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HomeMy WebLinkAbout027-300-064AT . 27-30-64 WYNOKA HOMES 7230 Palermo-Honcut, Hwy., Palermo Permit 3086-72B (new single famlay) rc 027-300-064 0 3 - 0 9� 306 ARCHULETA, SUSAN 7230 PALERMO HONCUT, PAL' E RE -ROOF BUTTE COUNTY INTER -DEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED DATE NAME I DEPT. 11 DATE I NAME DEPT. [027 -3o6 -o664 03-0936 ARCHULETA, SUSAN - P 0 CUT, PALERMO 7230 PALERMO HONCUT, PALER' RE -ROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - UILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT �- ASSESSORPARCEL NUMBER 027-300-*" ZONING U BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS P0 Mmeiq114 Orfy-illa CA 95965 16 s CONTRACTOR'S NAME StmAn M Archuleta 370-5650 TELEPHONE CONTRACTORS MAILING ADDRESS Po Pox iqu ornvillp- CA 95%5 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ • ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS %2:3U Palermo Homut Pale w Energy Plan Checking Fee $ $ PERMIT FEE S • LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: qft reproof Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ _- ELECTRICAL PERMIT Filing Fee 20.00 Main Service A OR LESS 23.00 CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P 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: ,Q; I, as owner of the property, or my employees with wages as their sole compensation, .'N%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 this reason Main Service To 200ALICENSED 46.00 NEW CONST. DWELL WEE ING OCUP. CCU OR ADONS. 8 ACC. BLDS. SO 3.5¢FT. T.9 NON•RESID. MULTI.OUTLET 97,50 OWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIKTURES BAL Q'; o Ex. Occup. OUTLEEDTSA .ES,6•LNSGEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S 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.) ❑ 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 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 - �i 1 � ,) % /Date ! .�� Signature of Applicant'f IOw er' ❑ Contrac or ❑ Agent An OSHA permit is required or excavations over 5'0"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 FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE 45• W TOTAL FEE $ HA2. D. FE IMP FLOOD CDF PARCEL PD HD ---- .� IS U This permit is hereby issued under the of the Butte County Code and/or Resolutions indicated abose for which fees have ( � By\. _ r/il�f '• ,I V"4-, PERMIT EXPIRES ON applicable provisions to do work been paid. Date Date Receipt No. `� _� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT W -COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-300-064 ZONING U BUILDING PERMIT OWNER Susan M Archuleta TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS PO Box 1914 Oroville CA 95965 16 sq 960.00 CONTRACTORS NAME Susan M Archuleta 370-5650 TELEPHONE CONTRACTORS MAILING ADDRESS PO Box 1914 Droville CA 99965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation 1$960.00 ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $25.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ��`�� Palermo Honcut Palermo Energy Plan Checking Fee $ $ PERMIT FEE $ 45.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE 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 New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: comp re -roof Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service p A OR LESS 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. 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: 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 this reason 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 permitis 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__ U �ignatureof Applican - caner ❑ Contractor ❑ Agent n OSHA permit is require for excavations ov 0" deep and demolition or construction of structures over 3 stories in height. 111V Main Service 200A TO 1000A 46.00 NEW CONST. DW8 ACCEwNG OCCUP. so OR ADONS. . BLDS. 3.50FT; NoµRESD ' MULTI.OU CUT 97,50 POWER APPARATUS a SINGLE OUTLET cIR. 20 1 Ex. Occup. OUTLET OR FIXTURES BAL FIXED APPLNS. OR 5.00 Ex. Occup. OUTLETS RES1D. EA Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEES Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 45.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD SUE This permit is hereby issued under the of the Butte County Code and/or indicated a ve for whic fee have B EXPIRES ON applicable provisions Resolutions to do work been paid. Date Defe Receipt No.PERMIT WHITE-D.D.S.-B. D. CANARY-ASSESSOR/PINK-INSPECTOR GOLDENROD -APPLICANT t i' PERMIT NUMBER - B 306-728 j�. P 4 t , E PERMIT EXPIRES 1,OWNER Wynoka Homes CONTR: owner w LOCATION (A.P. X73� 27-30-64 j 7230 Palermo-Honcut Hwy., Palermo r Zoning Foundation Rgh. Plumbing ��C i� o"l �' % c� Rein. Steel Framing —S Wtr. Htr. Firewall Ot S o24!/ 73 ELECTRIC Temporary - Final, Final. DATE COUNTY OF BUTTE .: Department of Publtc Works BUILDING INSPECTION RECORD _ ? v Setback4 & *j�- / 2 � 2— -- Forms Piers & Girders Fireplace Bond Beam Lath & Plaster f� Gas Piping & Test Found. Vents "�— Plmg. Topout-2 5Rough Elec. Furnace Com'" �� Kitchen Vent Garage •�� zS Vents, g "% � Sanitation &Water GAS BUILDING Temporary — ---7. Cert. of Occup. Final Final REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -menti ned property , inspection purposes. X Date J/- — Signature of Permitee or Agent Receipt No. '16,03-5-7 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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. DIRECTPR OF PUBLIC WORKS By � Date Building Permit Expires Date BUILDING Owner/_ SO. FT. OCC. BUILDING VALUATION 6 r Az 1; 1P Mailing Address `� clo' Fireplace Contractor Total Valuation L Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty 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. v — -- Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. I Sanitation Planning Building sewer 5.00 Plans Fees W. C. --- R/W I Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL 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) USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures bal (d Egg Receps., switches & fix outlets 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 Misc. wiring License No. h Classification ❑ 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. �j I have placed on file with the County of Butte a certificate of v� 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 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 r�Permit Inst umentatate Fee iosnr`� a onion $0.07/$1000 Evaluation Is f% TOTALF PERMIT FEE $ f% authorize representatives of the County of Butte to enter upon the above -menti ned property , inspection purposes. X Date J/- — Signature of Permitee or Agent Receipt No. '16,03-5-7 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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. DIRECTPR OF PUBLIC WORKS By � Date Building Permit Expires Date x COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534.