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Home My WebLink About029-100-045A.P. 29-10-45 LLOYD 'V ----------- -- N/S;Fruitvale Rd., z mi. W. of Midway, Richvale CONTR: Harmony BldrsOro. Permi± 1548-74B, E_(addit.i-on_) 29-10-45 "`2650-90B MENZIES,'Lloyd.' -1462 FruitVale:.,Rd;; Richvalet�•° ..,°� Contr: North ,State Aluminum .:(steel,.-siding/sf) ,*t".,103-033?Z,,4 ,1VIENZI LVERLA,� r . ,{c`;i _Yt• + • ,=$Fti,. 1U2 FRUITVALE,`RICHVALE � IN ET CONT -UNIVERSAL ROOFING ', IZ�O RE ROOFµ , C*q 1 CM)i i 029-100-045, 03-0332 MENZ 1, VERLA I 1462FkTjlTVXLE',RICH'V'ALE CONT: UNIVERSAL ROOFING RE -ROOF V1, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone 11530) �5-7541 _ ERMT (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0 J v _ 011:4 < ,7 ZONING BUILDING PERMIT OWNER kin � � r -,t ' ' w � � �` �J�` � (�ja�L�_1„�U SO. FT. OCC. BUILDING VALUATION , ,! U OWNERS 1[INGI. DRESS �- J �' J ' IVl CONTRACTO 'S NAM I /) , C �%_O ( �11` /� �ELEPNONE •�l-� r41 -- CONTRACTOR UNGJODR` Ill-k C f 9 CONSTRUCTION LENDER Fireplace _ LENDER'S MAILING ADDRESS Total Valuation $ L ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ • l.rk ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS + N yam, i �� t / 1 i , /� IQ I� 1/ I C 1 V Energy Plan Checking Fee $ $ i 7 PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPEC" 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 C F..- l ; Describe Work: C t [ .•-. 7r >�; ; 4. �} �I _,.<1 C�, er-e - �� 01 �� J i Ir`' �. f Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ `� " ELECTRICAL PERMIT Fling Fee 20.00 Main Service .*AOR LESS 23.00 V LICENSED CONTRACTOR'S DECLARATION 1 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 forceh and effect. L .t ( 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. El"I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SC OR ADDNS. a ACC. BLDS. 3.5Q FT. NEW PON-ROSID. MULTI.OUTLET @7,50 a SOMJLAE oT Ic Ex. Occup. e20 @ 1.000 OUTLET AA 5.00 Ex. Occup. oFunFrs Ge Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATLON 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 R 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 / Date 0 Signature of Applicant ❑ -Owner �0'1Contractor ❑ Agent An OSHA permit is required for 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 $ DCC CONST. TYPE TOTAL FEE $ `�-� • J HA2. 0. FEES IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for wh' fees have been paid. / l 2 By Dat(e,� A.-Il � ! PERMIT EXPIRES ON l petQ Receipt No. �b 5%7 �% ` v WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (�30) 538-7541 D , 7 (Rev. 12/96) APPLICATION AND PERMIT �/ ASSESSOR PARCEL NUMBER 0 0� — too- o o e (�`-'1 ZONING BUILDING PERMIT OWNER _ ^ I � �li �IJC[ I I _l 0 SO. FT. OCC. BUILDING VALUAT ON .- - OWNERS NG jip0.REES ), ✓ �I t r �lj/j CONTRACTO NA TELEPHO -(2 Q (,1 /v CONTRACT U 0 16D CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.0 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS , /} p Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP f 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: Gr CADn=p� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ *t ELECTRICAL PERMIT Filing Fee 20.00 800V OR LE Main Service 20 OA 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 f�Fce and effect. /�S X/ j License Class �" J `) Lic. No. l v ✓ l 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� I am exemptunder Sec. Business and Professions Code for this reason ✓ n - W R S' COM SA ON 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' comps sation s of section 3700 of the Labor Code, I shall fo with comp ..h a provi ions. _ n-� �l X --� Date, c;2 C7 ner ontractor ❑ Agent Signa r of ppli=dfor An H ermit is recavations over 5'0" deep and demolition or construction of ructures over 3 stories in height. Main Service zoOA TO IOooA 4ti.00 NEW CONST. DWEWNG OCCUP. SC OR ADDNS. ( O7.UNG BLDS. 3.5QFT_ NON-RESID MU LTI.OUTLET 97.50 POWER APPARATUS a SINGLE oLmET C,R. 20 O 1.00 Ex. Occup. OUTLET OR FDCTURES BAL O .50 Ex. Occup. O�OSSRESID.