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HomeMy WebLinkAbout029-131-006>.; �ycs�,,,r���:a;_.:�.«.t .. k�,�y.^,:,- *..,.��,�iY; --•. .....9'.s•. Aar+.-f*:;, iarivRya.ta*x,.-«E„Y�'r,;��.•--w•vR+....:..-:�. .'sof:'a};Fyiar«�:r�.i�^=-'.�.=+�.-''. P 029-131-006 03-2940 t JOSASSEN, ORPHA - 4 5293 CHURCH ST., RICHVALE Cont: DANS ROOFING RE-ROOF 48 SQ. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 - PERM (Rev. 12/96) APPLICATION AND PERMIT�� ASSESSOR PARCEL NUMBER n99-1141 ZONING BUILDING PERMIT OWNER nit A nc cc TELEPHONE -4110 SO. FT. OCC. BUILDING VALUATION AQ OWNERS MAILING ADDRESS -- W1 4S RT l T F QSA7 CONTRACTOR'S NAME n..__. _- _—. -- J nA NSC FT _ TELEPHONE S�/, 11" CONTRACTORS MAILING ADDRESS '--' �.Ca 1T 7 Vr1 A ITT T T: !` CIC CONSTRUCTIONLENDER -- LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.W ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1 M S.Ts R11 MALE Energy Plan Checking Fee $ -IRM i $ PERMIT FEE $ 74 M IDT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF M 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 OBuildin Describe Work: RER00E 48 SO (rW Gas piping stem 1 - 5 outlets 15.00 sewer 15.00 Mobile Home ISI G1 W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LESS Main Service .01 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. t License Class Lic. No. (`[" 1v CCC�,�r , RATION OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, 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, a5 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 200A TO46.00 NEW CONST. DWELLING CUP. SO OCCU OR ADONS. ( & ACC. BIDS. 3.50FT. EW INONRESID. MULTI -OUTLET 97.50 POWER APPARATUS & SINGLE OUTLET CIR. 20 @ 1.00 Ex. Occup. CUTLET OR FIXTURES BAL @ -.50 Ex. Occup. OFIXunEE°TS A IEs —.OFRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 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.) 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 worker ' compensation provisions of section 3700 of the Labor Code, I shall forthW h comply with s provisions. &� � — r– t ` X �i Date V Signet re Applicant - ❑ 0_wnerff Contractor ❑ Agent OSHApermit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories innr�height. 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 $ 74.00 HAz. D FEES IMP I FLOOD I CDF PARCEL PO HD ISS This permit is hereby issued under the applicable provisions in the Butte County Code and/or Resolutions to do Work indicated above for which fees have been paid. //An ,/d9 r i4//0n By f'7 D//ate/ /J lhf PERMIT EXPIRES ON-D.D.S.-B.D. /(Date) C f pt No. 017 (4(� - ` CANARY•ASSESSO PINK -INSPECTOR GOLDENROD -APPLICANT L l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMLT NO. (Rev. 12/96) APPLICATION )SND PERMIT �i2-9�A 1- ASSESSOR PARCEL NUMBER RR312- 099-131-006 ZONING BUILDING PERMIT OWNER TELEPHONE SO, Fr, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6, RICHVALE, CA- 9-59-74 2,880. CONTRACTORS NAME DAN'S TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54-00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF )Cl Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um 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: _ _REj?()()F 48 S1L(,Clj� Gas piping stem t - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fee 20.00 RLEFiling Main Service 200A 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. ^ r� p l�� License Class Lic. No. O NER-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. ❑ 1, 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 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 worker;' compensation provisions of section 3700 of the Labor Code, I shall forth h comply with'those provisions. t XI,. J_ Date�3 - t.l Sign re Applicant - ❑Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. A Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR s0 OR ADDNS. ( 6 ACC. BLDS. 3.52FT. FK)µREOSD MULTRANCI-OUTLET @7,50 POWER APPAriATUS SINGLE OUTLET CIR. 20 00 Ex. Occup. OUTLET OR FDCTURES BAL @':50 Ex. Occup. oLIntrs A=ID,GEA 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 $ 74-00 RAZ. D. FEES IMP FLOOD CDF pARC0. Po HD ISS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab a for which fees have been paid. B D e 9/6� �3 C PERMIT EXPIRES ON oZ D, Receipt No. WHITE-D.D.S.