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HomeMy WebLinkAbout007-330-028John Drake `y 3043 Coronado Rd., lot 102, Joshua Tree#2 , Chico f Permit #1869-78B(new single family) f Pe it #2383-78B(instal fireplace/SF) �• /Sf// i L � ERSFET, � ' pppp COMPANY aN LICENSED CONTRACTOR Phone: 342-4764 P. O. Box 3506 — Chico, California 95926 INSULATION (Batted or Blown) Date 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: /O9 Street Lot Number Tract No. EXTERIOR WALLS / Manufacturer /� �4 ✓d� Thickness/Type ( R Value CEILINGS Batts: Manufacturer Thickness `` R Valyl Blown: Manufacturer Thic Hess�� / �J�J No. Bergs Wt./Bag Sq. Ft. Covered 1 �'r R Value G/I FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer - T@hicknee's�s/�TTVp�e. R Value GEN L CONT T �A(v \�Y��� LICENSE NUMBER �q BY fl TI LE � �� ATE Vc-] INS ATIO CONTRACTOR LICENSE NUMBER TITLE l�J( ��--� DATE / SAVE ENERGY - INSULATE! (DATE) ACCEPTED RSETH OMPANY D7Ji -moi ' (Authorized Representative) F ).A irarmen' to Fiea1th Sao i a«d/oi 's:at end/or r ,.` ��:Ui on C? c 2.-_ J. D. Drca..ka Pians are app. over? for: Sowasa Disposal: x_ Foid up Final for: Final Clearance OK for:. C earzince i3. for the foli'c4ing: T•GV S!ll&:`baY' a of rriF:ii1 — 57 3 ..B'd Rcora Bd. Pcom 59 3 Bd. i;.c,o:a . —62 3 Bd.. .Pocm Pd F Pil o Room -._ 101 3 Bd. Fc1CM Bd. Room -44,103 Ls, ad c ROC- .Wl Water Supply _ x gate. sUcp'lf Yiater Su?Ply — pio ja7e Drive kojave Dr1va Mo jave Drive ilojaQ�a Drive :;orxado Way. .Ccrcca..'. ;.'a ;:.oja;_ Mriva Flo ja Je Drive Mojave lbriva I PERMIT NO. 1869-78B PERMIT EXPIRES OWNER Jojn Drake "CONTR. owner R LOCATION (A.P. 44=053-73 port. 3043 Camnado Rd., lot 102, Joshua Tree#2,Chico r Az { Temp. Power Pole Called PG&E Temp. E'lec. Serv. //Called PG&E /Tmp.eGas Serv. Called PG&E JOB —79 (Date) FINALED / —G C� (Date) A g ure) COUNTY OP 06*Lu — DEPARTMENT OF PUBLIC WORKS • BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms _ Parapets list Floor Main Bldg. 0 Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding C/ o out v L,Slab Roof Sheathin Z� Kar Pf in Z3 Piers C/' Roofing Z/ Sewer t/ Garage Fdn. Vents ---" Fixtures !� Footings Garage Vents Water Htr. StemwalI Insulation Heaters Slab — Prov. for ph sically Appliances Carport handica ed Conformance of ex. Gas Piping & Test7-22 Footings structure — Temp. Gas Loi Slab Final Sanitation [___ Patio FIREPLACE Final 44 — —7 Footings FootinELECTRICAL Masonry Walls Throats L ` Rough V Reinf. Steel —T' Final`r <i Fixtures Bond Beam FIRF SPRINKLFRS Untnra Framin " I Test WWk5 1 ZA < <- Stucco - Final — - Subanels [� Mesh MECHANICAL Grd. Fault Prot. C/ Scratch Heating Service 1/ Brown Ly Cooling Temp. Pole Finish Ducts L Underground Ll--,' Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M0016EMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS -S/2 3 / 1) V f� /Pella Ate- az 7R�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 Telephone: 534-4541 APPLICATION AND PERMIT A autnonze representatives or the county or ttutte to enter upon the above-mentioned property for insp ct' n purposes. x Date 7 7,6? i9nature of Per e o A ent 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. DIRECTOR F PUBLIC WORKS By Date4L.1/- 2X ilding permit expires Date —.a -t_.7 BUILDING Owner SO. FT. OCC. BUILDING VALUATION O letWo . (9 Mai I i ng Address gq I - ` (0 1 00 Telephone iG ch L Contractor Mailing Address Fireplace Total Valuation g ®® Telephone No. Permit Fee Q0 Building AddressA!1111 Plan Checking Fee&/or Penalty Permit Fee -00 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Trap 1.50 V �UEach r✓v l"'g !Fl9rificatio® Only # Repair drainage or vent piping 1,50 A. P. No. p FJO We. S ni tion Fire Dept. Fire Zone p _^Z Zo Use Penni.t Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Parking EOA plans Parcel Declaration cel Ma 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 RParce A royal Plans Approval Lawn sprinkler system 2.00 NEW E3' ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ $ ELECTRICAL No.1 @ I 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 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLCCUP, s BLDGS) 2¢sgft 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 CONSTR. MULTI.OUTL T ( BRANCH CIRCUITS) 2.50ea ..NON.RESID. NEW CONST. (POWER APPARATUS 9 R NON RES,D. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 5 50L* FIXED ALNS Ex. Occup. (OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 JKI am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ MECHANICAL No.1 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 1 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 $ $ 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 relatinq to buildinq construction, and hereby Land Development Fee $ J Q( TOTAL PERMIT FEE$ Q( autnonze representatives or the county or ttutte to enter upon the above-mentioned property for insp ct' n purposes. x Date 7 7,6? i9nature of Per e o A ent 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. DIRECTOR F PUBLIC WORKS By Date4L.1/- 2X ilding permit expires Date —.a -t_.7 JQ51VLlA TREE - 5t15D/VIS/ON U/V/T ''0 2 -NOTE:—All Mle4t^4'IOIs ?r M/orkmanship 'Shall Be in- - ? Pr. ,.t;res and of a clu'v4;., .,•.