HomeMy WebLinkAbout029-220-056LOT I BLOCK
TYPE IOF
T
PERMIT I PERMIT NO. I PLAN NO.
PERMIT DESIGNATION:
DEPARTMENT OF
BUILDING AND SAFETY
,I
A.P. 29-22-56 T29-12-56 171-90 �r
George Doerin
STIR w�s 99E app: ' mi. so. oVam��
le-
Richvale Rd.DOERING, George
X,
Akner.,
�7.3 4583 Hwy 99, Oroville
CONTR: Louis Dur .,;�,Exemptiori Permit 21
"" Permit. 3-72B (new swimming pool)
�'�---- -� (store equipment for orchard) �-
A.P. 29-22-56 - ._ .. ..
SUBDIV.Ge ge Doering -
w�s E 2 mi, no, of...But.te City Hwy.,
Ric chv e
DATE Issu permit 27-72 (add garage & family ';r.
REMARKS
room DOERING, Emil 2774E -�
A.F. 29-22-56 2217P 1
GEORGE DOERING ,a?j °9f a� �- -S� 2780E -- -
w�s 99E app. mi so. of Oroville- 29-22 S�
Richvale ., Richvale app. 2 mi. west 99E on Butte Ci y Rd.,OrovillE#;=
Permit 3-73B,E (addition)
(ad ion)
29-22-56_
4583 Hwy 99, Oroville Z/8,
Contr: ServamaticcSolar
Permit#1376-85P(solar wtr htr)SF ' }
029-220-056 PERMIT#96-1871
DOERING, George & Patricia
4583. Hwy 99, Oroville029-220-056 03AG197_
Cont; Richard's Roofing i7 � qui DOERING; GEORGE
Reroof/SF / I�4583 HWY 99, OROVILLE
I Cont: OWNER
AG STG
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T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT D - DEMOLITION 600.1
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BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
3- G -1g'7
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO.
ZONING �\
p - D - p • 000V
OWNER
PHONE NO.
OWNER'S ADDR S
YS 83 a
LOCATION OF BUIL ING
USE 0 �ILDING _ [//) C // r•
SIZE OF STR bCTURE io
xSO. FT y
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL CONCRETE OTHER (Specify)
TYPE OF SIPING ING
ROOF COV RI G
FLOOR TYPE
e
ESTIMATED COST OF CONSTRUCTION
--
-
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:5'
O
FRONT SIDES REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
/30 0
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building. is made, 1 will ct the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requireo. in ffect at that time and before
occupancy. -
Date Signature of Ow
Permit Fee - $60.00 The above described AG Buildin s exempt from --a-building per. it.
F O PAR L P. ROOF G ISSUE
Receipt No.�0/d 1 r& �V I r/
Manager Building
Division
By Date J
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
020-
'2'20'5=f 0 5 6 PERMIT#96-,1871'
DOERING, George & Patri,cia..,-.
4583 Hwy 99, Orovill.e 4
Cont; Richard's Roofing.
Reroof/SF . -- — a/ / 5/i7j
i
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Orovilile, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSORPARCEL NUMBER
ZONING
B ILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
45M HN 99, GPM TR.
CONTRACTOR'S NAME
r
f; VCrFJ
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
9-479 7 f
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S %JUNG ADDRESS
Permit Fee $
ARCHITEC-OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITEC- OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
PERMITFEE $
• 00
PLUMBINGPERMIT Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF IX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New C Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other 2
Describe Work: MUF 55 SQ OM
Mobile Home S G W @20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service e00V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO ,000A )
46.00
LICENSED 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 mw license is in full force and effect. /
License Class �,S Lic. No. J 1 r
'OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
I!aw fo- the following reason:
❑ R 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.
❑ t 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
NEW CONST. DWELLING OCCUR
OR ( a ACC. BUDS. )
SO.
3.50r.
