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066-210-019
AP 66-21-1=9� - - - - - COLEMAN, John j -- ,� .740 South Park Dr., CC#4, lot 217 I a Magalia /r \ conte: R. Munjar, Paradise/.at' C Permit ## 2457-74P,E +(util., MH) �r AP 66-21-19 -' JOHN COLEMAN 740 So. Park Dr., lot 217,PPCC#4 contr: Ray Munjar Const, Para. Permit# 4040-74B,E (gamey}room & Ir garage, MH) vA oa Elec.. GAS _ SUPPORC E REQ._ _-,COMPACTION TEST REQ._._. AP 66-21- 9 i CONTR: Paradise Modular Corz-_ t _ Permit# 2942-75MHI Issued _ CONTR: 'Dal Gas, Parad se Permit# 2945-75P(s)- for 2457— �� 66-21-19 • CONTR: Fisci Bros., Paradise Permit #5368-,75B(View 1 overed�.. deck & 1 open deck/MH q"-1�/A/- /�- 66-21-19 CONTR: Fjsci,:Rros. Inc., Paradise Perxpit #1928-76B,P (convert garage to Z. game room w/bath) �Vtaj � d i I 66-21-19 contr: Fisci Bros., Paradise Permit #4184-77B(free standing fireplace. SF) • I. ` CSI Ctrl ckq PERMIT NO. x P E 1 M MH UTIL. `PERMIT NO. 2457-74P,E PERMIT EXPIRES John Coleman ,OWNER tONTR. R Muniar, Paradise '�,OCATION (A.P. 66-21-19 ) 740 South Park Drive, Magalia PPCC#4, lot 217 oh z �l f Temp. Power Pole Called PG&E p Temp. Elec. Serv. ✓� ✓� ' Called PG&E _ Temp. Gas Serv. Called PG&E JOB f FINALED� (Date) (Signature) .. 3 9,""Electrical > A. Is l service large enough to provide adequate amperage�.to.mobilehome (must equal rating°vhf mobilehome with a minimum of 1:00 amp) and other facilities on lot, i.e,, water.pumps, garage, cabana, etc,? YesNo B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No D. Is continuity test satisfactory as per the following procedure? YesNo 1. De-energizeelectrical wiring system of the mobilehome at the pe estal.' 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. MLEHOME DATA Manufacturer and/or Namestyle Length__& Width Vehicle.. Serial No, 1,63 State .Identification.No, Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot.lines and buildings and generally conform to plot plan? Yes_X 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`,' No 4. Is the mobilehome level? (Sec. 5088) YesNo_ . 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes4 No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID mmn.)? (Sec. 5566) Yes -4 No B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backflow I coach is not State of California approved, does station have backflow device and pressur elief valve? Yes No m - -7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at.each end? Yes 4 No B. Does it have minimum k" per foot slope and is it properly supported? Ye No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? -..Yes No D. If coach t State of California approved, does station have required trap and vent? Yes No 8. Gas Piping a as 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 lin inlet withbut reductions other than the mobilehome connector. Yes No_X d �•� �� B. Test OK as per following procedure? Yes -AZ No 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 all appliance vents properly installed? Yes No COUNTY OF .BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDI (Cont'd) PLUMBING Setback Firewall Soil Piping N Forms j Parapets. 1st Floor Main,Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out i Slab Roof Sheathing Water Piping Piers Roofing Sewer - =? 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 i Final 749E- Sanitation lip Patio 101REPLACE Final Footings Footing ELECTRICAL Masonry Walls V Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE R KLERS Motors Framing Test Water Htr. Stucco Final y Subpanels Mesh ME LAICAL Grd. Fault rot Scratch } Heating Service Brown j -Cooling Temp. ole Finish i 1 Ducts Underground Interior Lath ;' Ventilation Pennanen Door CloserFinal Final rj 3. DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC S qL� ? 