOWN Fireplace Total Valuation $ OQ LENDER'S MAILING DDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADD ESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 drainage or vent piping 2.00 _Repair G�G�%Li Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ utilities ❑ Installation ❑ Other Describe work: 60N.j7dLrg'r 92,0c41 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD -L 100 AMP 2,50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS and Professions Code and my license is in full force and effect. License No. Classification 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEw CONSTR U TI.OUT LET NON.RESID. BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. EX. OCCUp(OUTLETS OR FIXTURES BAL@1 AL�O¢ FIXED APP LNS, OR Ex. (FIXED (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation penult 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, judg ents, costs, and expe ses which may in an way accrue :a i. said Count in consequence of th qanting of this permi X C r 7 26 A—��Date �9 g ature of Applicant — Owner �( Contractor ElAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuresover3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ `' TOTAL PERMIT FEE $ 6 Ov occUP. GROUP //,W�. ( ww�r TYPE OF CONST. n / Y PARCEL PD NO SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PE T XPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS Date Gryy�(y�O ! / ,LY/ V Receipt NO. Jb ,3(,�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ' -I!rl- 2382-80B • ♦PERMIT NO. PERMIT EXPIRES `OWNER Howard.Bonniksen sCONTR. owner 65-28-11 LOCATION (A.P. ) 36 Pineview Dr., lot 58, SDO#1,.Maga. t Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ S Temp. Gas Serv. _ Called PG&E _ JOB FINALED 1 4 t V }f f A COUNTY OF BUTTE.— DEPARTMENT OF PUBLIC WORKS .*, `_� • BUILDING. INSPECTION RECORD B.UILDING ' BUILDI G (Cont'd) PLUMBING Setback Firewall A Soil Piping ' Forms Parapets. 1st Floor Main Bldg. Restroom Finis 2nd Floor Footings Windows 3rd Floor StemwalI Sidina To out Slab Roof SheathiAg Water Pi in Piers Roofing Sewer Garage Fdn. Ven Fixtures Footings Stemwa l I Garage Ve is Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure \ A liance Gas Pi in &Test Temp. G Slab Final Sanitatio Patio FIREPL E Final Footin s , Footing ELECTRICAL Masonry Walls - Throat Rou h Relnf. Steel Final Fixtu s Bond Beam I fFIRE SPR KLERS Moto Framing 7 Test WateJ Htr. Stucco Final Sub nels Mesh / MECkIANICAL Grd.1 Fault Prot. Scratch Heating Ser ice Brown Cooling 4emp. Pole Finish Ducts Onderground Interior Lath Ventilation ennanent Door Closer Final F nal 'MOBILEHOME UTIL TIES --------------- -- Elec. Service Vlec. Pedestal Water Piping -Sewer as,Piping E ME INSTALLATION - - -- - - - - ----- Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTiMENT'OF PUBLIC WORKS — BUILDING DIVISION 7 County Center Drive — Oroville,-,,Cal,ifc�pnia 95965 — Telephone 534454) PERMIT APPLICA I ION DATA SHEET Permit No. OWNER t, -k A. P.- No. i', s_ 7 5;— Proposed Building Use nPermit fee fee based upon: Complete Contract Price DPW Valuation Ot er (explain) Building Inspector (i , Date C.�l At time of permit application, 1 as advised the following data must be submitted prior to/permit processing and/or issuance: U DATE RECEIVED APPROVED W 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... r: 8. Fees of $ .................................................. 9. Letter of signature authorization............................................................. 0. Sanitation approval fromi Health Dept....S �� a 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance c� bL 13. est -r -ac irs�Lt`d&�formation (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)...:.............................................................................:........I...... 15. Pre -inspection for required. Pre,inspec. request to 16. Other bldg. inspector (date) When you issue the permit, process as follows: Mail to owner Mail to contractor. �. Telephoner`)z �� 7?, and hold for pick-up at gry4g. office. Deliver w/inspection. Other Applicant�,Ii�3�'. ,f�-, ./�� Qate Copy of plans sent Health Dept., Fire Dept., Other Date, During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by `_..-- Date �� Z d OTHER: Copy/DPW COUNTY OF BUTT- DEPARTMENT OF PUBLIC WORKS .� h . 7 County Center Drive - Oroville, Califomia 95965 - Telephone 916/534-454111 U APPLICATION AND PERMIT ASSESS4; PARCEL r- MBR_ S -Z 7 ZONING BUILDING PERMJT owN TELEPHONE -73 SO. FT. OCC.1 BUILDIN ALUA/TIION OWNER'S MAI LI ADDRESS R ki e v CONTRACTOR' NAME Ow ri -yL_ TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER fu UNC UNKNOWN I Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER 0 NCS LICENSE NO. Plan Checking Fee $ Q Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit.fee $ a - BUILDING 3 ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 YX/C—,4-U Ile Water piping LOT N , T SUBDIVISION NAM= • ( H N I PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other 491' Gly-✓: n SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New r)� Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELING OR ADDNS. (ACCLBLDGS.CCUP.