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HomeMy WebLinkAbout007-320-011-=. - Ij Morseman Duplex Invdstois 2940 Jolyn Way, lot 11, Indo Gardens - - - #3, Chico A- s Permit#.5338-78 (n w du lex) Contr : L [fi12 &i e, Ch&co Permit #I'13-78P(yard sprinkling system) duplex soft r�— MM Pe'RMIT NO. 5338-78B PERMIT EXPIRES Morseman Duplex Investors DOWNER CONTR. owner 44-37-13 port. ' "LOCATION (A.P. ) 2940 Jolyn Way, lot 11, Lindo Gardens#3, Chico I a. t Temp. Power Pole Called PG&E �P Elec. Serv. 7 Called PG&E emp. Gas Serv. Called PG&E JOB OB I (Date) (Sig atur HEpi�S E T qqpp COMPANY i!a LICENSED CONTRACTOR • Phone: 342-4764 P. O. Box 3506 — Chico, California 95926 INSULATION (Batted or Blown) Date 1� To�� THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: //- 19a Street Lot Number Tract No. EXTERIOR WALLS Manufacturers Thickness/Typ R Value / CEILINGS Batts: Manufacturer Thickness R Value - Blown: Manufacturer _ Thickness f5 No. Bags Wt./Bag Sq. Ft. CoveredL-26 R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GEN O T �c LICENSE NUMBER BY TLE _�j DATE 1 �_j /C INSU ION C NTRACTOR //!!�� , LICENSE NUMBER B TITLE 40t DA A DATE SAVE ENERGY - INSULATE! (DATE) ACCEPTED H SETH C MPANY (Authorized Representative) 1 . --N7, A L FUEA .; S'-3'70 ^nd, of 0ll.;N E R LC% -AT O Supply,, �....Cd=,15 fo.r 2 b.dTCO". �':^.O �� O�.iCJi�? }'iome) O:�'dt COUNTY OF'tUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDI G BUILDING (Cont'd) PLUMBING. Setback Firewall Soil Piping Forms Parapets 1s.t Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor ----- Stemwall Siding To out Slab . — Roof Sheathin Water Piping Piers Roofing >i -76— Gara a Garage Fdn. Vents Fixtures Footings ✓ — Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab ��-� Carport Footings handicar pehysically Conformance of ex. structure Appliances ✓ Gas Piping & Tes Temp. Gas Slab - Final%fSanitation Patio FIREPLACE Final Footings Footino ELEC RICAL Masonry Walls Reinf. Steel Final Fixtures Bond Bea FIRE SPRINKLM Motors Framing Test Water Htr. Stucco Final - Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown — -0,1 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 MRB16EHOME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE k S 7517 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 - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT -70 authorize representatives of the County of Butte to enter upon the above-mentioned property for ction purposes. X Date J V/ 0 ignature of P r Agent Receipt No. - / O -J' /L) 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 --15-7 BY � Date Building permit expires Date '� BUILDING Owner l.Ut/eS d� SO. FT. OCC. BUILDING VALUATION 7 3r 0 Mailing Address 4 ew, 6 d20 Q. U B Tele hone No. � 0 Q d Contractor Mai I i ng Address Fireplace Total Valuation ,06 Telephone No. Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee Qd PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each TraD 1.50 (N / a9yo .�1 h ing Yerification Onl$Q 12 �� Repair drainage or vent piping 1.50 A. P. No. -17 -13 ��/� - R'2• Zoning Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W /� Sagtkr FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration �t 85961 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 flAffec'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service e00V OR LESS 10o AMP LESS 5.00 Single Famil ❑ Duplex ® Mobil Home ❑ Others 9 Y ❑ -L Main service EA. ADD'L 100 AMP 2.50 r t � Main service OVER 25.00 100 AMPP OR LESS O Main service// EA. ADD'L 100 AMP 1.00 NEW LING OR ADDNST t ACCDWE. BLDGS.CCUP. 31 20 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:. NEW RESID,CONSTBRANCH CIRCUITS) NON.RESID `BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS 9 NON .RESID. (SINGLE OUTLET CIR. Ex. OCCUD{OUTLETS OR FIXTI1RES1 5 L� Ex OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Liybnse No. Classification Misc. Wiring 6.25 1 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 rkmen's Compensation Insurance. certify that in the performance of the work for which this ZI 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. @ FEEPERMIT FILING FEE $3.00 HeatingQ �� �j 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 herebyo Land Development Fee $ ;L pd TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for ction purposes. X Date J V/ 0 ignature of P r Agent Receipt No. - / O -J' /L) 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 --15-7 BY � Date Building permit expires Date '� p This'set of'plans and `specifications MUST be kept on the job'a+'all mes'arid'i�t ii. unlawful t® NOTE: ---All Materials &.