HomeMy WebLinkAbout066-420-032k
AP 66-42-32
MAYNARD KENNEDY
221 Ishi Dr. , �agalia----------------- - -• - -•-
contr: Charles Hancock, Para. -`
t Permit## 3650-74P,E
- util. �/ �c9-7�
LOT BLOCK 1 7UB
! I i 6
AP 66=42-32 1 ► i—
�' I nalcv-+ Wlea
TYPE of I Maynard $ennedy� � ' f
PERMIT NO. PLANINO. DA SUED
PERMIT — , L 221 Ishi Dr., lot 50 3 1 ' 1 -REMARKS
1 1 contr : Charles Hancock, Para .
Permit## 3 40-7/J4B,E (garage, MH)
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A 66-42-32
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I ce i MAYNARD KENNEDY %D;ZS %(o ,; I i i i; i b ,•-
_, 221 Ishi Dr., X=, Magalia41
contr: B&D Enterprises, SAC. __ a- ' {- i �- - -- - "�`
Permit# 4300-74B (patio awn.
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S -SIGN PERMIT
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+PERMIT NO. 4300-74B
P
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j M
,MH UTIL.
4
;PERMIT NO. -
PERMIT EXPIRES
a.
OWNER _ Maynard Kennedy
CONTR. B&D Enterprises, SAC.
tLOCATION (A.P. 66-4.2-32 )
)
t° 221 Ishi Dr., MagaliaX s
Temp. Power Po
Called PG E
Temp. Elec Sere
Call PG&E
Temp. as Serv.
Iled PG&E
76
INALED —
(Dat .Jy<
� t
(Signatu�e)=
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
/ Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bidg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidinq
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
ELECTRICAL
Masonry Walls
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 f
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
— / �/-) 0 --,0, , 6)
12,
I
i
COUNTY OF BUTTE DEPARTMENT OF PUBLI RKS
7 County Center Drive _ Oroville, California 9596
Telephone: 534-4541�t�
APPLICATION AND PERMIT ~ 7
ZI
authorize represent ives of the County of Butte to enter upon the
above -me tione pr erty for inspection purposes.
X7 Date %O
Signature of Permitee or Agent
Receipt No. I Z62 73
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 UBLIC WORKS
By
Date��' r' 7
Zuilding permit expires Date............. �....���
BUI DIN
Owner M fj yAl
SO. FT. OCC. BUILDING VALUATION
G
Mailing Address a 1 16#1 D,e
1AQ1191J %1ZEf1Z�l1�S-h1�C��lL(!( Cx1
Telephone No.
Fireplace
Contractor 14 —JL-) 6A[T( 67 P_P(Z(S�_=
Total Valuation
Mai ling Address S 5 5 6/a G 7—
Permit Fee
Plan Checking Fee &/or Penalty
'
fl OTO ('+z 5?1"j
Telephone No.
%a.7_elf
Permit Fee
$
$ '
Building Address 111SI41
PLUMBING
No.
@ FEE
PERMIT FILING FEE $2.00
t
q S j n NI
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. �j —
Zoning &Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fe
v-
Sari apron
ire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EOA
Parking
Plans
Parcel
Declaration
Parcel.,Map
p
60' R/W
Im rov ments
p
Lawn sprinkler system 2.00
Bldg. Plots Recd
Parce Approval
Plans Approval
Permit Fee
is
NEW'RL ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
1 3V fto N
Main service incl. 1 meter
Z 9 CIE
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
�(
Single Family ❑ Duplex ❑ Mobil Home 111 Others ❑
Range, Cook -top or Oven 1.00
E- ^ e_ d
Water Heater or Space Heater
1.00
Light fixtures bal ago
'21t 21
Receps., switches & fix outlets b
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. T !
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,�g�7�T Classification ��r!o
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
MECHANICAL
No.
@ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
VI have placed on file with the County of Butte a certificate of
tA1 Workmen's Compensation Insurance.
certify that in. the performance of the work for which this
❑ piermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE
$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relatinq to buildinq construction, and hereby
TOTAL PERMIT FEE
$
OC
authorize represent ives of the County of Butte to enter upon the
above -me tione pr erty for inspection purposes.
X7 Date %O
Signature of Permitee or Agent
Receipt No. I Z62 73
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 UBLIC WORKS
By
Date��' r' 7
Zuilding permit expires Date............. �....���
7;
E? de pr
ack
07
COOA OPOrtil Y. She// e
A -et
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CHARLES HANCOCK
BUILDER,
IICEENSE 126951. BI.-
7020 SIM10- PAP;;`!
007
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............ .
SE�3��oV-79
R V.
4-
All utility connections shall be
located within 4 ft. outside the rear
third section of the mobile home
on the left (road) side of the mobilo
ham— _
Phis set of plan - - MUST be
kept 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 Publ,' .
Works, County of Butte.
CHARLES E. NA14COCK
BUILDER - -
LICENSE # 126951 Bf.