&� 20sgft 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 NETCON5TNON•RESID R BRANCH CIRCTITS 2.50 ea NEw CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 50 @ zsa BAL@10¢ FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 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 Iia ilities, judgments, costs, and expenses which may in any way accrue said Coun in cons uence of the gr ting of this permit. „% y ate Signature of Applicant — Owner Contractor LJAgent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ Land Development Fee $ _ TOTAL PERMIT FEE ocCUP. GROUP r, I TYPE OF CONST. JPARCELJ ✓ PD v Ho V/again ISSUE This permit is hereby issued under sions o e Butte County Code and/or work ' di :ted above for which fees R OF P LIC PERMIT EXPI S Date the applicable provi- resolutions to do have been paid. WORKS �_> ate s Receipt No. �,1� �,Z> WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT To: Building Department `4} From: Environmental Health i Subject: 'Sanitation Clearance Owner Location AP# . Plans approved for: Sewage Disposal Water supply Hold Final for:- Water supply Final Clearance O.K. for: Water.supply Clearance for .bedroom mobile home. Other Clearance for addition:of / ,�P CN<:� Note** Sanitarian Date COUNTY OF z+Ex=`DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive=YOToville, i;alif.,;c:a 95965 -Telephone 916/534-4541 APPLICATIOICAND PERMIT ASSESSOR PARCEL NUMBER (e S_, ;l 6 -/77. ZONING BUILDING PERMIT OWNER 4 ra► � n ,, � lR - TELEPHONE Y1 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS~ t X36 W1, CONTRACTOR'S NAME ^ IN//'-ck- TELEPHONE CONTRACTOR'S MAILING ADDRESS - — ---- CONN`SS/,TTRy'UCC'TION LENDER UNKNO%YN Firep(are Q Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Abyv` LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 14.1*!�! � PLUMBING PERMIT FilingFee Fili Fee 10.00 C' 4 - Each Trap 1 2.00 7 - Repair drainage or vent piping 5.00 Water piping 5 - LOT NO.SUBDIVISION 1J, NAME S DD A1,/ PARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets S" USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other - Sys ��' S ECI FY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other M Describe work: 11 /� Permit Fee $ 7 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov oR LESS 100 AMP OR LESS 5.00 + Main service EA. ADD'L 100 AMP 2.50 NEW CONST. I/ DWELLING OCCUP.5i ADDNS. % ACC. BLDGS. 1= fl 20 22 sq ft ti " VOR CONTRACTO LICENSE LAW I declare under penalty check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessOccup( and Professions Code and m license is in full force and effect. y License No. Classification Q 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 -OU L 2.50 ea NO N-RESID BRANCH CIRCUITS) NEw CONSTR (POWER APPARATUS S1 NON-RESID. SINGLE OUTLET CIR. / 50 a 2551 Ex. Occup OUTLETS OR FIXTURES BAL�1 Ex. Occup.(oLNS R UTLETSIXED APP(RESID•)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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 4 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 penult Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against,said County in consequence of the granting of this permit. �' J ( ( �.i 1 f�.?l,///:%�r>�� X , l •� Date " ' 60 Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑' An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ if OCCUP. GROUP TYPE of CONST. PARCEL PD HD seuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS „ '�// Date' Receipt No. � If 4 Y' WHITE-D.P.W., YELLO_W-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE..- DEPARTMENT OF PUBLIC WORVIS�7 PMIT NO. • 7 County Ceriter Drive - Oroville, California 5965 - Telephone 916/53 APPLICATION-AND ARMIT ASSESSOR PARCEL NUMBER 68-- *4-0 ZONING BUILDING PERMIT OWNER T E�77P^��HONE /J^ SO. FT. OCC. BUILDING VALUATION O - MAILING ADDRESS ! l - QfJ 310 L. � CONTRACTOR'S NAME S� TELEPHONE CO RACT R'. MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace notal Valuation $ Filing Fee $ 10,00 LENDER'S/MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS I PLUMBING PERMIT Filing Fee 10.00 u Each Trap l 2.00 9 — Repair drainage or vent piping 5.00 Water piping S — LOT NO. SUBDIVISION NAME c_ V 00 n[/ PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other d.261v" V-ECIFY Building sewer Lawn sprinkler system 5.00 4 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ installation ❑ Other �T Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service DOOV OR LESS 100 AMP OR LESS 5.00 !! .... Main service E_f.. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP442Z.DI) OR ADDNS. ACC. BLDG.. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. . License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR -0UTL 2.50 ea NON.RESID BRANCH CIRCUITS) NEWCONSTR. / POWER APPARATUS 6 NON .RESID. %SINGLE OUTLET CIR. / 50@250 Ex. Occup OUTLET. OR FIXTURES BAL@1 FIXED ALNS. Ex. Occup.(OUT LETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ 12 -- 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 of Consent to Self -Insure. AXI 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 penult Fee S Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all Iiabil' ies, judgme ts, costs, and expenses which may in any way accrue against aid County ' conseq ce of the gra 'ng of this permi X C� ate Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ -- OCCUP. GROUP TYPE OF CONST. I PARCEL PD I Ila I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By a PERMIT PfRES Date the applicable provi- resolutions to do fees have been paid. WORKS Dat / �8' Receipt NO. G � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT i ' 'Y PERMIT 5582-79P;E N0. PERMIT EXPIRES e Howard Bonniksen OWNER CONTR. Aiken & Fairbanks, .Paradise 65-28-17 LOCATION (A.P. ) 1170 Pineviw Dr., lot 58, SD0#l, Magalia f a . w t) i, �r tf i A s� Temp. Power Pole Called PG&E Temp. Elec. Serv. i Called PG&E Temp. Gas Serv. Called PG&E JOB l/ / v/1f FINALED (Date) C/ - f (Signature) 9.. Electrical i A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimumf 100 amp) and other facilities on lot,•,i.e., water pumps, garage, cabana,- etc.? Yes o B. Is there proper clearances around panels? Yep?q o_ C. Is power supply cord or feeder assembly properly fused? YeNo D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the p destal. 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 a 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 I Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located w4li required separation from lot lines and buildings and generally conform to plot plan? Yes No_ 2. Does the mobilehome have requi ed clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? (Sec. 5088) Yeso_ 5. If mo a than a single unit, are crossover connections properly installed? (Sec. 5088) Yes 6. Water A. Is f ible 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 C. Backflow - If coach is not St a )f California approved, does station have ackflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Y74<o B. Does it have minimum 4" per foot slope and is it properly supported. Yes No C. Are any leaks detected in drainage system after rennin 3 gallons of wa er through each fixture including washing machine standpipe? Yes No --r D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the moA�ome gas line inlet without reductions other than the mobilehome connector. Yes B. Test OK as per following procedure? Y No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot va'ves. 3. Air test with manometer 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 gas meter -to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? YeV No COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE -OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number(�Y -3 % A for the following location: P"Ir MIA Owner Owner's Address n. , e Mobilehome Mfg. <« + a 2 k c. % Model Year 7? Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works l p Date l►Ir►i so By 11 �u�' i. THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. y j COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS 4;• 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 r 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION IVIOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance 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. X ce `''O t2 Ayl.! G 4002 C& -4,4a% oe 2 Co O (3W/w 1'735 e ,-3 ctz Inspector Da s COUNTY OF BUTTE — DEPARTMENT OP PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING ; BUILDING (Cont'd) 'PLUMBING S tback Fir all Soil hinina FolPara is , 1st loor M n Bldg. RestroA3 Finish 2nd F oor tins Windows 3rd Flo r Ste wall - Siding To out f Slab Roof Sheathka Water Pi in Piers Roofing Sewer Garage-, Fdn. Vents Fixtures Footings Stemwai I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for ph slcally handicapedy Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio 17fREP CE Final Footings . Footing E ECTRIC Masonry Walls Throat Rough Reinf. Stee Final Fixtures Bond Bea FIRE SPRINKLE Motors Praming 4 Test Water Htr.. Stucco Final Subaanel MEC tjrqwn Coo ng X Te p. Pole F Ish DiAts 4derground In rior Lath Ventilation ennanent or Closer Inal final MOBILEHOME UT LI IES ------------------ Elec_ Service Elec. Pedestal Water Piping I I. ;-m(Sewer Gas Piping E ME INS ALL TION -----•--------Support Elec. Continuity Water Piping ' Drainage Gas Piping DATE REMARKS OR CORRECTIONS _ auk �7 c d/T 9� (NOTE: An entry must be made on this form each time you visit the job site.) / ,,COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS s. 