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL PO HD ISSUE This permit is hereby issued under the applicable provisions of the Bu County Code and/or Resolutions to do work indicate ab ve for wh' fees have been aid. By Date v _ PERMIT EXPIRES ON c Date Receipt No. 5?1-% `C-50 WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 29L-10-45 -2650-90B ..MENZIES, Ll6yd-8,j,-.erla% 1462-Frui.tval e' Rd -,"1 Richvale Contr: North Stat6 Aluminum (steel siding/sf)' _ 1'r'r`� •'t:.: _ , r "",-nyr f" , r " 'r„�,.si F COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, Califos;iaL995965 - Telephone: 916/538-7541 / .. APPLICATION AND (PERMIT ASSESSOR PARCEL NUMBER 029-10-0-045-0 I ZONIN BUILDING PERMIT 9:LNOVD & VERLA MENZIES TELEPHONE 882-4321 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1462 FRU ITVALE RD., RICHVALE CONTRACTOR'S NAME NORTH STATE ALUMINUM INC. TELEPHONE 343-7956 CONTRACTOR'S MAILING ADDRESS 3029 A THE ESPLANADE CHICO 95926 Fireplace C#VATRUCTION LENDER UNKNOWN Total Valuation $5680.00 Filing Fee $ 1.00 LENDER'S MAILING ADDRESS Permit Fee $ 56.50 J; AITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ • 0.00 Energy Plan Checking Fee A. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS SAME'' Permit fee; 66.50 w PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 X USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other u SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation Other ❑ Describe work: Instal Steel Sidingga _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR01 OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): LrX7, I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Profession jrj�� yand m license is in fl , fo a nd f t. "' �" y 1%�-6TH 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 CONST. DWELLING OCCUR.&) OR ADONS. ( ACC. BLDGS. I 2/20sgft NEWCONSTR. ULT' -OUTLET NON • RES ID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET cIR. Ex. Occup( OR FIXTURES 20®e0C eAL030 Ex. Occup. OUTl ETS ( R RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin 9 15.00 Permit Fee $ - Contractor WORKMEN'S COMPENSATION INSURA 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 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. MECHANICAL PERMIT Filing Fee 10.00 eating 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, Wdgments, costs, and expenses which may in any way accrue against sal unty in consyeq�uenc�e-�ooff the granting of this permit. XV,eva `X�7/ Date ��18�90 Signature of Applicant — Owner ❑ Co "actor ❑ 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 $ Energy Inspection Fee $ OCC I CONSTTYPE TOTAL FEE $ 66.50 HAZ I CUA I PARK I SCHL I FLO PAR PD HD I ISSUE This permit is hereby issued under sion the Butte County Code and/or w indicated above for which fees / DI OF PU 1 PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS 1 Dae //�� ^ �/' Receipt No. WHITE-D.P.W.. YELLOW -ASSESS R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICA"Ti 1V AND PERMIT PERM NO. I ASSESSOR PARCEL NUMBER 029-10-0-045-0 ZONI BUILDING PERMYT 9."LN67D & VERLA MENZIES TELEPHONE 882-4321 SQ, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1462 FRUITVALE RD., RICHVALE CONTRACTOR'S NAME NORTH STATE ALUMINUM INC. TELEPHONE 343-7956 CONTRACTOR'S MAILING ADDRESS 3029 A THE ESPLANADE CHICO 95926 Fireplace cffJ'ATRUCTION LENDER UNKNOWN Total Valuation 1$5680.00 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 56.50 A��jIIVVAITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 0.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS SAME Permit fee $ 66.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home TSFG W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[ Other ❑ Describe work: Instill Steel Siding _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 ' Main service ;00V OR 0 AMP ORLESS__10.00 Main service EA. ADD'L 100 AMP 2.50 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 Profession C �and my license is in f II fore nd of t. License No. 2� �7 Classification t-1,�-6� �C—� FlI, 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 CONST.