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Home My WebLink About017-100-029GEORGE O � MEDI NA �w�s Humbug Rd. app. 3 mi. no. of Covered tt'ridge) Chico t - : ermit 677-73P, ' \ g (utilities for mobile home w • Q Y , • � ' ` ' tiro r \ .. . - ,Y -1 �� ® �-.�� COUNTY OF BUTTE —V533 TMENT OF PUBLIC WORKS: 7 County Center Dville, California 95965 Telepho, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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. By DIRECTOR OF PUBLIC WORKS Receipt No. — — I Building Permit Expires Date White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant BUILDING Owne SO. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor Total Valuation Mailing Address Permit Fee _ Plan Checking Fee&/or Penalty Permit Fee $ $ Building Address — ---- --- -- PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans Fees I W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures bolilO — Receps., switches & fix outlets 20 n 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. — Classification ❑ 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 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 Instrumentation a Motion $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Signature of Permitee or Agent Date 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. By DIRECTOR OF PUBLIC WORKS Receipt No. — — I Building Permit Expires Date White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant COUNTY OF BUTTE — DE ,TIENT OF PUBLIC WORKS 7 County Center Crive'/ ville, California 95965 Telephone: ' 534-4541 APPLICATION AND PERMIT autr orlLe representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 9 Dat 723 Sign re of Permitee or Agent Receipt No. Zo .17 0 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 P BLIC WORKS BY Date JL Building Permit Expires Date 3 —1 f_ 7Y BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor Total Valuation .14 Mailing Address �f' Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address �� u PLUMBING No. @ FEE PERMIT FILING FEE $2.00 —f ti p Each Trap 1.50 7-1 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 / _ / _ A. P. No. f0 _ onifi Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept.Sanitafion Planning Building sewer 5.00 f LSO Plans G/ Fees W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ® Permit Fee $ Q. ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ; c e Main service incl. 1 meter CF Additional meters, each 1.00 USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or. space heater 1.00 Light fixtures Receps., switches & fix out11eets::::EZM 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring C ., 4Zr� License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee $1 J.06 $11, 0_ 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. 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 MECHANICAL No. @ I FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ tate Fee for StrAArg Motion $0.07/$1000 Evaluation note Fee for n pn gMot $ $ TOTAL PERMIT FEE +� jj $le` __ autr orlLe representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 9 Dat 723 Sign re of Permitee or Agent Receipt No. Zo .17 0 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 P BLIC WORKS BY Date JL Building Permit Expires Date 3 —1 f_ 7Y