CNS.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
WER9
(a SING E APPARAOUTLETTC R. )
Ex. Occup. ( OUTLET OR FIXTURES)
20ISAL @ 1.00
Ex. Occup. (oFIIX E APPUN . OR )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE s
Contractor
WORKERS' COMPENSATION DECLARATION
I herety affirm under penalty of perjury one of the following declarations:
❑ . 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' ompensation insur carrier and policy number are:
Carrier A_tIG $ver /n..w, ,,� f�f, ,.J t
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy N beX i r I2 < 7 /, �� -
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 omply with those provisions.
I
Date _ �', �_
Signa re of ApplicaiW_ 0 -Own r A Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of stru--tures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 83.00
HAZ.
I D. FEES
I IMP I FLOOO
COF
PARCEL
PD HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicate ' bove for which fees have been
By�c_J (s- Date
PERMITEXPIRESONx
I(
provisions
to do work
paid.
/
e
Receipt No. eQ ,
WHITE-D.D.S.-B.D. CANARY -ASSES OR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ON
7 County Center Drive - Oroville, California'4c.15965 - Telephone (916) 538- 41 -PERMIT NO.
APPLICAT101M AND PERMIT gi�'--'7/
ASSESSOR PARCEL NUMBER
029--220-056
ZONING
B O ILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
3300
OWNERS MAILING ADDRESS
45R3 HE 99, 0R=JE,
CONTRACTOR'S NAME
PJMART)t
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Fling Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
63.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMITFEE $
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF qX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: RIIZWF 55 SQ aI"IP
—
Mobile Home I S I G W 1
920.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service000V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO I000A )
46.00
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 in full force and effect. ��^^,,
License Class Lic. No. S OL"
,OWNER -BUILDER CrECLARATION
hereby, affirm under penalty of perjury that I am exempt from the Contractors License
for the fokowing 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
NEW CONST. DWELLING OCCUP.
OR ( s ACC. )
SO.
CNS.
UTLEBLDS
NEW CONST. MULTI.OUTLET
NON•RESID. ( BRANCH CIRCUITS )
97. 0
@7.50
( a POWER APPARATUS )
SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES)
20 Q 1.00
BAIL so
Ex. Occup. (OUTLETS(RESIo.j OR)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
I 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' omp s n insur nc carrier and policy umber r
Carrier kr/ n S 1 f� r��
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
_
Policy N ber �`�,� ,30 —
(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' com sation prov. California.,and
of section 3700 of the Labor Code, I shall
o ply w those rov ions.
Date _
aSn4.u't__'re of A pl nt - ❑ Own r JK Contractor O Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 83.00
HAZ.
I D. FEES
IMP FLOOD
CDF PARCEL PD HD
ISSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicate ve for which fees have been
By
PERMITEXPIRESON
(DW
provisions
to do work
paid.
Date
ReceiptNo.S/
WHITE-D.D.S.-E.D. CANARY -ASSES OR PINK -INSPECTOR GOLDENROD -APPLICANT
.. .y ,..��. ���.. ti.,�� ,__« -. .tea inti ,.-r., �--`+�:: •t, r_. .Sr a _ .Y'- "' -.. ati.
Permit#1376-85P
George Doering
4583 Hwy 99, Richvale
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, ttfalifwia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
i I
CONTRACTOR'S NAME.
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
}
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITEICT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS , y
� I
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home IS I G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work: r j f % r
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC, BLDGS.
2I/20sgit
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 my license is in full force and effect.
License No. r 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 ULTI-OUTLET 2,50 ea
NON.RES'D BRANCH CIRC ITS
NEW CONSTR ( POWER APPARATUS &)
NON-RESID, SINGLE OUTLET CIR.
RESOccD. SINGLE
EX. OR FIXTURES 9AL030-
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 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 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.
Heating
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 Countyot
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, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X DateThis
Signature of Applicant — Owner ❑ Contractor ❑ 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 $
OCcuP. GROUP
I TYPE OF CONST.