-E.D. CANARY -A SSO PINK -INSPECTOR GOLDENROD -APPLICANT i Y r PERMIT NO. 54-7 5B R P tl E M ,,,MH UTIL. PERMIT NO. i S PERMIT EXPIRES — — 76 r• ;OWNER H.D. Josiassen �CONTR. Thomas Bragdon, Chico !LOCATION (A.P. 2.9-131-06&07 ¢ w/s 4th St., @ W. end of Lindale Ave, Richvale a �1 A; A ?D I �4 y^ Temp. Power Pole + Called PG&E Temp. Elec. Serv. Called PG&E 1 Temp. Gas Serv. Called PG&E j/ JOB FINALED (Date) (Signature) I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback 7,5— Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Window 3rd Floor Stemwall S i d i n g To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garacie Vents Water Htr. StemwaII 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 R o u g h 9 - Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motor Framin — *- Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault P o Scratch Heating Service =r Brown Cooling Temp. Pole Finish Ducts Under rou Interior Lath Ventilation f Permanent Door Closer Final_ Final S DATE REMARKS OR CORRECTIONS I COUNTY OF BUTTE — bEPATMENT OF PUBLIC 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WORKv 5 w MFMGen.at ves vi uie wunty vi mutte iv enter upon the above ment' p e y for inspection purposes. X to /// Signature of Pel7miltee car Agent 101 Receipt No.��6 �/ �✓ 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 Pl BLIC WORKS By – Date BIding permit expires Date ..................................... .... BUILDING Owner O s �•� 4c SQ. FT. OCC. 4PILDING VALUATION c 0 Q Mailing Address Telephone No. Fireplace Contractor 7–v ®/�;F 6 a Total Valuation Mailing Address �" �O� C Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ C/1 Building Address % ST PLUMBING No. @ FEE7* PERMIT FILING FEE $2.00 Q ,(j,�/,D �– Each Trap 1.50 API }� C Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.a F-13.1-49do" 40-7 Zoning & PlanningGas piping system 1 - 5 outlets 1.50 $ Each additional outlet .30 ue-s"F Sa ion Fire Dept. Fire Zone Use Permit EQA Parkin Pla sg Declaration I Parcel Map 60' R/W Improvements Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ g. Plans Recd Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER R ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �f �/ & % A 72> 5$/w/,L Main service incl. 1 meter 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 b20 ald to Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Cal' i j5usiness & Profes s 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 I aware of the provisions of Section3700 of the California Labor C de which requires every employer to be insured against liability fo 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 rmit is issued I shall not employ an pie p y y 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 MFMGen.at ves vi uie wunty vi mutte iv enter upon the above ment' p e y for inspection purposes. X to /// Signature of Pel7miltee car Agent 101 Receipt No.��6 �/ �✓ 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 Pl BLIC WORKS By – Date BIding permit expires Date ..................................... .... "PERMIT N0. o4- B P E M . f E M MH UTIL. ,'PERMIT NO. PERMIT EXPIRES o; —7(a E OWNER _ H.D. Josiassen CONTR. Thomas Bragdon, Chico JLOCATION (A.P. 29-131-6&7 ) w/s 4th St., @ W. end of Lindale Ave., Richvale F 9 I y� h 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E ( Temp. Gas Serv. Called PG&E "/10 B ,c FINALED (Dae Com% � (Signature) Setback Forms Main Bldg. Footings, Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Stucco Mesh Scratch Brown Finish Interior Lath Door Closer COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING' (Cont'd) PLUMBING Firewall Parapets �— Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents P, Prov. for physically handicapped Conformance of ex. structure FIREPLACE Footing Throat Final FIRE SPRINKLEF Test Final MECHANICAL Heating Cooling Ducts Ventilation Final In Soil Piping 1st Floor 2nd Floor 3rd Floor To out 3 S� Water Piping 7 Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final ELECTRICA Fixtures Motors Water Htr. Subpanels Grd. Fault Pr Service Temp. Pole Underaroun 7 S , Final DATE REMARKS OR CORRECTIONS �1 /� I;. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 3 O L.+ _ t7 S X 7 County Center Drive — droville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the ab e- n '•oned property for inspection purposes. Dat Z _?i `!7J Signature of PerrSmitte-e� or A ant Receipt No. /I::?2 k— 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'J 7 J Building permit expires Date ................ ...