7020SI(YvvP1iY PAR MSE, CALIF. 95969
0 F. 87T4J57 N'✓"siE. 87"-_1420
Septic system and location @fib*kJ_
� to be as per.
Butte County Health Dept. Re-
ouirements.
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e�side���r�r.a�da��f�r?
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED f
PERMIT NO.
P
E
M
MH UTIL.
PERMIT NO. 3650-74P,E
PERMIT EXPIRES
.1OWNER Maynard Kennedy
CONTR.
Charles Hancock, Paradise
(A.P. 66-42-32
221 Ishi Dr., Magalia
1Rf
in
Temp. Power Pole
Called PG&E
14mp—Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
/10 B
FINALED--)
Setback
Forms
Main Bldg.
Footings
StemwaI I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Framing
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
DATE
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
A
BUILDING BUILDING (Cont'd)
PLUMBING
? Firewall
Soil Piping
Parapets
ist Floor
Restroom Finish
2nd Floor
Windows
3rd• Floor
Siding
To out
Roof Sheathing
Water Pi in
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Prov. for physically
handicapped
Heaters
Appliances
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Final
Sanitation
IFAREPLACE
Final
Footing
EL
Throat
Rough
Final
Fixtures
FIRE SPRINKLERS
Motors
Test
Water Htr.
Final
Subpanels
MECHANICAL
Grd. Fault Prot.
Heating
Service — Q ,
Cooling
Temp. Pole
Ducts
Underground
Ventilation
Permanent
Final
Final
REMARKS OR CORRECTIONS
ECTRICA L
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR
` 7 County Center Drive w Oroville, California 95965
/APPLICATION
Telephone. .534-4541. AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permi e o Agent
Receipt No. Z;7_19_r
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 AF PUBLIC WORKS
B Date
wilding permit expires Date
BUILDING
Owner
'
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
�f
lephone No.
Permit Fee
$
$
Building Address `
'
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
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
^
A. P. No. (r/ L—
�anr P
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
Sa on
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
pp
Parking
EQA Plans
Par elLawn
Declaration
I Parcel Map
1 60' R/W
Improve ents
sprinkler system 2.00
Plans Recd I
Parc A oval I
Plans Approvol
Permit Fee
$
S
$ S ((
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
(gyp
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
0e S "t""L s 4-
Water Heater or Space Heater
1.00
Light fixtures bal ago
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Cali or 'a Business & Pro!essiopo Code under the me
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. r Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
MECHANICAL
No.
@
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.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE
$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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 Date
Signature of Permi e o Agent
Receipt No. Z;7_19_r
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 AF PUBLIC WORKS
B Date
wilding permit expires Date
I}
PERMIT NO. 3940-74R,g
P
E
M
MH
!Q/_�O_
PERMITMIT • N0. AWv(Q
PERMIT EXPIRES / /
OWNER Maynard Kennedy
;CONTR.
Charles E. Hancock Paradise
LOCATION
(A.P. 66-42-32
221 Ishi Dr., lot 50, HH%, Magalia
Indian Meadows## 3
t
r
.,I
c
i
{
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
/
✓✓
./JOB ILI
FINALED
(Date)
(Signature)
Stucco
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Mesh
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
it Firewall
Soil Piping '
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwal I
Siding ' 7e- ..
To out
Slab
Roof Sheathing / %
Water Piping
Piers
Roofing ZIZe Z
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
StemwalI
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLA E
Final
Footings
Footing
E CT AL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Stucco
Final
Mesh
MECHANICAL
Scratch
Heating
Brown
Cooling
Finish
Ducts
Interior Lath
Ventilation
Door Closer
Final
DATE a' REMARKS OR CORRECTIONS
Subpanels
Grd. Fault Prot.
Service
Temp. Pole
Underground
Permanent
Final / /
COUNTY OF BUTTE — DE11ARTf PENT OF PUBLIC WORK
7 County Center Drive — Oroville, California 95965
Tel ophone"` -634-4541 j
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
Signature of Permi"tee or )Agent
Receipt 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.
By Date /O -Y— /t
Bding permit expires Date .....................`..........:'.... ..�
BUILDING
Owner ` eilJ
SQ. FT. OCC. BUILDING VALUA ON
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation (r
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
n
n
Telephone No.
Permit Fee $ 763-5
$
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
A. P. No. •�— f3 31
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
W
Sa n
I Fire Dept. Fire Zone
Use Permit
Building sewer 5.00
EQA
I Parking Parcel
Plans Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. PJ' a Rec'd
Par proval
Plan royal
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 04
Main service incl. 1 meter `
Additional meters, each 1.00
Sub-pael (12 or l5r ant2)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Cook toporOven
Range, 1.00
Water Heater or Space Heater 1.00
Light fixturesbol aio .3
R s., swi hes & fix Ytlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Califor 'a Business & Profes 'oac Code under the name
style of:
Ho d, 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. Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
rtify that in the performance of the work for which this
l� permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTALPERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
Signature of Permi"tee or )Agent
Receipt 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.