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize r resentatives of County of Butte to enter upon the above -me i ned property r i pection purposes. X Date 14F l Signature of Permitee or Agent Receipt No. &• 11 &oro 2)- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By- 1///_ Date -1 Building permit expires Date��—1 1r—'PU BUILDING Owner � D � G SQ. FT. OCC. BUILDING VALUATION Mailing Address mz3je> bc'e, q _ Telephone No. Contractor Mailing Address Fireplace Total Valuation T lephone No. `j Permit Fee Building Address/1 7d r -V Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 .00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. }{�� No. Cj -Z�- ZonlKTPlanning Water piping 1.50 , 069 Each gas water heater or vent 1.50 �P. F&s W Sa ti n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' /W Improv ments Each additional outlet .30 Building sewer 5.0000 �Q Bldg. Plans Recd Parcel Approval Plan pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ 3 _Omi$ 31-31 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OD Main service 100 AMP OR01 OR L LESS5.00 6.�Q Single Family ❑ Duplex Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100100 AMPeoov OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBL GS.LING CCUP. 4� 22 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 style of : NEW CONSTR BRANCH CIRCUITS) NON.RESID (MULTI BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 9 NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES 50L� BAL@1 FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 00 License No. Classifications_ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 12,57, LtZ $ MECHANICAL No. @ 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 men's Compensation. for ?haveplaced on file with the County of Butte a certificate of orkmen'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. 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 Is authorize r resentatives of County of Butte to enter upon the above -me i ned property r i pection purposes. X Date 14F l Signature of Permitee or Agent Receipt No. &• 11 &oro 2)- White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By- 1///_ Date -1 Building permit expires Date��—1 1r—'PU COUNTY OF -BUTTE – DEPAR-TMENT OF PUBLIC WORKS ` 7 lrounty' enter Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / auuwnce reNreaenrnuvas UI 1ne Luunry uI ou11e 1u enrer upun me above-mentioned property for inspection purposes. ! ignatur f2ermitee or Agent If Receipt No. &"' - I ! v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the ButIA.Qounty Code and/or resolutions to do work indicated abovgooror Phich fees have been paid. ��QF PU IC WORKS�O_A A1P Building permit expires Date_/ %/ — /" BUILDING Owner t-Ca(�IG` �_ �, ) SQ. FT. OCC. BUILDING VA UATIO Mailing Address �� , Maqex, e p one Contractor Mailing Address Fireplace Total Valuation ee�po e` , Permit Fee Building AddressO Plan Checking Fee&/or Penalty Permit Fee ma PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1,50 Repair drainage or vent piping 1.50 Cr A. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s I W Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking P ns Parcel Declaration parcel Ma 0' R/W P Im rovements P h additional outlet .30 Building sewer 5.00 $Id lens Recd Parc royal PI pproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ PTU X42 ELECTRICAL No, @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LES.DD SS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST - OR ADDNS. ACCLBLOGSCcup- S) 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisioris of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name Stylggo//f: t 2zLe NEW RESID. / BRANCH CIR T NON RESID. ` BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 6 NON.RESID, SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES g @251'04 FIXED APPLNS, OR Ex. OCCUp.�OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. q_'ZA!Q 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. @ 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 raen•t=Fes $ �i•r TOTAL PERMIT FEE $ —" auuwnce reNreaenrnuvas UI 1ne Luunry uI ou11e 1u enrer upun me above-mentioned property for inspection purposes. ! ignatur f2ermitee or Agent If Receipt No. &"' - I ! v White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the ButIA.Qounty Code and/or resolutions to do work indicated abovgooror Phich fees have been paid. ��QF PU IC WORKS�O_A A1P Building permit expires Date_/ %/ — /" COUNTY OF BUTTE DEPARTMENT OF`PMBLIC WORKS — BUILDING DIVISION " •{.=-: hr'.i ado; q. +s 7 County Center Drive'- Oroville, California 95965 — Telephone 534-4541 '� t -'," OWNER PDNNI iC SaJ Proposed Building Use Permit fee based , upon:) _ PERMIT APPLICATION DATA SHEET z Permit No. A.P. No. CG Complete Contract Price DPW Valuation utn�err �texpiam► Building Inspector 7 '/ /IW Ai Date I 110 171T At time of permit application, I was advisgd 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............