7 County Center Drive — Oroville, California 95965 Telephone:, 534-4541 / APPLICATION AND PERMIT (/ auuwricc repleJCrrtGUVeS ui trre i,uwrry of nuue tu enter upon ine above-mentioned property for inspection purposes. X Date ! v $n rueoftee i Receipt No. Ce 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 Building permit expires Date ................ ........................... BUILDING Owner N rMA ` SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �q Z> <,Ie' 11Jd Cif P /S Total Valuation Mailing Address ( 3 3 SK Permit Fee `Plan Checking Fee&/or Penalty Telephone No. 87 7 �•^ Permit Fee $ $ Building Address �% PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 / Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 1 A. P.,No. iL Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F V1Le' a SLU tion a . Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma 0' R/W P Im r p ave nts Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Appr .al Plon Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 7; 6 ,� - Main service incl. 1 meter 7 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 fixtures 20 al @lo Receps., switches & fix outlets 2u 2.5 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:Water —L E' •/'`046Lk— L 19-2 ('//��o ^j ce 12 7-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 pump Mobil Home Facilities 5.00 G 33 C< (Q 6-� �'%,�,Q,g���� Temp. Power Pole 5.00 License No. --2,& k.7 5{ Classification G 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 forWor men'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 INt; 7.4LL�r:dti ��•'� �a �' TOTAL PERMIT FEE $ o auuwricc repleJCrrtGUVeS ui trre i,uwrry of nuue tu enter upon ine above-mentioned property for inspection purposes. X Date ! v $n rueoftee i Receipt No. Ce 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 Building permit expires Date ................ ........................... COUNTY OF BUTTE DEPARTMENT OF PUBLIC 7 County Center Drive - Orovi Ile, California 95965 Tel ephone:, 534-4541 1JV/7r 711(APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �• Datey— Signature of Permitee or Age t eceipt No. 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 P BLIC WORKS By ate�� Building permit expires Date Z_ BUILDING Owner John C. Coleman 'SO. FT. OCC. BUILDING VALUATION Mailing Address Wayne Ave Torrance Cal. 90503 Telephone No. Fireplace I� Contractor &y N Mun jar Construction Total Valuation Mai I i ng Address Snofttmod Road Permit Fee Plan Checking Fee &/or Penalty Paradise Ca. 6 Telephone No. 8731133 Permit Fee $ $ Building Address CC 4LOt 2P PLUMBING No. @ FEE PERMIT FILING FEE $2.00 r Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 1 .50 Each gas water heater or vent 1.50 A. P. No. 01/-Z Zoning p ' Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F a FireDept. FireZone Use Permit Building sewer 1 5.00 9.00 EOA Parking Plans Parcel Decl ration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bld � ec'• pQ�{ C, ParEel Approval PI s Approval Permit Fee $ $ 0 NEW JR ADDITION ❑ UTILITIES ® OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE 1 $3.00 3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ® Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (morethan 12) Range, Cook -top or Oven 1.00 �O S S F7- �i'/!/�r LOtT�' S Water Heater or Space Heater 1.00 Light fixtures bal 010 Receps., switches & fix outlets 20 25" tAn 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: Ray N. Munjar Construction 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 .00 Temp. Power Pole 5.00 License No. 271019Classificatioh a Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 11.00 $ 1160 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. WI have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �• Datey— Signature of Permitee or Age t eceipt No. 