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HomeMy WebLinkAbout065-340-037. AP 65-34=37 065-340-037 -#98-2 4 R. EKSTEIN EKSTEIN, CATHE2INEg8 85 Glennwood Dr., SDO#2, lot 85, Magalia 14804 GLENWOOD DR. - MAGA t `'contr: Ancel Ballard, Paradide WOOD HEAT &SPA permit## 3506-74B,EGAS LINE FOR GAS STOVE (garage, MH) . /� o2 -S -7 _w 65-34-37 ; Co r: Fuller Powers Const. Co.' Perm' #4052-76P,E(ele ser ch to ex. sit & plbg) GASG 999-22 SUPPORT STRUCTURE COMPACTION TEST ' 65-3 3 _ 27 ontr: Cal Gas Permit ##4159-76P as piping for -' 4052-76) MH i'65-34-37 contr: 0 mo it MH Center, Chico Permit 057-76MHI Issu i - 65-34=37 Permit #2-77B(new covered deck/MH) 65-34-37 Permit # 2259-17B(new cabana & covered deck/MH),.� 65-34-37 contra ,D & E Const., Paradise L Permit #6029-79B(new ramada & re �� cabana roof/MH)A 0�1_ z 1, L 65-34-37 Permit #2483-82P(install solar wtr-htr) SF Q 1665-31016P. 7= #�.24 EKSTEM, CATIA r 14804 GLENWOOD DR. MAGAL • s tom; r��;y_�•..,,. WOOD HEAT & SPA GAS {LINE FOR GAS STOVE y • r L . il• . t I1 /' • 1 f � a 1 • z 1 1 X x COUNTY OF'BUT,TE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION T} 7 County.Center,Drive 'Oroville, California '95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATIONAND PERMIT ASSESSOR PARCEL NUMBER20NING 5- 3 �!0 _C) 3-4 P. Im + BUILDING PERMIT OWNER / L r `� R A,� �T fE.L�EPHONE �J SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADORCI go —1 C .• CONTRACTOR'S NAME xx— TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan CheckingFee $ BUILDINGADDRESS Ll jam- Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each: Trap.,.',' r� 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome W Other SPECIFY Solar o•h� um water heater 23.00 Water piping ' "� " 15.00 Eachas w ter heater or vent 15.00 . TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: .. �k/)k �11A L✓ CQ/o Gasi -in i stem 1 ' `5°outlets 15.00 Building sewer 15.00 Mobile Home TS TG W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600V 0R LESS Main Service OAORLESS 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.POWER 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: ❑ 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. 1O 1, 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 Main Service 200A TO 1000n 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADONS. ( a ACC. BLDS. 3.50FT. = p6IpT. MULTI.OUTLET @7.50 APPARATUS 8 SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FDCTURES BAL @ .50 Ex. Occup. OUTEETSA R D ORS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc.,Wiring 23.00 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 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) El, 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. i" r,! X r7`i • ... , fir_"',. _ _ Date 1 [7' ^ / r� Y Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ oCC (4-3 CONN ZYPE VIM TOTAL FEE $ oV HA2. D. FEES IMP FLOOD I CDF PARCEL PO HD ISVF This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated "bove for which fees have been paid. / /► ' e /J Q /} n,, _ By Date /0 2 ! -f)9 PERMIT EXPIRES ON /6 _Z P 5? 7 I Date Receipt No. ? ^� 'Q:f WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT X COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION qI r'o441 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 61,g_aPWT O. (Rev.12/96) APPLICATION AND PERMIT I ASSESSOR PARCEL NUMBER 5. 3 y0 _0 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADTq /`A/••X) Soq CONTRACTOR'S NAME !. TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS y. �' O L ` r Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome k Other SPECIFY 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 ❑ Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 � 5, Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fee 20.00 RLEFling 800VMain Service 20.A OR IESS 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.PowEL 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: ❑ 1, 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 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 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. X �T GG1 y� c ��,;, Date L�`— Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, 3.5�F5T0: OR BLDsS. (T. cad MULACC. NO RESIo. u 07.50 APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TURES BAL @' 50 :50 Ex. Occup. GFuTLEETS R IESIES D.LINIS OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 'Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ (Zc.3 cNPETOTAL FEE $ 3�� bnot AIMP I FLOOD COF PARCEL PD HD IS U This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ova for which fees have been paid. B JC/�,//y���-�L� Date Y / G PERMIT EXPIRES