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HomeMy WebLinkAbout007-320-017John Drake of 17 Jaiyn Way, Lindo Garclms Chi Per i #672 -77B new d le V4 ��0���� f . ;. } _ � _ �� �. 6 27_ PERMIT NO. PERMIT EXPIRES John Drake OWNER owner tLOCATION (A.P. 44-37- 1 20 port, Jolyn Way, lot 17,Lindo Gardens#3, Chico d. I Temp. Power Pole Called PG&E Ali, Temp. Elec. Serv-9 Icalled PG&EJoe Temp. Gas Serv. /461 JFINACalled PG&E LED 013 (Date) (Signature) io: BUILDING DSPARfME-NT FrcM: EN IRON%, E7AL H,=.:LTH ' Re: Sewage and/or Water and/or Addition Clearance"s) LOCATION AP P1ans,aiz approved for: Sewage Disposal ✓ Hater Supply Kc Id up final for: hater Supply Final Clearance ck for: Water Supply Clearance' is for a' bedroom (home or mobile home). Other Tlie addition(s) will be 6Y Sanitarian Date. RSET 1: -.T -.OM P A N Y 01 LICENSED CONTRACTOR Phone: 342-4764 P. O. Box 3506 — Chico, California 95926 INSULATION (Batted or Blown) Date— WOMB -` "OPIAby" THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIAADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: a Street EXTERIOR WALLS Lot Number Manufacturer 0 Thickness/Ty R Value Tract No. CEILINGS Batts: Manufacturer Thickness R Value ,� Blown: Manufacturer - Thickness No. Bags Wt./Bag Sq. Ft. Covere R Value FLOORS Manufacturer Thickness/Type SLAB ON GRADE Manufacturer Thickness/Type Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value R Value R Value GEN COffRT LICENSE NUMBER BV T IDATEINSU TION / LICENSE NUM BY TITL DATE ( DATE) ACCEPTED -- SAVE ENERGY - INSULATE! HE ETH CO PANY (Authorized Representative) s 3: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING Cont'd) PLUMBING Setback -5— Firewall Soil Piping Forms — Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathin Water Pi Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage VentsWater 44 Htr. Stemwall Insulation O. Heaters Slab Prov. for physicall Appliances Carport handica e. Conformance of ex. Gas Piping & Test e Footings _— structure Temp. Gas Slab ---- Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final /h --moi _� G�„•...e� L�� rsona tseam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Sub aneIs Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole —^^1 Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATIQN - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS 0 CORRECTIONS c i"k y (NOTE: An entry must be made on this form each time you visit the job site.) fCOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — UroviIle, California 95965 ~� Telephone: 534-4541 APPLICATION AND PERMIT U _Z2 Date ignoture of Permitee or Agent I Receipt No. ! ?/ 0 14 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the tsutte county uode and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR AF PUBLIC WORKS BY B ding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION H 8 Mailing Address? ) : :::r f __ Telepho N CAD Ca. r rept ace Contractor D Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 4 ,t L!_ AROn Onl Each gas water heater or vent 1.50 A. P. _ .�-- Zoning a'i24Fes Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Sa n FireDept. FireZone Use Permit EQA Par Ing Parcel parcel Ma 60' R/W Im rovem is I s eclaration P P Building sewer 5.00 Lawn sprinkler system 2.00 Pa A provalPlans proval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex Mobil Home ❑ Others ❑ Main service OVER s 25.00 100 AMP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ODWELING R ADDNS. ( ACCLBLDGS.CCUP. &) 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)@21C BAL�1 Ex. Occu FIXED APPLNS, OR P• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 L 1 se 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. Vplaced on file with the County of Butte a certificate of en's Compensation Insurance. ify that in the performance of the work for which thisVentilation 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 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 aut epresentatives of the unty of Butte to enter upon the nhn ip- nti n.,1 n ert., f— ;..� ,.., 0 A 10 0 VA Q Mt FP -,Q—1 OC TOTAL PERMIT FE ao�� $v[ This permit is hereby issued under the applicable provisions of U _Z2 Date ignoture of Permitee or Agent I Receipt No. ! ?/ 0 14 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the tsutte county uode and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR AF PUBLIC WORKS BY B ding permit expires Date WS �//V/ T3 6 A ROE pans and - Sped at-. ".(n zip azjve!� or aftera LI6ns 00VOI�Z 7'Al-.:: _on -am 7- written Perm isson - from the -De rtme o'a- Works nt of \I, .. IV. 3 7 120 W.. .. I ­ — . 