HomeMy WebLinkAbout007-320-025I
Morseman Duplex Investorsy
2836 Morseman Ave., lot 25, Chico 444
Permi%,#1676-78B(nnewdup exGA)
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PERMIT NO.
1676-78B�o��
PERMIT EXPIRES
Morse an Duplex Investors
OWNER
CONTR. owner
LOCATION (A.P. 44-37-13 port.
2836 Morseman Ave., lot 25, Lindo Gardens
' #3, Chico
f
s
.N'
A
°i
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Tem : Gas Serv. "—
Called PG&E
JOB �-•
FINALED
(OaW
(Signature)
E R S_ E T
COMPAN4
® 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:
Street
EXTERIOR WALLS
Lot Numbed
Tract No.
Manufacturer Thickness/TypEp4�1— R Value`/
CEILINGS
Batts: - Manufacturer Thickness R Value
Blown: Manufacturer®C-/-- Thicknne-s-s-� �� No. Bags � Wt./Bag
Sq. Ft. Coveredc _i R Value 4i
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION WALLS
anufacturer //��yy��Thickness/Type R Value
GE ERAL NTRA OR 6 V44 — LICENSE NUMB R
BY TI LE DATE /���
SUL TIOeOFOR C'
,LICENSE NUMBER
TITLE 'DATE 9- A57
SAVE ENERGY - INSULATE!
(DATE)
ACCEPTED , ERSET I COMPANY
(Authorized Representative)
To: BUILDING DEPARTMEN71
F-11 om: E TIIRO`.MENTAL HEALTH
Re: Sewage and/or Water and/or Addition Clearance(s)
"y
yyx-,a�— r 1�— 0�&OAA
-MN ER LOCATION AP#
•6 Plans are approved for:
:w Hold up final for:
Sewage Disposal
rcinaI Clearance ok for:
(;Clearance is for a bedroom (home or mobile home).
The i ion(s) will be _
r .
Sanitarian
Water Supply
_
Water Supply
Water Supply/
Other .2 •t 3
r
Date
# , 1
' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
Setback
Forms ��—
Main Bldg.
Footings
Stemwal I
S I ab, 4T--
Piers
Garage
Footings
Stemwal I
Slab�—
Carport
Footings
Slab
Patio
Footinas
isonry Walls
Reinf. Steel
Bond Beam
Z
—k
oI�
BUILDINGLCont'd)
Firewall
Restroom Finish
Windows
Siding
Roof Sheathing
Roofing
Fdn. Vents
Garage Vents
Insulation
Prov. for ph sici
handicaooedy
Soil Piping
1st Floor
2nd Floor
3rd Floor
To out
Water Pi n
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & T
Temp. Gas
Sanitation
Final /3
Motors
Water Htr.
Subpanels
Grd. Fault Prot
PLUMBING
W�Afflo,
m
Scratch
FIREPLACE
Footing
Brown
Throat
Ar IF
Final 04
y%
Underground
FIRE SPRINKLEF
Test
Permanent
Final
Final —
Final
MECHANICAL
Soil Piping
1st Floor
2nd Floor
3rd Floor
To out
Water Pi n
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & T
Temp. Gas
Sanitation
Final /3
Motors
Water Htr.
Subpanels
Grd. Fault Prot
PLUMBING
W�Afflo,
m
Scratch
Heatin ��-
Service
Brown
Cooling z
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final —
Final
MOBILEHOME UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEH IME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
in
Gas Piping
9
DA/TE,yiyr ,, %FIEMARKS,liR
CORRECTIONS_�
i
� n.1 i7 `J 4 —� w�
(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
Tel ephgne: 5344541
APPLICATION AND PERMIT
!lo76�7P
T 'J
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date �/v
Signature of
Pe i or Agent
Receipt No. )- L�y'
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.
DIRECTO F PUBLIC WORKS
By Date
uilding permit expires Date
BUILDING
Owner
!/
SQ. FT. OCC. BUILDING VALUATION
d
Mailing Address
S. DO
Telephone No.
0
Contractor
Mailing Address
Fireplac Qd
Total Valuat on
Telephone No,
Permit Fee
Building Address
Plan Checking Fee &/or Penalty
-
Permit Fee QQ
2_1 3 /WeesE may er
PLUMBING No.1 @ FEE
CLi��° -
PERMIT FILING FEE $3.00
Each Trap 1.50
_
V/coert ton nil
�/Wd ,
Repair drainage or vent piping 1.50
A. P. No. - ��� �/j ,
p�
Z & Plbn`4
In
Water piping 1.50
Each gas water heater or vent 1.50
Fees
Sa4tion
I Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
arce ap
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
/+ n
CI s r-
O Parce ,oval
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑. UTILITIES ❑ OTHER ❑
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
t00 AMP LESS 5.00
Single Family ❑ Duplex Mobil Home Others
❑ ❑
-L
Main service EA. ADD100 AMP 2.50
Main service 1100EAMP OR LESS 25.00
Main service EA. ADO'L 100 AMP 1.00
NEW OR ADDNS. 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
st y le of:
T
NEW RESID,CONSTBRANCH CIRCUIT
NON -REBID ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS d
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTIIRES 5 L�
Ex. QCCU FIXED APP LNS. OR
p•(OUTLETS (RESID.) EAJ 2.00
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 $
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. @ 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 inspection purposes.
