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Home My WebLink About024-130-065i A.P. 24-13-65 Bud Waller n/s Keith Ave. opp. Thresher Ave., Gridley Permit 653-71B (convert garage and add.-be:oQ- m_�& bath -'on 'top-)-- 24-13-06C- NEW top)----24-13-06C- NEW OWNER FRANCIS WALLER 949 Keith Ave, Gridley�!,/�,�b'�' Contr: Burl Woodward Permit #2609-84B,P,E (repairs/SF) 0 7 I f I I 1 f I i A.P. 24-13-65 Bud Waller n/s Keith Ave. opp. Thresher Ave., Gridley Permit 653-71B (convert garage and add.-be:oQ- m_�& bath -'on 'top-)-- 24-13-06C- NEW top)----24-13-06C- NEW OWNER FRANCIS WALLER 949 Keith Ave, Gridley�!,/�,�b'�' Contr: Burl Woodward Permit #2609-84B,P,E (repairs/SF) 0 A.P. 24-13-65 Bud Waller n/s Keith Ave. opp. Thresher Ave., Gridley Permit 653-71B (convert garage and add.-be:oQ- m_�& bath -'on 'top-)-- 24-13-06C- NEW top)----24-13-06C- NEW OWNER FRANCIS WALLER 949 Keith Ave, Gridley�!,/�,�b'�' Contr: Burl Woodward Permit #2609-84B,P,E (repairs/SF) 0 Francis Waller Permit #2609-84B,P,E COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville; California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER _ I f I TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ' - Fireplace CONSTRUCTION LENDER 1' UNKNOWN Total Valuation $ ^•- I -J,/ - Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ j BUILDING ADDRESS - • PLUMBING PERMIT Filing Fee 10.00 i Each Trap 2.00 Solar Water Heater 20.00 ' 1 t Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W F._O0 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other, Describe work: ' _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 - i Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. 2thQSQft 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 full force and effect. License No. Classification ❑ 1, as the owner, or my employees 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 CONSTR (MULTI -OUTLET 2,50 ea NON.R ESID BRANCH CIRC ITS NEW CONSTR /POWER APPARATUS &) NON-RESID. %SINGLE OUTLET CIR, OCCup(OUT20e50C Ex. OR FIXTURES oAL@300 A Ex. OCCUp. FIXEEDD APP LNS, OR OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc.6Viring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑y I 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 provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that 1 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 Date Signature of Applicant — Owner ❑ Contractor,- Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ - - - AHD OCcUP. GROUP I TYPE OF CONST. PARCEL PO ISSUE ' This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC •' By - • I „� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date A , is ' _' r '-r. Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT Permit No, ENERGY C ERTIFICAT ION LOCATION A.P. No. ROOF DEScRil'TION OF INSULATION Material Thickness(inches)� EXTERIOR WALL Material Fiberglass Thickness(inches) CEILING Batt or Blanket Type Fiberglass Thickness(inches) Loose Fill Type Fiberglass Minimum Thicknesy(Inches)_� 1 Aao A row, r. .�.; x.17" Pered ( f t • ) FLOOR, ELEVATED Material Fiberglass Thickness(inches) FLOOR, SLAB Material Thickness(inches) W idth(inches) FOUNDATION WALL Material Thickness(inches) I hereb Brand Name Thermal Resistance (R Value)��_ Brand Name Certainteed Thermal Resistance (k7—value-)- Brand R Value) Brand Name Certainteed Thermal Resistance(R Value) Brand Name Certainteed Number of Bagri -rLVt. per bag 2Gi lo. Thermal Resistance(R Value.)--- Brand alue.) � 2— Brand Name Certainteed Thertttal kesistance(R Value) - .----'— Brand Name Thermal Resistance(R Value)�� Brand Name Thermal Resistance(R Value)��_` y certify that the above insulation was installed in the above building in conformance with the State of California Energy Requirements. Hawkins Insulation Co., Inc. 378407 FIRM NAME/q R S'CATE CONTRACTOR'S LICENSE NO. SIGNATURE OF I STALLATION APPLICNrOR DATE I hereby certify the above. insulation rind all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of theualit specifically approved by the State of California. y Pre°cribed or are FIRM NAME/OWNER (Please print) STATE CONTRACTOR S LICENSE N0. SIGNATURE OF QF.NERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SIW,L BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE TMENT OF PUBLIC WORKS v 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEq�U,MBER r �' 3 ZONING BUILDING PERMIT OWNER w TELEPHONE SQ. FT. OCC. BUILDING VALUA 10 OWNER'SLI G ADORE S v✓VZ O TRrf/✓!/� NA CVk &VTAL PHONE �GG77 4- (7 CTO CO A'S MAI LIN ADDRESS % &7 (replace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater :20.00 Water piping 5.00 L o1r NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE S Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home ISI G W 10.00e nQ /LG ///,� TYPE OF WORK `,� New ❑ Addition ❑ Remode,I ❑ Utilities ❑ / �` Installs ion❑ Othe11] Describe work: Z w Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. t 220sgft CONTR TORS LICENSE LAW I declare under penalty of perjury (check one): F1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profes ions Code and my license is in full rce and effect. License N Classification ❑ I, as the owner, or my employees 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 CONSTR. UL' -OUTLET 2.50 ea NON.RESID BRANTCH CIRC ITS NEW .CONSTR. ( POWER APPARATUS &1 NONRESID. SINGLE OUTLET CIR. / 20@60e Ex. Occup(OUTLETS OR FIXTURES SAL0300 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ �-- Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): E] T>e permit is for $100.00 (valuation) or less. I 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 provisions or this permit shall be deemed revoked. 