0 - - fz.edo- .;Of 0 1110 J. ,P: 47. ly " 97. � " Jo /Y he -Bldg. Setb,5hV*e f r6 .ide EroperfX lincand 5"ff. from the t;enferline ot thq road, pf rrniing aI - Mall, .. of all eosei4niq,Pt' om )TTE Coutes 11 APPROVED 93.0110' . . . I . ?.Z.00 11 bUild(bg T I 10, jar. 'I % c APPROVED 93.0110' . . . I . ?.Z.00 11 bUild(bg T I 10, % c Sepfic,sysfem anJ 16earion o bull& ing drain stu6-0';U+ to e s per Butte County Health Depi-, Re- quiremenis. 72-00 r COUNTY OF- BUTTE — DEPARTMENT OF PUBLIC WORKS 7 7 County Center Drive — Oroville, California 95965 /D� �%�� Telephbne:5341-4541 c; /� APPLICATION AND PERMIT kl BUILDING Owner C SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing AddressG /J �G Fireplace Total Valuation ellYhone No. 76 P Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 0Q Each Trap 1.50 p 7� 17 elb ) 4,7 Repair drainage or vent piping 1.50 A P N - 7 20Water QwZoning 8 Planning piping 1.50 , S Each gas water heater or vent 1.50 F14-eels4-G. Sap," asn I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 0 EOA Parking Plans 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 ® Permit Fee $ $ e ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex 2n Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 L Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS//% CONST.DWELLING ACC. BLDGS.CCUP. Y\ 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 finder the name style of: U i W MULTI NEW CON STR -OUTLET NON-RESID, BRANCH CIRCUITS. 2.50ea NEW CONSTR /POWER APPARATUS a NON.RESID, `SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIX-TIIRESI BA@ FIXED A Ex. Occup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 X Mobile Home Facilities 15.00 CMisc. License No.1�; 4,-ad3/3S Classification 3 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 s 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 $ $ 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 -menti ned property for i pection purposes. c Date � S3 "gnature of Permitee or Agent Receipt No./ 7 Y %S White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Land Development Fee $ TOTAL PERMIT FEE $ Z 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. �IRECTORx F PUBLIC WORKS By`,`Date Building permit expires Date COUNTY OF BUTTE' — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 c:;? X/ Telephone: 534-4541 APPLICATION AND PERMIT If authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X X ( Date S' Signature offPermitee or Agent ZZZ6 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 '�(`�`�7 Date -5 _1_7 Building permit expires Date !Y— V� BUILDING Owner L SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor T Mailing Address �Q � / Fireplace Valuation WTotal Tl �jnefloy 55//�J Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee Zea 7 PLUMBING No.1 @ FEE Ca PERMIT FILING FEE $3.00 Each Trap 1.50 — Z ;V3 Repair drainage or vent piping 1.50 A. P. 3�—aC� /L Zoning8 Planning Water piping 1.50 Each gas water heater or vent 1.50 11019's, Senitatren Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration I Parcel Map 60' R/W Improvements additional outlet .30 Building sewer 5.00 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ 94' 7 ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 800V 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 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADbNST V ACCLBLDGS.LING CCUP. �4\ :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: ® L / oj�a�/" 0, ,.C_�,ti/ ' . NEW .ESLD,CO N MBRANCULTI.OUTL T `/ NON -REBID � BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS ali NON-RESID, SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES B L@; APP E S, OR 2.00 Ex. Occup (OUTLETS OUTLETS (RESID.) EA) Temporary service 10.00 ttlrrr Mobile Home Facilities 15.00 1 License No. 3 / SrMisc. Classificatior� �� S C '7 t7 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. or M 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 _Tr,0 O Heating X00 O Cooling O Qv Ventilation Hood z 2.00 Q 0 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 $ �%3 C authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X X ( Date S' Signature offPermitee or Agent ZZZ6 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 '�(`�`�7 Date -5 _1_7 Building permit expires Date !Y— V� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK " 7 County Center Drive — Oroville, California 95965 Tel eptiorie: 534-4541 01/ APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. is1-1 nae Date Signature ofPermiitee orr*Agent Receipt No. 133&21`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 abov for which fees have been paid. DI CTOR OF PUBLIC WORKS p BY rC.