X Date �/v
Signature of
Pe i or Agent
Receipt No. )- L�y'
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.
DIRECTO F PUBLIC WORKS
By Date
uilding permit expires Date
COUNTY OF BUTTS — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OroviIle, California 95965
Telephgne: 534-4541
APPLICATION AND PERMIT
QUUIUIILC ICIJIebelltdtIVeb UI t11e %,vunty UI 6u Re to enter upon the
above -menti ed property for inspection purposes.
Ax x Date
sig ature of-itParrmitee or Agent/
Receipt No. ! ,7, S ,%
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 �1�G� Date �! 1li
Building permit ex tr Date
BUILDING
Owner £J
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor / d Uryl
Mailing Address
Fireplace
Total Valuation
elephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
3(0
PLUMBING
No.
@
FILING FEE
$3.00Each
Trap 1.50
OPERMIT
Repair drainage or vent piping 1.50
jWater
A. P. o. % -- .. � Zoning & Planning
piping
1.50
Each gas water heater or vent Z 1.50
, 00
s
SerrFtatfon
Fire Dept.
Fire Zone Use Permit
Gas piping system 1 - 5 outlets j,_ 1.50
UO
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 $
p
1
,:q - %
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE
$3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex [Z Mobil Home ❑ Others ❑
Main service EA. AOD•L 100 AMP 2.50
12
OVER 600V
Main service 100 AMP OR LESS
25.00
Main service// EA. ADD'L 100 AMP 1.00
NEW OR ADDNST % ACCLBLDGS.LING CCUP. Y� 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
le of:
style /
�/� f! U P N
"E"' CONSTR. MULTI.OUTL T
NON.RESID BRANCH CIRCUITS
2.50ea
NEW CONSTR. (POWER APPARATUS B
NON.RESID. (POWER
OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTURES g �@
OR
Ex. OCCU FIXED APPLNS.D.) EA) 2.00
p• OUTLETS (RESI
Temporary service 10.00
Mobile Home Facilities 15.00
�
License No.e3A�3/.? ' Classification C36
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.
@
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$
3 S
QUUIUIILC ICIJIebelltdtIVeb UI t11e %,vunty UI 6u Re to enter upon the
above -menti ed property for inspection purposes.
Ax x Date
sig ature of-itParrmitee or Agent/
Receipt No. ! ,7, S ,%
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 �1�G� Date �! 1li
Building permit ex tr Date
COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 5344541
APPLICATION AND PERMIT
BUILDING
Owner SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor
Mai I i ng Address
on
Building Address
A. P. NP_Zf L�—J% 1_ 6�4:1—) I Zoning & Planning
06 1 Wee- I Serrit�n I FireDept. I FireZone Use Permit
EQA I Parking I Parcel Parcel Ma 60' R/W I Improvements
Plans Declaration P
Bodg. I`10,Irr9_R_eC_T I Parcel Approval Plans Approval
NEW ❑ ADDITION FUTILITIES ❑ OTHER
Single Family ❑ Duplex JA 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: D
License No. / .� �i/ 7 Classification C 41 S C k-0
I am exempt from the Contractors License Laws of the State of California.
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.
y j� 1 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.
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-mentioned property for inspection purposes.
, X - Date
ignature of Per4iteeorr Agent
Receipt No. 127 l7 7
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
Fireplace
Total Valuation
Permit Fee
P I an Checki ng 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
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. ADO'L 100 AMP
@
$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
FEE
FEE
NON.RESID % BRANCH CIRCUITS/G.Dued
NEW CONSTR. POWER APPARATUS 6
NON.RESID. (SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
50 @ Z3¢
BAL@1
EX. Occup ( FIXED APPLNS. OR
• OUTLETS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee
MECHANICAL
PERMIT FILING FEE
Heating /,Of)
$3.00
I Cooling Z7,0A1 L, 14/,001 ,Y. Dr) I
Ventilation
Hood I Z4 2.00 0 0
Permit Fee $ Ofd $ v
Land Development Fee $
TOTAL PERMIT FEE is Z,3
,66
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 r�
By Date-s--o-7—
Building
ate —o-7Building permit expires ate Y_--/%' %
Y
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
J,5-y1C,21_W
authorize representatives of the county oT autte to enter upon the
above-mentioned property for inspection purposes.