�-A ;4_r �' �1F •^l,e T�.��it�ff use- in the A i +,Illt`��r,�• +�i.4;:•.f;'no �? ochonlcai InvfP&*M--7 Codes and •I the 'Ivat►6ngl Eltrd, a o e;"'* ' b` Q..u' . ihis sa of pla - 's -and s0 citieations' MUST be. ,. /02 - cep! on tnt: jot-, Z :'a!i lir s• rand'it is un!aw al1 fo make an-, c is ^!r or, a`., Vons on same without ',from \\\ - written p-Drrnisson 111 partment of Public Works, County o Butte.'' r Sept -ac system- and location ofbuild- i, g , drain, stub -out to be as per W e� : to Cc�,inty Health Dept. Re- l� p g4irernents. T'I e Rich.. Sefbl•k'shail 0 ft: from the sick prof . v 1(, and `; 11. •f, o;nfihe cer:#cl-1144:,= of a,maxi- murn of a 2 Tf. . c ;9 oyern) +ung but eiitirely S ; out of all ease i6nts. :See IV aster Plan o,�•fileIor buildinq plans. 13 P9_4—' BUTTE COUNTY ' UILDING DE . • � �• .. '_ ART MEN- , - A VED l0' 7 + � 4 78,0 .-._ '�•( Wrlur•al:._b. iaJ�+FtI+.W./JY•iYr.��� _ b6 A� 1 �* A• ,� f I � . COUNTY OF 8UtTE1 DEPARTMENT OF PUBLIC WORKS " F 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. K X Date C 7 Signaturee ofermi-/teee /or Agent Receipt No.J . 761 / 1 - 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. DIRECf OF PU LIC WORKS By 1 � --� Date ✓ cp g permit expires Date'����;�? BUILDING Owner �IOLZ / CS SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor /14114/1 Mailing Address,*Fireplace Total Valuation 'elephone o. �,� Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE C-_ eyla ""` 1�d PERMIT FILING FEE $3.00 Each Trao 1.50 U Z -� ��/� �,Sw Repair drainage or vent piping 1.50 A. P. —� � Zoning &Planning' Water piping 1.50 p Each gas water heater or vent 1.50 es tSaaiielr Fire Dept. I r1ireZone 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 ec Parcel Approval Plans Approval Lawn sprinkler system 1 1 2.00 NEW [J ADDITION ❑ UTILITIES ❑ THER Permit Fee $ Q is :TIT, &Z�1� Z Azle lie, 7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family I?] Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 / Main service OVER 7615 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLCONS. D BLDGS.LING Ccup. Y) 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: �'�r� �%� L f/-[6T"�lr///_/ �✓ j�LL NEW CO ID ( BRANCH CIRCUITS) 2.5Oea NEW RESID. BRANCH CIRCUITS) NEWCONSTR. (POWER APPARATUS B NON -RESID. %SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTI1RES 5 L25 Ex. Occup ( FIXED APP LNS, OR OUTLETS (RESID•) EAl 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification G (!�;, 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 of Section3700 of the California Labor Code which requires every employer to be insured against liability kmen's Compensation. ave placed on file with the County of Butte a certificate of PI orkmen'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 PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee �$ Land Development Fee $ $ TOTAL PERMIT FEE $ S authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. K X Date C 7 Signaturee ofermi-/teee /or Agent Receipt No.J . 761 / 1 - 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. DIRECf OF PU LIC WORKS By 1 � --� Date ✓ cp g permit expires Date'����;�? COUNTY OF BUT -W DEPANTMENT OF PUBLIC WORKS 7 County Center Drive — .Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ,�f -,7P- Ignoture of Permitee or Agent Receipt No. ZY 777 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant By Date Building permit expires Date <f 77 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ` )ehono No. Contractor Mailing Address Fireplace ' Total Valuation p O Telephone No. Permit Fee O Building Address ��O/O /�_/� 19v Plan Checking Fee&/or Penalty Permit Fee DO PLUMBING No.1 @ FEE .5 O PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. N C��dSr .� 3 � Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 s6XISaRisatien FireDept. 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 Bui [ding sewer 5.00 BU4r-+ vnrRead I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER JA permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V O Main service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service O100VERAMe0oPORv LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 OR ADDNSNEW / CONST. ACCDWE•BLDGS.LING CCUP. ') 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: NEW R S, D, / RANC C R T NEW CO ID 1 BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON -RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES g L2j FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Lic se No. Classification 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 of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I "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. 