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $ 9. Letter of signature. authorization ............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to bldg. inspector(date) 16. Other Whenou issue the pe mi , process as Mail to owner Mail to contractor. VTelephone and hold for pickup at pAeft office. Deliver w/inspection. Other Applicant\)_, Date /Z Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Tate Plans checked by Plans approved by U I Fitts: r.. /npw Date �� 7 r MOBILEHOME SUPPORT DATA C�iQ- If other than 'single wide, Mobilehome Mfr. furnish .Setup Model, No. Gy - 3 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 f of mobilehome unless otherwise specified. Footings (check one) Single (ft.)(in;) Center support locations* ii (ft.)(in.) (ft.)(in.) (ft.) (in.) (ft.)1 (in.) BUTTE COUNTY BUILDING DEPARTM•EN1 .APP VED *If center piers are other than drawn above, %' -7� draw in. -locations. spacing, and dimensions. 1. Wood either pressure treated or foundation grade. 0 2. Other (specify) Supports (check one) 1: Concrete block. 2: Other (specify) Tagalong or Expando,' show support details. -- Typical Support Footing Size -- Max. Pier Spacing -- Max. Overhang 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 under permit? Ye—s-/-j / No (If yes, furnish permit number ) OR , Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the 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 mobilehome electrical rating? ----------------------- 15-0 Amps 6. What is the mobilehome site.service rating? --------------------- p Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes NO (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- _(in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG J / / 11. What is the gas pipe length from meter or tank to the mobilehome? --�(ft.) o 12. What is the mobilehome gas demand? ------------------------------ C ct (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) PERMIT NO. .6793 -.79B - PERMIT EXPIRES ,OWNER Howard Bonniksen r c 'CONTR. osOnPr f 65-28-17 'LOCATION (A.P. ) 1 t 36 Pineview Dr., lot 58, SD0#l, Magalia s i 'a t hi i I i Temp. Power Pot'e Called P�G/&�E Temp. Elec%/Serv. Called PG&E Temp.,dGas Serv. icelled PG&E- OB' G&EOBFINALED Z:10' (Date) „ ^ (Signal w Footings Stemwal l COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK'S ' BUILDING INSPECTION* RECORD Water Htr. Heaters BU LDING BUILPING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms 1 0 Parapets 1st Floor Main Bldg. Restroom FInIsA 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof SheathlAg Water Piping Piers Roofing Sewer Garage Fdn. Vent Fixtures Footings Stemwal l arage Vents sulation rh'. Water Htr. Heaters Slab Carport Footings rov. for ph sically ndica ed Conformance of ex. structure I I A liances Gas Piping & Te it Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings FootingECTRICAL Underground . Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam/ FIRE SPR KLERS Motors aLuccv Final i Subpanels Mesh MEC ANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground . Interior Lath Ventilation Permanent Door Closer Final Final 1`�' MOBILEHOME UTILITIES ------------ ----- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping WRB16EMOME INSTALLATION - - - - - - - - - - • - - - Support Elec. Continu" v Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC t. 7 Cduirty Center Drive Oroyille, California 95965 Tel ephone: 5344541 APPLICATION AND PERMIT WORKS 1-1 (,o 79t � AS -7 V authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ate /-,2_ Z2Z Signature omltee or Agent f Per Receipt No. V C White-D.P.W. — Yellow- A sso ' 0s actor dire ro ican t ` a This permit is hereby issued under the applicable provi the Butte County Code and/or resolutions to do work i c t above for which fees have been paid. DIRECTOR OF UBLIC WORKS BY Date 4( —7 Bilding permit expires Date l Z— L(��c� BUILDING Zr Owner C3 8 / SQ. FT. OCC. BUILDING VALUATIO O 11 Mailing Address Telephone No. . Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee VO Building Address � � v �� Plan Checking Fee&/or Penalty Permit Fee pZ PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 (�` A. P. No. —� 1 j1r{ 'Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Ktees I kee-TSeotkion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Ma p 60 ' R/W Im rovements p Each additional outlet .30 Building sewer 5.00 Bldg.ans Rec'd Parcel A roval Plans Approval Lawn sprinkler system 2.00 N EW,& ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ is ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r ! Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others'R Main service EA. ADD'L 100 AMP 2.50 ' Main serviceOVER 0 AMP OR LESS 25.00 °o Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACCLBLDGS COUP. Y1 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 le of: style TLET NEW CO ID. ` BRANCH CIRCUITS 2.50ea NEW RESID. BRANCH CIRCU NEW CONSTR. POWER APPARATUS a NON.RESIO. SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTIiRES B L1� Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESIO.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE t 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 to become subject to the Workmen's Compensation Laws of California. No. MECHANICAL @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee 94 $ $ 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 $ M,07 TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ate /-,2_ Z2Z Signature omltee or Agent f Per Receipt No. V C White-D.P.W. — Yellow- A sso ' 0s actor dire ro ican t ` a This permit is hereby issued under the applicable provi the Butte County Code and/or resolutions to do work i c t above for which fees have been paid. DIRECTOR OF UBLIC WORKS BY Date 4( —7 Bilding permit expires Date l Z— L(��c� 10, XOONTY OF BUTTE — DaEPARTMENT OF PUBLIC WORKS —BUILDING DIVISION + 7 County CeWt1 e*1r'Drive — 0rovih;e4r„'el17drnoa 95965 - Telephone 534-4541 PERMIT APPLICATION DATA SHEET l /� Permit No. _ OWNER /LfI/S rtwd zr.,t.<4I .I'A__fe A.P. No. 1 Proposed Building Use ✓Ji%. C��,t., ; Permit fee based upon: Co.riiplete Contract Price -'DPW Valuation -i Other.(explain) Building Inspector I�- '� -} -; . Date X//� At time of permit application, I was advised theYlovving data must be submitted prior to'permit processing and/or r issuance: v DATE RECEIVED APPROVED 1. All items have been submitted....................................%............................. 2. Plot plans in duplicate/triplicate............................................................... ' 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings .................. 8. Fees of $ 9. 10. Letter of signature authorization........... i....l-�....................I...... .... Sanitation approval from 1•�tilld ` Health Dept...., 11. Planning approval for 12. Certificate of Workmen's Compensation Insurance ........................ 13. *Contractors License Information (no., name style, 3•.Y classification 14. Improvements may be required. Contact Land s Development Section of Dept. Public Works (see r addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-inspec. request to bldg. inspector (date) 16. Other When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspection. Other , i Applicanta7 Copy of plans sent Health Dept., Fire Dept., Other Date Dunng t e p an checking process, -the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. ' Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail jj n Other By Date "' ' -• Plans checked by `--Date +• �� Plans approved by Date v OTHER: r Coov/DPW ( �7 4 Tv; i' I DING - fs St aae and/or Water and/or Addition Clearar-ce(s)� t 0ANER LOCATION AP=. 7ela:1•= a:e approved :or: N -old up final for: Find Clcararce ok for: Sewag_- Disposal Water Supply Water Supply hater Supp ly Clcarar.e is for a bedroom Cho=e or mobile ho e) . Other ;the addition(s) will be i i anitarlan Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 �! TeleprIone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 11� to d Signature3! off Permitee or Agent Receipt No. -/S21 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI E TOR OF PUBLIC WORKS] By Date- Building ate Building permit expires Date �Z��/ �f`® BUILDING Owner f}yjp t�G g�,�� SO. FT. OCC. BUILDING VALUATION Mailing Address ��,� ele hon``e��N Contractor OW�i!t� 7$-7,�7Z3 Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address K,4,57Plan Low Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. — Z� r� %Zoni ng & Planning Water piping 1.50 Each gas water heater or vent 1.50 FVs OVC. I 6&,fttrion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BId9eP4ans-Reed Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ dt�.. ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,DO Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service EA. ADD'L 100 AMP 2.50 / I ot1 ` Main service OVER aoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING C S OR ADDNS. ACC. BLDG 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: NEW RESID. /BRANCH T NON-RESID, l BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS 8 NON.RES,`SINGLE OUTLET CIR. EX. OCcuD(OUTLETS OR FIXTIiRES) BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ �� $ 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. ❑1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. ' MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 11� to d Signature3! off Permitee or Agent Receipt No. -/S21 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DI E TOR OF PUBLIC WORKS] By Date- Building ate Building permit expires Date �Z��/ �f`®