X -Date Z
Signature of Permitee or 1 ent
Receipt No. 1836.26
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
abo rjwhiches have been paid.
CTC=R OF PUBLIC WORKS
By Date ?— 9&-7&
Building permit expires Date
BUILDING
Owner JOHN D. DRAKE
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 520 COHAS SET PD.
TJ 95926
Telephone No.
1342-8985
- f
Contractor IAMB & RICE LANDSCAPING
Mailing Address 2294 CEANOTHUS AVE.
Fireplace
Total Valuation
CHICO, CA. 95926
TSI �}I ,�1
'W-07&2
Permit Fee
Building Address 2836 MORSEMAN AVE. — CHICO
Plan Checking Fee&/or Penalty
Permit Fee
(LOT 25)
PLUMBING No.1 @ I FEE
PERMIT FILING FEE 1$3.00 3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. -�37 /3 IPO�I
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
W.
SertiEetieR
I Fire Dept.
Fire Zone
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
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00 F2. 0
1
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ 5.00
5 10
YARD SPRINKLING SYSTEM
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex [3 Mobil Home ❑ Others ❑
Main service EA. AOD'L 100 AMP 2.50
DUPLEX
OVER 600V
Main service 100 AMP OR LESS 25.00
'
Main service EA. ADD'L 100 AMP 1.00
NEW CONSOR ADDNST (ACCLBL GS.NG CCUP. 41 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:
LAMB 8c RICE LANDSCAPING
NEW CONSTRES,., TI -0 CIRCUITS TLET
NON -REBID (BRANCH CIRCUITS) 2.50ea
NEW CONSTR. /POWER APPARATUS 8
NON-RESID. \SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETs OR FIXTIIRES 5 L�
FIXED ALNS
Ex. Occup. ( OUT ETS P(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 311135 �+ -Classification C-2?
K X
Misc. Wiring 6.25
❑ I am exempt from the Contracrto'is License' -laws of the State of California.
+, v
Permit Fee $
$
�fy .
WORKMEN'S COMPENSATION 1ASURANCE
� 9 .A,:..1
1 am aware of the provisions of Sectibn,3700 ojfzz th'e California Labor
Code which requin;ps Every employer to be •insured against liability
for Workmen's Compensation.
I have placed. 01n, file witl the Coun{ty of Butte a certificate of
❑ Workmen's Compensatioin,l6surance.
5,.,1'
NJ I certify that fe, the performance of the work for which this
permit is issued I''shall not:e`mploy any person in any manner
so as to become subjecttto+he'Workmen's Compensation Laws of
California. c�,
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
I Land Development Fee
$
TOTAL PERMIT FEE
$ 5 01
authorize representatives of the county oT autte to enter upon the
above-mentioned property for inspection purposes.
X -Date Z
Signature of Permitee or 1 ent
Receipt No. 1836.26
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
abo rjwhiches have been paid.
CTC=R OF PUBLIC WORKS
By Date ?— 9&-7&
Building permit expires Date
-COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County 6enter give - Oroville, California 95965
Telephone: 534=4541 U
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mrty for inspection purposes.
X Date z 7J
Signature of Perm' ee Ag t _
Receipt No. I I I X I b -
White-D.P.W. - 74uel e0o Pink - eE$?®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.
D CT OF PUBLIC WORKS
By 011Da'te__L)9b
g^permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor rj Y, EIe
cty_
1 C_
Mailing Address 1
Fireplace
Total Valuation
1le hone No.
r' 1 11 c" ��
Permit Fee
Building AddressPlan
Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Ll V1A
Repair drainage or vent piping 1.50
A. P. No. g4-3-7 —1 -3 Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W
ire Dept.
Fire Zone 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
B
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION.[] UTILITIES ❑ OTHER
Permit Fee $
$
Q.0 X_ —
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ®�
Single Family ❑ Duplex Ud Mobil Home ❑ Others ❑
Main service 600V OR LESS -
100 AMP OR LESS 5.00
Main service EA. AOD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EWA. AOD'L 100 AMP 1.00
OR ADDNS. AC3i L O P ft ,: V
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 RESIO,CONSTBRANCH CIRCUIT T• `
NON -REBID BRANCH CIRCUITS/ 2.50ea
NEWCONSTR. f POWER APPARATUS 8
NON. RESID. SINGLE OUTLET CR.
Ex. Occuo(OUTLETS OR FIXTURES 5 L�
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home.Facilities 15.00
License No.. 3aS361Classification C /0
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.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
E]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 N04 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
$
(08
authorize representatives of the County of Butte to enter upon the
above-mrty for inspection purposes.
X Date z 7J
Signature of Perm' ee Ag t _
Receipt No. I I I X I b -
White-D.P.W. - 74uel e0o Pink - eE$?®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.
D CT OF PUBLIC WORKS
By 011Da'te__L)9b
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