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HomeMy WebLinkAbout066-120-015r M AP `66=12-1 ROSE LIPIS J/ �s 5 Endicot C'rcle, 1 ,-PPCC` contr : Fea< � Permit# 47 5-74P,E(u ) 66-12-15 ERNEST LIND 45 Endicot CiLde, lot .189, PPCC#2 Magalia contr: Fuller Const., Magalia Permit #136-76P,E(util.,MH) � ELEC .��d��i GAS SUPPORT STRUCTURE REQ. ,Gr% COMPACTION TEST REQ. /1C� 6 -6 ERNEST LIND . '" 45 Endicot Cir., lot 189, PPCC#2•- .-- ---- .. Magalia contr: English John MH's,Paradise Permit #75-76MHI 41176. Issued %-, 662-15 CONTR: Ron Stryker, Paradise Permit #760-76B(new covered deck/ MH)7 � 66-12-15 E.H. JOHNSON 13756 EndOc*tt Circle, Maga i 0� ContR: Elvin Springer b I Permit#200-89B(new garage) M -Mm 0 �wm � R gon go PERMIT NO. — PERMIT EXPIRES V �/ OWNER R 14 101INSON CONTR. Elviii Springer ASSESSOR PARCEL LOCATION 1-75E) Endicott Circle, Maplla f )� Temp. Power Pole Called PG&E 1 Temp. Elec. Service Called PG&E , Temp. Gas Service Called PG&E JOB FINALED (Date) Signature A A 44Y f )� Temp. Power Pole Called PG&E 1 Temp. Elec. Service Called PG&E , Temp. Gas Service Called PG&E JOB FINALED (Date) Signature = OK 0 = Not OK = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'U ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance Card -131 Date Card -131 Date Card -131 Date Card -81 Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Card -61 Date Card -81 Date Card -131 Date Card -61 Date } MISCELLANEOUS Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec. Frmg; Sills-Anchors-Studs-Rftrs-Trusses �9j3rding; Nailing -Veneer -Stucco -Mesh 1t of; Shthg-Roofing Ext.; Steps -Doors -Landings Card -61 Date a d-131 (-(,- Date 4!�; -a p.$q Card-B1.G Date -9 �6 and -B1 Date Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -131 Date Card -61 Date I Card -131 Date Card -B1 Date = OK 0 = NotOK RESIDENTIAL %Single and Duplex) - =Not Applicable = Not Ready Date --,,UNDERENOR (Plans) OK except #'s Date FRAMING (Continued) Zoning -S tbacks;-Easements-Flood-Slope 45. Hangers -Post Caps -Anchors -Connectors Ftg., Main; Soils-Steel-Elec' b-rn1&+/ /" Ftg. Depth 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance _ 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel- Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 51. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 55. Siding -Nailing Veneer 12. Electric; Underground 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance- Material-Su pprt-Ins. 57. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 58. Shear Walls; Nailing -Bolts 15. Insulation 59. Insulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -B1 Date Card -81 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -131 Date Card -131 Date Card -81 Date Card -B1 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light Card -131 Date Card -131 Date I Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 64, Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic O Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 80. Following instld.; Drive •❑ Yes O No; Walks ❑ Yes O No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -B1 Date Card -131 Date Card -B1 Date Card -B1 Date Card -B1 Date Card -B1 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) 3 ti COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE T NY 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-754 APPLICATIOtAND PERMIT AS S OR P R EL N)SBfL ZON G , B U I L D 14rPER oER IfE Ho SQ. FT. OCC. BUILDING V LUATION W 'S MAILIN DDR 55 / \rtq\ CO R C OR•5 AME C TRAC R• MAI 1 D R SS Fireplace CO UCS N N ER UNKNOW Total Valuation $ LENDER• MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee S Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTUPA SF ❑ Duplex❑ Mobilehome❑ Other IlkBuilding 5 CIFY Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ] Addition❑ Remodei�P] Util' I ❑ Installation[] Other ❑ DescLribe work: `9-0 )( Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 " Main service R LE SS 100OR 00 AMP SLESS 10.00 Main service EA. ADD•L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professio s Code a d my license is in full force and effect. License No. ` Classification FlI, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed Contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.eI , OR ADDNS. ( ACC. BLDGS. h¢sgft NEW CONSTR U TI -OUTLET NON.RESID BRANCH CIRCUITS2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES .200030 FIXED Ex. OCCup. OUTLETS IPRESID,)OR EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: if after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee f Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. also all liabilities, judgments, ree to c sts,nandeexpen eless the s which mayinanof y wayutte aacc accrue ainstCONg''T against be County