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 P BLIC WORKS By ate�� Building permit expires Date Z_ P/. COUNTY OF BUTTE —' DEPARTMENT OF PUBLIC WORKS�g44(fr, 7 County Center Drive — Orovi Ile, California 95965 ``ii�L// Telephone: 534-4541 / APPLICATION AND PERMIT v authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XAM)nfz9` Date Sig ature of Permitee or Ag )nt Receipt No. 130633 3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By—�o,x Date 1516;7� 41uUding permit expUes Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing 4dress Telephone No. v�C2� Fireplace Contractor Total Valuation Mailing Address �. Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address rf S' r -� - PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap' 1.50 _ „[ 2 7 C �e 7 Vol Repair drainage or vent piping 1.50 Water piping 1.50 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 Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ 13, d 3 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERN ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 ' 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 fixtures bol �2 Receps., switches & fix outlets 2 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: 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 Temp. Power Pole 5.00 License No.,2f 6_� D Classification � Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code whic requires every employer to be insured against liability for Wor en's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ElI certify that in the performance of the work for which this permit.is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ O authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XAM)nfz9` Date Sig ature of Permitee or Ag )nt Receipt No. 130633 3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By—�o,x Date 1516;7� 41uUding permit expUes Date M03ILEHOME'INSTALLATION ID Street or Driveway 'FORMATION SHEET U) cn LJ44 o G N N N u 0 a F4 N N U N N 11 r-1 N U 1.1 0 cd 44 W 0-- 0 O tn. w GGi N N N i, N n P eS J J N .+.J cd \ J 1 0 ri r1 •ri W r3 ,J] to C cd �.1 U) W •a) v p. aJ EN3-ri p O z U 010 •d U E. C n'7 N u O �` (� z rl �y N .. N M f v r{ p r -i U •a) r. O O () 'C1 �-� O� tR I •r1 04 . 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M s: ;= � rd cn W ' P T � c °n' P4 4J 0 0 N rG 0 . 4-1 r -I P C) O .1•J a) GJ +J r! = o 0 o o r z 0+ s~ a G ri cd .a r t r-1 4.J ).r r -i cn •ri 44 vJ 1 'P P. � cd I co cd ro ra r_ 1 •i 11'(J U ri aJ 0 W . U cd u d f. 03 G •ri r -i O 4I 61 •fi }R •ri ct3 H •ri C r1 iJ ri' 1J al JJ YJ O N 4J Z. N 0 a. N 0 P � 14 a) 04 •Z ' 0 -i-1 u U Ecd N •• •rla) N. 01-1 U W r -i •ri e-% P4 4J 0 (1) r O O H N N )+ N P. U �O . c 1 cd a 0 N 44 CO N a-) 0� I Z N 4-I P. G P+ cd>4 H -H WUP-,t�tl'00Av6 F' N M N N CJ h4 .0 44 =1.17 HHr-I 0 q P.•r1>, H �. 0 r 1 N �O t` o0 fit -ic ADDITIONAL CO L%!.7'tTS Drain Connector, Describe Water Connector,: Describe e If �� Su:'i'OP.TS00/ BUTTE COUNTY BUILDING DE?ARTMENT APpR0VED �- LOAD BEARING SUPPORT AND 2 OOTING INFORMATION (> Pier_ Spacing Used :5- �L Maximum Pier Load d 4 Maximum Column Load . (multi -units, only) 'ts `Soil Bearing Capacity / 30 Footing Dimension Usod TYPE OF PIER. USED Steel Concrete Concrete Block Other -TYPE OF FOOTING MATERIA USED Pressure Treated Wood Concrete ��. Redwood (Grade) Other Approved Type If �� Su:'i'OP.TS00/ BUTTE COUNTY BUILDING DE?ARTMENT APpR0VED �- PERMIT NO. 5368-25B P E M MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER John Coleman CONTR. disci Bros, Paradise LOCATION (A.P. .66-21-19 ) 740 South Park Drive,lot 217,CC#4, Magalia a, i it i Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E r JOB _ FINALED (Date) (Sign ture) COUNTY OF BUTTE — DEPART'MENT"OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING' BUILDING (Cont'd) PL-UMBING Setback Zz- Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings �, Windows 3rd Floor Stemwall Sidinci To out . Slab Roof Sheathing Water Piping Piers Roofing Sewer j Garage Fdn. Vents Fixtures / Footings