�liILL`� Date 8•-71 Building permit expires Date 7— ;LY -777 BUILDING Owner JOHN D. DRAKE SQ. FT. OCC. BUILDING VALUATION Mailing Address 520 H F CHIC0. CA. 95926 Telephone No. 8 Contractor LAMB & RICE LANDSCAPING Mailing Address 2294 CEANOTHUS AVE. Fireplace Total Valuation t CHICO CA. 959261'542-3082 Telephone Na. Q. _ Permit Fee Building Address 2907 JOLYN— Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1,50 A. P. NO. 37—;2 0 P19 Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe SaaliWUM FireDept. Fire Zone 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 &Fdg. Plans -z -ac d- Parcel Approval Plans Approval Lawn sprinkler system 2.00 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ 5.00 YARD SPRINKLING SYSTEM ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5•�� Single Family Duplex ® Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 DUPLEX Main service OVER e 25.00 100 AMP O OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST % ACCLBLDGS.OCC up- 11 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 st le of: y LAMB & RICE LANDSCAPING NEW RESID,CONSTBRANCH CIR T NON-RESID, ( BRANCH CIRCUITS 2.50ea NEWCONSTR. /POWER APPARATUS B NON -RESID, (SINGLE OUTLET CR. Ex. Occur){OUTLETS OR FIXTtIRES g ®2j Ex. OCCU / FIXED APPLNS, OR p•\OUTLETS (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 I am aware of the provisions of Sectioe,3700 of the California Labor Code which requires every emp'I'oyet�to befrisu red against liability for Workmen's Compensation. *.'U'' e �, ❑I have placed on�4'ile�w th th&�County"Fdfl Butte a certificate of Workmen's Compensation Insurance. ►v, u I certify that,"t1n-the performance of the work for which this i permit is issued I shall not employ any perr,son in any manner so as to become('subject to -the�Workmen's�Comp`ensation Laws of California. `�, •=,U MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ ' I certify that I have'read`this,appITcation and state that the above information is correctAi.,agYrew16 comply to all County Ordinances and State Laws rel`atillg�-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 inspection purposes. is1-1 nae Date Signature ofPermiitee orr*Agent Receipt No. 133&21`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 abov for which fees have been paid. DI CTOR OF PUBLIC WORKS p BY rC.�liILL`� Date 8•-71 Building permit expires Date 7— ;LY -777 COUNTY OF BUTTE — DEPARIMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 959650 . Teleplforie:534-4541 O� / APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentione property for i j tion purposes. x X Date �d Signature of P mi Xe4or t 17 Receipt No. White-D.P.W. - Yellow -Assessor 7 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. ,R RECTOR OF PUBLIC WORKS BY Date/ -77W-7,Y Building permit ex es Date��Y- 7979 BUILDING Owner .70 SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address 3 Q F /Lt�� Fireplace Total Valuation © ,I Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee , L.90 7Gt/Q PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P.Water %— L� Zoning & Planning piping 1.50 Each gas water heater or vent 1.50 F s 5attita4iert Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration I Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 121— Re -4 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ '1F ]Main ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00.3 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 f Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 ) 20sgft NEW CONST,OR ADDNS. ACCLBLDMULT 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: 1.0GNG NEW CONSTR BRANCH CIRCUITS) NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 6 NON-RESID. ,SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTI1RES1 50@25¢ BAL@1 Ex. OCCU FIXED APPLNS. OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 V Mobile Home Facilities 15.00 l License No._�oS 36S Classification C_/0 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 16,f,30 $ C 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 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 iNo.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 $ authorize representatives of the County of Butte to enter upon the above-mentione property for i j tion purposes. x X Date �d Signature of P mi Xe4or t 17 Receipt No. White-D.P.W. - Yellow -Assessor 7 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. ,R RECTOR OF PUBLIC WORKS BY Date/ -77W-7,Y Building permit ex es Date��Y- 7979