in nsequence of the granting of this permit. X 2) Date Signature of Applica — Own Contractor Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ $ A®� T AL PERMIT FEEI L ` Jsc�� PLoo P,AR/C�+J PD ND s E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRE OR PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �r 7 Date �V( 7 X— Receipt No. r WNITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C�Aa IFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET �- OWNER , lj r( SQ Permit 0. ^ �/5 Proposed Building Use Q' ✓��( � Building Inspector CSL& Date 14 At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items.have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate, signed by preparer of plans. . Complete plans in y. plicate triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. ` 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 4zLetter of signature authorization �. . . . . . . ,"nitation approval from a s.ealth Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to ownerF]) _15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec.request to (Date) 17. Pre -Inspection for Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. Engineered trusses in duplicate (required prior to plan check). 22. t' Wh n you issue the(��a it ggr C as follows: —Mail owner, —Mail to contractor. i .Telephone— a v and hold for pickup �fice, Deliver w/inspector. Other Applicant Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to a mit issuance: (Circle new item not checked above). 1. Index permit for above items No. 't 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date �—_,2 `-3 Plans approved by �J Date Sets of plans on hold in File cabinet AP folder Copy—DPW TO.: Building Department FROM: Environmental Health SUBJECT: SANITATION CLEARANCE OWNER LO CATIO N V 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 2,e) Nott n TARTAN �Q DATE — I /Dpi � '��®`� � •� \ I Jw I ea ®IV he Cw Cuve✓ JR 19perty finer wil lbe r�,aossib'. urs�es nc rice tinfro or OCCuFanc cf grape; nr'�r to r ^ , •Iirsof La qA�6.^? �ist r�Q i ^n� 177 E e c 2 .777 A J— 1 A D v t �!_ i°e _ , • n. 'PERMIT NO. 75-76MH2 P E M •MH UTIL. PERMIT NO. PERMIT EXPIRES - 0 1 WNER XPIRESOWNER Ernest Lind CONTR. English John Mobile Homes, Paradise LOCATION (A.P. 66-12-15 45 Endicot Cir., lot 189, PPCC#k2, Magalia Temp. Power Pole Called PG&E _ Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E _ JOB / . FINALED (Date) (Sig u y 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 Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing EL Masonry Walls Throat Roucih Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS I, _ CI MOBILEHOME INSTALLATION INSPECTION CHECK LIST l Is the mobilehome located w,i equired separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles,) (Sec. 5082 & 5083) Yes �o 4. Is the mobilehome level? (Sec. 5088) Yes �No 5. I,f more an 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 No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backflow - If coach is not State of California approved, does station have backflow 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? es No B. Does it have minimum 4" per foot slope and is it properly supportedi Yes No C. Are any leaks detected in drainage system after running 3-gTlons of water through each fixture including washing machine standpipe? Yes No D. If coac -e of California anvroved does statim, h - n art .,ent? Yes No z 8. Gas Piping and Gas Vents A. Connector - Is mobilehome,connected to the gas supply with an approved 3/4" minimum mobilea\the me connector not more than 6 ft, long? Note: All piping is to'be a: east as large mobilehome gas line iril'et without reductions other than the ilehome connectoYes No B. Test OK as p following procedure? Yes No 1. Open all a liance connector valves. - p 2.. Shut off appli ce burner and pilot vats. 3. Air test with mano ter to � - 4'' water column, or test with slope gauge (minimum 6oz.-maximum 8•oz ) rbrated in tenth pound increments. Test for 10 min, without drop. •4. ,Connect meter to mobile e with connector, turn on gas, test connections with soapy ater. C. Are ll appliance vents properly instal d? Yes No. P, 9. Electrical A. Is service large enough to provide adequate amperage.to mobilehome (must equal rating of, mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes �o B. Is there proper clearances around panels? Yes 4_� C. Is power supply cord or feeder assembly properly fused? Yes D. Is continuity test satisfactory as per the following procedure? Yes_4=� 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test.instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome, supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor.. 6. Upon completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA (�L' lv Manufacturer and/or Namestyle `1 LengthWidth oW Vehicle Serial No. State Identification No. -2 Additional.Informati.on or Comments: 11,417 l� /� / C, e' P� < r -c-,? 