-4.5.41 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date Z -G Signature of Permitee or Agent Receipt No. _�-.3 d!5=1 — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 Building Permit Expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Addres Fireplace Contractor ` Total Valuation Mailing Addr ss Permit Fee Plan Checking Fee &/or Penalty 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. _Gas O. Zoning piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. i Sanitation Planning Building sewer 5.00 Plans Fees W. C!-� I R/W Encroachment Lawn sprinkler system 2.00 NEW,a ADDITION ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE r $3.00 a Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more ban 12) e— Zxo USE OF STRUCTURE Single Famil Duplex ❑ Others ❑ Pamgl dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures swit es & fix ets j C' 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: -�- o%�-iv �� Hea� Ex. Fan or F.A. Furn. Motor 1.00 EvapKooler,gar.disp.orD.W. 1.00 eai Air conditioner or heat pump Water pump Misc. wiring License No. 205 qS--`/ Classification 50 --fin ❑ 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. 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 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 $$Permit In;trurnentatti forn r a anion $0.07/$1000 Evaluation $ TOTALY PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x Date Z -G Signature of Permitee or Agent Receipt No. _�-.3 d!5=1 — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 Building Permit Expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone. 534-4541- APPLICATION 34-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X t/� -aA�=Date / —3 /_ 73 Signature of P49mitee or Agent Receipt No. _r,4(o S- _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abover which fees have been paid. ifpDIRECTOR OF PUBLIC WORKS By Date Building P rmit Expires Date BUILDING Owner b SQ. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor S Total Valuation Mailing Address 2!" / (� Permit Fee Plan Checking Fee&/or Penalty s— Permit Fee $ $ Building Address) : 3 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 L — 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. v P 6 Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans Fees W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER Permit Fee $ $ ' ELECTRICAL 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) USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 • Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets 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: / S"w «""—s' .4 ' C ' 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 Misc. wiring License No. I -s 3 1- 99' Classification fl— ° C y3 ❑ 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 (o Cooling .,GO Ventilation (jd 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 jjPermit Instrumentaoi $lrpf q Motion $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X t/� -aA�=Date / —3 /_ 73 Signature of P49mitee or Agent Receipt No. _r,4(o S- _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abover which fees have been paid. ifpDIRECTOR OF PUBLIC WORKS By Date Building P rmit Expires Date x *V6- % A COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WORKS autnorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. v X /i - Date Z-2-2 7- 23— Signature 1.Signature of Permite or Agent Receipt No. 'e0 _ 3 CQZ d _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 Building Permit Expires BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Adds Fireplace Contractor ' Total Valuation Mailing Address d Permit Fee Plan Checking Fee&/or Penalty Permit Fee $$ Building Address ,� 3 v PLUMBING No. @ FEE PERMIT FILING FEE $2.00 .� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 s" Each gas water heater or vent Q 1.50 J"r' A. P. No. a Zoning Gas piping system 1 - 5 outlets 1.50 ctV Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 Plans FeesQ.,-- W. C. /W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ A ELECTRICAL No. @ EE PERMIT FILING FEE $3.00 d Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures .20025 Receps., switches & fix outlets 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: _ �X ze dip 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 Misc. wiring tl License No. c? 3t 4, 3 g R Classification ❑ 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. ❑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 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 (SnStrumentot o�frlq g Motion$0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ autnorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. v X /i - Date Z-2-2 7- 23— Signature 1.Signature of Permite or Agent Receipt No. 'e0 _ 3 CQZ d _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 Building Permit Expires GAC �� 0 Lj J - 3 Sept;c system and location of build- ing drain stub -out. to� be Butte County as per Health Dept. Re j quirement' - R eseRve lilies I 3i ,Nes 3 I ivies �5'eA�h 75' eACh E C -O N �. ._ _S_I1 OC N N N C E a) . m N C o - .� '° o v N Q. _ A `� -g N U U V) --p E t s t O V E yr O ca O Clea ,; '0 as c O pZ. s Q) N C c� o s �U •0 �- g N 0 y .2 U_ -0 � GAR. 1 a s V R fE •L a m a� s U.0 U } c: Lu fo U} 'm o ;''�'•'.; 36 BUTTE COUNTY Q c m. I10E- :.0 z -., ;, - - - — - - BUILDING DEPARTME oV. U �= O V�.Je/ Q C�°.� �. .. ` Q O 7 0P Y See Master Plan on file for building plans. 30, To (t PA Ickmo HONCUT �IgkWAy p4jeRn� Co J4 0NCVj' Hoh wp- g y rl poRT1 DIV o -f • goTs 5' �.tid ►Qs r3 � y (0 PA•It2M0 �iT-2v5 r12. Su � • I1/o. ,� . Ex . A OM E S 1 NC. YNO-1 ® 0. o,<-194-7 0rov l (Le, Colo INT, 1