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 liabil' ie judgme ts, cost spenses which may in any way accrue agains sai unty dg! X co�n ce of a granting of this permit. Date Ignarure of Applicant — Owner ❑ ContractOr��Agenr ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $s— OCCUP. GROUP I TYPE 01- CONST, PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for wh'ch D) TOF BLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �— No. Z6 -Z, - j �j �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -I SPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT �( / Owner: A. P. #i'- �_/ 5 �� ) Address: Date of Inspection " 7 Tenant: Inspector Building Location: Type of Inspection requested: 1. Housing % / 2. Financing 3. Change of Occupancy to T<T4. Other (specify) -6�� Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and. ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments• D . P lumb in 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: - 4. Weather protection: 5.. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description) :w�2c��G _/L2 7 ALC 2. What action spken�(give complete description): 3. What action recommended: 0A. Information only - file. qCz - B. Hold for ten (10) days, then write letter. C. Write letter. D. Other: i .PERMIT NUMBER _ B 653-71 _ k p 624-71 t, E 602-71 q PERMIT EXPIRES Bud Waller OWNER owner 'CONTR: '.LOCATION (A.P. 24-13-65 j nfs Keith Ave. opposite Thresher AV6:j // Gridley arkcw c K.ci9��G2t{S �t'iG� ./ 'l 1�eiT A r ' r G S. {{l . i t L N r- COUNTY OF BUTTE Department of Public Works DATE REMARKS OR CORRECTIONS C- 71 !p N 6145� �� "S Aj /-o v1, cf < 71 y - - /v - 7/ BUILDINp I ISPECTION RECORD Zoning 7ECORD Setback ? Forms o FoundationPiers & Girders Fireplace Rgh. Plumbing G t/ 7� and Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing i %) Plmg. Topout Rough Elec. 6 / v� Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS C- 71 !p N 6145� �� "S Aj /-o v1, cf < 71 y - - /v - 7/ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT Permittee Owner ✓ •• ! i / Mailing Address �� ! �- Contractor 'Sanitation Mailing Address .[Plans A. P. No. Fire Zone Zoning I Planning - Fees W.C. BLDG. Address f 0' - -'- - y R W Encroachment NEW Q ADDITION REPAIRS OTHER Ej Others.r "5eol.- - / I I r Single Multi USE OF STRUCTURE Family ;E] -Duplex Dwelling E] Others !_. i / F 0 U N D A T 1 0 N MATERIAL EXTERIOR PIERS WSdth at Top Width at Bottom Depth in Ground SO. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders - ofjoists - 1st Floor Joists - 2nd Floor Fireplace i Joists -Ceiling Total Valuation + Exterior Stdds Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee ? r� Bearing Walls UYIIITRAUTUNS LIUENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof.......................................................................................................................................................................................................................................:........ . License No . ........................... Classification,,,,,,,,,,,,,,,,,,............................. and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, for other statutory exemption.................................................................................................................................................................. .................................................................................................................................................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 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-mentioned property for inspection purposes. X............................... ....................................... Date ................................ SIGNATURE OF PERMITTEE OR AGENT This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................................................................................ Date ................................ ReceiptNo......................................................................................................... II Permit Expires Date .................... � �1 a U Yv �� i��l� ..i� j1 , '�j /� �� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - �Oroville, California 95965 Phone: 533-1230, Ext. 259 �J APPLICATION AND PLUMBING PERMIT Permittee Owner A.P. No. =� = Mailing Address -- Contractor Mailing Address BLDG. Address I i DESCRIPTION OF WORK NEW k7 ' ADDITION [—] REPAIRS 0 OTHERS: Remarks: USE OF STRUCTURE Single RESIDENTIAL • Family Q OTHERS: Remarks: Multi Duplex 0 Dwelling Q TOTAL FEE I $ r A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof..................................:...............`...................................:......................................................................................................................................................... License No Classification ................ and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption................................................................................................................................................................., ............................................................................................ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 1 certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. Date............................................................................................................................... SIGNATURE OF PERMITTEE OR AGENT ReceiptNo .............................................. This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS BY................................................................................ Date .......... PERMIT FILING FEE No. @ Fee k $2.00 Each fixture or trap or set of fixtures on one trap J 1.50 �- Repair or alteration drainage or vent piping 1.50 Installation or repair water piping 1.50 Each gas water heater or gas heater vent 1.50 Gas piping system 1 - 5 outlets 1.50 Gas piping 6 or more - Each .30 House Sewer 5.00 Lawn Sprinkler system 2.00 TOTAL FEE I $ r A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof..................................:...............