4, �-� , ov� COUNTY OF BUTTE = 'QEPAf1,TMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auururrce rei) esehn taves of the County of Butte to enter upon the above-mentioned property for inspection purposes. z__ ` XDate 117 / 6 Signature of Permitee orAgen Receipt No..0 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 PUBLIC WORKS B Date /— 2 7 7 Building permit expires Date I—Z7_ 77 �1 BUILDING Owner ,:. SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor 6iFA)6 1JC DC7 <� /7, /Lj� S/ Total Valuation Mailing Address S' tC o p �t LyC9c YC J� �� r Permit Fee Plan Checking Fee &/or Penalty Telephone No. ',C �°� _ :S-7 Permit Fee' I Building Address _tine PLUMBING No. @ FEE ` PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Olt Each gas water heater or vent 1.50 A. P. No. _� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W 0nlTrT£ io Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. PI Recd l Porce pprovaanskpproval Pl Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �& Y� -;IVC Main service incl. 1 meter 7&5yfi Additional meters, each 1.00 Sin a Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b P2510 Receps., switches & fix outlets 20 0 25 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: l Lf S 1-f clo%f f•—f, S/S Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 S 4ro O CL � .�Q Temp. Power Pole 5.00 License No..21P �y Classification C —� y Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit .is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE J$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 & 29 -1 TOTAL PERMIT FEE $ auururrce rei) esehn taves of the County of Butte to enter upon the above-mentioned property for inspection purposes. z__ ` XDate 117 / 6 Signature of Permitee orAgen Receipt No..0 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 PUBLIC WORKS B Date /— 2 7 7 Building permit expires Date I—Z7_ 77 �1 Y y <' PERMIT NO. .760-76B PERMIT EXPIRES zz/�- ,S'/2 OWNER Ernest Lind CONTR. Ron Stryker, Paradise LOCATION (A.P. 66-12-15 ) 45 Endicot Cir., lot 189, PPCC#2, Magalia Temp. Power Pole Called PG&E 4 Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E ; JOB FINALED (Date) (Sig a ure) Setback Forms Main Bldg. Footings Stemwa I I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footin Masonry Wall Reinf. Steel Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) I PLUMBING Firewall Soil Piping Parapets 4 st Floor Restroom Finish/2nd Floor Windows 3rd Floor Siding To out Roof Sheathing X, Water Piping Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. for physically . 01 handicapped Heaters Appliances Conformance struct Gas Piping & Test Temp. Gas Ei al Sanitation / I,. FIFiEPLACE Final Footing ELECTRIC4L Throat Roush Final I Fixtures FIRE SPRI LERS Motors Test Water Htr. Final ISub anels MECHANICAL ><' Grd. Fault Prot. Heating I Service Cooling Temp. Pol Ducts I Under r nd Ventilation i Penn ent Final Fin REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vis:'t the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ^y 7 County Center Drive Oroville, California 95965 �/ O ._ 7/ Telephone: 534-4541 }p APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X —' //• Date 2" Signature of Permitee or Agent Receipt No. /Y:Z 3 9� 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 BLIC WORKS BY Date7��, 7[� Iding permit expires Date .................. . ' BUILDING Owner CS L 41?Via' SQ. FT. OCC. BUI ING VALUATION 0 //2 0 i Mailing Address " Telephone No. Fireplace Contractor Total Valuation p Mailing Address j C LC Permit Fee Z Plan Checking Fee &/or Penalty A FZ ¢4 itS' c Telephone No. T 7-72- C, Permit Fee $ 10 Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 (-� ,� n( 0 'L o 77 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. (p Cp -' Z _ /s Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W i o Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking arcel Plans Declaration Parcel Ma P 60' R/W Improvements_ Lawn sprinkler system 2.00 Bldg. ons Rec'd Parcel Approval Plans pproval Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 CooC . Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesal 6?p Receps., switches & fix outlets Z 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: 7:-/2 `f &C/I Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. �`% 3 % 0 !e Classification C — Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of ww 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 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 —' //• Date 2" Signature of Permitee or Agent Receipt No. /Y:Z 3 9� 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 BLIC WORKS BY Date7��, 7[� Iding permit expires Date .................. . ' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,.CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET * 1. owner's name: ?