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HomeMy WebLinkAbout007-320-016-54 John Drake �q 000 ad �A ��Q O /4 �9a I LotY f Jo lyn Way, Lindo Garda #3, Chico Permit #6726-77B(new duplex) 1 S �b+4r i a —a � 3' i i � V CDT rM=�l ��l i PERMIT NO. 672 -6 - To: BUILDING D A-R%Mc:"�T Fr -l: ENNIRONHEINTAL HzaLIE Re: Sewage and/or Vate. and/or Addition Clearance(s) T— Aly" LOCATION /. ApG Plans are approved for: Sewage Disposal r Water Supply___,._ PP Y Bold up final for: Final Clearatce ok for: Cleatanc-- is for a bedroom (home or mobile home). Other Water. Supply Yiater. Supply—` Ihe add_tion(s) will be Sanitarian Date.. I ERSET &EN-' COMPANY LICENSED CONTRACTOR Phone: 342-4764 P. O. Box 3506 — Chico, California 95926 INSULATION (Batted or Blown) Q ��ii Date ` 19�U THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE URRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STAT OF C LIFORNIA, IN THE BUILDING LOCAT D AT: eq Street Lot Number Tract No. EXTERIOR WALLS rr Manufacturer Thickness/Type �1A R Value CEILINGS Batts: Manufacturer Thickness R Valu Blown: Manufacturer Thick ass �', No. Ba Wt./Bag Sq, Ft. CoveredA� 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 L CONT T LICENSE NUMBER BY TI LE DATE INSU ION C RACTORLICENSE NUMBER �ITLEQA DATE o�1 SAVE ENERGY - INSULATE! ( DATE) ACCEPTED ERSETH C PANY (Authorized Representative) l f COUI-'.TY.GI_�BUTTE ;— DEPAR'*MENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Reinf. Steel �' ' Final A— ' - Fix lures Bond Beam FIRE SPRINKLERS Motors �— Framin — O iM'Test Water Htr. Stucco Final Suboanels Scratch `® Heatina Service A'— Brown Cooling Temp. Pole Finish nIICtS Ilndnrn.nund Interior Lath — Ventilation A/ I Permanent Door Closer Final , 1 Final MOBILEHOMEUTILITIES------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping W12BILEMOME INSTA LATI N .............. Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS CORRECTIONS - LU lip (NOTE: An entry must be made on this form each time you visit the job site.) BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Vr Piping Forms Parapets -Soil 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Siding To out Slab --� .. Piers Roof Shea thin — ��? Roofing �— Water PI Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation G Heaters Slab — . Carport pr Footi Slate Prov. for ph handica e Conformance of ex. structure Final Appliances Gas Piping & Test_ Temp. Gas Sanitation Patio FIREPLACE Final �— Footings Footinq ELECTRICAL Reinf. Steel �' ' Final A— ' - Fix lures Bond Beam FIRE SPRINKLERS Motors �— Framin — O iM'Test Water Htr. Stucco Final Suboanels Scratch `® Heatina Service A'— Brown Cooling Temp. Pole Finish nIICtS Ilndnrn.nund Interior Lath — Ventilation A/ I Permanent Door Closer Final , 1 Final MOBILEHOMEUTILITIES------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping W12BILEMOME INSTA LATI N .............. Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS CORRECTIONS - LU lip (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 �/ 77 Telephone: 534-4541 (� APPLICATION AND PERMIT BUILDING OwnerZf SQ. FT. OCC. BUILDING VALUATION ©0 Mailing Address 133 Telepho1W _ Fireplace I ow 00 Contractor Total Valuation too Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 3 — lciion 04y Each gas water heater or vent 1.50 A. P. o. —3 _�� O Zoning & Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 f= esF I a nMy2hJFir441 e Dept. Fire Zone Use Permit Building sewer 5.00 EQA ar ing ®I Parcel Declaration parcel a p 60' R/W Im rove nts P Lawn sprinkler system 2.00 e d' Par e p royal Plans Ap roAA yal Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER [:] ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 V OR LE Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex L] -""'Mobil Home ❑ Others ❑ OVER Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR AD NS. [DWELLING ACCBDGS.CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID• (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL � FIXED ASPENS. OR Ex. Occu P•(OUTLETS (RESID,) EA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 Lice a 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. ❑ 1 have laced on file with the County of Butte a certificate of W men'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. 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 herebyMOP LU614,0 TOTALPERMIT FOE � u1c vvunty U1 ouua tU elltel uNUn the abI;Z= r insp c ' n urposes. XDate ` —1-1 Agent Receipt No. ! '71 D R t 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 paid. DIRECTVAOF UBLIC WORKS By Date C Oil 7ng permit expires Date z1—� G / NOO G A ROE S 611V/7T 3 _ .::,... .. ......ThisAgd_- CarK:A6d-.X Q.cificatiuns.-MUsu-be-- 0.4_xapt nn:the-.job_ zL.aif-_times��i�i ��- ` - -make _any-.c#lenges_-.or-alterstjpns.