`...................................:......................................................................................................................................................... License No Classification ................ and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). 0 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption................................................................................................................................................................., ............................................................................................ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 1 certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. Date............................................................................................................................... SIGNATURE OF PERMITTEE OR AGENT ReceiptNo .............................................. This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS BY................................................................................ Date .......... U -4^- y -tL CII -a Com., e W .A -0a , �, 9 COUNTY OF BUTTE i ' DEPARTMENT OF PUBLIC• WORKS - 7 County Center Drive - Oroville, California 95965 PHONE: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT / r _ Permittee Owner . �� Gr�cr C� _i-- A. P. No._�e - Mailing Address Contractor Mailing Address BLDG. Address i! -4 Vii=- �� . /• .e_.Eaa.<_ -c !�' r- •.�a % c - DESCRIPTION OF WORK No. Fee PERMIT FILING FEE $2.00 NEW 0 ADDITION F-11• METER SERVICE Q Supplementary Filing Fee 1.00 OTHERS: Remarks: (12 or (more than Each Sub -panel less) 12) / Range, Dryer or Water Heater Each L00 Oven. Cook -Top or Space?Heater Each :.50 Light Fixtures First 2D 20 Li B .� Each Additional .10 USE OF STRUCTUREFirst 20 20 Rece tacles„ Swig & Fixture Outlets 'i Each Additional :10 Single Multi Hood, Exhaust Fan or F.A. Furn. Motor Each .50 Family Q Duplex Dwelling 0 Evap. Cooler, Gar. Disp. or Dishwasher Each .50 +, * Air Conditioner at Heat Pump ► " �- OTHERS:) t __ -t. r ' Water Pum Misc. Wiring Remarks: TOTAL FEE ` r •j CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE_TH,E. FOLLOWING: I am licensed under .ihe provisions .of Chapter_ 9,'•Uiv 3, of the State of California Business &Professions Code under the name styleof .............................. ................................._.......................................................................................................-.................................................__ . License No Classification .............................................. . and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one} 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors, (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis, if any, fo&other statutory exemption....................................................................................................._.._...._......».......--............_....-........».. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to 6e insured against liabil- ity for Workmen's Compensation. .I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. , DIRECTOR OF PUBLIC WORKS X........................................................ , ...... Date ........................................ ...... ........ SIGNATURE OF PERMITTEE OR AGENT .............................. Date Receipt No. O. I � � � � / � � � � � i ,, � � � � COUNTY OF BUTTE ® DEPARTMENT OF PUBLIC WORKS _ 7 County Center Drive - Orovllle, California 95965 PhIONE': 533-1230, Ext. 259 C APPLICATION AND ELECTRICAL PERMIT rt - Permittee Owner f4 C I A. P. No. 0� �— 13 — �S Mailing Address Contractor Mailing Address BLDG. Address l r i/ i r. r — �, , DESCRIPTION OF WORK I No. Fee NEW •0 ADDITION F__j METER SERVICE Q PERMIT FILING FEE Filing Fee OTHERS: Remarks: Sub-panel (12 or (more thanO— less) 1.00 Range, Dryer or Water Heater Oven, Cook -Top or Space Heater Each Light Fixtures Each L00 USE OF STRUCTURE Single Multi Family 0 Duplex Q Dwelling 0 OTHERS: Receptacles., Switches & Fixture Outlets Hood, Exhaust Fan or F.A. Furn. Motor Evap. Cooler, Gar. Disp. or Dishwasher Air Conditioner or Heat Pump Water Pum Misc. Wiring R em ark s: I, TOTAL FEE 12.00 1.00 Each Each L00 Each ..50 First 2D .20 Each Additional .10 First 20 .20 Each Additional .10 Each .50 Each .50 CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business dt Professions Code under the name style of,,,,,,,,,,,,,, License No Classification,,,,,,,,,,,,,,, , and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one). Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). FKJ,. I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the o" improvements. (Sec. 7044). QBasis, if any, fo&other statutory exemption................................::..................................................................._......._......».... _.... . WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against-liabil- ity gainstliabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 1 I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of the County of Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. property for inspection purposes. , . DIRECTOR OF PUBLIC WORKS X............:...............'...........................:............:...:........... Date ........................................ SIGNATURE OF PERMITTEE OR AGENT By .............................. .......... ........................... ................ Date ...................... ....». ...... .... ReceiptNo..................................................................... r� 1 � V �� _� � -� � � � � � � � � {�7