Loading...
HomeMy WebLinkAbout025-150-033JAMES BANES - AP �5-15-33 y T NE corner of Che r Rd., & Larki' BANES, James _ 335-65B i Rd, ' E. Biggs 285-68P�__.! Permits ?.19-7 B E l ` ` s—I S— �3 271-68E' 5 (addition, garage, cabaha & porch) n/e corner - Lar • n Rd . 8c Cherry Av . , � �_ s -_�. X30-76AP 25-15-33 - [permit#i3j951-81B(reroof/SF) r it# 651-75B E P swimmi pool) (addition) - 25-15-33 - ntr: Four Counties Roofing, Chico a JPERMIT NO. 219-75B.P.E P E M f. MH UTIL. "PERMIT NO. 4' PERMIT EXPIRES, OWNER Jairies Banes icONTR. `-;LOCATION-(A.P. 25-15-33 ) N)e corner of Cherry And Larkin, Rd., E. Biggs i j7' " • r` Q- t Temp. Power Pole Called PG&E Temp. Elec. Serv. \� Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) 0 (Signature) !` " COUNTY*OF BUTTE — DEPARTMENT OF; PUBLIC WORKS BUILDING INSPECTION RECORD. BUILDING BUILDING (Cont'd) !For'stbac /L'A-t - � Firewall Soil Piping 5' Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings / r %S Windows 3rd Floor Stemwal �!—� • Siding To ou Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin S g - Garage Vents Water Htr. StemwalI Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & T Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing Masonry Walls Throat Rough r O Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framin �� Test Water Htr. PLUMBING 5 '?v-- S` �— — Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground . Interior Lath Ventilation Permanent _.Door Closer Final Final DATE REMARKS OR CORRECTIONS d�7� 0000, y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR ! 9 _ 7 County Center Drive — Oroville, California 95965 • Telephone: S34-654} APPLICATION AND PERMIT authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. X Mz Date �o�d ZN gnature of P�7er-m?itee or Agent R o. / Z 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 0 PUBLIC WORKS By , r Date%— �.►�-7J lding permit expires Date.....................r�� ;> J(. ..................... BUILDING Owner BUILDINGVALUATION 2700o Mailing Address R l) 7% RQ.FOCC. f �3� 00 Telephone No. Contractor © Total Valuation / o,7,, " Mai I i ng Address Permit Fee 6 00 PI an Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address A' /v ��,�/ Ght�,P A-,J� PLUMBING No. @ FEE PERMIT FILING FEE $0" 3,09 loo, r Each Trap 1.50 , ,00 Repair drainage or vent piping 1.50 Water piping 1.50 45-0 Each gas water heater or vent 1.50 /.,SO A. P. No. J,S-3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 ' ,SO Each additional outlet .30 s Satlaon Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 BI,- . Ions Rec'd Parcel Approval Plans Approval Permit Fee $ s $ S� NEW ❑ ADDITION M UTILITIES ❑ OTHER,[:]- -----'E LECTRI CAL No. @ FEE PERMIT FILING FEE $3.00 3,00 Zo647 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 ess) (more than 12) %•�l� Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 -20 Light fixtures bal dio25 ,7 FV*s., swi c & fix ets hn 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 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump 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 $ 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. POI 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 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 i TOTAL PERMIT FEE $ authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. X Mz Date �o�d ZN gnature of P�7er-m?itee or Agent R o. / Z 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 0 PUBLIC WORKS By , r Date%— �.►�-7J lding permit expires Date.....................r�� ;> J(. ..................... • c• -PERMIT NO. 681-758 P .Er. C2e'- /S P E f M MH UTIL. PERMIT NO. PERMIT EXPIRES /= — / F OWNER James Banes CON TR. 1. TiLOCATION (A.P. 25-15-33 NE corner of Cherry & Larkin Rd., E. Biggs r i . 1 Temp. Power Pole Yd PG&E Te p. Elea Serv. Called PG&E emp. Gas Serv. Called PG&E f JOB FINAL LED (Date) (Signature) COUNTY OF' BUTTE —*DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING ,Setback Firewall Forms-- Parapets Main Idg. Restroom Finish Footings Windows Stemwal I Sidin Slab Roof Sheathing Piers Roofing Garage Fdn. Vents Footings Gara a Vents Stemwal I Slab Prov. for physically handicapped Carport Footings Conformance of ex. -structure Slab Final Patio FIREPLACE Footings Footing Masonry Walls Throat Reinf. Steel -1 7" 6 Final Bond Beam FIRE SPRINKLERS Framing Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS_ Soil Piping 1st Floor 2nd Floor 3rd Floor To out Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final �d///n 41_1Wi ELECTRICAL , 30 ough ixtures Subpanels Grd. Fault Prot. Service Temp. Pole Underground Pennanen Final 3G COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 1 7 County Center Drive — Oroville, California 95965 1 Telbphofie: 534-4541 APPLICATION AIID PERMIT auuionce representatives of the County of Butte to enter upon the abov;;; rty for inspection purposes. DatePerm or Agent Receipt No. 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 p ' DIRECTOR OF LIC WORKS ByDate Bu ding permit expires Date ...... .................................~'�� BUILDING Owner M SQ. FT. OCC. BUILDING VALUATION 00.0 d Mailing Address Tele hone No. t s ss� Fireplace Contractor ® W Total Valuation Q , Q6 Mailing Address Permit Fee 01 Plan Checking Fee &/or Penalty Telephone No. Permit Fee -D Building Address ` E PLUMBING No. FEE PERMIT FILING FEE O Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 S Each gas water heater or vent 1.50 A. P. No. _Gas -� 33 Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 FA W. S ion re Dept. Fire Zone Use PermitBuilding sewer 5.00 EQA Parking Parcel P ns Declaration Parcel a P 60' R/W Im rov ents P Lawn sprinkler system 2.00 BI g. Plans Recd Parcel Approval Plans krpproval Permit Fee $319 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 ©0 Main service incl. 1 meter Additional meters, a 1.00 Sub -panel (12ss) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others Range, Cook -top or Oven 1.00 Ri ©d Water Heater or Space Heater 1.00 Light fixtures 20 bagliv R ps., swi es & fix outl 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. Mo or 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump 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 $ ..G 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 LTJ 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. @ I FEEPERMIT 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 TOTAL PERMIT FEE < auuionce representatives of the County of Butte to enter upon the abov;;; rty for inspection purposes. DatePerm or Agent Receipt No. 