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HomeMy WebLinkAbout024-080-088XWheeler Orchards, Inc. 24-08-60! 99- '�401 WO I c. Gridley Permit #5257=77P,E(util. ELEC , . y - � ���� ���, ^x_~� � � .SUPPORT STRUCTURE REQ.ssued. COMPACTION TEST REQ. Z) tr 'permit #6030-77MR1 . � 24-08-%T'6 Chico ' uou�r� 0mr�bo�u�e �lumiuum, ` ' 8B �*apuiu�o/y�l) _ � Permit #29�9-7 �� b a U F. ° .. � � � �_ `I� 1 (^_ y ® L � J � 2949-78B -PERMIT NO. PERMIT EXPIRES Wheeler OWNER Noithstate Alum., Chico CONTR. LOCATION (A.P. 94-08-91 S/S Obermyer, app.950'W.of Larkin Rd., Gridley Temp. Power Pole Called PG&E - Temp. Elec. Serv.. Called PG&E Temp. Gas Serv. -1 — - Cai / B Joe 0 F91 IN A L 4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTWN RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets Ist Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Sternwal I Siding Topout Slab Roof Sheathing Water Piping Piers Rooting Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Insulation Heaters Slab Prov. for physically Appliances Carport handicappe Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final :X�neq-/ Sanitation Patio FIREPLACC Final 1--ootings Footino ELECTRICAL Masonry Walls Throat Rough ReInf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Undergro - und Interior Lath Ventilation Permanent Door Closer . Final Final MOSILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MQ16EHOME INSTALLAIIPN .............. Support Elec. Continuity Water Piping Drainage Gas Piping DATE --REMARKS OR CORRECTIONS -LI ft�40t S4 X77 - (NOTE: An entry must be made on this form each time you visit the job site.) From.: Enviro=ental Health Rec,az-'i--,g: Sewage and/or Water and/or(� Cleatance(s) hp, I ankf i v n-�L -QZ4�, WO -1 OWDER �j , LOCMON A.P. No. Plans are approved for: Sewage Disposal Water Sun ly Hold u-) 'Final for: Water Supply. Final Clearance OK for:- Water Supply Cleatance is for a bedroom (home or mobile home). Other The addition(s)* will be 1-YI QW-) k Ln SaAltarian Date COUNTY-�OF E*iTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone:,534-4541 -APPLICATION AND PERMIT 0�(� R —1d", ­ Bul ­ ivFivaull " vva u I. IV VUIILY V 0Ut%V LU VIILt;I UPVII tilt: ab�ve-mentioned pr'o��rty f�r iinsp"ectionppulirposes X te Ifi gnature ofol-mitee or Ager"�' I Receipt No. 77�41_3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Golden rod-Appli cant 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 bee aid. DIRECT F UBLIC WORKS BY —Date K_ ilding permit expires Date IRE 6 BUILDING Owner SQ. FT. OCC. RUILDING VALUATION R 3(0,600, 06 MailingAddress -42;t4 Telephone No. Contractor Mailing Address Fireplace Total Valuation Permit Fee Building Addres -4 Plan Checking Fee &/or Penalty Permit Fee $ $ PLUMBING No.1 @ FEE -PERMIT FILING FEE $3.00 Each Trao 1.50 6, Ln Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping , 1.50 Each gas water heater or vent 1.50 Fb---Sl W -r!", Sa, ion FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel 1 Plans Declaration Parcel I M -9A 60' R/W I I improvements Each additional outlet .30 Building sewer 5.00 Bldg. P16�n`s`�Rec'd Parcel':<proval Lawn sprinkler system 2.00 NEW � ADDITION UTILITIES El OTHER El Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS SS 5.00 100 AMP OR LE Single Family E:] Duplex Mobil Home 52"_�Others 1:1 Main service EA. ADD'L 100 AMP 2.50 4 Main service OVER 600V 25.00 100 AMP OR LESS I Main service EA. ADD -L 100 AMP 1 1.00 NEW CONST. I DWELLING Occul-- N) 120sq ft OR AD DNS. % ACC. BLDGS. 7, CONTRA(jF&RS 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 -OUTLET NON RESID. BRANCH CIRCUITS �2.50ea. NEW CONSTR. POWER APPARATUS & NON . RES I D. (SINGLE OUTLET CIR. , Ex. OCCUE)(OUTLETS OR FIXTIIRES 5BOA*L @2510(% Ex. OCCUp. ( F1 X11 APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary Service 10.00 Mobile Home Facilities 15.00 License No,2144,9,0 Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Cal ifornia. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions ot Section3700 of the California Labor Code which requires every employer to be insured against liability 67ravfor Wor n's Compensation. V e placed on file with the County of Butte a certificate of W�h 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 0 FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.001 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 $ ­ Bul ­ ivFivaull " vva u I. IV VUIILY V 0Ut%V LU VIILt;I UPVII tilt: ab�ve-mentioned pr'o��rty f�r iinsp"ectionppulirposes X te Ifi gnature ofol-mitee or Ager"�' I Receipt No. 77�41_3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Golden rod-Appli cant 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 bee aid. DIRECT F UBLIC WORKS BY —Date K_ ilding permit expires Date IRE 6 'Pr 5257-77P,E LRMIT NO. PERMIT EXPIRES OWNER Wheeler Orchars, Inc. CONTR. owner LOCATION (A.P. 24-08-51 SIS Obermeyer, app. 950'W.of Larkin Rd., Gridley al Temp �Ro //,er Pole C11, ed PG&E Temo Elec. Serv- /Called PG&E emp. Gas Serv. -11;ZZ2;7A�W Called PG&E JOB FINALED --7-7 (Date / 1*2 rz? x A19114 Vill' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECO'RD X BUILDING X BUILDING (Cont'd) PLUMBING SeAkack F)kVw a I I Solk Piping For;6 Parlpets 1 s\Floor MaIX Bldg. Restr'kqm Finish 2ndNloor Fo tings Window 3rd Fkor Ster�6al I Siding Topout X Slab X Root Sheaking Water Pipin'k Piers X Roofing Sewer X Garage X Fdn. Vents X Fixtures X Footings X Stemwa I I Garage Vents X Insulation N Water Htr. X Heaters X Slab Carport Footings X Prov. for p� sicaN handicappe.1 Conformance of ex. structure Appliances X Gas Piping & Test V Temp. Gas A Slab Final Sanitation Patio N IFIREPUCE Final Footings X Footina % —ETECTRICA Reinf. Ste16 X Final X Fixtures Bond Bek X FIRE SPRINKLEFIV Motors Framinq Test X Water Htr. Stucco Final X Subpan4 Mes MECHANICAL Grd. Falfflt Prot. Scrich X Serviol tsqpwn Coofing N Tifto. Pole nish D Is nderground l4erlor Lath )(entilation /Permanent poor closer Winal Nkinal MOBILEHOME UT161TIE / ......... Elec. Service Elec. Pedestal. Water Piping Sewer 7", Gas Piping MBILEH LAE IIYSTALLA�TION --------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS :4 M (NOTE: An entry must be made on this form each time you visit the job site.) a -MOBILEHOME INSTALLATION INSPECTION CHECK LIST \N 1. Is the mobtlehome located 'th required separation from lot lines and buildings and generally conform to plot plan? Yes :711. No 1 2. Does the mobilehome have.required clearances above ground? (Sec.5085) Ye S No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) YeA / No 4. Is the mobilehome level? (Sec. 5088) Ye No 5. if �Ire than a single unit, are cros sov r c.nnectipns properly installed? (Sec. 5088) Yes No 6. Water A. Is f�pcible connector of adequate size and properly installed (1/2" ID min.)? (Sec. .5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflew----TE-c-o-a-cM--ig-nDt-St*t--� �Ifarnia approved, does station have backflow device and pressure -relief valve? Yes— No - 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes -4 No B. Does it have minimum k" per foot slope and is it properly supported? Yes V No - C. Are any leaks detected in drainage system after running,�-,gallons of water through each fixture including washing machine standpipe? Yes No_LJ D. I --does station have required trap and vent? Yes— No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mob4ehome gas line idlet without reductions other than the mobilehome connector. Yes 7Z-�S No B. Test OK as per following procedure? Yes No - 1. Open all appliance connector valves. -VII 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Ye S No. 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum og,100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No 4- B. Is there proper clearances around panels? Ye No S4 C. Is power supply cord,or feeder assembly properly fused? Y No e D. Is continuity test satisfactory as per the following procedure. Ye No t 1. De -energize electrical wiring system of the mobilehome at the P%4es al. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. . 