-.C--7z 2. Installer's name: 11s 41 �n 4k, � � � �� /7',1-_1—_ A--- �Z 3. Is the site currently under permit? Yes /f No (If yes, furnish permit number ) OR Is the site an existing.site? Yes / / No (If yes, furnish two (2) plot plans.) 1 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 ratirig?--------�- Y------� s Amp 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- D a Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No / / (If yes, identify the load,and size: (Load) Zd (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- �Q/�,-,� (in.) 10. What is the type of gas service? ----------------------------- Natural`/ / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.). 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED /�-- .(in.)(in.) .. Max. Pier. ( )(in.) Spacing in. in.) •- - Zx Max. f - Overhang "If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUiLDW.G DEPARTMENT APPROVED MOBILEFOME b U tieum; jjkj:A Mobilehome Mfr. Setup Model No. 3 O Year Width Z (ft.) Length O (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 l i Footings-(check.one) V_ 5 1. Wood either . pressure treated or Center Center Support ... fdn.'grade. Support Locations Footing Sizes (in.) - /,L 2. Concrete pad. 3. Other, `specify (tt.)(1n. (in.)(in.) Supports (check one) rrl. Concrete block 2. Concrete piers -(in.;)-(in.) 3. Steel piers ..... / / 4. Other, specify -.1 Typical l Zx 3 Footing Support Size (YET C in. .(in.)(in.) .. Max. Pier. ( )(in.) Spacing in. in.) •- - Zx Max. f - Overhang "If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COUNTY BUiLDW.G DEPARTMENT APPROVED fhis set of plans rliois MIST bb :cept on the job at all times and it is unlawful to make any changes or alterations on same without written permisson. from the Department of Public Works, County of Butte. . 1 csYste rn 9v�re�eno4ht� S t t�oti is. yea/t/ ° De aso /omo G,q pt Re: _ s BUTTE COUNTY BUILDING DEPARTMENT APPROVED o Lor" Mi I rz��- /low All utility connections) shall be I located within 4 ft. outside the rear third section of the mobile home on the• lef t (road) side of he mobile I _ home. r I %0, �C z��yy� /er17?3G� M► a nor wit b ,v op rty a responsible f dama ges r inco7nianiecce fSsu�ting fro.. c.vvafoa;, ant or occupant of property prior to r r „' V�tion of ijb1ir. fnrilifif,�: �roe .r 1 C "T—it3 (►(�!1'I.2lT�` :J i C..?'=1- G�..:�� i iiils. •E 00, PERMIT NO:, 136-76P,E P E M MH UTIL. ;PERMIT NO. PERMIT EXPIRES . ,OWNER Ernest Lind " CONTFL Fuller Const., Magalia il-OCATION (A.P 66-12-15 ,,45 Endicot Cir., lot 189, PPCC#2, MagLia J, Temp. Power Pole Called PG&E Temp,. Elec. Serv. I" Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signa re)v fl COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS E. BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback i• Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi p in g ,',' Piers Roofing Sewer i Garage Fdn. Vents Fixtures i Footings Garage Vents Water Htr. I Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors ,4 FramingTest Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service r Brown Cooling Temp. ole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final 3 DATE REMARKS OR CORRECTIONS 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dive -Z Urovill, California 95965 ` ;7f/ Tel ephone. 534-4541 APPLICATION AND PERMIT ...--.._- .�r•���'••• �,�� vvun�y v, vU — Wcnicl uNUII Lilt:above-mentioned property for inspection purposes. X 0 , P, Date J "-5! ` % G SignaturZ /o'f Permitee or Agent / Receipt No. q 0 (a -9 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 0 BLIC WORKS By Date `� 7 i lding permit expires Date !'r 7 , 77 BUILDING Owner 8-9P7 E=5 ( /h /' SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor (' L (S Q�1 �$ % Total Valuation Mailing Address .0 C)X Permit Fee Plan Checking Fee &/or Penalty lephone o. Permit Fee $ Building Ad ress �hdila0 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q %S- / (.l '01 i % 2• Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping --}-6 C) Each gas water heater or vent 1.50 A. 6-�/� ^ %J' J '�'zanl ^ z Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 'P./No::...�`` Fens �'C. ion' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W 1, Im provemen Lawn sprinkler system 2.00 LQ% Bld . Plans Rec'd Parcel At royal p VPermit Plans Approval Fee $ '- $ NEW ❑ ADDITION ❑ UTI LITIESM OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 a Main service 600V OR LESS 100 AMP OR LESS 5.00 S ^ /` P sr J XIVMain Main service EA. ADD -L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ service OVER MOON 100 AMP OR 25.00 Main service EA. ADD'L 100 AMP 1.00 0 AM OO SQ /h NEW CONST.