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 p ' DIRECTOR OF LIC WORKS ByDate Bu ding permit expires Date ...... .................................~'�� !A PERMIT NO. 2 3951-81B, PERMIT EXPIRES OWNER JIM BANES CONTR. Four Counties Roofing A . SSESSOR PARCEL 25-13-33 LOCATION 3022 Larkin Rd, Gridley Tr Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E e Temp. Gas Service Ut Called PG&E JOB FINALED te) Signature Lf J = OK 0 = Not OK - = Not Applicable MO,BILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, _TC. (Plans) G,, xcept N 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 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) 4, Wood Awn.; Posts-Beams=Rftrs.-Connec.=Shthg.-Rfg. -Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.us„res 6. Gas; Location -Test -Wrap:/ /"L" ft./ P'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 Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except k'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/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-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 B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Daie Card -BI Date Card -BI Date Card -131 Date J V = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. 1 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-BIockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts-Joists-Vents-Criooles Card -BI FRAMING (Continued) Date Card -BI Date Card -BI Property Line Firewall & Openings Date Card -BI Date Date _ PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors 55. Shear Walls; Nailing -Bolts Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date ELECTRICAL (Permit) OK except #'s 20. Fixture & Transformer Clearance -Ins. Protection Date Card -BI Date Date Card -BI Date 21. Elec. Receptacles Spacing -Lights & Switches at Doors Date Card -BI Date 22. 23. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners-Bond,Gas & Water _ 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At _ 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes [I No 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Card B -I 67. Date Card -BI Date Card B -I 68. Date Card -BI Date Date MECHANICAL (Perrr,it) OK except #'s Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech, Protection 31. Ducts: Insulation & Support _ 32. 33. _A.C. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet _ 35. Attic Access & Platform if Furnace in Attic Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Card -BI Date _ _ Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s 78. 36. Sills; Proper Material & Anchors 79. 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ _ 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. Bearing_Walls over Girders & Floor Nai_ling___ Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.- / Q. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size &_ Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _Date FRAMING (Continued) 48. Property Line Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. Siding -Nailing -Veneer 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech, Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 76. Stucco; Brown -Finish ` 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: (NOTE: Anentrymust be made each time you visit jobsite) J ✓• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/5 4-4541 APPLICATION AND PERMIT / ASSESSOR PARCEL NUMBER 25-15-33 ZONING BUILDING PERMIT OWNER Jim Banes TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWI*J022AIt4J_J 0fiERd. Gridley CONTRACTOR'S NAME Four Counties Roofing TELEPHONE 343-0041 9 sq.5 x $65.00-$585., CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 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 $ 10.00 BUILDING ADDRESS 3022 Larkin Rd. PLUMBING PERMIT Filing Fee 10.00 Gridley'�tCa . Each Trap z.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME _7 PARCEL MAP Each qas water heater or vent 5.00 Gas piping system .1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: • Re; roof Built up Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD•L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.DI) OR ADDNS. ACG. BLDGS. 20 sq 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 m license is in full force and effect. 252071 y S 39 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 AT .OUTLET 2.50ea NON.RESID BR NCH CIRC ITS NEW CONSTR. \ POWER APPARATUS 0) NON-RESID. SINGLE OUTLET CIR, so @ zga Ex. Occup OUTLETS OR FIXTURES BAL@1 Ex. QCCUp.�OUTLETS FIIID P(RESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of ConsentM Self -Insure. ❑ Ishall no09 proy any person in any manner so as to become subject to the W. C. lawf California. Notice to Applicant -,,If afKdrepaking 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 shalt besdeemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor `"' 1 certify thatsl, have reaethis appii2ation and state that the above information is correct.tlxagree to comply.to all Cb'uhty Ordinances and State Laws relating to building 66ri5•truction, anWhereby authorize representatives of the Countyot Butte to enter Up he above-meritione0property for inspection purposes. 1 also agree to sa p',,?,[ndemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again aid Co my i,h,ccons uenge of the granting of this permit. X �i Date 10- -81 Signature of Upplicant — Owner D COntracror ❑ 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 $ 20.00 OCCUP. GROUP TYPE OF CONST. PARCEL PD No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By P T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date I/— /�— Receipt No. 7 WNITE-D.P.W., Y6Li-A5� R, PINK -INSPECTOR, GOLDENROD -APPLICANT )0 1 . _ � _ I� � � � 1 .L `J J. � . � 1v - a �. iii � r� e `�� �� . `fid • `�ti�„ �� �a �' ,�®� �,'` . ���� f _ � `i'�ao � FOUR COUNTIES ROOFING COMPANY 740 WEST 12TH, CHICb, CALIFORNIA 95926 - PHONE: 343-0041 AREA CODE 916 October 14, 1981 Dept..of Public Works County Center Drive Oroville, Ca. 95965 To whom it may concern; I am presently employed at Four Counties Roofing Co. and will be signing the applica- tions for permits in the future. j v y truly yo rs, m Ange ine P. Kellett a