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord*or feeder assembly conductors shall be connected to the site service equipment. A further continuity test -shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing. I 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width e-& Vehicle Serial No. Z State Identification No. Additional Information or Comments: COUNTY OF b`UTTE- - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephone:'534-4541 APPLICATION AND PERMIT �7 u u, — representatives 01 I.Fie County ol Butte to enter upon the above-mentioned property for inspection purposes. X 2w 7 ,z2gd Signature of Permitee or Agent Receipt No. 170 White-D.P.W. - Yellow -Assessor - Pink -Inspector Goldenrod-Appli cant 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 BLIC WORKS By _. ��= — — D at e _Z�� 7 7 BAding permit expires Date - 1:�-IY-7,r BUILDING Owner o -p /ey r 11. FT. OCC. BUILDING VALUATION Mailing Address JfA )30 1/0 (3 r I h ne No. Fireplace Contractor Total Valuation Mai I ing Address Permit Fee PlanChecking Fee&/orPenalty Telephone No. Permit Fee $ Building Address 01clin P-1 A 42x- f:aQQ41W. PLUMBING No.1 @ 1 FEE PERMIT FII ING FEE $3.00 T,0Lt, t5brw 0s) W'd I I Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Min d7 Each gas water heater or vent 1.50 A. P. NV -e__ < I A��l I Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 Fe4 W. Sa n FireDept.1 1reZone I Use Permit Building sewer 5.00 /0 EOA I Parking P ans Parcelo I Declarati _.�Parcel Map 60' R/W Improvements Lawn sprinkler system 1 2.00 Bldg. Plans Rec'd Parcel J+Vrlo�vol I Plan'Rppoval Permit Fee $ 31 -e-4, $ NEW ADDITION UTILITIES �OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex Mobil Home OthersEl Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. AOD'L 100 AMP 1.00 NEW CONST DWELLING OC CUP, 20,sq f t OR A.D.S. ACC.BLDGS. NEW CONSTR. (MULTI -OUTLET '2.50eal NON-RESID, BRANCH CIRCUITS) N -W (SPOWE:R APPARATUS &) " C;ON5TR NON-RESID. NGLE 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) 5BOA L @251"0 FIXED A LNS UK Ex. Occup. (OUT LETSPP(RESI*D.) EA) 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 $ .2 6A0 $ _R WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the Cal,ifornia Labor Code which requires every employer to be insured against liability for Workmen's Compensation. E] 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 K -N permi t i s i ssued I shal I not employ any person I n any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.001 Permit Feei $ $ 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 . tk ; 4-41 1, (J 25, ot TOTAL PERMIT FEE — $ 8"ej u u, — representatives 01 I.Fie County ol Butte to enter upon the above-mentioned property for inspection purposes. X 2w 7 ,z2gd Signature of Permitee or Agent Receipt No. 170 White-D.P.W. - Yellow -Assessor - Pink -Inspector Goldenrod-Appli cant 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 BLIC WORKS By _. ��= — — D at e _Z�� 7 7 BAding permit expires Date - 1:�-IY-7,r This set of plans and specifications MUST bG kep', or lcb 'at end Lf is unlawful to ^a CAM6 without 675!(e 7117 wrill'I'On from the Department Of Pub- lic Works, County of Butte. NOTE—Ali Male; ivis 9, Worlluncnc�'-,ip Slivill Be in c Accord-unce wi-01 P?ccct��;nlizeJ Good Nactices and of a quality. presc;--,�3jl _�Dr flie.c ec--f;eJ use in *the Uniform �uildin.g, FiLimibing & MeoNanical Codes and he National Filectrical Code. Sept ic system and locaf ion afibjd. to be 4a C! Buffe County. Health Dop#. All uf i! quiremenfs. 10c it �ify conrezFons shou r -c -ediwiflhin 4 it. outside the rear third sec:;on of 11he mo6ile home on the lef i (road) side of the niabili" home. / 1, 7 f C­ S-ztr-2-7 7 BUTTE COUNTY BUILDING DEPARTHEW A P P R 0 v h e -R -,fey )9 P. vcha r ds I Pi C TheAft Se+bvc'k -shall be 5 ft. from the side pro )erf%j line and 50 ft. --from" f6, 'he centerlin I f road, permitting a maxii- 0 f mum of c 2 ft. eave overhang;but on&* out. of a easements. will bP 01 re4ulrecj for the rnobilehome. Sept ic system and locaf ion afibjd. to be 4a C! Buffe County. Health Dop#. All uf i! quiremenfs. 