HomeMy WebLinkAbout026-113-022�
'Pe --mit 844-73 (XK utilities f or:mob i 71e'*2467-home) 2,W.A. CALHOUN(utilities' for mobile home)1950 Esperanza Ave., Palermo 6,/7-'7 decks for mobile , home),- `7(2 decks for exis� �ng_mobile home) (*,*awning,f or 14H 9A.P. 26-113-2Z U� SONSTROEM--new ownerW.A. Calhoun VXA_Permit 3140-73 (awning for MilAP 26-1-13-21950 Epperanza Ave., PalermIA^ .
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PERMIT NO. 1070-75B,M
P
k
E
M
MH UTIL.
PERMIT NO.
PERMIT EXPIRES
OWNER Arthur Sonstroem
ICONTR.
LOCATION (A.P. 26-113-22 ) .
1950 Z Esperanza Ave., Palermo
-Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
FINALED
(Date)
(Signatur)
COUNTY OF BUTTE — DEPARTMENT PF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
`StemwaII
Sidin "` '— `7:S
To out
Slab
Roof Sheathing %3—
Water Piping
Piers
Roofing — Z -- 7
Sewer
Garage
Fdn. Vents
Fixtures
Footings 14 -7J
Garage Vents
Water Htr.
Stemwall S
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio FIREPLACE Final
Footings Footing ELECTRICAL
Masonry Walls Throat Rough
Reinf. Steel Final Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
_
Framing 3 — 7S
Test
Water Htr.
Stucco
Final
Subpanels.
Mesh
MECHANICAL
Grd. Fault Pr
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
(/ !-- cZ t / �� f f-�'/ ��l' �/� --7
.✓
• COUNTY OF BUTTE — ,DEPARTMENT OF PUBLI
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
J
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspectiqn purposes.
X oate�-�
•gnature of Vrmitee or Agent
Receipt No. ell
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 P BLL -IC WORKS
By `' Date 61-1-7.1—
IV
1%-7.1
IV
Building permit expires Date ................... 7J(4:.,
BUIL ING
Owner �ry/v a �� `�J
!7
SQ. FT. OCC. BUILDING VALUATION
0.
Mailing Address
Telephone 0
Fireplace
Contractor
Total Valuation / "2-0 r av
Mailing Address
Permit Fee �0, i✓ --O
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $ z���-�
m 6-V
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
�9j� �S f rLa yj �fil/r✓
Each Trap 1.50 "
-�
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
7
A. P. No. . 4_7 4 --// �—.�,.�
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
iOfes
.C.
San& _ n
FireDept.
FireZone
Use Pen -nit
Building sewer 5.00
EQA
Parking
Plan
Parcel
claration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Permit Fee $
Bldg.%P nal s Parcel pproval
Plans Approval _
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
• t
Additional meters, each 1.00
Sub -panel .�(12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others V-1,
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures bal 010
Receps., switches & fix outlets 2u 25
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
[2pI am exempt from the Contractors License Laws of the State of- Cali fomia.
Permit Fee $
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.
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.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00.
Heating
Cooling
Ventilation
Hood. 2.00
Permit Fee $
$ �O
I certify that I have read this application and state that the above
information is correct. l agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE J_$201
0Z
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspectiqn purposes.
X oate�-�
•gnature of Vrmitee or Agent
Receipt No. ell
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 P BLL -IC WORKS
By `' Date 61-1-7.1—
IV
1%-7.1
IV
Building permit expires Date ................... 7J(4:.,
j.
F
COUNTY OF BUTTE �i DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
%
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
Building Address
PLUMBING
No.1
@ FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No._
zoning &Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W.C.
Satlitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES E]OTHER 1:1ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20(d2
Receps., switches & fix outlets b.1 S 2'
10
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. lisp. 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
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.
❑ 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.
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
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 paid.