(DWELLING OCCUP, & OR ADDNS. ACC. BLDGS. 20sq ft NEW NON -CONS R. (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: `� tVY,1.C�E/.1/,i/� r�►�r� Ex. Occup(OUTLETS OR FIXTURES BAL@; Ex. Occu (RFIXED APPLNS. OR P•(OUTLETS ESID) EA) 2•�0 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Xg%^ 77-5 Classification - Misc. Wiring 6.25 ❑ I 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. ISI I have placed on file with the County of Butte a certificate of �l 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 TOTAL PERMIT FEE e $ 3 ...--.._- .�r•���'••• �,�� vvun�y v, vU — Wcnicl uNUII Lilt:above-mentioned property for inspection purposes. X 0 , P, Date J "-5! ` % G SignaturZ /o'f Permitee or Agent / Receipt No. q 0 (a -9 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 0 BLIC WORKS By Date `� 7 i lding permit expires Date !'r 7 , 77 This set 6f p!ans andMUST be kep� on the job a+ al! f"i- . S C-'14 "-f is unlawful td41 magir, mny ich-rves or Ocr-!�jnns on same without Ad' written permission from the Department of Public Works, County of Buffe. 4-"04. ri B71,ffe. f 0 �e as pe, 'vu"Ify 7 C'. D6Pf. Re- Uiremenfs. .14 Ail I -u,,:!'-tY cnnncic-f ions shall 6A# outside +he rear f"'r(I of 1!1,3 mobile home on the leff (;-Oc-;) side of -the mobile 4 home. I/ �'W+id The Scfbcr'k shall be 5 f frorr fhesie,eproF5cr'vlirpcird5of from a Q f he cvnj-crl're d f lit - road, per iffing rQ a maximum of 12 ft. eave ovet hang. BUTTE CCIIUN JBUILDING DE ARt ENT AI APPR V D \e I Property rner W;" be re` sponsWe I , damsCcs r hiccnvaience resulting fro dwelai):ncnt or occupan f Prope.-4, prior to e -',fion of ruh;ir fnrilitine PARAD'ISE PiNIES CSHTMOL CON"I'MEE- 1-M,ACT A7: 2'e-- 4 "PERMIT NO. P E t" M t. MH UTIL. PERMIT NO. 4735-74P,E s PERMIT EXPIRES PWNER Rose Lipis ;CONTR. Feather River Const_, Magalia ILOCATION (A.P. 66-1.2-15 ) i ;145 Endicot Circle, lot.189, PPCC##2, Maga. ' Temp. Power Pole f, Called PG&E i Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB 1 FINALED (Date) { (Signature) t 14 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 Stemwall Siding To out Slab Roof Sheathing Water Piping Z 5f 5d Piers Roofing Sewer L Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final - Sanitation Patio FIREPLACE Final Footin s Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS Noe, sem- � , � �. ,�-;����� • COUNTY OF BUTTE — DEPAR7t EN?'OF PUBLI ORKS 7 County Center Drive - Oroville, California 95 5 Telephone: 534-4541 �%� /7�Z APPLICATION AND PERMIT / L.'Jl aurrionce representatives or the county of butte to enter upon the above-mentioned�property for inspection purposes. X P�e��.e ���� Date ignature of or Agent Receipt No. x_-:_> 61 15-6 S� _ 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 r- / Date // - z-7-7 S� Building permit expires Date ................�.'.z.7.'..7a. BUILDING Owner -SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor , . 4/.S'7— Total Valuation Mailing Address Q �'� � � �? Permit Fee Plan Checking Fee &/or Penalty j� Telephone No. Permit Fee $ $ Building Address 5 �- �� PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00®O C Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 �, Sa Each gas water heater or vent 1.50 A. P. No. �p �p•-�� _ I�� °"'" s Gas piping system 1 - 5 outlets 1.50 S� Each additional outlet .30 F Wk6. S n ire Dept. Fire Zone Use Permit Building sewer 5.00 00 EQA Parking I Parcel Plans Declaration 4rcel a p 60' R/W Improvements p ovements Lawn sprinkler system 2.00 g. Plans Recd Parcel proval Plans Approval Permit Fee $ $ do NEW ❑ ADDITION ❑ UTI LITIES,� OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _'Y..da Main service incl. 1 meter 5.00 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 _ L Water Heater or Space Heater 1.00 Light fixtures 20 (@210 Receps., switches &fix outlets �ZQTd 25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st�f Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 X00 Temp. Power Pole 5.00 <� License No.Classification a / Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ OC 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 forWorkmen's Compensation. IV I have placed on file with the County of Butte a certificate of T 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 TOTAL PERMIT FEE $ Q( aurrionce representatives or the county of butte to enter upon the above-mentioned�property for inspection purposes. X P�e��.e ���� Date ignature of or Agent Receipt No. x_-:_> 61 15-6 S� _ 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 r- / Date // - z-7-7 S� Building permit expires Date ................�.'.z.7.'..7a.