10c it �ify conrezFons shou r -c -ediwiflhin 4 it. outside the rear third sec:;on of 11he mo6ile home on the lef i (road) side of the niabili" home. / 1, 7 f C­ S-ztr-2-7 7 BUTTE COUNTY BUILDING DEPARTHEW A P P R 0 v If gn o 0 ALI MOBILEHOME SUPPORT DATA Pobilehome Mfr. Setup Model No. Year Width (ft.) Length (f t.) Rnrpande* Size t. t (Draw support tails below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation ;manj-4 and structural setup sheets (if not on fi e with the,,County of Butte). S 2*n le Footings (check -one) &4 1 T.7 --A 4 +-U f (5C.7 E.) in.) (In.) e?VJJ(, -36 *If center piers are other than rawn above, draw in locations, spacing, and.dimensions. J. pressure treated or fdn. grade., 2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support Footing Size Max. Pier Spacing Max. Overhang 11 13UTTE COUNtif BUILDING 'DEPARTMENT APPROVED Center Center Support Support Footing Sizes Locationsl (in.) Min dft)_� fil . t n) 7(f 017n.i 7 X n _01 in.)(in.) f (5C.7 E.) in.) (In.) e?VJJ(, -36 *If center piers are other than rawn above, draw in locations, spacing, and.dimensions. J. pressure treated or fdn. grade., 2. Concrete pad. 3. Other, specify Supports (check one) 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support Footing Size Max. Pier Spacing Max. Overhang 11 13UTTE COUNtif BUILDING 'DEPARTMENT APPROVED 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF YUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit?. Yes NZ7 No (If yes, furnish permit number OR Is the site an existing site? Yes No 7 (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and (If yes, identify the load and size: (Load) (Amp s) I clear of all setbacks and easements? Yes L6e'l No 9. What (If no, clarify (in.) 10. What is the type of gas service? ----------------------------- Natural T'l LPG IR7 5. 6. What What is the mobilehome electrical rating? ----------------------- is the mobilehom6 site service rating? Z�'C> Amps 2-5 Amps 7. What is the mobil ehome site circuit breaker rating? ------------- Amps 8. Is there site any other electric load to be served by the mobilehome 0 service? ---------------- ------------------- Y e s (If yes, identify the load and size: (Load) (Amp s) I t 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural T'l LPG IR7 11. What is the gas pipe length from meter q tan 0 e mobilehome? (ft.) 12. What is the mobilehome gas demand? - -- -- ----------------- (BTU) f pi s Trhis-information not required if pipe ngth less than 6 ft. on natural gas or less than 50 ft. on LPG.) t -COUN-TY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center prive — orovi Ile, California 95965 Tel ephone:, 534-4541 Wdo, 4� 77 APPLICATION AND PERMIT /07-/ I I BUILDING Owner ;:B� SQ. FT. OCC. BUILDING VALUATION M ailing Address T lephone No. Fireplace Contractor 77�--linn=> cL �ktal Valuation W Mai I ing Address P0 72:2 Permit Fee - Plan Checking Fee &/or Penalty JT� 43 A�phoneNo. .3 $ Building AddressTA 0 We- 44-o' VFLAr-k1&J PLUMBING No. @ FEE PERMIT FILING FEE $3.00 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& Planning Gas piping system 1 - 5 outlets 11.50 Each additional outlet .30 Fees I 4_61 Sarirat—ion I FireDept., FireZone Use Permit Building sewer 5.00 EQA IParking Parcel Plans Declaration Parcel Map I 60' R/W I I Improvements Lawn sprinkler system 2.00 Bldg. Plo sl�Rec'd n Parcel Affr`o��val Plani �pproval Permit Fee NEW ADDITION UTILITIES OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS AMR OR LESS 5.00 -100 Main service EA. ADD -L 100 AMP 2.50 Single Family Duplex Mobi I Home Others OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD -L 100 AMP 1.00 NEW CONST. /DWELLING OCCUP. & OR ADDNS. % ACC.BLOGS. 20sq ft NEW CONSTR. (MULTI -OUTLET S) NON-RESID. BRANCH CIRCUIT '2.50ea NI_W.0 ON5TR. f POWER APPARATUS &) NON RESID. % SINGLE OUTLET C IR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & PZssions Code under the a e style f Ex. Occup(OUTLETS OR FIXTURES) 50 @ 250 BAL@ 1(% Ex. OCCUp. ( 1IXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.:272s I(S� 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. certify that in the performance of the work for which this El 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 AIS 77-1- Lwt-7-1 0-& 1 3 .0 - TOTAL PERMIT FEE Is -361040 U., y U U 0 U VIIL�l Upull tilt: f'r in'spection purpoos'e's. above-mentioned o X Date Sign tire of Permitee or Agent Receipt No. 73 White-D.P.W. Yellow -Assessor – Pink -Inspector – Goldenrod-Appli cant 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-RUBLIC WORKS By Date 7�7_ B fficring' permit expires Date COUNTY � DEPT. OF U CBwoKSE i • Q Sr� Nov APJ1 7 1977 1 i �►8►9�10►11►�►�►�►�i41 j 6