I
JPARCELJ
PD
I HD
I ISSUE
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By I
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cal.:,forn% 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT O. _
O `S
ASSESSOR P�yy L^N MBER
�p�!''/I
zON a
(`�
BUILDING PERMIT
OW?,R
O Q f r' Geri
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S AfJLINGDRESS
CO RA 'S N ME
T LEPHQ[J
CO ACT R'S AILING A DRESS
tr 1, ` C
Fireplace
CONST CTI N L NDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LEN MAILING ADDRESS
Permit Fee
$
ARCH`, ECT OR ENGINEER
6LA L4 -Penalty
LICENSE NO.
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESSS,g3 ^
IG�L
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00 do. U
y U _
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
Sl`rl�f Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S FIG W
10.00ea
TYPE OF WORK
New❑ Addition❑ Remo I Utilities Install ❑ ❑ onOther
Describe work: i"��S �ir ✓_ —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
.NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
t
2/20sgft
CONTRACTORS LICENSE LAW
I declare t;nder penalty of perjury (check one):
C-I��,/
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Prof essi s Cod and m license is in full force a d f t.
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 NO. -RES'., BRANCH CIRCTITS 2.50 ea
NEW CONSTR POWER APPARATUS .&)
NON -RESIT. (SINGLE OUTLET CIR.
20®60a
Ex. Occup(OUTLETS OR FIXTURES eAL®ao
Ex. Occup. OUTLETS FIXED P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
54e4have 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
Heating
Cooling
Hood
3.00
Ventilation
++
permit Fee
$
Contractor
1 certify that I have read this application and state that .the above information
is correct. I agree to co to al unty Ordina s and State Laws relating
to building constr ction, an h y a thorize re rese atives of the County
Butte to enter upo the a ove entioned property for ins ection purposes.
I also agree to s e, ind mni y n keep harmie the C unty of Butte against
all liabilitie ju gments co ses hich ay in any way accrue
again t said Cou y co e c f th a of i s permit.
X e .�
�y
Signature of Applican — Owner❑ Contractor ElAgenylt2k
An OSHA permit is required for excavations over 5'0" deep an7((d'ddeemolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 00 oO
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above 'for which
IRECTO 0 PUBLIC
By
PERMI XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
;;�� -mss
"(J /
�,�= 6
Receipt No. 7g 3 7
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
K I W
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
i ^►� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to
house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not
be a place of human habitation or a place of employment where agricultural products are processed, treated,
or packaged, nor shall it be a place. used by the public.
ASSES2S/OR P ARCZNZ
ZONING /j y�
_
�jf
OWNER
PHONE NO.
99
OWNER'S ADORESS /
0i C
LOCATION OF BUILDING
r
USE OF BUILDING
S v c- -
SIZE OF STRUCTURE
C(0 x _ J SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAMESTEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVER NG
FLOOR TYPE
ESTIMATED COS OF CONSTRUCTION
Y T- o0 by
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County
Ordinances as follows: „ ;2-4—t
Ss k—, REAR
FRONT !! SIDES
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet
from a mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and
a mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated above and the proposed use
conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will
contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to
comply with the requirements in effect at that time and before occupancy.
Date f/ ` Z 0 V Signature of Owner
Permit Fee - $25.00
Receipt No. U "' 4 10
The above described AG Building is exempt from building permit.
White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant
Director o
f Public Works
By Date
FLOOD ARCEL
P.D. i
ROOFING
�E
Director o
f Public Works
By Date
COUNTY OF BUTTE - DEPARTMENt�-OF-PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,"CAL`1�0RNIA 95985 - TELEPHONE: 918/538-7541
OWNER
Proposed Building Use
PERMIT APPLICATION DATA SHEET
Permit No.
A. No.
Building Inspector Date �J
At time of ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ................:.......
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
- 5. HazardousMaterial Form ......... .............................. .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
_ 10. Fees of $ ..............