-on_:sz.nr�-wi written per-misson from .tide Depactm_at: of -.Public=-.cG; fin' _ 4D'-0'` Works, County of Butte. ' '.00' Al. 37' 09 W 91. v 0. 92.00'2 9.00' p V 6 L /_. .0 __.__.. . ___. _ _ U r C -D %, — h �—V •-• • ! 9'.00 O 97 0o O ( 9I. oo' _ I-ap j The Bldg. Set ac Ana" ft. from the W a : i44 PyapertY line and 50 i_ jt� 1 erl'meA#�h�'Oaci� P --b tire------- . -- � -----t � 1� g � ,. mum of 0 2easements.It. ovM� out of S4� 00. 20'SE: ►`� �; . _- r} -•- - - — � __._ __ ._.._ ........_ Owe ra'. See Ma ter Pla on filejIF building C•G7 QD BUILDING D Q r�r c o - rv, a , APPR ;6 Septic system. and location 4 �f build- i �► inq drain stub -out to be as per Butte County Health De A. Re, quirements. 8 ?2.00" _ ( 9l. 00 J � - COUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aulnUllcV felJteSe1Ilt1UVe5 U1 U1e t,ounry UI outte to enter upon ine above -menti ned property for inspe ion purposes. X %( Date S Si Pature oT Permitee `�Or Agent Receipt No. Z 7 ,! 1! ,F 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. ECTOR //OFF PUBLIC WORKS BY `/G ` Date�J`- Building permit expires Date 7' 1/'-Z9 BUILDING Owner G L SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor y Mailing Address L O Fireplace Total Valuation ` Tele hone No. �_ Z7 Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE �o PERMIT FILING FEE $3.00 L Each Trao 1.50 p Z62,1W -- L ` lla#..3 Repair drainage or vent piping 1.50 A. P. - -�1jD /L, Zoning & Planning Water piping 1.50 Each gas water heater or vent Z 1.50 � p s Ik-e- Se+�i�e�ierl Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 ,Q O EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bid,. Plon, Road Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ ,3 [ 151-e 19 X511 7,7ELECTRICAL 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. ADD'L 100 AMP 2.50 Main service OVER 100 AMPP OR LESS O 25.00 . Main service EA. ADD'L 100 AMP 1,00 NEW OR ADDNST ( ACC. BLDGS.DWELLING CCUP. 22sgft 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: (0 A 16L U `✓! / iV C NEW CONSTR (MULTI -OUTLET NON •RESI T (BRANCH CIRCUITS 2.50ea NEW CONSTPOWER APPARATUS & NON- R RESID. (SINGLE OUTLET CIR. Ex. OCCUO(OUTLETs OR FIXTIIRES g L@; Ex. Occup.(FIXED APPLNS, OR OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Yf Mobile Home Facilities 15.00 -OCP -3/ ,Classification �� ,_ License No.03�,,( 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.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 Land Development Fee $ TOTAL PERMIT FEE $ 4 aulnUllcV felJteSe1Ilt1UVe5 U1 U1e t,ounry UI outte to enter upon ine above -menti ned property for inspe ion purposes. X %( Date S Si Pature oT Permitee `�Or Agent Receipt No. Z 7 ,! 1! ,F 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. ECTOR //OFF PUBLIC WORKS BY `/G ` Date�J`- Building permit expires Date 7' 1/'-Z9 COUNTY OF --BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT a V authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. % X ev,4w Date' -11 Signature of / of�ermitee/or`Age t Receipt No./ 7,2C V 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 �N�L— 49:::tZ Date Building permit expires Date BUILDING Owner �£ SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor G Mailing Address " 0 Fireplace Total Valuation C. 60 leph_ne o Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee i✓ !�t/� PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 - , G ✓ J Repair drainage or vent piping 1.50 A. P. No.Water Q/Ll Z°Hing & Planning piping 1.50 Each gas water heater or vent 1.50 F6esJ •SenitaMn 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 Bld Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 permit Fee $ &"741a'— 77 ELECTRICAL No, @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS100 AMP OR LESS 5.00 Single Family ❑ Duplex ® Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER &ooV 25.00 100 AMP OR LESS Main service// EA. ADO'L 100 AMP 1.00 NEW LING OR ADDNST l ACCDWELBLDGS.CCUP. &) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: T NEW CONS 1 BRANCH CIRCUITS) 2.50ea NEW R ." ,z /BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS .& NON.RESID. ,SINGLE OUTLET CIR, Ex. Occup{OUTLETS OR FIXTtIRES g 0 FIXED APPLNS. OR EX. OCCup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No./b Y ClassificationCu-? 