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HomeMy WebLinkAbout007-330-030:s / John D fake Lo 1100, u ree �k2, ChY o�O > D = mit 1179-7 new. sing .family) John" Drake lj 3065 Coronado.Rd., logo, joshua Tree #2, Chico Permit #1867-78B(new' single, family) Per it # 2381-78B(ins all fireplace/SF) 0 emw4 j UWV OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: John D. Drake ADDRESS: P.O. BOX 1448 CITY & STATE: ' Chico, CA. 95927 IMPORTANT: April 18, 1978 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT • Y Decided not to build. (Permit Appin. ,11179-78B -Receipt #167091 - _PuKt.) Building permit fee ----- $112.00 eta n113 of fee -- --- 37.33 Amount of refund due -------- w,-- $ 74.67 Lan Development fee refund ------ 25.00 TOTAL REFUND DUE -------- ---- - $ 99.67 $99.67 L TOTAL $99.67 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. 17th I IApril 78 Oroville Datedthis .................................. day of ............................. 19....... at................................. Calif..................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation or Specific Board Approval r_-) (Checkone) for the same. 18th April 78Oroville Datedthis .................................... day of ............................1 19......, at .............................. . Callf..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code Code PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROJ SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. C INSTRUCTIONS -to CLAIMANTS All claims against the county must 'be itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 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. X Date ignature of Permit r y 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 OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner P SQ. FT. OCC. BUILDING. VALUATION Mailing Address / I/f Telep oneo Contractor gyp, ' Mai I ing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee f/ PLUMBING No. @ FEE ERMIT FILING FEE $3.00 E h Trao 1.50 / oshija J tr1 r'f on Only Rep it drainage or vent piping 1.50 A. P. No. -v zo I Water 1ping 1.50 MI -no Each ga water heater or vent 1. Feb W. E. Sa Ion Fire Dept. FireZone Use Permit Gas pipin ystem 1 - 5 outlets 1 0 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additio al outlet Z .30 Building sewe 5.00 �� Bldg. Pian Parcel A royal Pla Approval Lawn sprinkler s stem 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ J ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 800V OR L Main service SS 5.00 100 AMP O L Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADOAL loo MP 2.50 Main service OVER ov 25.00 100 A OR LESS Main service EA. D -L 100 AMP 1.00 NEW CONST. / D �[.. OCCUP. Y\ 22sgft OR ADDNS. 1 S. 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.UANCH CIRLT I -OUTLET NON-RESID RTS .50ea .CUI NEW CONSTR POWERAPPARATUS d NON-RESID. SINGLE OUTLET CIR. Ex. Occuo{ UTLETS OR FIXTURESI5 L 1 Ex. Occu OUTLETS XED (RESID IREA) 2.0 Tempor y service 10.00 Mobil Home Facilities 15.00 License No. Classification Mis . Wiring 6.25 PRI am exempt from the Contractors License Laws of the State of California. loermit Fee $ . K7A $ 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 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ICA 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 $> q 11 OR / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ignature of Permit r y 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 OF PUBLIC WORKS By Date Building permit expires Date ERSE:- ppnn' COMPANY 4i_. aH LICENSED CONTRACTOR _ Phone: 342-4764 P. O. Box 3506 — Chico, California 95926 INSULATION (Batted or Blown) Date 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 Manufacturer C42 Thickness/Type R Value CEILINGS Batts: Manufacturer n Thickness R Value Blown: Manufacturer �v Thickness No gs fffWt./Bag 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 �,'g GEN AL CONTRA OR DAb!2,^�nn LICENSE NUMBER BY TI LE �ZNO © �V` DATE lt4SULAItION cgryTRACTOR L CENSE NUMBER I irmkleTITLE DATE SAVE ENERGY = INSULATE! ( DATE) ACCEPTED HE ETH MPANY (Authorized Representative) To: BUILDING DEPARi'�tiT ENN IROMNEN`±'AL iiE.-k LH i?}y: Se; -;age and/or ia_er. and/or Addition Clearance(s) O�r�irR clan= are approved for: Hold up final for: N LOCATION APs Sewage. Disposal. � Water Supply Xinal Clearance ok for: ciearance is.for a 3 bedroom (home or '' ome). Other The addition(s) will be C71„ Water Supply Water Suppll ,9 r PERMIT NO. 1867-78B PERMIT EXPIRES OWNER John Drake CONTR. owner 44-053-73 port: { LOCATION (A.P. ) z 3065 Coronado Rd., lot 100r Joshua Tee#2,Chico f -k.. Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E All I Temp. Gas Serv. alled PG&E /(IN -� LED -IAUNTY OF' BUTTE' - OEPaATMENT OF PUBLIC WORKS - BUILDING INSPECTION RECORD BILEHOMEUTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping I E MEINSTALLATION-------------- Support Elec. Continuity Water Piping Drainage Gas Piping o�REMARKS OR CORRECTIONS Z2�o n - (NOTE: An entry must be made on this form each time you visit the job site.) J` _ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive _ OrovHle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT m �I autnorize representatives of the county of t3utte to enter upon the above-mentioned property for i tion purposes. X Date Signature of Pmi e r Agent 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. DIRECTO PUBLIC WORKS BY Date_ Binding permit expires Date �'�" BUILDING Owner 'Z'1�neg SQ. FT. OCC. BUILDING VALUATION b b 0 -Do Mailing Address ' o � Talepho No..> � Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee Q ®( PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 T O ® JOSya. r� � &9ning V-erjficaUon Only Repair drainage or vent piping 1.50 A. P. No. ~ 0,53 " ,_ �ZonZ r Water piping 1.50 Each gas water heater or vent 1.50 F64s d -e Sa FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans ParcelEach Declaration arcel'gap 60' R/W I Improvements additional outlet .30 Building sewer 5.00 AIs c Par el A rovol 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•�� Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ( ACCLBLDGSCCUP. 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: NEW RESID. BRANCH CIRCUITS) NON.CONST ( BRANCH CIRCUITS) .2.50ea NEWCONSTR. POWER APPARATUS B NON .RESID. (SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTURES SBL2; 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 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 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 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 $ B� autnorize representatives of the county of t3utte to enter upon the above-mentioned property for i tion purposes. X Date Signature of Pmi e r Agent 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. DIRECTO PUBLIC WORKS BY Date_ Binding permit expires Date �'�" ,J051-1UA' TREE. 5-L1 0/ 15/ON UIQ1 i" '0 2 , N'OTF:' _4..-il Iv�p':: rials &., Workmanship Shall Be in G7-4 Precf ices and chis set of plans and specifications MUST be i •a„ �..., •+- .r : s,A cry ;, rase in the �3 I ar a cru �+?� a sept on ti„= ir!; at a,; 'rima ar;d it is unlawful to Unifarrn t'r� + *:~ r,lt-x,,' r n �7,' '; L or _ d : �r�,: ansa same without 1 the National Ell w,trrcal 'Clod vvrrttan fro tne. Uepar ent of public . ' . Works, County: of Bu e: _ The Fick . of zcacn. Shall be 5 ft. from the Y Septic system end to atio of build= s „=�, '� ii.ie YC:wd ,5` 'fi. from the P �-- _ _2 '� rcpt :� , inq drain st+ b -o: o- a s. Der-•- - #�e: r+�'i€rs,� a r*�axi- B�rito Cour.:° l-ieal �h ep Re= r.Z�,,� � _"'2' f: c•_:e,oi u' er',�;a;g but entirely quirements. o"t of Cillyea en, eats., _ /2_' P-0. G. N ee Master. Pla l on file for building! M' ' BUTTCCOUNTY BUIL- DEPARTMENT APROVED Lj Z 01 g•, . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT / �?P/ .ewrA ,/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signaturre of �/Permitee or -Agent Receipt No./ %i 7�/ - 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 PUBHIC WORKS By T Date EhiliftLWpermit expires Date BUILDING IVI -All Owner SO. FT. OCC. BUILDING VA UATION Mailing Address Telephone No. Contractor � Mailing Address 9 Fireplace Total Valuation Tel hNo. e on Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE Q Q r PERMIT FILING FEE $3.00 p Each Trap 1.50 _ i� -- Repair drainage or vent piping 1.50 r A. P. QJ Gil Zoning 8 Planning Water piping 1.50 (� Each gas water heater or vent 1.50 p Re es Saa.i ;&40R Fire Dept. ire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans ParcelEach I Declaration Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 B Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ff Permit Fee $ j) .$ l ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR LEMain service 100 AMP ORS5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPeo0v OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST /DWELLING ACCBDGS.CCUP. 7e) 20sgft CONTRACTORS LICENSE LAW State of California Business & Professions Code under the name style of: NEW CONSTR. MULTI-OUTL T NON-RESID (MULTI-OUTLET BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS B . EX. OCCUD(OUTLETS OR FIXTIIRES BAL@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 pp �^ License No. �[ b 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 Wor en's Compensation. have placed on file with the County of Butte a certificate of ZWorkmen'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 Land Development Fee $ TOTAL PERMIT FEE $ % 'L authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signaturre of �/Permitee or -Agent Receipt No./ %i 7�/ - 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 PUBHIC WORKS By T Date EhiliftLWpermit expires Date COUNTY OF BUTTE ',z --DEPARTMENT OF PUBLIC WORKS n� 7 County Center Drive = Orovi-Ile. California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner ` SQ. FT. OCC. BUILDING VALUATION Mailing AddressA?z T Tele hone No. Contractor Address[Fireplace 'J� QC7iMailing Total Valuation JVD0 9 Telephone No. Permit Fee Building Address Q �G' Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. -D� 3� 7 Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 flesV4Saai•taiaen 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 Im rovements P Each additional outlet .30 Building sewer 5.00 13"q_P4e,4 o -d I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ ELECTRICAL NO -1 @ I FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LESS5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER 600v ESS 25.00 100 AMP OR L Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELING OR ADDNS. ACC`BLDGS.CCUP. 7i) 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: NEW CONSTR TI -OUTLET NON.RESID � BRANCH CIRCUITS)l 12.