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HomeMy WebLinkAbout007-320-015Johinrake Q 001> A2-4--bt*� Lot Joln'Wa #3, Chico y, lindo Gardens - Permit ,6722-77B MA ew d k �ai T 7 n I . N , f 0 fI 6722-77B � PERMIT N0. PERMIT EXPIRES ,f John Drake 3; OWNER t, CONTR. owner ,Lo q PY Y 4n 4 - Way, , lo37-20 ort. Jol t Lindo Gardens �k3, Chic Temp. Power Pole Called PG&E Temp. Elea Serv. ` Called PG&E Temp. Gas Serv. v Called PG&E JOB FINALED (Da e) ►. A1 (Signature) To: BUILDING 'DEN-RITMEINT From: ENNIRMN3ENTAL HAM Re: and/or Water and/or dV or Addition Clearance(s) CI LOCATION, AP' Plans are approved for: Sewage Disposal Water Supply Ec-ld up final for: Final Clearance ok for,: earance is for a bedroom .(home or mobile home) Other The -add- tion(s) will be 6Y Sanitarian Date Water Supply�— Water Supply---, 1 _ E,R S ET ' RRpp COMPANY ae LICENSED CONTRACTOR Phone: 342-4764 P. O. Box 3506 — Chico, California 95926 INSULATION (Batted or Blown) Date ZQ 1974 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: Street Lot Number / Tract No. EXTERIOR WALLS ��� Manufactur Thickness/Type R Value CEILINGS Batts: Manufacturer /q�/-- Thickness l R Val e Blown: Manufacturer 00 Thickness / r� No. Ba Wt./Bay-� Sq. Ft. Covered 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 ZCT&A LICENSE NUMBER I L B E DATE (� INSULA ON C TRACT R ICENSE NUMBER ? B TITLE DATE -Z®^ 9 SAVE ENERGY - INSULATE! (DATE) ACCEPTED ER T OMPANY (Authorized Representative) Reinf. Steel I Final / "rte-5� �� I Fixtures- &-I'— Stucco Final Subpanels Mesh MECH..,;NICAL Grd. Fault Prot. Scratch �'� Heating Service Brown Cooling Temp. Pole Finish-/-wDucts sUnderground Interior Lath Ventilation Permanent '— Door Closer Final - " '' Final MOBILEHOME UTILITIES ----------------•- Elec. Service Elec. Pedestal Water Piping . Sewer Gas Piping M0016EHOME INSTA LATI N . - - - - - - - - • - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE ARKS OR CORRECTIONS /Q `' 45- (NOTE: An entry must be made on this form each time you visit the job site.) COt1hF BUTTE — DEpi,9TiilIENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms ` Parapets 1st Floor Main Bldg. -Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab .. Roof Sheathing Water PI ` Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Insulation /O Heaters SlabProv. v. for ph sical Appliances Carport handica ed Conformance of� Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final �—• Footings Footing ELECTRICA �� Ta. — — y , / a . o... _a. �.�7 PW --7 LF /2i1PV Reinf. Steel I Final / "rte-5� �� I Fixtures- &-I'— Stucco Final Subpanels Mesh MECH..,;NICAL Grd. Fault Prot. Scratch �'� Heating Service Brown Cooling Temp. Pole Finish-/-wDucts sUnderground Interior Lath Ventilation Permanent '— Door Closer Final - " '' Final MOBILEHOME UTILITIES ----------------•- Elec. Service Elec. Pedestal Water Piping . Sewer Gas Piping M0016EHOME INSTA LATI N . - - - - - - - - • - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE ARKS OR CORRECTIONS /Q `' 45- (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 — QroviIle, California 95965/��7? Telephone: 534-4541 Ra APPLICATION AND PERMIT GUI% Ilc eNresentauves or [ County or Butte to enter upon the abo a -menti ned proper for ns ct' n purposes. Date '?r 22 -17 ignature of Permitee or Agent Receipt No. /_ y 0 9D 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 Id. DIRECTOR 0� ;nn, WORKS BY ding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION % Mailing Address v � T lephon Fireplace do© IOita Contractor Total Valuation 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 t _ LI bJwALA Iir�icat'on • n ach gas water heater or vent 1.50 A. P. No. .—� - 3 `� pY Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FW . Sa on FireDept. Fire Zone Use Permit EQA Parng P Parcel Parcel a 60' R/W Improvements R9 Declaration P Building sewer 5.00 Lawn sprinkler system 2.00 c Par e p Plans proval Permit Fee $ $ NEW 2� ADDITION TILITIES ❑ [:]OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 Single Family ❑ Duplex Mobil Home [:]Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW LING OR ADDNST (ACCLBLDGS. OCCUP, &� 20sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONST. /POWER APPARATUS & NON- R 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@1 Ex. OCCU FIXED APPLNS. OR P• ( OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Li/se 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 h e placed on file with the County of Butte a certificate of rkmen'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 @ FEEPERMIT 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 ©� TOTAL PERMIT E $ ()Q GUI% Ilc eNresentauves or [ County or Butte to enter upon the abo a -menti ned proper for ns ct' n purposes. Date '?r 22 -17 ignature of Permitee or Agent Receipt No. /_ y 0 9D 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 Id. DIRECTOR 0� ;nn, WORKS BY ding permit expires Date NOTE: TAII Materials '& Wgrkmanshi !!