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 authorize representatives of the County of Butte to enter upon the above a •oned property for i s ion• purposes. kv�ate 5 � /v U Land Dev9lopment 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. DIREC OR OF BLIC WORKS Ignoture of Permitee or Agent Receipt No. ZY 777 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant By Date Building permit expires Date <f 77 - COUNTY OF BDEPARTMENTF P BLI WORKS BUTTE = O PUBLIC 7 County Center Drive — Orovi Ile, California 95965 Tel ephone:' 534-4541 APPLICATION AND PERMIT �yo-�P a authorize representatives of the County of Butte to enter upon the above-mentioned property for i pection purposes. X Date gnature of P m e ent 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. D TO OF PUBLIC WORKS By Date 8a permit expires Jate ik/3.1 �'7 BUILDING OwnerSQ. O � FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor tic c�2 r Mailing Address �1cdC�Fireplace Total Valuation 81e6UL 4 L Telep one No. Permit Fee Building Address d� Plan Checking Fee &/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 a� / C,1 ic-6 Repair drainage or vent piping 1.50 A. P. No. o-!;3 — -73 +-% Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees Sa+fiitatfvn FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking EQA Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 / 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 600V OR LESS 100 AMP OR LESS 5•�0 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service 0,0v0ERe AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNS. ( C &CUP. Y� 20sgft :3 ylg 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 le of: (/� C-.•CiK• TLET .CONS ITS/ 2.50ea NEW NONRESID, BRANCH CIRCUITS) ULTI.O CRCU ) NEW CONSTR. POWER APPARATUS 9 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 50@25a BAL@1 Ex. OCCU IXED APPLNS. OR Occup. (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 3oS 3Gr Classification �%V Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $-77,70 $ 7 r1Z MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code w ich requires every employer to be insured against liability for Wo men's Compensation. eplaced on file with the County of Butte a certificate of have 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 $ 3 7 authorize representatives of the County of Butte to enter upon the above-mentioned property for i pection purposes. X Date gnature of P m e ent 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. D TO OF PUBLIC WORKS By Date 8a permit expires Jate ik/3.1 �'7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ,— Oroville, California 95965 Tel ephone:' 534-4541 APPLICATION AND PERMIT a5aO -1-7o auth7,,.- representatives of the County of Butte to enter upon the abontioned property for inspection purposes. k X ('� Rhe-�%U Date 3 Signature of or Pent Receipt No. 11 - / 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. ECT R OF PUBLIC WORKS By'211 Date " rha / M1 A46ft permit expires Date BUILDING Owner lemv4 L� SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address pI��Z � Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee a a1.0 le V, PLUMBING No.1 @ FEE %CC7 PERMIT FILING FEE J$3.00 Each Trao 1.50 Z —z rel Repair drainage or vent piping 1.50 A. P. No. .— QsJ— 73 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F s Saclita•:-_ I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration I Parcel Map 1 60' R/W I Improvements additional outlet .30 Building sewer 5.00 Parcel A 1-11-1 Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 21 Permit Fee $ $ l .col _ ZT ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L too AMP 2.50 IM. C j�v AMP O 25,00 Main service 00 P OR LESS t00 A Main service EA. ADD'L 100 AMP 1.00 NEW CONS. OR ADDNST � ACCLBLDGS.CCUP.'II) 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 le of: Y � n n OAC � TLET NEW °"ST'i BRANCH CIRCUITS) NON-RESID (MULTI BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTURES B L@; Ex. Occup. FIXED APPLNS. OR p•(OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 0-11.-e{ 01 ��, S c� Mobile Home Facilities 15.00 License No. yS Classification 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 I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability or 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. PERMIT FILING FEE $3.00 Q Heating O� d c ., U p Cooling Ventilation Hood 2.00 Z, QO Permit Fee $ $ 6 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 a $3•� TOTAL PERMIT FEE $ 3 auth7,,.- representatives of the County of Butte to enter upon the abontioned property for inspection purposes. k X ('� Rhe-�%U Date 3 Signature of or Pent Receipt No. 11 - / 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. ECT R OF PUBLIC WORKS By'211 Date " rha / M1 A46ft permit expires Date f fr Ic�l�f f f f lr�i i, } . Iicf 8161 0 L i S>,aoM �nDn� 30 t r `