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HomeMy WebLinkAbout025-120-02425-12-24 Ross A. Pippitt S/S Drake Ave., app.1500'E.of Hwy 99, Biggs Permit #6074-79B,P,E(add z bath & util room/SF) 025-120-024 99-2569 MCFALL, DONALD E. JR. 120 DRAKE AVENUE, BIGGS CONTR: OWNER RELOCATE ELECTRIC 9 ..,..� .. .... .�.^».rc�,.-�;.•f.Zt..'i-. +, .'j -;N +w..--'*^�w.ir�X,:�.: ti..y-,.tipvs"` ,:vs-...- �,-: ..-�'^�tsr •'� _- -� - --. '`` ol 025-120-024 i99-2569 MCFALL, DONALD E. JR. 120 DRAKE AVENUE, BIGGS CONTR: OWNER RELOCATE ELECTRIC t i p S { OFFICE COPY Address r GAS Meter By Date - L L Meter By Dat t h s , 01 f�j �iv� 1 L, :.' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 Cot�pty Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO (Rev. "'^' APPLICATION AND PERMIT` ASSESSO ZONING A-40 BUILDINGPERMITUYT1i-0-024 f OWNEFIMNALD E MCFALL JR LEPONE TE858-5567 H58-5S67 SO. FT. OCC. BUILDING VALUATION OWNERI :r(y 1%1',Xl SS AVENUE, B11217w' CONTRAL�'l�.TO S NAME t�tvt� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7(1 ngAvv Avyyntpp irgmtryo Energy Plan Checking Fee $ $ PERMIT FEE _ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 ' USEOFSTRUCTURE f SF Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK • � S meq. New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other D 1 Describe Work: MXATF AST!' fikIRAM ST?R ANTI CT,T?AN TTP RT.FMI TC t Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G I W @20.00 PERMIT FEE $ F t ELECTRICAL PERMIT Fling Fee 20.00 "0' OR tEss Main Service .A.. LESS t23.00 23.00 i LICENSED CONTRACTOR'S DECLARATION" I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. 1' License Class Lic. No. OWNER -BUILDER DECLARATION r * I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: f •`q, I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale: ❑ I, as owner of the property, am exclusively contracting with licensed icontractors to construct the project.PRE ❑ 1 am exempt under Sec. Business and Professions Code for this reason 4- WORKERS' COMPENSATION )DECLARATION + I hereby affirm under penalty of perjury one of ihe•following declarations:. ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed R the permit is for work of a valuation of one hundred dollars ($100) or less.) I ' O: 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. / X �� ,, �� r f ✓u Date fir Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction j of structures over 3 stories in height. Main Service 200ATO+DOOA 46.00 NEW CONST. DWELLING OCCUP. SG OR ADDNS. ( & Acc. BLDs. 3.50F` . NST NO pOES'' MULTI.OBRANCH UTLET @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD(TURES BAS @'; o FIXED APPOR 5.00 Ex. Occup. ounETs RESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 INSP 73.00 PERMIT FEE $ $9.00 MECHANICAL PERMIT., Fling Fee 20.00 Heatingk ' Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee 1$ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 89.00 HAz. D. FEES IMP FLOOD CDF PARCEL PDZA 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. ) q . B i'�' `'' Date (��!!� % ! Y 1 EXPIRES ON Is,f QWHITE•D.D.SB.D. i Date rReceiptNO... 20t1Ql11PERMIT CANARY=ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Butte County Department of Development Services YVONNE CHRISTOPHER, DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING October 8, 2004 Butte Community Bank ATTN: Bruce Taylor 900 Mangrove Ave. Chico, CA 95926 Subject: Reconstruction of a nonconforming use Site Address: 120 Drake Ave., Biggs Dear Mr. Taylor: Non -conforming uses in Butte County are governed by Butte County Code Sections 24- 35 though 24-35.55 inclusive. These sections of the code provide for the replacement of a nonconforming use subject to the requirements contained therein. This applies to all nonconforming uses in Butte County. The applicable sections of the Butte County Code may be found on the Butte County Department of Development Services website at www.buttecounty.net/dds, proceed to the "Online General Ordinances" link. If you have any specific questions please feel free to contact my office. Sincerely Yours, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV iSION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 1 PE MI Q. (Rev. 12/96) APPLICATION AND PERMIT ASSESSffICT f{UMffR 024 L 1 L U ZONING G B G PERMIT OWNE �ONALD E MCFALL JR TELEPHONE 868-5567 SO. FT. OCC. BUILDING VALUATION "ERI n lJ 22 AVENUE, BIGGS CONTRtrME TELEPHONE CONTRACTOR'S MARINO ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 120 PRAKE AVENUE, BIGGS - Energy Plan Checking Fee $ - $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF OY Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: RELOCATE AND UPGRADE SFR AND LEAN UP FUC:TRTC: Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE Main Service p A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: -lik I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for thisPERMIT reason Main Service zow TO 46.00 CCU000A NEW CONST. ( DWELLING OCCUP. OR ADDNS. a ACC. eLDs. SO 3.50FT; CONST. MULTI -OUTLET CIRCUITS @7,50 APPARATUS a SINGLE 0LJTL1:T CIR. OUTLET OR FIXTURES Ex. Occup.