ON / G Date Receipt No. �� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 :Rev 12/96) APPLICATION AND PERMIT PERMIT N(. "Sasso" PMIon NUM11111An (n_ 4 /\ �0�� V �'10�^ (+ VVCCI�IpV\ BUILDING PERMIT OWNER_ T �73-ao� OWNFTS aAUJNo A000teg q 0.Q..as. SO. Fr. OCC. BUILDING VALUATION COMPACTOR'S NARK Lkytbd4 ct -4 :P=12 6k - T! N! CONTRACTOR'S WAJNO A00r1l6t CONSTRUCTION LM VII Fireplace LENDER'S MAnOM AWRM Total Valuation = ARCHITECT OR MUN11rsl ueo+sa MD. Slina Fee $ 20.00 Permit Fee AACWTECT OR 06001IM S YAJUNO AOOW" Plan Checking Fee $ SULOINOADORM / 1 �- _ �f d T)$ Energy Plan Checking Fee $ PERMIT FEE _ LOT No. susorveJowsrsue PAaDa �"� PLUMBING PERMIT Filling Feel 20.00 Each Tr 7.00 USEOF8TRUCTURE SF O1 Duplex O Moblehome �( Other sPecsa Soler or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent IS. 0 0 TYPE OF WORK New O Addition O Reel O Utilities O installation O Other modO Describe Work: G "� � Gas piping system 1 - 5 outlets 15.00 5 Building sewer 15.00 Mobile Home S G W ®20.00 PERMIT FEE = c 00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service as 431111 � 23.00 LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provfelons 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 Lie. No. DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 1. 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 O 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 In Issued. ❑ 1 have ind 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 lees.) O 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 workers' compensation laws of California, and agree that it I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - O Owner O Contractor O Agent An OSHA permit is required for excavations over SO' deep and demolition or construction of structures over 3 stories In height. Main Service "",To 100" 46.00New COMT. owsiea occw SQ OR ADM. i ACC. eLos. 3.50n. NONaaw. T.'a'Ln Ou^t' @7.50 Powea AP►ATMTta a s o °TOR Occup. ��te eco a AOOWNER-BUILDER Ex. Occup. o� PP»0. a 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE : MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 8.50 Ventilation PERMIT FESS Mobile Home Installation Fee $ Energy Inspection Fes = occ OONST. TTP! TOTAL FEE $ X00 ,,,I, o. Pea IMP RM0 COF PAACIX Po No asul This permit is hereby issued under the applicable provisions of the ITCounty Code and/or Resolutions to do work indicated above for which fees have been paid. By Date _ PERMIT EXPIRES ON OaNeJ Receipt No. WHITE•O.O.S .9.0 CANARY -ASSESSOR PINK -INSPECTOR OOLOENROO•APPLICANT b' 6029-79B 6029-79B .:PERMIT NO. ®��—.� PERMIT EXPIRES ✓' Rollo Ekstein OWNER CONTR. D & E' Const. , Paradise 65-34-37 LOCATION (A.P. ) 4-ur' Glenwood.Dr., lot 85, SDO#2, Magalia . 1 fi a- „i. 4i { 4 1 ' i. r v Temp. Power Pole Called PG&E/ Temp. ElecyServ. d Calle PG&E Temp.��LZ Serv. Called PG&E e � �i'PINALED ��,,J��b (Date) (Sign tur Footings- I Footing / I / ELECTRICAL MHCHANICAL tocratcn Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final MOBILEHOME UTILITIES --------------- Elec- Service Water Piping . Sewer WS2BILEHOME INSTALLATION, --------------Support Water Piping Drainage DATE REMARKS OR CORRECTIONS Allf9c' V ®� y"p 741-6-0 Fix s It Pro Pole final lec. 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-REC,ORD B ILDING, BUILDING (Cont'd) PLUMBING - Setback Jal � Firewall ----T Soil Piping Forms Parapets —'—'� 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing ' a 1/ KO o Water Piping Piers' Roofing Sewer Garage - Fdn. Vents Fixtures Footings StemwaII Garage Vents Insulation ` Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & est Temp. Gas Slab 1 Final Sanitation Patio FIREPLACE I Final Footings- I Footing / I / ELECTRICAL MHCHANICAL tocratcn Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final MOBILEHOME UTILITIES --------------- Elec- Service Water Piping . Sewer WS2BILEHOME INSTALLATION, --------------Support Water Piping Drainage DATE REMARKS OR CORRECTIONS Allf9c' V ®� y"p 741-6-0 Fix s It Pro Pole final lec. 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 WO KS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLIC016 AND PERMIT / BUIL ING Owner A2140 SQ. FT. OCC. BUILDING VALUATION Mailing Address Q L 40J �^1 Telephone No. Contractor Mai I i ng Address -3"7 Z Fireplace T lephone No. Total Valuation Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee IVA PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �//�- d"S Sia Each Tran 1.50 Repair drainage or vent piping 1.50 /�� A. P. No. i ZoningN& tanning Water piping 1.50 Each gas water heater or vent 1.50 Fomes .C. L_SAI�A Fire Dept. I Fire Zone I Use Permit Gas piping system 1 - 5 outlets 1.50 EQA I Parking Parcel Plans Declaration Parcel Ma p 60' R/W Im rovemen p ach additional outlet .30 Building sewer 5.00 Bldg. Plan ec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER 1!3�, Permit Fee $ $ - tELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Single Family ❑ Duplex Mobil Home Others ❑ Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 • Main service OVER 600V 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLOGS.LING CCUP. !) 