Garage Vents Water Htr. ; Stemwall Slab Prov. for physically V handicapped , Heaters r Appliances %I Carport Footings Conformance of ex structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio j . FIREPLACE Final Footin •s Footing L�CTRICAL Masonry Walls Throat 4 Rou h Reinf. Steel Final Fixtures Bond Beam FIRE ShdINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh ME HA ICAL Grd. Fault l4rot. Scratch Heating Service Brown Cooling Temp. P le Finish Ducts Undergrand Interior Lath Ventilation Perman nt Door Closer Final Final DATE REMARKS OR CORRECTIONS Owner Mailing Address Contractor Mailing Address Building Address —, COUNTY OF�BUTTE — DE6,4TMTNT OF PUBLIC WOR O -" 7 County Center -Drive = oville, California 95965 // _ �(c7t� Telephone: 534,4541 APPLICATION�AND PERMIT BUILDING. SQ. FT. OCC: BUILDING VALUATION Telephone No. Telephone No. A. P. No. �j�® �.�--(%/ Zoning& Planning FdesiS • 'on Fire Dept. Fire Zone Use Permit EQA Parking Par Parcel Ma 60' R/W Im prove nts Plans Declarati p p Bldg. IP ons Rec'd Parcel proval Plans pproval NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ . Single Family ❑ Duplex ❑ Mobil'Home Q� Others ❑ r CONTRACTORS LICENSE LAW - I am licensed under the provisions of Chapter 9, Div. 3, of the State of C rnia Business & Professions Code under the name style of: License No_;Zq (oo 6 g Classification Fireplace $ Total Valuation 19 s, d(j Permit Fee $3.00 Plan Checking Fee &/or Penalty Permit Fee 1.00 PLUMBING No. @ FEE PERMIT FILING FEE '$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE , $3.00 Main service'incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 _Water Heater or Space Heater 1.00 Light fixturesbal 0 (d2 010 Receps., switches & fix outlets 20025 E bal (@ I a 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 Temp. Power Pole' 5.00 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I 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. 12cI certify that in the performance of the work for which this Ventilation permit ,is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Hood 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- entioned property or inspection purposes. —Date— Signature ate Signature of Permitee or Agent Receipt No. 1f 121 a__?z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant $ $ . @ FEE $3.00 2.00 $ Is TOTAL PERMIT FEE $ 7 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 bee id. DIRECTOR q P BLIC WORKS By Date 6J i lding permit expires Date �� ` 7� c , PERMIT NO. 4040-74g,g Lti 4~ f P t, E t" M JMH UTIL. `7 Pv, ,PERMIT NO. � PERMIT EXPIRES OWNER John Coleman i°CONTR. 'Rayk. Munjar Construction, Para - 1 LOCATION (A.P. ara_1LOCATION(A?P. _4- `. 66-21-1.9 ) v 740 So:. Park Dr. , lot 217, PPCC¢#4, Mag. %ems- s re 7,i , y sem.j���r=� Temp. Power Pole Called PG&E Temp. Elea Serv. -r Called PG&E t Temp. Gas Serv. Called PG&E JOB ye FINALED / �2/ (Date) i (Signal e COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD. BUILDING , I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms rl 7 Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows .3 rd Floor Stemwall Siding To out Slab ` Roof Sheathing % Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters A pliances Carport Footings Conformance of ex. structure j Gas Piping & Test Temp. Gas Slab Final a " Sanitation Patio FIREPLft Final Footings Footing ELECTRICAL Masonry Walis Throat Rou h 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 Z. 4s* J- 64 .3 //Z- ,� OLS .8.-� � •— C�u=cd��`�1 .s-� � �,3�- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOS 7 County Center Drive — Orovi Ile, California 95965 Lew Telephone: 534-4541oeo APPLIGA I IUN ANU rtKMI I BUILDING Owner Mr. and Mrs John C. Coleman SQ. FT. OCC. BUILDING VALUATION q, IRMO Mailing Address 20512 Wayne Ave, Torrance, Calif. 