By Date /O -Y— /t
Bding permit expires Date .....................`..........:'.... ..�
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4PERMIT NO. l 1-
Az�P
� E r✓ ,
M
MH UTIL.
PERMIT NO.
+ PERMIT EXPIRES `76
OWNER Maynard Kennedy V
r CONTR.
LOCATION (A.P. 66-42-32 )
f
221` I shi Dr., Magalia
. • N �trc,�C� �' saM�
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
i
JOB
FINALED
(Date)
�
L
Zr(r
}
(Signat
1$
_
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms l
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
SidinciTo
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
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam ,
FIRE SPRINKLERS
Motors
Framing Pl �'— (i'r�
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
ga 7Gr�ylt rl( 9d
w 746
3 ,7
COUNTY OF BUTTE — DEPARTMENT OF PUBL RKS
r ` 7 County Center Drive; —. Orovi Ile, California 9596
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X && Z C 71 L' Date 4� -�
Signature of Permitee or Agent
Receipt No. /8
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 Date a— 2 Lf -2 17
B ding permit expires Date..............................1.- ?
BUILDING
Owner 1,-'
S T OCC. BUILDING VALUATION
Mai I i ng Address--� 2
Z
v
'
Telephone No.
'
Fireplace
Contractor Ifj
Total Valuation ;7OC91-00
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$ 178
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
A. P. No. _ ?
�D Z J Z
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fe
W Saa'tiio
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Im Improvements
p
Lawn sprinkler system 2.00
Bldg. Plans Recd
P a r c e provaI
Plan pproval
Permit Fee
$
$
NEW t4 ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $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 20 bai0(a25
Red s., switcFes & fix outl ' Z
b
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. 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. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$ Q�
MECHANICAL
No.
@
FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
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.
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 && Z C 71 L' Date 4� -�
Signature of Permitee or Agent
Receipt No. /8
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 Date a— 2 Lf -2 17
B ding permit expires Date..............................1.- ?
f'r
4
Page one of .L-
EN
PI
RI 1•' 'FTS • ,
CPT
CPT No.
DOM
Col. No.
r'� -. 4
DEPARTMENT ® COMMUNITY DEVELOPMENT'
'
# Insp.
DIVISION OF CODES AND ANDARDS
Violations
ACTIVI Es -REP
k Insp. Fee
�'.',1
_ ? ..,,•., :Y;rt,. •iii ..j .,? rr \
I
J
Insig. Fee
$ :;
r /, ~� ff l I
NORTH AREA OFFICE l ❑ S AREA OFFICE
Alt. Fee
$
700 L, ROOM 300 28 CIVIC CENTER PLAZA
,! PROGRAM
HOURS
SACRAMENTO, CA ROOM 639
IJH
95814 SANTA ANA, CA 92701
Mfr.
M/H'Dlr.
M/H Other
( ''t
y
Date e" 2 petted by ""''• ' - � • "
" Ins
R/V Mfr.
Firm/Person �:f,e r .,. �;T _w=,,; , ' ''.:' ! �,r �.• .>f.
F R/V Other
FBH
• Mfr.
J
Locatio>t..of "� �� • r :K ,,
n
j^ i k
, �r.t, _J � mow, l w • ( _t
FBH Other
Owner and Address if other
than above
f'r
4
Page one of .L-
EN
PI
RI 1•' 'FTS • ,
CPT
CPT No.
DOM
DOP
r'� -. 4
Legal
C/NA
# Insp.
f # Comp.t
Violations
S
E M P
re:.,rJ:-•v".'! Y;1..4•'f1`'
Insignia
No. Issued .
No. Voided �#
NOTICE: Items indicating corrections are violations of the California Administrative Code, Title 25, Chapter ❑ 3f 4, Sections indicated. Copies of these c:
regulations may be obtained from the State of California, Documents Section, P.O. Box 20191, Sacramento, CA 95820. It is unlawful to sell, offer for sale, /
rent, or lease any noncomplying mobilehome, recreational vehicle, or commercial coach, or to sell or offer for sale any noncomplying factory -built housing
unit or component system thereof. Upon receipt of a notice of violations, the person served shall notify the department in writing within 10 days of the action .
taken to correct the violations. A person so served shall not t move or cause to be moved said vehicle, unit, or component system until the department has be
notified of its destination and disposition.
A person served with the notice of violation contained in this activities report has the right to request, and shall be granted, a hearing on the matter befoie
Director of the Department or his authorized representative. A request for such hearing shall be in writing and shall set forth a brief statement as to the grounds j
erefor. Requests for such hearing must be presented to the Department by mail or in person at 1807 13th Street, Sacramento, CA 95814.
VIOLATIONS INDICATED SHALL BE CORRECTED AND A REQUEST FOR FURTHER INSPECTION FILED WITH THE AREA OFFICE INDICATED ABOVE ON -OR
BEFORE THE REQUEST FOR INSPECTION SHALL BE ACCOMPANIED BY MINIMUM FEES OF 5
P/A No.
Manufacturer—Model—Location
Type of
Insignia No.
Serial No.
Occupancy
£ .t -4.
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