DIRECTOR OF PUBLIC WORKS
By
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK
7 County Center Drive — Oroville, California 95965
Telephone: 5*,14-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
�C X '(� �Date (° - 2-3
Signature of Permit r Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -I Spector — 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 Date3 -3 a—i -3—
Building
Building permit expires Datd.�.3 z..,
BUILDING
Owner �"
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Tel hone No. f
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. p� l �j%f
i —
Zonin & P annin
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
W. .
Sa
Fire Dept.
I Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im r vements
P
Lawn sprinkler system 2.00
B .Plans Recd
` ��—
Parc�Approval
PI n pproval
Permit Fee
$
NEW ❑ ADDITION ❑ UTILITIES P OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
GO
Main service incl. 1 meter
6
Additional meters, each
1.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures bal0 io
Receps., switches & fix outlets b.
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
n'am exempt from -the Contractors License Laws of the State of California.
Permit Fee
$
SO
$ 1.2 14-4
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.
al 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.
MECHANICAL
No.1
@
FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
�f
$ �� C
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
�C X '(� �Date (° - 2-3
Signature of Permit r Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -I Spector — 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 Date3 -3 a—i -3—
Building
Building permit expires Datd.�.3 z..,
I his set of plans and specifications MUST be
!kept on the job at all' times and it is unlawful to
r
j - ' �'• .make .any changesor, alterations on
'written parmisson same, without
I'•1`.' ''L.! airy,. .. ..: I: :'� �,',� �-�/ G '�{ %i�%-k�� %- St :,;,i t - -.:.s ->,.. ::�^;
t. ! -x fir �.:.
' J from the Department ofE' Public
Works, :County of Butte 6n,
`T` A- D VV �, ,/V t /Y 11'•,�0�"' �. ; �'4?' r t�! }
' l ,;d` ,. "•�/„ojY � 'Ib �'(> �'.%� �/% .' 'l, V '" f ( :'� _ �
AE F
,F Septic ys#e rc:
N to,':be as :per
Butte County- Health Dept. Re
quirerrlents
, y
A,Li
U connections
located within 4 ft.''
t. outsrdeSthelreae '
third secti
on of the mobile ho
homeon s left (road) side of the mobile z' "
v k:
N ::The B#f', etback shall �� 5 J�r �rozni
the.'side .pr -perty .line a'cj x�tdl
the cenfierli e'of'ah.e r ati�jft�raa
maximum of a 2 .'ft Nfl
n J Y
f ►/v �; , .. L
l,1 f
` 33
I'• ` lit r
it
< , L
4
�I bRID Fif/9)'
r NO..TE AIf Materials &: Workmanship S gall Be`. un �A;
niz ' Good Pra'fices a L
�prdane';with .,Recog. eid,. ':..
of a quLn V
ality prescribed for the Specified 'Iuse�� in
r
Uniform, Building.Code, Uniform Plumbing Code.,,,and
the National Electrical4.
Cod.
T l9sO rsrv.�
41
•il �'J� '✓ r r4 alit1 { , -fc , -1 1� +lAy i�'.l '.i IR, 1 f {�1
r�n ,�" a� A i y''r °.r t ` i. �,�4 �1.+• .�, {j �,•'.i�< /y a �y = ! L' Y r G�,., 1 v, „� f t ,. a r. r a . ; • �i
pill. �u ;� , � f 1,� ,r t a.. 1� �4s, ..g � ,Lt: '� 1 <.; 3 a tt i ,• � r _
T,ti-: ._ . ......D :, ,.!
in
5
PERMIT NUMBER — B 2467-73R
P
E
PERMIT EXPIRES / `1 / 7-//
OWNER'W.A. Calhoun
CONTE . owner
LOCATION (A.P. 26-11-2
1950 Esperanza Ave., Palermo
e
E' •
}
F
s
r.
1
. a
COUNTY OF BUTTE
Department of Public Works
BUILDING' INSP:F_.CTIOzN 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.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Tempoiary
Cert. of Occup.