��'' BUILDING Owner 1 cliS��Y OCC. BUILDING VALUATION IT 4goMailing Address .O;� S0Telephone Krepl No. P�;A El QQ Contractor THooi /9s(�646JQN/ Total Valuation Mailing Address ,-) L14.ltl F 0,e44— %9VE Fee Permit Fee r Plan Checking ng Fee&/or Penalty C14 /c Telephone No. , _ � Permit Fee 7l-1 ,r� Building Address G(/ / �. PLUMBING No. @ FEE PERMIT FILING FEE jCr/ VA (—E Each Trap 1.50 ,.S Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. a.G ` 1� �'— �DGas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F �W. SeFt'+-.Vida I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I ParcelParc Declaration e Ma P 60' R/W Im r p ov ents Lawn sprinkler system 2.00 aelt Plans Recd Par Approval PIarir pproval Permit Fee $ , 4 NEW ❑ ADDITIONK UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 70 1AIC4c(4.,c Sir ? Main service incl. 1 meter .� SQ �� �'Sb 17-,0AM L- Additional meters, each 1.00 Single Family, Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more n 12) , Range, Cook4t p or Ove 1.00 za, 00 Water Heater or Space Heater 1.00 Light fixtures20 al to I.ailp., swJ cam& fi oets 2UMQ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of CBusiness & Pr essions Code under the name style of: a for 01 Ho Ex. Fan or F. A. Furn. Motor 1.00 Z, O a Evap. cooler, gar. disp. or DfW. 1.00 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 $17 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 f f Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I to an certify that in the performance of the work for which this ermit is issued I shall not em P employ y 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 J,00 Heating Cooling Ventilation Hood 2.00 . Q O 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 $ C authorize representatives of the County of Butte to enter upon the ab e- n '•oned property for inspection purposes. Dat Z _?i `!7J Signature of PerrSmitte-e� or A ant Receipt No. /I::?2 k— 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'J 7 J Building permit expires Date ................ ...��'' PERMIT NO. 1752-75B P 75 - E M MH UTIL. PERMIT NO. PERMIT EXPIRES 6— / `7(� OWNER H.D. Josiassen CONTR. T. Bragdon, Chico LOCATION (A.P. 29-131-0607 ) w/s Lith St., Q W. end of Lindale, Richvale r Temp. Power Pole , Called PG&E Temp. Elec. Serv. .'a Called PG&E Temp. Gas Serv. Called PG&E /JO-B FINALED (Date) ignature) Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framin Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY'OF BUTTE — DEPARTMENT OF' PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Soil Piping. Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidinq To out Roof Sheathing Water Piping Roofing Sewer Fdn. Vents Fixtures Gara a Vents Water Htr. \. .Prov. for physically handicapped Heaters Appliances Conformance of ex. S structure Gas Piping & Test Temp. Gas Final - Sanitation FIREPLACE Final Footing ELECTRICAL Throat Rough Final Fixtures FIRE SPRINKLERS Final MECHANICAL Heating Cooling Ducts Ventilation Final - REMARKS OR CORRECTIONS 0 Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final i r COUNTY OF BUTTE — DEPARTMENT OF PUBL 7 County Center Drive — Oroville, California 9596 Tel ephone:•53A-4541 APPLICATION AND PERMIT Owner /-f- U, Mailing Address Contractor :n#0Inli-S Mailing Addressf(>L!� Building Address �o /f �� �r Z -h A. P. No. o F s W4151 EQA PPrI B<Plans NEW ❑ ,Q Dh -4 eA e No. elephone No. Pcfh — .2a1 _Z C/ re or C-1.1 / 1 Zoning & Planning re Dept. FireZoneT Use Permit Parcel Declaration Parcel Ma p 60' R/W Im r vements p 'd I Parce proval s Approval ADDITION UTILITIES ❑ OTHER ❑ 6e&44 - 000F 7-4et1-Gt'S 9 D Q-1— Single Family Duplex ❑ Mobil Home ❑ Others ❑ 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 License No. Classification n I am exempt from the Contractors License Laws of the State of California. 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. 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. Receipt No. 1440373 White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant BUILDING SQ. FT. I OCC. I BUILDING VALUATION Fireplace Total Valuation 4 Permit Fee Plan Checking Fee&/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel 02 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Recaps„ switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wiring Permit Fee MECHANICAL PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee i ©e3 FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 $3.00 2.00 FEE TOTAL PERMIT FEE $ A0 IOiC 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 wilding permit expires Date %