( - p Sha a in ,Accor once wit"i } ,�?r 1,r 7A 7nnd Practices nd :' 3 - of.a q ality r�+e-r;r=1,r-i r`f-"ke Specified use ii t A ; , Unifo Building PlumbiA, & Machanical Codes an G the Na ional Electrical Code. .q cificciions UST be la s fin. -i�u awful i I et P t fh�n '�e fob Clnti��j n on sf, witho i �-'v ��- t ° n es o. a;tr!ra iar�47 of Pls lit r •make y 9 i t ?� s�rsac �- an fro a Depart citten �} - /$o . �_ ° offs• �' - ^' 16 .-- f ' � .! 1. •, � l`` , .. ,•,- • •- .. .. .. - . t3 I - � -rV.- Tho Bid _ . g. ck. shall be :5 4 ` frorp t 4 side property line an fronm ' t eSEp`t'o systern,and location of uper cei�t�rline of the.road; permiiirag a-rfR� -ing :drain 'stub -out to be: a per;. =, mum of a 2 ft. eave overhang but. entire "Butte 'County Healt I .Dept _Re- out of all. easements. i iii emlerat<s. 93.00' See Master Plan on file"for building - - plans. /, .._ -4 LL D/Z/VE LVA YS.. _ 7"O 8b 22� r, yV/ i3UTIE COUNTY `LL 7'�FpNr, EE SN�LL �, COMPA:.T6r BUILDING DEPARTMENT APPROVED 1 Y E � COUNTY OF'SUTTDEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 02 270-7J authorize representatives of the County of Butte to enter upon the above -me tioned property for inspection purposes. r - X X �— ' Date a igna a of Permitee or Agent Receipt No. J 7 V 7L5 -!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. ,DIRECTOR OF PUBLIC WORKS By / Date Building permitexpir s i BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I Ing Address Telephone No. Contractor itl Mailing Address D �' Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/orPenalty Permit Fee PLUMBING No.1 @ I FEE a�•� PERMIT FILING FEE $3.00 b Each TraD 1.50 / V3 Repair drainage or vent piping 1,50 A. P. 1P.Zoning & Planning Each gas water heater or vent1.50 �V F s 9erri•tatmm Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W improvements p ovements Each additional outlet .30 Building sewer 5.00 Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ (J Z ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex 10 Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 / Main service OVER aoov 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONS. DWELING OR AODNST ( ACCLBLDGS.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: e / a W1 � NEW cDNSTR MULTC. C, T NON -REBID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID, SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES) g L@; APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA) 2.00 (OUTLETS Temporary service 10.00 7C Mobile Home Facilities 15.00 ,3� 2I / �3 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 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. Q( I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner S0 as to become subject to the Workmen's Compensation Laws of California. MECHANICAL NO -J @ 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 FE E $ 7 ✓ J' authorize representatives of the County of Butte to enter upon the above -me tioned property for inspection purposes. r - X X �— ' Date a igna a of Permitee or Agent Receipt No. J 7 V 7L5 -!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. ,DIRECTOR OF PUBLIC WORKS By / Date Building permitexpir s i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Qroville, 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 `i ;l Signature of Permitee or AgAnt 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. RECTOR OF PUBLIC WORKS BY Date Building permit expl JDate BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address �D 7 Fireplace Total Valuation ele hone No. Permit Fee Building Address Plan Checking Fee &/or Penalty " Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 es -Sanitation 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 ala.. DI--_ o__ Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ �p f%jy— ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS loo AMP OR LESS 5.00 Single Family ❑ Duplex Mobil Home Others ❑ ❑ Main service EA. ADDloo AMP 2.50 Main service OVERe00v 25.00 100 AMP OR LESS Main service/ EA. ADD•L 100 AMP 1.00 NEW CONST. OR ADDNS. C ACCLBL GS.CCUP. 9\ 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: i NEW CONSTR -OUTLET NON.RESID `BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS B NON .RESID.SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES) �@L� BAL�1 Ex. CCU FIXED APPLNS. OR Q p• OUTLETS (RESIDJ EA) 2.00 Temporary service 10.0000 Mobile Home Facilities 15.00 License No. Classification' C 1_0 �� 3 7 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 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 l Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL Noi @ FEEPERMIT FILING FEE $3.00 '00 Heating 00 Coolingp� 00 00 Ventilation Hood 2.00 0 p Permit Fee $$ 4i < 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 ±LfTOTAL $ PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. )( X Date `i ;l Signature of Permitee or AgAnt 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. RECTOR OF PUBLIC WORKS BY Date Building permit expl JDate COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 ' Tel epnone: 534-4541 APPLICATION AND PERMIT BUILDING $ Owner JOHN D. DRAKE SQ. FT. OCC. BUILDING VALUATION Mailing Address 520 COHASSET RD. Telephone No. 7 Contractor LAMB &, RICE LANDSCAPING Mailing Address 2294 CEANOTHUS AVE. Fireplace Valuation UTotal CHICO, CA. 95926 T31pp}�a=6082 Permit Fee Building Address 2935 JOLYN WAY — CHICO Plan Checking Fee&/or Penalty Permit Fee LOT 15 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 /� A. P. No. L/4-37 at) Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F WJP4 Saai;ai — I FireDept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking I Plans ParcelEach Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Rld� PI - ee 'a Parcel Approval F Plans Approval Lawn sprinkler system 2.00 NEW In ADDITION ❑ UTILITIES ❑ OTHER-0 Permit Fee $ • YARD SPRINKLING SYSTEM 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. ADD'L 100 AMP 2.50 DUPLEX Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNS. ACC-LING BLDGS.CCUP. Y1 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: IAMB R RTOE LANDSCAPING NEW RESID. BRANCH CIRCUITS) NON.CONST 1 BRANCH CIRCUITS/ 2.50ea NEW CONSTR. POWER APPARATUS B NON.RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES BAL 025C FIXED APPLNS. OR Ex. Occup. (OUTLETS' (REST D.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3111.35 Classification C-27 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Lavwf the State of California. Permit Fee $ $ MECHANICAL No. @ FEE SANCE WORKMEN'S COMPENSATI,OU I14ey'A6,11fornia �,.�,� g9Jix �� 1 am aware of the provision of Section3700o1Labor Code which requires everyemployer to be insured aga�l�st liability for Workmen's Compensatitiion. ❑I have placed on fi J,,with thergounty; otAButte a certificate of Workmen's Compens�a on 1666rance `9 I14i1 I certify that in the performance of thejwip&;lorhvhich this permit is issued I shathnot employ anyjpe}s6n In any manner �WoG so as to become subject ivheen''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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X�C +—DateDI Signature of Permitee o • gent 362 5 Receipt No. /g� White-D.P.W. — Yellow-Assessor — Pink-Inspector — Goldenrod-Applicant Land Development Fee $ TOTAL PERMIT FEE $ 5 00 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated aboy.04or which fees have been paid. TOR OF PUBLIC WORKS By Date F-07S 7? Building permit expires Date 9 �v ,7 vaumvp Dppp. @p p�Q ��Rp Q IT, (ri r �4RKg AM SEP 2 81978 T18i91101UIL9i1i2i3i4 PU isi6 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS / 7 County Center Drive —, Oroville, California 95965 Telephone: 534-4541 _ APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Ax 'g �G Mailing Address -?3; i5 Building Address ne No. 1' G A. P. — 501 BAL01 �.� Zoning & Planning s 600V OR LESS 100 AMP OR LESS 3arti-tetreR EA. ADD'L 100 AMP Fire Dept. Fire Zone Use Permit EOA Parking Plans Parcel Declaration parcel Ma P 60' R/W Im provements Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ii A •.P J% i# Single Family ❑ Duplex 0 Mobil Home ❑ Others ❑ 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: U Y License No. -SOS 3Gf Classification C--/ Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee 501 BAL01 ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER 600V 100 AMP OR LESS Main service EA. ADD'L@1000CjlJAMP NEW CONST. I OR ADONIS. % DWELING ACCLBLD Cy 2K5% NEW CONSTR. NON.RESID. (MULTI.OUTL 1\ BRANCH CIRCUITS @ FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 5.00 2.50 25.00 1.00 EX. OCCUP(OUTLETS OR FIXTURES 501 BAL01 EX. OCCU FIXED APPLNS, OR Occup. (RESID.I EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirinq 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. have placed on file with the County of Butte a certificate of x 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. A 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-mentione property fori ctio urposes. X Date % Signature of P rm a or nt Receipt N'7fy4'7V White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant MECHANICAL IN04 PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ $ Land Development 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. ECTQR)/OF PUBLIC WORKS p BY Date 7-10--7CJ Building permit exp' � — y— %g