20sgft 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.CONSTMULTI H CIRCUITS) NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS &, NON-RESID. SINGLE OUTLET CIR, Ex. QCCUD(OUTLETS OR FIXTIIRES) 6 L@; Ex. Occuoo FIXED APPLNS. OR p. OUTLETS (RESID.) EA) 2.00 Temporary service 110.00 Mobile Home Facilities 15.00 License No. /4Classification � l 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. 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 @ I FEE PERMIT FILING FEE J$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 $ �Z aulnunce representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. r X W E; Date 1 ' Signature ofli6ermitee or Agent Receipt No. � �15­7 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-RUBLIC WORKS By Date f ',12 7 9 Building permit expires Date o'PErRMI,T NO. 2259-77B - I PERMIT EXPIRES - 'tOWNER Rollo Ekstein owner CONTR. LOCATION (A.P. 65-34-37 ;x 4' t !L as x; X11 f1 f� t{ k, 3 J C, F, Temp. Power Pole Called PG&E Temp. Elea. Serv. ?! Called PG&E Temp. Gas Serv. Called PG&E t Q' /FINALED B Cy (Date) ; (Signatu .j COUNTY OF BUTTE — DEPARTMENT OF PU13LIC WORKS BUILDING INSPECTION RECORD BUILDING, BUILDING (Cont'd) PLUMBING Setback a Firewall Soil Piping Forms Parapets 1st Floor Main Bid Restroom Finish 2nd Floor —Footings V Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathina Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Foot! n s Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Prov. for ph slcally Appliances Carport handica ed Gas Piping &Test Conformance of ex. Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRIC Masonry Walls Throat Rough Relnf. Steel Final Fixtures ! Bond Beam . FIRE SPRINKLERS Motors ¢ Framing 2,—/-3- Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underaround Interior Lath Ventilation Permanent Door Closer Final Final Z O '_7 MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBS E�M�E� IALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS qR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) Owner Mailing Address Contractor Mai I i ng Address COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Wrovi Ile, California 95965 ` Tel ep'hone: 534-4541 APPLICATION AND PERMIT Telephone No. Telephone No. Building Address 36 91Qw W ©0d Dr,I r A. P. No. — Zoning & Planning Fee W.C. Sa I io Fire Dept. Fire Zone Use Permit EQA Parking arcel Parcel Ma 60' R/W Im Plans Declarati P P rovements Bldg. Plans Recd T U4-rc--el Approval Plans proval NEW 0 ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home X Others ❑ PO qha coup-red�cac 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: _ BUILDING V SQ. FT. OCC. I BUILDING VALUATION Fireplace LL@1 BAL@1 $ Total Valuation No. @ PERMIT FILING FEE Permit Fee Main service Plan Checking Fee &/or Penalty 5.00 Permit Fee $ PLUMBING No.1 @ PERMIT FILING FEE J$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 LL@1 BAL@1 $ ELECTRICAL No. @ PERMIT FILING FEE $3.00 Main service 0V OR 80000 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER eooV 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. DWELLING OCCUP. & ACC. BLDGS. 22sq ft NEW CONSTR. NON-RESID. MULTI -OUTLET BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS & f DO FEE a FEE EX. OCCUp(OUTLETS OR FIXTURES) LL@1 BAL@1 FIXED APPLNS. OR EX. Occup.( I EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Lic se No. Classification rvrl am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating 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 Cooling Workmen's Compensation Insurance. certify that in the performance of the work for which this Ventilation ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 2.00 California. $ $ Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X /�� Date Signature of Permitee or Agent Receipt No. 1155,_90C White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE 1$31,200 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 PUBLIC WORKS By Date, -5 2.3-77 wilding permit expires Date .S 1-7-7t' Owner Mailing Address Contractor Mai I i ng Address Building Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Telephone Telephone No. 1 A. P. N0,66 S-rl Zoning & Planning s C. FireDept. Fire Zone Use Permit EQA Parking I Parcel Parcel Ma 60' R/W