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HomeMy WebLinkAbout024-180-066A.P. T4-181cig& CURTIS ROBINSON 04�# 800 s1s Evans Reimer app. 2001 west Thresh- er Ave.., Gridley Permit 1710-7�B,P.E.M 6-,z"- 7r (remodel JOEL C ROBINSON 928 E. Evans Re'imer Rd, Gridley i , �e��._ '_. Permit#203-8fi " P,E(.ndd family room, bed- room &-bath/SF) I'd 5 A 11 C"xp A.P. T4-181cig& CURTIS ROBINSON 04�# 800 s1s Evans Reimer app. 2001 west Thresh- er Ave.., Gridley Permit 1710-7�B,P.E.M 6-,z"- 7r (remodel JOEL C ROBINSON 928 E. Evans Re'imer Rd, Gridley i , �e��._ '_. Permit#203-8fi " P,E(.ndd family room, bed- room &-bath/SF) I'd 5 A 11 C***4 cc PERMIT NO. 293-83B,P,E. • L�. PERMIT EXPIRES --'0z OWNER JOEL C.' ROBINSON CONTR. owner ASSESSOR PARCEL 21+-1$-30 LOCATION 928 E_ Evans Reimer, Gridley _ e i l a Temp. Power Pole_ k Called PG&E Temp. Elec. Service_ Called PG&E_ Temp. Gas Service _ Cal led PG&E i' JOB FINALED (Date) Si —2%— J =SOK 0 = Not OK - = NotApplioable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1, Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date, Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except H's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances , _ 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector ; 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed - 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy '9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date i J OK, t 0 = NenQJ4, `"' c �• - = Noi Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDER OOR PlWIS) OK except#'s Date FRAMING Continued o ing requirements -Setbacks -Easements roperty Line Firewall & Openings tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4 t. Doors -One -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50—taft-A(k -3' th-Headroom-Rise-Run-Landing-Fire Protection _ hes &Decks; Soils -Steel- / /" Ftg. Depthi$--Plywood mwalls, Main; Steel-Blockouts-Wrapped-Slab on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwa Is, -Garage; Steel-Blockouts-Wrapped-Slab Screed-Fdn. Vents-Underflr. Access ]J►P' -Fireplace Ft .-Steel 5 D.W.V.: Fall Fittin Test -2 way C/O -Sewer Te zing Area -Glass Protection -Skylights -Plastic 5 ear Walls; Nailing -Bolts 1$ Gas Pipe; Size -Anchors _ 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13 irders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI gt7 Date Card -BI Date Card -BI Date Card -Bl, Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINA tans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s. 667 fi-C Steps -Door & Sidelight Protection -Landings Smoke Detector ter Ht.: Vent -Access -Combustion Air r58._.E -nc -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection W ter Pipe; Test & Anchors -Nail Protection D.W .. Test & Anchors -Nail Protection i'L oom Exiting �A _ 1 hower Pan; Test, First Floor -Tub Access Gail': & Bath Fixt es & T Ac ess - 18. Test Tub & Shower, 2nd Floor -Tub Access 6 Elec. Trim & Subpanel; Breaker Sizes -Labels _ 1.9. Gas Pipe; Size & Anchors t _ 6 p ace or Stove; Clearances -Hearth meets at Wood Panel; Int. & Ext. Card -BI ate3 Card -BI Date iance; Grnd.-Air Gap -Cooking Clearance Card -13 Date 2-/,,P �0Card-BI Date ptacles at Kit. Counter Date ELECTRICAL Pe OK exc t # 's Swing -Landing -Closer 6$ - amper -- fixture &Transformer ara i& -.)ns. Protection 2a _-Plec. Receptacles, a& Switches at Doors - learance-Comb. Air-Connector-P.R.V.- In Gge; Above Floor-Mech. Protectioncing-Lights 70 ., Elec. & Mech. Equip. Listed for Location - 2�/�ze Boxes & No. of Conductors -Stapled 74. tes in Garae; (G.F.i.'J-Romex Proiec. 9 2 omex Installed Close to Edge of Studs & C.J. 2A/@quip. Ground made up w/Mech. Fasteners -Bond Gas &Water Insulation -Foam -Looked in Attic es _ 2b•. -2 -Rance Circuits in Kitchen & Conductor Size ec onstrucr-Dr Post Caps - - - - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 7Q/�dn. Vents &Crawl Hole r -Drainage &Wood -Earth Clearance Looked under Floor tfYes 2c. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 75, 76. Following instl Drive es ❑ No; Walks es ❑ No; Planters Yes 0 N Stucco; Brown -Finish — 2fbr-6ecyice-Riser Conductors & Ground -Main Disconnect _ -quip. Clearances; Panels-Motors-Mech. Equip. onnect-Clrnces-Brkr. & Cond. Size -115V Outlet --- 3po-Tlothes Closet Light -Shower Light — ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. -------_--_-- 7o avatar Well�ect, Electrical, Plumbing . c. Trim; G.F.I. Receptacle -Underground Card B-I,cD_ate2 Card -BI _ Date 8& --Ventilation throughout House Card B -I `-� Date Card -BI Date Corrections from Previous Inspections Date MECHANICAL (Permit) OK except #'s g • 6 Gas -Electric _- 31. A.C. Ducts: Insulation & SPH<Ort — Vent Fan; Exhaust abo Insulation 33. Condensate Drain & verilow; Size & Grade 8 . ater & Sewer Connected -C/O to Grade -HD Approval " ' Energy Compliance Certificate -Other Certificates __ 34. Furnace -Vent; cess -Comb. Air -Return Air Vent -115V outlet 35. Attic Access Platform if Furnace in Attic Card -BI Card -BI --- -- - _.ate _ —Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA G(PI� OK except #'s Comments at Final: - - '•IIs; Proper Material & Anchors _ - Wall -=Nailing, Spacing & Bracing -Plates -Sound 3✓ ,S aringWalls over Girders & Floor Nailing____ Stop in Walls (rat proof) Stops; Furred Ceilings -Stairs -Chases -Tub --40v-'Fire _ 4.eader & Beam -Size & Bearing _ 42—ngers-Post Caps -Anchors -Connectors 44 --Ging. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 44rFfieplace Ties or Type A Flue -Fireplace Throat �4�j/fC'itic _ Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles Or_Tf_rm-_Windows or Exiting Doors -Sill Hgt. & Dimensions 4j,--Garege-1j.ire Protection Framing — (NOTE: An entry must be made each time youvisit jobsile) i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 8914751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector Date3 19 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. U —gee V� Inspector Date, COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751' 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE r , BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. .�-r.� ..-tom _,.;�3,• rm y Inspecto` Date L RESIDENTIAL_ ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE r THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS -HAVE BEEN INSTALLED IN CONFORMANCE WIT CURRENT E RGY C NSERV ION REGULA IONS_ AT �2 j _ V as' r/«Gr c L4 1�t1 (location) BU ILD ING PERMIT NO. A P . NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED...PLANS: (Check each item or write'N/A if not applicable) INSULATION• Slab Edge Fdn. Walls Y Floorsy Walls Ceiling/Roof Ducts Circulating Pipes ,v. APPROVED HEATER 7c APPROVED WTR.HTR. GLAZING: Single Glazed Special (Insulated) +� CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. X BACK DAMPERED FANS le, INTERMITTENT IGNITION DEVICES CERT. APPLIANCES r I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED - IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name o L'. I C , �0 Signature of .� �(Please r ' t) �_ Insulation Applicator State Contractors G� 11 License No. General Contractor/Owner Name ^.1 c% ease ,t) Signature of/ General Contractor/Owner gate State Contractors License No: THIS CERT IF ICATE MUST BE ON FILE WITH .THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED, IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95y65 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT O. ASS 0 PARCEL UMB� ,_/.. ZONING BUILDING PERMITV OWNEZS-TELEPHO O % I �� SQ. FT. OCC. BUILDING VALUATION OWNEF�S MAILING ADDRE [7j1 -s vh e t - CONTRACTOR'S NAME h e;r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONS RU TIOC1LEND"FS' R_UNKNOWN Total Valuation $ Filing Fee$ 10.00 LENDER' AIUN DDRESS , Permit Fee $ 10 ARCHITECT OR ENGINEJR LICENSE NO. Plan Checking Fee $ ,010 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDREISS Permit fee $ BUILDING RE V S PLUMBING PERMIT Filing Fee 1 10.00 Each Trap 2.00 1 4,00 Solar Water Heater 20.00 r-� Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL AP 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 JSJGJWJ 10.00 e TYPE OF WORK New ❑ Addition Remodel FlUtilities ElInstallation❑ Other ❑ Describe work: 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 OR ADONST DACCLB LD LINGIO S 2Y2¢Sq ft , 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 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 ULTI.O -OUTLET 2,50 ea NO N.R ESID BRANCH CIRCUITS) NEW CONSTR (POWER APPARATUS .&) NON-RESID. SINGLE OUTLET CIR. 200500 OR FIXTURES eAL�aoa Ex. OCCup(ouXED A FIXED PPLNS. OR Ex. QCCUp. 