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID. (SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIiRES B L@; FIXED ALNS Ex. Occup. OUTLETS P(RES(D )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 L' ense 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 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.. rkmen's Compensation Insurance. Vlpeve placed on file with the County of Butte a certificate of certify that in the performance of the work for which this mitis 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 $ $ 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 a Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ .S auth if ze'r. presentatives of a County of Butte to enter upon the abo a -menti ned p ope fo in ection purposes. Date` Jv� ature of Permitee or Agent Receipt No..Z 777 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. DIRE OF P BLIC WORKS By 1 r Date Building permit expires Date COUNTY OF BUTTE 'DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize represeritatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 2 X Date $ignature,;of Per ite V.r ga Receipt No. —J 1/ ` 1 h 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. ,BtRECTQR OF PUBLIC WORKS By Date NA f g permit expi es Date 1:2 BUILDING Owner 1 _ N yl. G SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address 0hL !/cam L" Fireplace Total Valuation t r Telep one No. 533- ,gyp Permit Fee Building Address �� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Trap 1.50 /Each p Y` LTAa C� LC-C� Repair drainage or vent piping 1.50 A. P. No.-- -- ?j d%�=� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees B' Z!C. -9amtatron 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 B / d Parcel A royal F Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER R Permit Fee $ $ (o —7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 l0`1z� e00V OR LESS Main service 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 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWE UP. 51' OR ADONS. AC / 2�sgft Q 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 BRANCH CIRCUITS NON -REBID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS if NON-RESID. SINGLE OUTLET CIR, EX. OccuD(OUTLETS OR FIXTURES 1 gAL� FIXED APPLNS, OR EX. OCcup.(OUTLETS (RESID,) EA� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �S 36s License No. Classification Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ -372C$ 7_7712-1 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 Wo kmen's Compensation. ave placed on file with the County of Butte a certificate of LWorkmen's Compensation Insurance. r -1I 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 $ ` authorize represeritatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 2 X Date $ignature,;of Per ite V.r ga Receipt No. —J 1/ ` 1 h 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. ,BtRECTQR OF PUBLIC WORKS By Date NA f g permit expi es Date 1:2 y COUNTY OF BUTTE . — 'DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT X ,9,11 ! /�' Date 715' Signature oof17171.4-11 / Perme— iteetor%Agent Receipt No. 17 T ` 1 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TO F PUBLIC WORKS. By Date "/3 N 0permit expire Date BUILDING Owner Q� � SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor o Mailing Address S'o2, a_�ep Fireplace Total Valuation / 9 S -1, Telephone No. 3-35 Permit Fee Building Address4=1l �Q _ e[.Lt�v PlanCheckingFee&/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. DS3 — Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F ` 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 Plans Approval Lawn sprinkler system 2.00 -Approval NEW 0 ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ LL C 7- ;?F ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family Duplex ❑ Mobil Home Others ❑ Main service 100 AMP OR00V OR L LESS5.00 Main service EA. ADD•L too AMP 2.50 i \ / - - Main service OVER P O 25.00 100 AMP OR LESS Main service// EA. ADD'L 100 AMP 1.00 NEW OR ADDNST %ACC•BLDGS.LING CCUP. 41 2¢Sgft r 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 Sty of: /� &J &JZU �' / t /�� �C/ten:-r , �"C�// "EW RES,.,CO BRANCH CIRCUITS) NON.RESID � BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON•RESID. SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIPES @251'Of EX. OCCUP ( FIXED APPLNS. OR \ 2 00 OUTLETS (RESIDJ EA Temporary service 10.00 c�a j C %70 G�s?J Z,�, 'rte, ` Mobile Home Facilities 15.00 3�S/Z 1 (! — .Z6 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No.j @ FEE W KMEN'S COMPENSATION INSURANCE 1 am a re of the provisions of Section3700 of the California Labor Co which requires every employer to be insured against liability f orkmen'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 3 07) Heating Cooling 13 , d6 Ventilation �. Hood Permit Fee $ $ f s a-� I certify t at I have read this application and state that the above informatio is correct. I agree to comply to all County Ordinances and Sta Laws relating to building construction, and hereby authori representatives of the County of Butte to enter upon the above- ntioned 7.perlfor inspection purposes. Land Development Fee $ TOTAL PERMIT FEE $ �3 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. X ,9,11 ! /�' Date 715' Signature oof17171.4-11 / Perme— iteetor%Agent Receipt No. 17 T ` 1 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TO F PUBLIC WORKS. By Date "/3 N 0permit expire Date I ,• •, •ate• � •'.> f� 1 � f_, ,� t r