( DWELLING OCCUR.N NEW DCONSTR.A , �z2sgft ULTBI-OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea (POWER APPARATUS el SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20@50t< BALO 30 FIXED Ex. OCCup. OUTLETS PIRESID IAPLNS.REAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g 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 County of 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, Wdgments, costs, and expenses which may in any way accrue against ,ai unty iin/Gonsequ a of a granting of this permit. X (�10_ �/ T�6 18 90 Date Signature of Applicant — Owner [DCa actor [IAgent ❑ 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 $ Energy Inspection Fee $ occ CONST -TYPE TOTAL FEE $ 66..5 5 0 HAZ I CUA [!ARK SCHL FLD I PAR PD HD I ISSUE This permit is hereby issued under sion the Butte County Code and/or w in icated above for which fees DIVOFPU 1 V — / B- PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. ORKS Da e / Receipt No. WHITE-D.P.W., YELLOW -ASSESS R. PINK -INSPECTOR, GOLDENROD -APPLICANT 4/ ti iE e 1 .- PERMIT N0: 548-74B,E P V E .Y74 7 M -,MH UTIL. •PERMIT NO. PERMIT EXPIRES t OWNER Lloyd V. Menzies ,CONTR. Harmony Builders, Oro. 29-10-45 -LOCATION (A.P. ) NIS Fruitvale Rd., 2 mi. W. cf Midway z 4 r+ sl 1 y Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E / JOB FINALED / ��/// � , •' ( at�— (Signature) COUNTY OF BUTTE — DEPARTMENT OF 'PUBLIC WORKS BUILDING INSPECTION RECORD, BUILDING BUILDING (Cont'd) I PLUMBING Setback Firewall Forms °' s 7 cf Parapets Main Bldg. Restroom Finish Footings — Windows Stemwal I Siding Slab Roof Sheathing Piers Roofing Garage Fdn. Vents Footings/z Garage Vents Stemwall Slab Prov. for physically , handicapped Carport Footings Conformance of ex. structure Slab Final Patio FIREPLACE Footings Footing Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRINKLERS �1 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 Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Temp. Gas Sanitation Final ELECTRICA Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final 1-7 16 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKRK eee��111 P 7 County Center Driv- Qroville, California 95965 / l` Telephone: 534-4541 / 7 APPLICATION AND PERMIT auutunce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X C% Date Signature of Perm tee or Agent Receipt No. laza 5- 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 UBLIC WORKS BY Date J^-- Ilding permit expires Date ........................................ BUILDING Owner SQ. FT. OCC. BUILDING VALUATI N Mailing Address Telephone No. ;-Ww� -R, ft 42 (n-) Contractor - Total Valuation Mailing Address � ,� Permit Fee Plan Checking Fee &/or Penalty n Telephe on Permit Fee $ $ Building Address /�(o(/ 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. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe WCI .an S tion I 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. ins Recd Parcel Approval PI s Approval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 D c e P Main service incl. 1 meter c Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Fami y Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 201 5 Re s., 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Q %Misc. Classification 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. 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 the Workmen's Compensation Laws of California. 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 MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ auutunce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X C% Date Signature of Perm tee or Agent Receipt No. laza 5- 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 UBLIC WORKS BY Date J^-- Ilding permit expires Date ........................................ l .e r. . ,: "A p��. ♦ 4..R }� , } ,i .�.. ,. ... e n .. •.,.. , ,,. � .,.: ,;, v -.: '. .� r.. e•.A 1. , .. .�''P. .. ,. .. f / a... J. C' C "ir- � , .. �:. ♦ .. .,, ,,: ,-p .. ,: 5 ..� .I. P.., .'mm.br., i ,a yy L Jai . , • r ,... ,.• .1 M... w.,.i#.,�....,,_r..-, —. v--�w .... -... :.: .��. ir..,-, _ M', �_ -M •,,�r ,�,� >,.. ,'k t -.:•I ' tt .. � .» i._. i .. 4.� F + ,,. � -• .. .. ,. . 1.. ... � it .:.:.. .:, «:,. .... �., ... � , lr .9,. X {.. .' n. � 4 :. ,,,.. .., 5 � vL. ..., �, .. :�. ,.. x ',. .,a , .• .A r r �, i..''tr h. �r- + # , .. ... .i. 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