90503 (13 MU 5048 Fireplace Contractor Ray N. Munjar Const. Total Valuation Mailing Address 5248 Scottwood Rd. Fee Permit it Fee Planng Fee&/or Penalty Paradise Calif. 95969 T� 7� hone No. Permit Fee $ Building AddressUnit CC4 Lot #217 ` �v Union Ct. & So. Park Dr. Ma alia Ca. 4 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 *** Please send a plicaton to this address Repair drainage or vent piping 1.50 Water piping 1.50 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 Sa on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Im r p ove ents Lawn sprinkler system 2.00 Bldg. Ions Rec'd Porce pprovol Pla s Approval Permit Fee $ $ NEW ® -ADDITION UTILITIES,® OTHER QC ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 '^ p 1*1r w (2,.ye Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ® Duplex 0 Mobil Home ® Others ®, Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 %.i Light fixtures bol 6f10 R s., sw es & fix ets ..0 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 966 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. X MR 2%1019classifIcation A 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. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws rel�tipg to building construction, and hereby LgC TOTAL PERMIT FEE s au[nun ce epresenI iv s r the unq.or butte to enter upon the above -m tion'�1 ope�r for i spection purposes. Date - $gnat a of Permitee o' ent Receipt No. ©Z� White-D.P.W. — Yellov��sso5,��i pector —Godo! �p&ant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By s Date lcr — Z -j— 7T B ding permit expires Date .................. ...................3.' �e Tf�rJ %.SrOf Y-- 9"44Y �AG h' R•4f E' t , FCO irk, TMS NOTE:- All Materials & Workmanship Sh II Be' in Accordance with Recon nized Good Pract of a quality res f-;hc and g / p c' d for the Specified u n the Uniform Building Code, .Unifom Plumbirig C d ,and file National Electrical Code. This set of plans and specifications MUS1 be kept on the job at a!l times and 4 is, unlawf t make any chann s or •al}eraftions on same"'wit o df wriVen permission from the Department"'t of. lie. Works, County .of. Butte, - - I . � OvAr . /��� o • • //moi/�� - - <� / d r-'4 ei�4, o © 7 ?.A r RAY N MUNJAR CONSTRUCTIONSiding SPECIFICATIONS DATE INS ENGINEERING CONTRACTOR Culvert LIC. NO. A 271019 a 5248 Scot twood Rd. Paradise, Ca. 95969 tan GR: MAI � NLRs '/'0 Y C COLEMAN' 6eacfield 0,-rloe lN�9K" .A�Vh 7 ate T0R�4' AooeE,- CA , 9 0,67CX9 t 91 iolifill ?.,eg) X376 —15'o 4149 JOB NO I UNIT LOT ADDRESS 1 `Y,/9 C'C'/—,,0/7 13 Pan Cy%?AMBR�I ROOF CONSrR,, C&A4MO/V P,4, 9r, o9iPa V 3.C7 Ayl/p✓ �vtcl S /�I.e�.-� ..r -•� vtirs`�. /'-, `• �-.t 8b F ass --�gu��O� our �//a r, , —1_ N� Dep, Y ,-RA.. •Y �I� MUNJA� CONSTRUCT -ION , to in SPECIFICATIONS _ DATE 1 T. ENGINEERING CONTRACTOR 2 Culvert LIC.' NO. A 271019 ar n 5248•Scottwood Rd: Pdradiss,•Co.9S969 IC Ctan FOR R N/R•S clobit! C. CdLEMAN 6 leach field M ' ` 7 lwater s stem :r 8lectric systgm ackiill ag 11 rive JOB NOUNIT LOT ADDRESS ressod IW9 Pave MA #e MRS JOHN C COL EMA N CG� /-07- ' ,,2/i ';Z06-1,8 WA YIV F AVE. TURRANCE,- 64. 906-0,.3 (2/3). .376 - 504 8 ✓- Ct-E"AR AND R04/6rH GRADE 2- INSTALL STD. RUTrE' CO. APP /000 GA. S£Pr/C S YSrE-M .q-- /35' WA7'E-A> SYSr4-M Y4'/le H•R /,200 0 ,BASE ROCK 3" CL- jT COMP. .01W -- CDACA' ,oAD " AMP. 4-44C7rI C S4'R VICE dEA: ARA WA VW Co. Mer. --,P Aft . f EE 1107 -,ES S4 P4- ASL WOOQ ANO S7V Q51 1LL ENGTH AND T,/V/MMI-AD 'APROV/O,E 4'AleC 0uT4f7* /Q•'? 77 FeA W.4 ;ln Q. OWNE'Rs APPROVAL 44 0A7F � -/ 7- AV oo SCALE /" .20' v ACA If' U/4 Coo 's spy • R l000,77, RTM • .:.r .