5"G12�0 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. @ F_EE PERMIT FILING FEE $3.00 Op HeatingO O Cooling p Ventilation Hood 2.00 pp Permit Fee $ 00 $ 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. % X ev,4w Date' -11 Signature of / of�ermitee/or`Age t Receipt No./ 7,2C V 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 �N�L— 49:::tZ Date Building permit expires Date Owner COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS I 7 County Center Drive - Oroville, California 95965 `v/ Telephone:.534-4541 ���� �r// J/ APPLICATION AND PERMIT Q BUILDING Fs - FT. OCC. BUILDING VAL UATIONN Mailing Address 520 COHAS SET RD. CHICO CA. 95926eo�e,.'t5 C ``jj��SS Contractor LAMB & RICE LANDSCAPING Mailing Address 2294 CEA11TOTHUS AVE. Fireplace Total Valuation CHICO CA. 95926 e� p�q 4 T JeVn-1v82 Permit Fee Building Address 2921 JOLYN WAY — CHICO Plan Checking Fee&/or Penalty Permit Fee LOT 16 PLUMBING No.1 @ FEE PERMIT FILING FEE 1$3.00 • Each Trap 1.50 Repair drainage or vent piping 1.50 a A. P. No. Y X 3 7—..9- Q PS O /. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F&W W. Santtetion I Fire Dept. Fire Zone I Use Permit Gas piping system 1 -5 outlets 1'.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 BJdq_ Plan Rad Parcel Approval I Plans Approval Lawn sprinkler system 2.00 • NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ • YARD SPRINKLING SYSTEM ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�0 Single Family ❑ Duplex Q Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 DUPLEX E Main service OVER e00V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS. ( DWELING ACCLBLDGS.CCUP, v� 22sgft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of:Ex. LAMB (3-, RICE LANDSCAPING NEW RES,CON. MULT LOUT LET NON-RESID. ( BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXT11RE5 B L�; Occup. ( F XED AS PL SID )READ 2•�� Temporary service 10.00 Mobile Home Facilities 15.00 License No. 311.755 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 I am aware of the provisions of Secti•ori'3700 of the California Labor C d h• h I "t .ti t'A d • t I' k; I; MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating o e w Ic requires every emp oyer, o- a Insure agalns la I Ity for Workmen's Compensat*Tq.' '`Wa 1 ❑ {� I have placed on file Vith`the Count? ooL e a certificate of Workmen's Compen"`atlon Insurance. f ®I certify that; h, the performance ofjthe'vorI� for which this permit is issued',I`shalI not emplogkahy persomi in any manner so as to become su bject totthe Workmen's Comp 'n`ption Laws of California. _ , m.i . � --I ..s I certify that I have read this Fappl-ica ion and state that the above information is correct.*,1.l,agree to' comply to all County'Ordinances and State Laws relating` to building construction, and hereby authorize representatives of, the County of Butte to enter upon the above-mentioned property for inspection purposes. Qe'-�t­ Date Signature of Permitee or' ent Receipt No. 18.36, .to White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE is 5 0 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above epaid.TOF3 OF PUBLIC WORKS f� BY Date? 7y Building permit expires Date c7—,2,f— 7q COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS eC 7 County Center Drive Orovi Ile, California 95965 Tel gphone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for i pection purposes. X X Date 78 Signature ofe ' ee A ant Receipt NoZ2 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. ,JNRECTOR OF PUBLIC WORKS r� BY Date Z,%d" Building permit ex s D e !f— 4 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor' ✓ G� /G �C� IrGf/jTotal � � Mailing Addresses r(/ Fireplace Valuation t. /G Telephone 2_ o O Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee ^/ W It PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Za -� Repair drainage or vent piping 1.50 A. P. No. - — 2A ca"O'dZoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees Saar'.tetten FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 81dg.,.F4Qae-Rx'd I Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ $ r7 7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ©O 600V OR LESS Main service 100 AMP OR LESS 5.00 r.�l� Single Family ❑ Duplex Mobil Home ❑ Others ❑ Id Main service EA. ADD•L 100 AMP 2.50 _ Main service OVER 611.1 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSOR ADDNST ACCLBL G C Pi) 22sgft O CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID.CONSTMULTI- L T 2.50ea NON-ESIBRANCH CIRCUITS NEW CONSTR. (POWER APPARATUS 6 NON-RESID. SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTI1PES1 5 L� EX. Occup. (FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 r Mobile Home Facilities 15.00 •� License No. 30.S36S Classification e-10 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ In Lrb$ 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 Wo kmen'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 1 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for i pection purposes. X X Date 78 Signature ofe ' ee A ant Receipt NoZ2 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. ,JNRECTOR OF PUBLIC WORKS r� BY Date Z,%d" Building permit ex s D e !f— 4