Improvements Plans Declaration P P Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER J�L >e G . E2 ✓ 4 -7--L-Cl — 7 Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 14( I certify that in the performance of the work for which this w-3)yermit 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 iF 4 7^) Signature of Permitee or Agent Receipt No. �4 7'ttb 1 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUILDING SQ. FT. 7 OCC. I BUILDING VALUATION Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD•L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. / DWELLING OCISUV—& Ex. Occup(OUTLETs OR FIXTURE: Ex. Occup. ( FIXED APPLNS. OR OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wiring Permit Fee MECHANICAL PERMIT FILING FEE Heating Coo I i Ventilation Hood Permit Fee @ $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 FEE FEE 2.00 10.00 15.00 6.25 $ 76 @ FEE $3.00 2.001 TOTAL PERMIT FEE $ 071,000 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 D By 6J�/sO.s el Date O r S 71 W Zhtdiging permit expires Date 2.3 7 I PERMIT NO. 4052-76P,E PERMIT EXPIRES f. CONTR. Fuller Powers Const. Co. LOCATION (A.P. 65-34-37 36 Glenwood Dr., lot 85, SDO #2' Magalia 'fr �.S I PERMIT NO. 4052-76P,E PERMIT EXPIRES OWNER' ROLLO EKSTEIN CONTR. Fuller Powers Const. Co. LOCATION (A.P. 65-34-37 36 Glenwood Dr., lot 85, SDO #2' Magalia 'fr �.S Q l � it • P le &E Serv. &E ~ �J G lllu erv. /ea [led&E ate) %% (Signature) ' 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 M Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi p in ge2 7— 6 )per Piers Roofing - Sewer ZE)ei s Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Prov. for physically Appliances handica ed Carport p Conformance of a Gas Piping &Test Footings structure Temp. Gas Siab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLE Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECH ICAL Grd. Fault Prot. Scratch Heating Service —226 Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final — — 7� DATE REMARKS OR CORRECTIONS � � F (NOTE: An entry must be made on this form each time you visit the job site.) s 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of mobilehome with a minimum of }-00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? .Yes x, No' B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes, Nom Is continuity test satisfactory as per the following procedure? Yes_ 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 bemade 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. ManuLEHOME DATA A&""X�� Manufacturer and/or Namestyle Lergth5�Z_ Width Vehicle Serial No. State Identification No. �'GL� Der�2= Additional. Information or Comments: 200 �� MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? YeNo 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yesln No 3. Are footings and supports properly sized, spaced, and braced a Der approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YesNo 4. Is the mobilehome level? (Sec. 5088) Ye�X No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes—XNo B. Test - Does water piping withstand working pressure or.50 lbs, air test? Yes�No C.B <pressure-relie low - If coach is not State of California approved, does station have backflow device af valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Ye's No J -r B. Does it have minimkit um per foot slope and is it properly supported? YesZNo C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No x D. f coach is not State of .California approved, does station have required trap and vent? s` 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 mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? YesNo 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 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 411 appliance vents properly installed? Yes No V COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This niobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 51 permit number for the following location: nurnpr- Owner's Address Mobilehome Mfg. Model Year .�`l Insignia No -r,,/ Serial No. /,f�",—>I C It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date ;,�f By ��4U-L —. THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED COUNTY OF BUTTE -:DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 y5o Lmay/Telephone: 534-4541' _ C) !