•� i+r. i • , rV ell e�;��+c2: � i 1 � �. �• 1 eEty 4` road, po` `he'g e P P oath cave `< the. S`d �\ re the e ii / _ X - loo« y . � t�rr '' f • � j � �� Q' �"� Sel 0 ' o * p°► y 3v ' N 000 /.2y'�3.2" { 'r U -N ON C. 0 URT. DRAWN BY: G R. - CVERHARD ✓OB '� h PEVAMIT NO. 1928-76B,P,E' PERMIT EXPIRES "OWNER John C. Coleman CONTR. _- Fisci Bros. Inc.,-Paradise LOCATION (A.P. 66-21-19 740 S. Park Dr., Magalia /-17. �J S t Y�, 1`' !6 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB X FINALED f (Date) IF ! (Signa e_) Y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS { BUILDING INSPECTION REZORD BUILDING BUILDING (Cont'd) Setback Flrewall Soil PI• In Forms Parapets 1st Floor PLUMBING Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Sidina To out Slab Roof Sheathing'Water Pi in Piers Roofing + Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa l l Insulation Heaters Slab Carport Footings Prov. for physically handicapedd Conformance of ex. structure Appliances Gas Piping & Test Tem . Gas Slab Final 19, ---71 Sanitation Patio FIREPLACE Final 7 �% 7 Footings Footina ELEC 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 � � p C (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARPAENT OF PUBLICS WORKS �• " 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541I - 16 /, l%a GY APPLICATION AND PERMIT z,— authorize representatives of the County of Butte to enter upon the above -m ntioned property for inspection purposes. x Date Signature of Permitee or Agent Receipt No. kV ! E/!1 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 UBLIC WORKS By Date uilding permit expires Date _ �"Z6 —? BUILDING Owner JO tJ C O A 0 SQ. FT. OCC. BUILDING VALUATION 0 Ta 1 La Mailing Address _0 S iL M ^^ Telephone No. 7 7Ql Fireplace Contractor El S c;leo L Total Valuation Mailing Address �0 [` � � Permit Fee Plan Checking Fee &/or Penalty f% Tel o No �" _ Permit Fee (ju a� Building Address �� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 310-0- ,Q-0Each I EachTrap 1.50�� Repair drainage or vent piping 1.50 Water piping 1.50 S Each gas water heater or vent 1.50 1 ` 1 A. P. No. / Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeesC. •Sa;;"a%ion FireDept. Fire Zone Use Permit Building sewer 5.00 4/-6 EQA Parking Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 �Plannss Bldg. P -n`s Recd Parcel pproval Plans pproval Permit Fee $ �, ® r2 NEW ❑ A UTILITIES ❑ OTHER ELECTRICAL No. @ FEE C!f) PERMIT FILING FEE $3.0000V " 0Aje,6hdTi!/ OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD -L too AMP 2.50 ,AAOVER Singl Duplex ❑ Mobil Home Other�� 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST.DWELLING OCC P. & A ) 2 sy ft NEW CONSTR. (MULTI -OUTLET NON -51D.( BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARAS & NON.RESI TU D. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of^lifornia Business & Professions Code under the name style , f` 50 @25Q Ex. Occup(OUTLETS OR FIXTURES)BAL@1 01 FIXED OR EX. OCCUp.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE$ �C authorize representatives of the County of Butte to enter upon the above -m ntioned property for inspection purposes. x Date Signature of Permitee or Agent Receipt No. kV ! E/!1 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 UBLIC WORKS By Date uilding permit expires Date _ �"Z6 —? I 'M SHEET / at •�% NOTE:—All Materials & Workmanship S hall Be in Accordance with R,)r:nrynized Good a ..flees and of• a qunlity nre-,cril;Ad, for the Sgec;fi A-- use in the Uniform Buildinq, Plumbinq & Mocha nic l odes and ' the National Electrical Code. r I 1 C 61 CR1 T6' This set of plans 0 N I' ' s M1 EST be kept of It? i 'l It rll tE^nes and it is un-,,,4ea. ko make any ch ir-+is r,r rltrra''Errs on some withc-ut written permission from the Department of Public 6 a -- 7 Works, County of Butte. }F/L G RAY N.MUNJAR CONSTRUCTION ENGINEERING CONTRACTOR LIC. NO.,A 271019 524B Scottwood Rd. Paradise, Co. 95969 FOR : ��,Q M.F? S ,%D.�/. �J C COL, .WAV JOB NO 1 UNIT LOT ADDRESS Barin SPECIFICATIONS I DATE I INT. 511EE'77 .. of 9 GRA %�//�REL ROOF . CONS%2 COMMOA/ _ RAFTERS..; O.vcF� . . .- . _ . _ - .. - - .'\\ j (001911 ' 2X/� c/O/ST.rf- r - - /o';f7' SECTIONAL o v�RHE�aa DooR I I •SSU NG NE,�_ f; . 