Final
Final
Final q — %-
DATE REMARKS OR. CORRECTIONS
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive – OroviIle, California 95965
Tel ephone: *534-4541
APPLICATION AND PERMIT
authorize representatives of the county or butte to enter upon the
above-mentioned property for inspection purposes.
�1 x � "�' Date 7'��U'_ 7-3
Signature of P/ermitee or Agent
ennt
✓
Receipt No. �/ � 5 CJ
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
BY Date
Building permit expir ate7:I.y,.7_ ..
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
C
MailingAdd ss
Tele hone No
� 0
Fireplace
Contractor
Total Valuation
Mailing Address-
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
is
Building Addressl S�
PLUMBING
No.
@ FEE
–PERMIT FILING FEE $2.00
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. – l -- �Z
Zoning &Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
W.C.
Sanitation
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. P I a Ns-Ire–c—d I
Parc
Plans Appiev.1T—
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.1
@ FEE
PERMIT FILING FEE $3.00
D.8�lc_ ��
Main service incl. 1 meter
O4( -
Additional meters, each
1.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Sub -panel (12 or less) (more than] 2)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 25
bai P10
Receps., switches & fix outlets 20725
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. lisp. 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
[21,I -dm 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.
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.
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
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
$ GY.
authorize representatives of the county or butte to enter upon the
above-mentioned property for inspection purposes.
�1 x � "�' Date 7'��U'_ 7-3
Signature of P/ermitee or Agent
ennt
✓
Receipt No. �/ � 5 CJ
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
BY Date
Building permit expir ate7:I.y,.7_ ..
r
PERMIT NUMBER B I 3140-73B
P
E -
PERMIT EXPIRES
OWNER W. A. Calhoun
RCONTR: Owner
j LOCATION (A.P.
.26-113-2
1950 Esperanza.-Ave., Palermo
V,/
�. .. iY 4
-1�
Wit' . �'
.�.-� ..•� t f�".�.+. w .l
OFA.
`
,-'1
• COUNTY'` BUTTE.
Department of. Public Works
,
BUILDING, INSPIECTJOU RECORD
r
Zoning
Setback
Forms'
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found., Vents
Framing
Plmg. Topout
Rough Elea
Wtr.'Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Oecup.
Final
Final
Final
DATE
REMARKS'OR CORRECTIONS
0
.A
COUNTY OF BUTTE — DEPAPRTMENT 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 - y & Y. Date �i S+ — 7--3Signature of Permitee or Age-nt/
Receipt No. !t�/
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 OR PUBLIC WORKS
BY _ Date 7,2-
Building permit expires Date
BUILDING
Owner
t!
�SQ. FT. OCC. BUILDING VALUATION
12 00.
Mailing Address S10
ze, Awa /f ,
�/
TgJephone No.
Fireplace
Contractor Y'jcv� G
Total Valuation p_ /
Mai I i ng Address
Permit Fee
P I an Checki ng Fee &/or Penalty
Telephone No.
Permit Fee
$
Building AddressPLUMBING
U 5 4�—PERMIT
No.
@ FEE
FILING FEE $2.00
1
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. Y -
Zoning &Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Foe -arm
o
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking Parcel
Plans Declaration
Parcel Ma P
60' R/W
Im provements
Lawn sprinkler system 2.00
Bldg. Plans Rq-f'd I
Parcel Ap va
Plans Zpprovol
Permit Fee
$
$
NEW 2_1__ADDITION-fJE'_ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
211-
Single Family ElL_Iy Duplex ❑ Mobil Home Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixturesbal_ �jp
Receps., switches & fix outlets n ( 2b
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
24--'m 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.
r-IL-L-ee.gify 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.
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
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
$ V
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X� f - y & Y. Date �i S+ — 7--3Signature of Permitee or Age-nt/
Receipt No. !t�/
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 OR PUBLIC WORKS
BY _ Date 7,2-
Building permit expires Date