•workmanskl Shall B make e;:y changRs'dr ol4eiations on'sanie without. Accordance with' Recognised Good'' Practicesanin d writl43n permission from;fhe Department of-Pv'b.* of a quality prescribed for. the•'Spec,ified use in the lic Works, County ,of Butte,,'., Uniform' Building Auib- & Mech . r 3. N; • the National ,Elect ariical' Codes and rical Code. The Bldg: Setback shall be 54f 'from, the 1 side property centerline of the road,.permittiitg;a maxi - I mum of a 2 f.. eave;overhang byt entirely out of all easements., ,• i e A_8 Ofc. Z Qa q o I wt r"111�•system and location of build_ 9 dralinountub-out to per tte ' C be as irem.e4s. . Y' Health Dept, .Re- • ' - • ; ° t 'See Master Plan on file for_ building plans • 3 • • f 'St ��' } ,' I'i 't'}"}`� �t' 1 t,tl, S ,, '� I1''! ' ' I} ,BUTTE COUi 1 Y .P ,. , �.., , ,i } F S.''}I, .•! , ,1� i • ��} .II 1' , �� t r '! '1 `i' o ..� d . BU�LDING DEPARTMEN`i S le., .!',ba: .w •'., ..;. w� . rt.nrr°'WyVJ�`;\ ,!}r,.l �,.}w�, i�!"�,`'.'Y"•,r �! ,'Tr':''},rl hr ,�. ..+..� wy... 0.7- 0,/ iRRO,nMnr.4• �u•6ertLiY+J!r• - � • ^ I �« / /V ' ✓�•tt�.t\nr!`.1.'. . � '. � ,'` a•'. t ., ', ,.� ! 'I ,.. ,) � .. !'. /`N/�= %"O/•:y'-= ,C�f:�.j%'= '�/'> r'/,/'; .�� ' :�. �•� .•<..,�...-..,.._..—..-•.'sem...._....-..•,,.��..�....,..,-•:•,. i �,/,, COUNTY OF BUTTE .DERARTMENT OF PUBLIC WORKS 7 County Center Drive — ,Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature f(PPeerr ee or Agent Receipt No. r(, l %F White-D.P.W. — Yellaw-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 PUBLI WORKS By BuHdwlrg permit expires Date �J � BUILDING Owner�V�, o IAf-1 �� r SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor w Zit..,Y21, Mailing Address T-4 -Zr Fireplace Total Valuation Telephone No. —24$_� Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 V, (>C� Each Trap 1.50 ,J a --#: C rib Repair drainage or vent piping 1.50 A. P. No. -7 Zoning & Planning Water piping 1.50 '�, 0D Each gas water heater or vent 1.50 -3,0 s SMTHatirorr FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 3r tj EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 p/¢moi -' ' l g. Pans Recd Parcel Ap2roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Co permit Fee $ -31.&C-55 Z `," ...•a ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS MSS 5•00 100 AMP OR LE Single Family ❑ Duplex Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPP OR LESS O 25.00 Main service EA. ADO'L 100 AMP 1.00 NEW CONS. DWELING OR AODNST ( ACCLBLDGSCCUP. 8') 20sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: /� / 17�f _� &)# NEW CONSTR. / BRA.0 ULTI-OUTL T RE `BRANCH CIRCUITS) 2.50ea ..NON NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. EX. OccuD(OUTLETS OR FIXTURES BAL�1 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification C-762 Misc. Wiring 6.25 ❑ 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.ot Section3700 of the California Labor Code which requires every employer to be insured against liability for IN en'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. 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 Land Development Fee $ TOTAL PERMIT FEE $ 164 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature f(PPeerr ee or Agent Receipt No. r(, l %F White-D.P.W. — Yellaw-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 PUBLI WORKS By BuHdwlrg permit expires Date �J � COUNTY OF BUTTE —215-DERARTMENT OF PUBLIC WORKS 7 County Center Drive - .Oroville, California 95965 Telephone: 534-4541 / • APPLICATION AND PERMIT r out, lullcc ICflICz'"tativub oI trle L.ounry of twtte to enter upon the above-mentioned property for inspection purposes. X k � • Date ! / a Signature of Permitee or Agen1v if 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. zECTOR PUBLIC WORKS BY Date 7 11 Z_V;npera;; expires Date _ /.S 7 BUILDING Owner 2 v c� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor za—LZ0r—T -. Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address qo p6r_ PIanCheckingFee &/orPenal ty Permit Fee I PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 ~�- A. P. No. % — ��� / Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 s 'e I SBftf'taRiert I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 54 Permit Fee $ 53 �'l ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex Mobil Home Others ❑ ❑ Main service EA. AOD•L 100 AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS Main service/ EA. ADD -L 100 AMP 1.00 NEW CONSTOR A.D.S. C ACCDWELBLDGS.CCUP. '1)2P Sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: i /1 P�k S 15-T METAI, I �`. R NEW CONSTRES,., MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex. Occua (OUTLETS OR FIXTURES g �W Ex. OCCUp C FIXED APPLNS. OR \ 2.00 OUTLETS (RESID.) EA Temporary service 10.00 P6. BOX 4rq`� 0-41C � C p g592� 11 Mobile Home Facilities 15.00 License No. I �� 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.' ®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 3to� Heating p .;,t U r ®p p v ,(jQ Cooling 77 �b Ventilation Hood OZ 2.00 41i Permit Fee $ Cho $Inc I certify that 1 have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ C out, lullcc ICflICz'"tativub oI trle L.ounry of twtte to enter upon the above-mentioned property for inspection purposes. X k � • Date ! / a Signature of Permitee or Agen1v if 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. zECTOR PUBLIC WORKS BY Date 7 11 Z_V;npera;; expires Date _ /.S 7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT hf BUILDING Owner SQ. FT. I OCC. BUILDING VALUATION Mailing Address Telephone No. Contracto Mailing Address 3 �'S Fireplace Total Valuation Te phone No. ;0 Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee „3 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 / /S. Repair drainage or vent piping 1.50 A. P. N' �� �7 (� ®' Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 JPo. FdOes -gaff itaflon Fire Dept. Fire Zone Use Permit Gas piping system 1— 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans RdJW I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER �� Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER soov 25.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 1.00NEW CONST s� OR ADDNS. ACCL'BLDGS SJ 22 sq ft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: / �� T'X�GNiLr� �l[.c► NEW RES1D. RANCHU L T NON.RESI D, BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS d NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTI1RES1 50@25¢ BAL@1 Ex. Occup ( FIXED APP ESI' OR 2 00 OUTLETS (REBID.) EA) 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 $ S •�j $ 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 forW rkmen'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 +2,00 Hood Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date gnoture ofQPer ite0 or Agent Rec pt No. 1V W��9 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the to County Code and/or resolutions to do work indicated ae f which fees have been paid. JAREQ�ZR, OF PUBLIC WORKS By t kVzf1xz� Date (I /fit /a Building permit expires Date �� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - .Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ' BUILDING Owner S0. FT. OCC. BUILDING VALUATIO Mailing Address 520 MIASSET R IL ru Telephone No. 34-2-8985 Contractor1\ 1SCARING Mailing Address 2294 CET . S AVE. Fireplace Total Valuation CHICO CA. 95926 � Taleph-30 4 _ Permit Fee Building Address 2940 JOLYN WAY — CHIC0 Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3,00 Each Trap 1,50 Repair drainage or vent piping 1.50 Q A P. N r Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 'Parking ,EQA Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 1. ° 8&d9 -P' ani s iiec'-a` Parcel Approval Plans Approval Lawn sprinkler. system 2.00 2.00 NEW;a ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ 00 $ YARD SPRINKLING SYSTEM ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 OR LE Main service 10000 AMP ORSLESS 5.00 Single Family ❑ Duplex EX Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 DUPLEX Main service OVER 25.00 100 AMPP O OR LESS 0 Main service EA. ADD 'L 100 AMP 1,0NEW CONS. OR ADDNST / DWE1• ACCLBLDGSLING CCUP. Y) 22sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the •s State of California Business & Professions Code under the name style le of: LAMB & RICE LANDSCAPING NEW CONSTR BRANCH CIRCUITS) NON-RESID, ( BRANCH CIRCUITS) 2.50ea NEW CONST R /POWER APPARATUS6, NON.RESID, ,SINGLE OUTLET CIR, Ex. Occup{OUTLETS OR FIXTI,RES 5 L� Ex. OCCU / FIXED APPLNS, OR p•10UT LETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 311135 Classification C-27 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. 1 I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ 0� authorize representatives of the County of Butte to enter upon the above-mentioned property for insp tion purposes. X Signature of Permitee or AU.n Receipt No. / O White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant A 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. /I I DIRECTOR OF PUBLIC WORKS C: i���•/ i •r �'