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): ❑ The permit is for $100.00 (valuation) or fess. ❑ 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 liabilities, judgments, costs, and expenses which may in any way accrue against aid ounty iWco quce of the granting of this permit. / X `' Date :2 ature of Applicant — Owner Y 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 $ OCCUP. GROUP fR- TYPE OF c0 T. — IPARCEL f/ PD HD ISSUE; r/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO O PUBLIC By_ PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �- 7_-7 �6^ Receipt No. 6 0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS ' A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. r �_.:.. ,ice`- c�-��' % � �.�,�� /-�i� .,�.!s�ZZ[�c�- ,•�'-�� 00, i Inspectorr(� Date r� _r Building Location: Type of Inspection requested: - % 1. Housing . 2. Financing a %. BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS o SPECIAL INSPECTION REPORT 4.. Other (specify) 3. Change of Occupancy to i rw,�� 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:` 17.' Natural light and ventilation: B. Room and space requirements: 9.. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connectior.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 grounds � 2. Receptac: es: 3. Fusing: 4. Comment s: F D. Plumbing . 1. FLitures connected and vented: 2. Gas water heater: 3. Gas heating vents: .. 4... Comments • w ..r. .. E. Other 1. Maintenance and repair: 2'.' Fire hazards : _ s. Safety hazards: WeaVier protection: 5. Underfloor and attic ventilation: Conw ents •' F. Commercial Buildings 1. Roof covering: 2: Disrdnce to property lines: 3. Physically handicapped: 4. Rest-oom floors and scalls: 5. Exits: W . 6-."-' Improvements 7. Zoning:_ 8. Comments-: - G. 'Field Proble:is or Violations 1. Probzm or -riot i (give complete deser.iiion): Q� 2. What ac i :1 taeat c ive complete d.escriptlon) 3. What action recommended: A. Information only - fil:. / -B. Hold for teas (10) days, then wri`c letter. ! / C. Write letter. ,.. 17 D. Other: : PERMIT NUMBER - B 1710 73B,P,E,M P r E J� PERMIT EXPIRES .5 _ ,Zc('-_7 7- [OWNER Curtis Robinson Ae - CONTR: owner, a � LOCATION (A.P. 24-18-30 ) s/s Evans Reimer app. 200' west Thresher Ave Gridley x t IQ Io i 0 - v ' i 1; fi• ,.I COUNTY OF.BUTTE Department of .Public 'Works y BUILDING INSPECTION RECORD Zoning, Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing _ Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wi•r. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary• Temporary Cert. of Occup. Final Final Final DATE REMAR54, OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR j �% /v —;7 7 County Center Drive — Oroville, California 95965 / / Telephone: 534541 APPLICATION AND PERMIT a t"Or Ic ZP eaCn Lau ve le aunty of ouiie io enier upon ine above lone erty for in ction purposes. X Date .-2/ Signature of P,- iittee or Agent ) Receipt No. //2 / 6 White-D.P.W. — Yellow-A�_ 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 $-'?::f-7 q— .ng permit expires Date J,... BUILDING Owner L SQ. FT. OCC. BUILDING VALUATION 6 Mailing_ Address o O c �P od T e hone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ h, $ (!� S` Building Address s /��"" �(/cv�z PLUMBING No. @ FEE PERMIT FILING FEE $2.00 OQ -o k"2e4 , Each Trap 1.50 6!� ' Repair drainage or vent piping 1.50 Water piping 1.50 /SY7 Each gas water heater or vent 1.50 . S" A. P. No. —/ �— J (/Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 1 Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Appr Plans Approval Permit Fee $ $ lS NEW F-1 ADDITION UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0(� Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (morel on12) ,J Range, ok-top or Oven ;�1 1.00 --?.ad Water Heater or Space Heater 1.00 Lig fixtures ya_ i (410 Rees., swites & fix outlets ZD (a 25 ch 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 GG Evap. cooler, gar. disp. or D.W. 1.00 p Air conditioner or heat pump'?J— Water pump Jr Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ^ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ pG 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. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 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 GO Heating Q Cooling GCS Ventilation Hood 2.00 CU Permit Fee $ $13 too 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 TOTAL PERMIT FEE $ / a t"Or Ic ZP eaCn Lau ve le aunty of ouiie io enier upon ine above lone erty for in ction purposes. X Date .-2/ Signature of P,- iittee or Agent ) Receipt No. //2 / 6 White-D.P.W. — Yellow-A�_ 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 $-'?::f-7 q— .ng permit expires Date J,...