/l((�J APPLICATION AND PERMIT / �+wv -Mi ru Oncu PrOp6i iy !Of nlsNacuun Purposes. X w Date 7- / % ` %-. Signature o ermitee or Agent Receipt No. IY9YZ-r White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS — BY Date7"2% 41 Ing permit expires Date 7- -? BUILDING Owner Rollo Ekstein SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Fuller Powers Construction Go. Total Valuation Mai I i ng Address P.0, Box 453PI Permit Fee an Checking Fee &/or Penalty Maaalia Ea. 95954 Telephone No. 873-0668 Permit Fee $ Building Address ZIC Glenwood Dr. PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 -- Magalia, Ca. 95954 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping _U&O 1p -- Each gas water heater or vent 1.50 A. P. No.(,,s Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F a o Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 ^' Bld �I� �ec'd Parc royal P pprovol Permit Fee $ 13 r $ 3 '� NEW EJ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE X $3.00 3- Main service 100v OR LESS X 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP X 2.50 Single Family Duplex ❑ Mobil Home ® Others ❑ OVR 600V `Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OCCUP. &) 2¢sgft OR ADDNST ( ADWECCLBL GLING S. NEW CONSTR. MULTI -OUTLET NON-RBRANCH CIRCUITS) 2.50ea ESRE ID. X j• "`� •N S 7-g., FE POWER NON.RESID ( SINGLE OUTLETTUS CIR.& CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Fuller Powers Construction CO Ex. Occup(OUTLETS OR FIXTURES)�� BAL@1 Ex. Occu FIXED APP LNS. OR P• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 289775 Mobile Home Facilities 15.00 License No. 321628 Classification A 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 1 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the �. TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of �+wv -Mi ru Oncu PrOp6i iy !Of nlsNacuun Purposes. X w Date 7- / % ` %-. Signature o ermitee or Agent Receipt No. IY9YZ-r White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 UBLIC WORKS — BY Date7"2% 41 Ing permit expires Date 7- -? COUNTY OF BUTTE - '4DEPKRTMENT OF PUBLIC WORKS 7 County Center Drive — O.roviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X a -a - 4Z,Q� Date Signature of P�ermiteee`or Agent c7J Receipt No. Z �` ? 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. DIJREVOR OF PUBLIC WORKS By Date % 2..3 /,-1- k, BUILDING Ownerko L j/' SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ��Cf �, ��s Total Valuation Mai I i ng Address g.0- 450 Permit Fee Plan Checking Fee &/or Penalty o}dc�$�` Tel ephon eS Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 , p (0 e/tlw a,C . Each Trap 1.50 40-1— S C,Repair Z drainage or vent piping 1.50 Water piping 1.50 �l C_i ri' ' Each gas water heater or vent 1.50 /' A. P. No. ^3 y ^ 3% . `p37, Zoning & Planning Gas piping system 1 - 5 outlets Each additional outlet .30 F W. 4S,e�m FI re Dept. FireZone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 44d9 Rle"e-4ec'd I Parcel Approval I Plans Approval Permit Fee $ Ie," .s 7&75-t NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER IXELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 q Main service 10001 OR LE 0 AMP ORSLESS 5.00 0S :2 _7 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGLING OCCUP. &) 20sgft NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTPOWER APPARATUS & NON.R. RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: ' y Ex. Occup(OUTLETS OR FIXTURES)50 @25t BAL @ 109 EX. OCCU (FIXED APPLNS. OR P•OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No...1Z/�/ 2� Classification i'— 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. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. El 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 TOTAL PERMIT FEE $ �3 0� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X a -a - 4Z,Q� Date Signature of P�ermiteee`or Agent c7J Receipt No. Z �` ? 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. DIJREVOR OF PUBLIC WORKS By Date % 2..3 /,-1- k, COUNTY OF BUTTE — 't)EMIATANT QF PUBLIC WORKS 7 County Center Drive — 0,roviIIR, California 95965 57-76 ` Tel epti'one: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 4-S`z7�Z Date Signature of Permitee or Agent& .,�pj Receipt No. % q !7 7 30 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. DIRECTO�OUBLIC WORKS p By Date 7'" �'D 7 ilding permit expires Date BUILDING Owner >� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �( ,�o Total Valuation Mailing Address o27 1 e -S Permit Fee Plan Checking Fee&/or Penalty Telephone No. IGC' S— (� r Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 n IN, • Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 •r Each gas water heater or vent 1.50 A. P. No-Cos' �L(^ 3 %� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FireDep t. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plaa4`11'ec'd Parcel A roval PI Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service j00 AMP OR01V OR LE LESS5.00 Main service EA. ADO'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADONST ( ACCLLING OCCUP. & BLDG ) 20sgft NEW CONSTR. MULTI.OUTLET NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID, (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Y / tD/`�f�Mezez �U/3.