7/ra srA��s I Llit RAY N MUNJAR CONSTRUCTION 1 I StakinQ SPECIFICATIONS DATE ENGINEERING CONTRACTOR 2 Culvert LIC. NO. A 271419 3Barin 5248 Scot twood Rd. Paradise, Co. 95969 IER n 5 e Uc tan FOR: /0,+ AI C. CDG EMAN 6 leach field 7 Water system 8 Electric s stem 10 Pa 11 Drive JOB NO UNIT LOT ADDRESS L2 Dressout �//9 CC I/-,2/7 13 Paye 3 -ox Al -0 3 -ox I -r -o 0 N 0 ;-- ,Z ' --j 3 -a k y- O r------- 8' r i •_ i � G�1R,9GE /U S; S \ �- o'r fid►` r00 � � �' I'll r ►�. �' C.� m RAY N MUNJAR CONSTRUCTION 1 Staking SPECIFICATIONS DATE INT. ENGINEERING CONTRACTOR 1 Culvert LIC. NO. A 271019 3 BarinBU I it: UUU141 5248 Scottwood Rd. Paradise, Co. 95969 at n t9ictan 5 FOR: MSP¢'' /►QRS 10.,IAI C. Ca.-fMAA1 6 leach field 7 Water s stem 02- 8 8 tric s stem �0 9 10 PaoBackfill 11 Drive JOB NO UNIT LOT ADDRESS 12 ressout �- -y/9 CCI, - 1131 Pave V • r PJ�RMIT NO. 4184-7EIB ' PERMIT EXPIRES #Vli OWNER John Coleman CONTR. _ Fisci.Bros., Paradise LOCATION (A.P. 66-21-19 ) 740 So.Park Dr., lot 217, CC#4, Magalia 4 a 1 n j. V L i• s Temp. Power Pole Called PG&E Temp. Elea Serv. N Ca�led PG&E Temp. Gas Serv. Called PG&E JOB BFINALED / (Date) U-1 0CV-�- (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 Footings Windows 3rd Floor Stemwall Sidina To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation . Water Htr. Heaters Slab Carport Footings Prov. for phsically handicap ed Conformance of ex. structure Appliances , Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat (� Rou h Relnf. Steel Final '— �./ Fixtures Bond Beam IRE SPRINKaWS 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 MOBILEHOME UTILITIES --------------•--- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MRSILEWOME INSTALLATI N - - - - - - - - - - - • - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Or Telephone: 5344541 APPLICATION AND PERMIT X dl._ee J !meg - 71 - ignoture of Permitee or Agent Receipt No. J 14 7 9 '1,/% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIREC OR OFP�IELIC WORKS BY i`t-.^� Date -191 Building permit expires Date 8!nl� BUILDING Owner Q H SQ. FT. OCC. BUILDING VALUA ON Mailing Address Telephone No. Fireplace`� n Contractor r S C Sk p S_ Total Valuation �a Mai ling Address P. 0, 7 Permit Fee "' Plan Checking Fee&/or Penalty Lo4-V, r ("o Tele hone No. S�t -9/ -a Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 0 Each Trap 1.50 C `` .Z 1 -7, Repair drainage or vent piping 1.50 1i Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. t° I Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W -C. _Zaff IIf1 Fire Dept. re Zone Use Permit Building sewer 5.00 EQA Parkin Declaration I Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 ec Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r✓� z et,4 i L (ti -CSL' Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. AOD•L 100 AMP 2.50 Single Family ❑ Duplex E] Mobil Home ❑ Others Main service 100 AMP VER oR LEss 25.00 Main service EA. ADD'L 100 AMP 1.00 /� h _ IlF1' v ls.- 1/ �V` ` 4 11GG-- NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 2�sgft NEW CONSTR. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS) 12.50ea NEWCONSTR. 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:( �!��e h�►�-�_ _ Ex. Occup(OUTLETS OR FIXTURES)@@252 BAL@1 FI Ex. Occu XED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. A2411 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 forWor men'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. 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 -me ' ned property for inspecilon purposes. i J MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ �' — 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. X dl._ee J !meg - 71 - ignoture of Permitee or Agent Receipt No. J 14 7 9 '1,/% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIREC OR OFP�IELIC WORKS BY i`t-.^� Date -191 Building permit expires Date 8!nl