@ L.0 aAL L. .50 Ex. Occup. OFlxuT is RLNS OR.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mi c. Wiring 23.00 23.001 PRE INSP 23.00 FEE $ 89.00 00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 1� �� �� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction : of structures over 3 stories in height. '' MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEP $ Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE - TOTAL FEE $ 89.00 FEES IMP FLOOD CDF ;ZFC9 PD I HD 5 E This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By 'iDate PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. q 1� js 9 O ate Receipt No. WHITE-D.D.S.-B.D. ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NC (Rev.12M) APPLICATION AND PERMIT - l �7_-7' q' A,.e�oRPAR�Nv D �DNMO _ BUILDING PERMIT �s - 2v -o2c � owNcr26 h / /I TaHIgNE S30 -86� sr SO. FT. OCC. BUILDING VALUATION OWNER'S MALMO ADC IP OONfRACTORI IMI! ^ /lJ/ TMJF"ONQ Fire lace Total Valuation i Firing Fee S 20.00 OONTWTOA1 MALMO ADORM CON111TRNCIMN L9MER unoora MANJW ADOAM AACNRECT OR I)XIMEEII UCEME NO. ARCW= OR ENONeM1 MALMO ADDAM INU /� � _ 2 V r. A Permit Fee = Plan CheckingFee = Energy Plan Checking Fee t $ PERMIT FEE _ WT NP. sueorveclll lwlE rAACEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Duplex O MobDehome ❑ Other �Persv Each Trap 7.00 Solar or heat um water heater 23.00 Water piping 15.00 TYPE OF WORK New ❑ Addition O Remodel O Ulilriees installation O Other O r Describe Work: Each cans water heater or vent 15.00 Gas pipin system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMITFlin Fee 20.00 - Main Service 20a OR �LESS 23.00 4 .. - — -- Main ServicezooA To r000A 46.00 KEW CONST. OR ADONS. D"A ASO`. IDs P' 3.50' NEW NO*11130.' MULTFOVnzr. POWER APPAMTLM i Setau OVnzT crR. @7.50 EX. OCCU . OVRET OR FOr7URES ZOOt.00 SAL .so APP EX. Occup. Ogg o 10FRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 3.00 •O PERMIT FEE = 9. of� MECHANICAL PERMIT Flinn Fee 1 20.00 21goE?0/ Hood 6.50 Ventilation PERMIT FEt f Mobile Home Installation Fee I $ Energy Inspection Fee b occ coNST.TrPQ TOTAL FEE $ d4% � s NAZ. p, ITEs IMP RD00 CDf PMOEL PO /0 I lSLE 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 Date PERMIT EXPIRES ON (D.r.l PRE -INSPECTION REPORT OWNER: -i -,"a LOCATION: Z b �,,g ��_ , sir CONTRACTOR: PRE-INSPETION FOR: DATE: /%-- A.P. #- d 2S -/?-o - 02 y ZONING: DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: - Electric: Gas: Commercial/Usage: Residential/# of Units: Currently Occupied Abandoned/Vacant Yes No Electric currently On Off Condition of Electric Natural Propane None Currently On Off Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR Inspector. Date Sketch buildings on reverse and indicate location on property. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95665 - Telephone (530) 538-7541 PERMIT Nc Rev.,12nf' APPLICATION AND PERMIT ' ~'asORPARedNw.ei Q �s — Zv — O 2 ct 20"Me 4_L16 BUILDING PERMIT U e*/:G /W. T�iONa 530-�'66-fs.G SO. FT. OCC. BUILDING VALUATION owra, wAaMO ADOWN CONTRACTOR? NAI! /V/W TaSIgN! CON NACT0111 MQU14 ADOOM CON/TRu0T10N u met u'JOOM 6L%%M ADOR M Fire Inca Total Valuation S ��� Olt �M L+caa! NO. Fifina Fee S 20.00 ARCWrVCT OR VOMC I MA UNG ADOREtt Permit Fee i Plan CheckingFee t suan�oAoo / v e _ Energy Plan Checking Fee i i PERMIT FEE _ �TNa susoNe NA�e rArcel rur PLUMBING PERMIT FUng Fee 20.00 USEOFSTRUCTURE SF jo Duplex O Mobilehome O Other �rEesr Each Trap 7.00 Solar or heat pump water heater 23.00 . Water piping 15.00 TYPE OF WORK New O Addition Remodel O Utlilies Installation O Other O r Describe Work: �p �f . <2 ev- ,` ,` Each gas water heater or vent 15.00 Gas stem 1 - 5 outlets t 5.00 i inBuildin sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2 o0R 23.00 G • D 6 Main Service 200A TO 1000A 46.00 NEW CONST. OR ADONs. ( 01"a A P 3.5t� No►�REsro. NEW ' MuurounFr @7.50 F.10MOLl 1:VRET PARATIA010. i Ex. Occup. wrurr OR wruRE] L • 1.00 aAL .!0 Ex. Occup. O o. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.002-3-0 r r` •O PERMIT FEE MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE i Mobile Home Installation Fee i Fee S coNST. TrefTOTALFEESIu2. VnInspection 0. FEES IMP FL000 COF PMCEL POit is hereby issued under the applicable provisions utte County Code and/or Resolutions to do work indicated above for which fees have been paid. BY Date �— PERMIT EXPIRES ON .ra 25-12-24 Ross A. Pippitt S/S Drake Ave., app.1500'E.of Hwy 99, ` Biggs Permit #6074-79B,P,E(add bath & util room/SF) 4� PERMIT N0. 6074-79B,P,E PERMIT EXPIRES o ROss A. Pippitt ;OWNER It CONTR. owner 25-12-24 LOCATION (A.P. ) S/S Drake Ave., app.1500'E.of Hwy 99,Biggs i r i t 1 ' D! 1r Temp. Power Pole Called P &E Temp. EI c. Serv. Call d PG&E Temp. Gas Serv. lied PG&E JZB - INALED T. �.;. � ' � • � 1 � ... 41.t f � i t. ` i f r N �• .r � � i i� '1� i �LVn -.•r i � � l . r�2� i 1�� �....- .. i L _` i f r N �• .r � � i i� '1� i �LVn -.•r i � � l . r�2� i 1�� �....- .. Interior -Lath 17 Ventilation Permanent .Door Closer Final ILI MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 16V - (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIQN RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor --,=,P Main Bldg. Restroom Finish — i 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out L' Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab ort Footings Prov. for ph slcally handicaeCar Conformance of ex. structure Appliances Gas PI in &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final i Footings Footing ELECTRICAL Masonry Walls Throat Rough — Relnf. Steel Final Fixtures Bond Beam C.,eFIRE SPRINKLERS Motors Framin Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. O Scratch Heatino Service Brown Cooling Temp. Pole Finish Ducts Underground Interior -Lath 17 Ventilation Permanent .Door Closer Final ILI MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 16V - (NOTE: An entry must be made on this form each time you visit the job site.) RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN COMFORMAN WITH CURRENT ENERGY CONSERVATION REGULATIONS AT �;Z n (location) —7C _ BUILDING PERMIT NO ( n % � -G ✓ A;P. N0. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION:�,r GLAZING: S1ab'Edge. /V Single Glazed ✓ Fdn. Walls Special (Insulated) 7V K - Floors CERT. & LABELED WDS. ' Walls & SLIDING DRS. Ceiling/Roof WEATHERSTRIPPED DRS. Ducts BACK DAMPERED FANS Al Circulating Pipes AIA INTERMITTENT IGNITION DEVICES APPROVED HEATER CERT. APPLIANCES APPROVED WTR.HTR. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN -INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATIONREQUIREMENTS IREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please print) Insulation Applicator State Contractors License No. General Contractor/Owner Name `('1S S (please p nt Signature of General Contracto Owner. Sta C r rs License o. 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 — DVAR�'MENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X f Date 10-11 Signature of Permitee or Agen Receipt No. V J O9 a White-D.P.W. - Yellow -Assessor - 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 ey Date ,Lo—!f. - B ding permit expires Date BUILDING Owner eJe� SO. FT. OCC. BUILDING ALUATION Mailing Address p)A, -3rI • /^ ` Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee q, (DO Building Address .i Plan Checking Fee &/or Penalty Permit Fee LE.G�» 1 1Q( 1,/ © PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 -3,00 Each Trap 1.50 , S� Repair drainage or vent piping 1.50 A. P. No. 6;z �-- 1 pZ �- Le �} �" Zoning & Planning Water piping 1.50 ,50 Each gas water heater or vent 1.50 / FVs ,�� W'C. I Sa ion FireDep t. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans arcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Pans Recd Parcel A val P s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ Permit Fee $ $ 6Z ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 C'0 .' e 00V OR LE Main service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 % T q 1-,'a �' Main service OVER P O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 ONEW CONST R ADDNS. ACE, L CCUP. :) 20 Sq ft 4l!D 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 st le of: y TL T .CONST l BRANCH CIRCUITS) 2.50ea NEW NONRESID, BRANCH NEW CONSTR. (POWER APPARATUS 8 NON.RESID. ,SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES) g Linn I Ex. OCCU FIXED APPLNSOR p• OUTLETS (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 $ ,yam $ �Z MECHANICAL No. @ 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. 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 Land Development Fee $ TOTAL PERMIT FEE $ Yi authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X f Date 10-11 Signature of Permitee or Agen Receipt No. V J O9 a White-D.P.W. - Yellow -Assessor - 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 ey Date ,Lo—!f. - B ding permit expires Date