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Contr: Mountain 'Air - s ;,, w 1a -
?� -287 E? Evans Reimer,; Gridley le '
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24-11-74 4202-89M
BAKER, Bessie
" Contr; Mountain Air Gridley
' Evans Reimer,
287:;E. '
(replace furnace)
COUNTY OF -BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
�►--- 7 County Center Drive - Oroville, California'95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASS W� PAR) 7L NUMBE
A^
ZONING
BUILDING PERMIT
OWNS r F . S Ali � d�
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
r lvoN -r r; (I S9
C NTRA TOR'S AME i /TELE HONE
CONTRACTOR'S MAPILING ADDRESS
10 / (A I///" CA/_
Fireplace
CONSTR TIEIR
UNKNOWN /
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
I
Each Trap
2.00
jr.
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL AP
t
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE f
SFK Duplex❑ Mobilehome❑ Other f
SPECIFY t
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW
10.005
TYPE OF WORK j
New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Otherx
Describe work: A I _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 5001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in ful J_Jorce and effect.
�`%�. C
License No. Classification __
❑ I, as the owner, or my em loyees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed 'contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.N)
OR ACDNS. ACC. BLDGS. /
1/228git
NEW CONSTR MULTI -OUT LET
NON.RESI0 BRANCH CIRC ITS
2,50 ea
POWER APPARATUS a
(SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
200501
eALe 3o
Ex. Occup. OUTLETS IIRESID.)FIXED APPLNS. REA.�
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Building Department
�- a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Z—)_�_
- 1���' Date
Signature of Applicant — Owner ❑ 'Contractor ❑ Agent.
An OSHA permit is required for excavations over 5'0" deep and�.Iition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
�9y'
TOTAL FEE $ S • V
HAz
GUA I
PARK
I SCHL
I FLD
PAR
PD
Ho
Issue
This permit is hereby issued under the applicable provi-
sions of the. Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECT R OF PUBLICiWORKS
f3� �AA�I �./Xi!( / Date 1AA /y�J
PERMIT EXPIRES Date /
Receipt No. Sy7 / �'"��
WHITE-O.r.W.. YELLOW -ASSESSOR. PINK-INSPECTOR.'GO LDENROD-APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR
�• . — 7 County Center Drive - Orovilte,�'California 95965 - Telephone: 916/5,
v APPLICATION AND PERMIT
I
r Or,'
�Sf
PERMIT ;NO.Z, 6 L -W
BUILDING 'PERMIT
SO. FT. I OCC. I BUILDING VALUATION
f' _ Cl
Fireplace
CONSTROV-TIOP CENDEIRNKNOWN
I
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
�
f?"
Permit fee
$
PLUMBING PERMIT
FiIingFee 10.00
Each Trap
2.00
In
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL AP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFA' Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
110.00e
TYPE OF WORK
New❑ Addition[] Remodel❑ Utilities❑ Installation❑ Other
Describe work: 1 /1 _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1$o AMP OROR LESS10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
4&)
and Professions Code and my license is in ful orce and effect.
License No. Classification
❑ I, as the owner, or my a loyees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.E.
OR ADDNS. ACC. BLDGS.
, /z¢sgft
NEW CONSTR ULT' -OUTLET
NON-RESICIBRANCH CIRC ITS
2.50 ea
POWER APPARATUS
SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
20-
L030
SAI -030f
EX. DCCUp. OUT ETS FIXED P(RESID )LNS REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such/C
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation.
I
permit Fee
$LO
OLD
Contractor
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Count in c sequence of the granting of this permit.
X —F"�1 Date %� /3—
Signature of Applicant — Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and emolition or construct-
ion of strctures over 3 stories in height.�f/Receipt
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
�9��`
TOTAL FEE $ �5 �'� V
AL E
HAZ
CUA
PARK
PAR
P7
HD
ISSUE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
D17 T OF ]PeUlORKS
Y
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
e /
1
No. ,S 7 % ?�
WHITE-O.P.W., YELLOW-A99(930R, PINK•INSPECTOR, GOLDENROD -APPLICANT
MOUNTAIN i AIR
Heating Air Conditioning
(916) 671-6625
TO ,[ SIE' a e r- OR CUPREN'T OCCUPANT!
THIS LBTT19 IS TO INFORM YOU THAT THE FUPNA09
IN TRIO DMLINO WHfOR WAd INSTALLED BY MOUNTAIN
AIR, HAS NDT BEEN INBPROTED DY THE HUILDING
DEPARTMENT .
PLEASE MALL `CHB �i � - � d
AUMI)INd INSPIGTOR T TO SEly A DATE AND
TIME FOR THIS INSPECTION,
YOUR P99H IT NUMBER IS -ISL A42 a 6'2- _
If YOU DO ' NOT RISPOND, AFTER 99CE IPT OF THIS NOTICE,
THE SUILDINO INHPICT'OR MAY HAV9 pa&E TURN YOUR GAS OFF.
90 PLUSH DO NOT DELAY.
WE ARE SORRY FOR ANY INCOPHNIINCE THIS MAY CAUSE.
RESPECTFULLY,
MOUNTAIN AIR
3340 Industrial Ddva South a Yubb City, CA 96993 - UC. 377199
0