• Z/—, c�i�rF C;�.>1i � Ex. Occup(OUTLETS OR FIXTURES) BAL 25 OR Ex. Occu FIXED APPLNS,D.) EA) 2.00 P• OUTLETS (RESI 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. 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 ao— TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 4-S`z7�Z Date Signature of Permitee or Agent& .,�pj Receipt No. % q !7 7 30 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. DIRECTO�OUBLIC WORKS p By Date 7'" �'D 7 ilding permit expires Date s• , ,;^ _ + - x lot_ '� •+' ,;�• , s 4 ^�14l k' PP. AIKEN FAIRBANKS, Inc. ' Calif. Stela License No. V8271 awo Camebmtlon - Cw~clal Residential - Excavating - Paving POS T OFFICE BOX as - k. PARADISE, CALIFGANIA 95969 ?: 4� > Telephone: 916/877.8516 All utility &n shall shall be + located within 4 ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. Prr,,le .k . ;S,ep,fc system and location •�tq .County Health b recnents. �3r ' �417-Wl 7�19 -r the Set6'ack shall:be 5 he`side property line and 5 '..the centerline of the,road, p ci af6xitnum of a 2 it. save a • 4 V1 r1 1' l ,A,V6 i <' j,laGr OTE: -=All . Material r ith Re cr�rdanca''�¢w quali4v prescribe • 13hifo'rin Buildinq, Plu" "t&' Npftonal Electrical F7/o' U. C. t di sE tr1 e_ n Z� � �7ara9.cJ .v n j)r 1 vG t' a 90 /eac� /i 17 ..,_- t, f or ;N`�6, 0 t•fo1 }� e mi Me`JG'��-A P 'm""iTwill b requ d " v rh r «, ' irrst�llation of i e mo ilel i Materials c mb & orkmanship Shall Be in ; ' nia d for A Good Practices .and, the Specified use in the ; V nq Machanical Codes and .w C) wa4,? ti iM. 24ree. fedr/G CDc - } or the orale. 4 2o' Id se-�- BUTTE COUNTYi DING DEPART14GHT y , I tr� . , I 11 • 'S PPROVED i'Qlls sof of. pia .� ai,Sr� Roll F,�S���.-� MUST �, . ,' ItQpt on tufo job. at ail times and it is unlawf 1 c ; make any changes or alterations on same without • : 8S �9��n Gvoov �ri r/e written permisson from the Department of Pubiir ' ' ; . Works, Counfe of eutto. i ' !i r 1,,Ir 77� �tllltu JA r t .�Itttc`F 1•• 11tt+� �; t}n& r`{,1� /� �.I;a�C l..iCi �,:, :1' U•` t"Tl fllt't� IIlt.itl ilc1, t �q tc19C7 �f.-IJ:,J ,1 i moi} .t} 2 9d Iloriz )DOA�g2 >pb!9 AT 1 1 r,n..+ �, na 1 ,fir•'.,+•,�-i^n 9S" )M •,n;+!ir, .^n I..n•, .?,J to roil-e,troo grit .nn,id,9•eo ovoo A S o }o rx umizom r i { } Y i ��UUJ I l l Jai rO 111•i9,M1a @HIaJIU6 n ,VogqqA sd TZUM t^Ic,ci: 7{frr+<it b.ib tn61q to t�.. , r'i7 zi ti bns rrit '.;s tt; doj `:rit no tqw 10 n r'� , 2:� r v n6 r11 .En' noeaimi9q 09ttllW r+,Ir It, vtrnro7 LAIPW " k ni )8 11rA2 c,!d2nrnrr11`W ,9, ?I',;,n+nkA IIA - ATC' `r„> �a;,�+-+•�,9 hnr�'1 4• �.•'..,,,,_ : ^ 1' � Yip(",. 'fit ni n�rh�;}�,.�,7 .,•1' .�? t..,.1•.,, ., inb 7.JFJ0� »: .:rl ,i�� , r �.. .r ,• ,� r ,. 1}t^r)) ' .:,'>>.� loo• `o_ •� . -;:o'+ > f '" BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: /�e Ti1-/A/ 2. Installer's name: IjA ,kje v,>- 3. Is the site currently under permit? Yes No ( If yes, furnish permit number -4 OR Is the site an existing site? Yes /V / 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? ----- ------ - -- i4 U A4ps 6. What is the mobilehome site service rating?i-- ------------------ Am s 7. What is the mobilehome site circuit breaker r tin f/ Z -i2 Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / I No (If yes, identify the load and size: (Load) (Amps) g pipe '--------- ----- 9. What is the mobilehome site as i e size. --- - - 7// - (in 10. What is the type of gas service? --------- -------- -------- NaturaLPG / 11. What is the gas pipe length from meter or tank to the mobi eh e? (ft.) 12. What is the mobilehome gas demand? ----------------------------- (BTU ter. (This information not:`required if pipe length less_ than 6 ft. on natural gas or ^less than 11 150 ft on LPG. ) /,�j , �AG`iOV MOBILEHOME SUPPORT DATA Mobilehome Mfr. MAni sa N 10-o- r-- %1rzC�✓6�a� �; d s Setup Model No. C_ Year Width d24i (ft.) Length ..S Z- (ft.) -Expando Size ft.x ft. (Draw 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). Sin le — Footings-(check.one) I W 1. Wood either & pressure treated or i Center Center Support fdn.'grade.:' Support Footing Sizes Locations (in.) Z. -Concrete pad. 7R / / 3. Other,'-specify ktt• i-n•J — Supports (check one) XU 'T`" 1. Concrete block 2. Concrete piers (ft�inl (in:}(in.} 3. Steel piers . . ........ . 4. Other, specify �. .. _ :. ,(O X 6VTypicalSupport /Zx -70 Footing Size 0 v I in. in.) (in.)(in.) ............... Max. Pier . A. ... ........ kIt._ n. Spacing ft. in.) 94— (in.) (in.) tt 1 Max. er x,a - O Ovhang *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROVED �/v PERMIT NO. 3506-74B,E P E M MH UTIL. `PERMIT NO. PERMIT ,` EXPIRES / OWNER R. Ekstein 'CONTR. Ancel Ballard, Paradise Z� LOCATION (A.P. 65-34-37 85 Glennwood Dr., lot 85, SDO#2, Maga. 1; A P r. n' f Temp. Power Pole Called PG&E Temp. Elea Serv. = k Called PG&E ` Temp. Gas Serv. Called PG&E JOB ® �� F NALED (Date) (Signature COUNTY OF BUTTE — DEPARTMENT aF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BU14DING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidin Q S To out Slab Roof Sheathing Water Piping Piers Roofing ZZ R:779t Sewer Garage Fdn. Vents Fixtures Footings Garage Ventsz"*,-Water Htr. Stemwall O s Prov. for physically ,r Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Te//t Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRIC L Masonr Walls Throat Rough Reinf. Stee Final Fixtures Bond Beam FIRE S)kRINKIeRS Motors Framing S Test Water Htr. Stucco Final Subpanels Mesh CHAN AL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final J� DATE REMARKS OR CORRECTIONS lold :rz4=--2D,1,n /z s1� c� Owner /Ir, �) Mailing Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W � 7 7 County Center Drive — Oroville, California 95965 Telephone, 534-4541 APPLICATION AND PERMIT BUILDING -/A/ /V / SQ. FT. OCC. BUILDING VALUATION I!7Z-0 A % y Sell , 0 d Telephone No. Contractor �lJGL. LL 2 Mailing Address j� j _.ra/—J7,1Jg00 /%�jS�,r_ Telepho� N Building Address /�"�—A A D. Z Ja 14L 9t i' 7 /, . '% A. P. No. Zoning & Planning Fes W. S n Fire Dept. Fire Zone Use Permit EQAParking Parcel p Improvements Parcel Ma 60' R/W Plans Declaration p Bldg. Plan�'d Parce Approval Plan pproval NEW C5� ADDITION ❑ UTILITIES ❑ OTHER ❑ Single Family ❑ Duplex ❑ Mobil Home Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No.2-6,2-t-27 Classification ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 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. Date Signature of Permitee or Agent Receipt No. /z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Recep ., witches & fix outlets Hood, Ex. FanorF.A. Furn.Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wiring Permit Fee MECHANICAL PERMIT FILING FEE Heatinq Coolin Ventilation Hood Permit Fee O- ti FEE $2.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 O �N FEE $ TOTAL PERMIT FEE $199 !!f This permit is hereby issued under the applicable -provisions of the Butte County Code and/or resolutions to do work 1ndicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By - Dater` filding permit expires Date ........................................... 4 jZc� sa ov oo PERMIT NO. f { PERMIT EXPIRES • � i OWNER Rollo Ekstein CONTR. owner LOCATION (A.P65-34-37 . ) i 36 Glenwood Dr., Magalia p, i - 1 r r o y; M ti .i . i j l i � I Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp.. Gas Serv. Called PG&E ' &/OB -7 FINALED (Date) - (Signature) Y � � V 2-77B COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS I BUILDING INSPECfIUN RECORD EUI-L.DING BUILDING (Cont'd) PLUMBING Setback ^ Firewall Soil Piping Forms Parapets list Floor ' Main Bldg. Restroom Finish 2nd Floor Footings Service Windows 3rd Floor Stemwall Finish Siding To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation. Water Htr. Heaters Slab Carport Footings Prov. for physically' handica ed Conformance of ex. structure Appliances Gas Pi in &Test Tem . Gas Slab Final - - % Sanitation Patio FIREPLACE Final Footings/- Footing ELECTR AL Masonry Walls Throat Rou h Reinf. Steel Final FlwhirPC Bond Beam FIRE SPRINKLERS Motors Framin o2 - —� Test Water Htr. Stucco Final Subpanels Mesh MECHA CAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer I Final Final DATE REMARKS OR CORRECTIONS l - a2 -7- '<f7 / .� �. � I . f (NOTE: An entry must be made on this form each t.ime you visit the job site.) COUNTY OF BUTTE — DEEARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 . �Telephone:,534:4541 APPLICATION AND PERMIT AA authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X lam Date _12-31-7 Signature of Permitee or Agent Receipt No. I 9 1? 6 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 Building permit expires Date —/ BUILDING Owner LL A'. -,T T -e/ A SQ. FT. OCC. BUILDING VALUATION Mailing Address S'1 144C_ //t -Th A r CYd• r: Telephone No. Fireplace Contractor Total Valuation p -,,r,(, 0 b Mailing Address .�,� Permit Fee11.00 Plan Checking Fee&/orPenalty Telephone No. Permit Fee $ (-do Building Address ,t!.p v L�/vo d f7 r'. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,A4H-!m Q e, i p Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. S_-_31/ —,?7 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S i ion FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel eclaration Parcel Ma p 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Pla pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home E Others ❑ Main service 1100EAMP oR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 Cc, L/e�ti C NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC• BLDGS. 2¢sgft NEW CONSTR. MULTI.OUTLET NON.RESID, BRANCH CIRCUITS) 12.50ea NEW CONSTPOWER APPARATUS & NON.RESIR. D. (SINGLE OUTLET CIR, CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: BAL@10250 Ex. Occup(OUTLETS OR FIXTURES)@ Ex. Occu FIXED APPLNS, OR P• OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. 'have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. RI 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 N0.1 @ I 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X lam Date _12-31-7 Signature of Permitee or Agent Receipt No. I 9 1? 6 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 Building permit expires Date —/ � �� L� t3 � � �L�� cvc3e,� � �. e �;, �l �—� a COUNTY OF BUTTE - DEFARTMI=—NT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER_ 3 ZONING BUILDING PERMIT OWNER--" - TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S/M,A/L(IING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILI G ADDRESS` Fireplace CONSTRUCTION LEND R UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDVESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1 Permit fee $ BUILDING ADDRESS Iwo PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME ✓ PARCEL MAP Each pas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE R SF Duplex ❑ Mobi lehome ❑ Other j SPECIFY Building sewer L awn sprinkler system 5.00� � "N vr: TYPE OF WORK New ❑ Addition [I Remodel ❑ Utilities ❑ Installation❑ Other 1 ] Describe work: ,R Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 LE Main service j00 AMP ORSL ESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.51 OR ADONS. ACC, BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 NON.RESID FL BRANCH CIRCLET TITS 2.50 ea NEw CONSTR (POWER APPARATUS 0) NON.RESID. ,SINGLE OUTLET CIR. so @ 2sc Ex. Occup OUTLETS OR FIXTURES BAL�1 IXED AP LNS, OR Ex. Occup. �OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. QUI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee 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 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. X Date �' " / •-- Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3//stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $_.. OCCUP. GROUP I TYPE OF CONST, PARCEL PD HD 1550E This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above Jor which fees have been aid. �/ p IRECTO ,6F PUBLIC WORKS /� ! BY. /V/Date PERMIT EXPIRES Date ,!G: /9 T^ t7 Receipt No. 69-19 ,/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPWRNT OF PUBLIC WORKS PERMIT 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 1 �2— APPLICAT10N AND PERMIT - A SSCSSOR P4 CEL' U BER ZONING — ,3 —37 BUILDING PERMIT OWNE - TELEPHONE �0 73 Zo6 SQ. FT. OCC. BUILDING VALUATION OWN 'Srp. I,LJNG ADDRESS/ �oj O 4 CONTRACTOR'S NAME TLrLEPHONE CONTRACTOR'S MAILI G ADDRESS Fireplace ' CONSTRUCTION LEND R UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADIJ RIESS Permit Fee $ ARCHITECT OR ENGINE!;R LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINE R'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME S? PARCEL MAP Each pas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkW system 5.00 �� L© .9!P TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: / �p }� ((/ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS se 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2;50 NEW CONST. ( DWELLING OCCUP.51 OR ADDNS, ACC. BLDGS. 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of theBUSlness and Professions Code and my license is in full force and effect. License No: Classification 71,111" 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 -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. ( POWER APPARATUS.9 NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL2i ( 'UT APPLNS. OR EX. Occup.\OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the.W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 againsl,said County in consequen a of the granting of this permit. 2/��i �� X Date Signature of Applicant — Owner K 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 I TYPE OF CONST. I PARCEL PD ND 5911E This permit is hereby issued under sions of the Butte County Code and/or work indicated above or hich iC PUBLIC B ER ITES Date the applicable provi- resolutions to do fees have been paid. WORKS DaWHITE-D.P.W., Receipt No. 7 7 YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROe-APPLICANT