_ 11. Chico Urban Area fees paid ....................."'i ................
_ 12. Park fees paid ...................................... ..............
_ 13. School District fees paid ..............
_ 14. Sanitation approval from Health Department
_ 15. City of Chico plumbing permit .....................................
_ 16. Plot plan and business license approval from City of
(see City for other requirements)
_ 17. Planning approval for (A) Use: (B) Parking: ......
_ 18. Improvements may be required. Contact Land Development Section DPW
_ 19. Driveway permit (construction approval required prior to occupancy)
_ 20. Pre -Inspection for required Building IPre-Inspen request to
'nspector (Date)
-21. Contractor's license information (No., Name Style, Classifications ...
-22. Certificate of Workmans Compensation Insurance ..................
-23. Owner -Builder Verification (Given to'owner ❑, Mail to owner ❑) .....
24. Recorded copy'of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ......... ....................... .
-26.
-27.
When you issue the permit, process as follows: Mail to owner1 Mail to contractor.
Telephone and. hold for pickup at office. Deliver w./inspector.
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By.
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
t
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date
Contractor, designer, owner, was advised of above required data by_phone_mall, counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date
PERMIT NUMBER B 243-7 3B E
P
E
PERMIT EXPIRES 7-- 7*
OWNER George Doering
CONTR: owner
LOCATION (A.P. 29-22-56
wls 99E app. 2 mi. so. of Oroville-Richvale
Rd, Richvale (at mandarin orchard)
7
u
COUNTY OF BUTTE
' r
Department of Public. Works
BUILDING INSPECTION RECORD
Zoning
Setback
Forms
'Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
'Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents
Framing a
Plmg. Topout
Rough Elec.
.Wtr. Hti.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final '
Final—f%
DATE
REMARKS OR CORRECTIONS
u
'~ COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Phone: 533-1230, Ext. 259
APP -LI -CATION AND BUILDING PERMIT
Permittee Owner
r �
/Tr G: �_�� <'t- /?,7 lj
EXTERIOR
A. P. No.
Width at Top
Mailing Address
Width at Bottom
Fire Zone
Depth in Ground
Zoning
Contractor -�
/ L /I''i
l
%l / ,l !
BUILDING VALUATION
Sanitation
-
Planning
Mailing Address
1
.� !�C
�. - ��u b ///j
Girders
Plans v
Fees v
W.C. �r
'r
`" r'
r�+h
R/W
Encroachment
BLDG. Address
f'T'
r
�
NEW ADDITION REPAIRS D OTHER
If
Others
Single Multi
USE OF STRUCTURE Family [] Duplex Dwelling Dwelling Q
Others G�r� Jf� /
F O U N D A T I O N
MATERIAL
EXTERIOR
PIERS
Width at Top
Width at Bottom
r
Depth in Ground
SO. FT.
OCC.
BUILDING VALUATION
R.W. PLATE (Sill)
SIZE
SPACING
SPAN
Girders
joists - 1st Floor
Joists- 2nd Floor
"J �'•?
�r
Fireplace
Joists -Ceiling
.-.
Total Valuation
!Y �G
Exterior Stdds
Permit Fee
w
Interior Studs
Plan Checking Fee &/or Penalty
Roof Rafters
Total Permit Fee
G ��
Bearing Walls
CONTRACTORS LICENSE LAIN
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name
styleof............................................................................................................................................................................................................................................... .
License No . .......................... Classification ,,,,,,,,,,,•,,,,,,,,,,•,•••••••J••,,,,•••,,,, and certify that the aforesaid license is in -full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one):
Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
( Sec. 7044).
Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
0 Basis,. if any, for other statutory exemption...................................................................................................................................................................
.................................................................................................:..................................................................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
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.
XD ate .................................
SIGNATURE OF PERMITTEE OR AGENT
ReceiptNo. ........ ..r.:.. .............................................................................
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
BY.......................:...s -+'. ' Date r'
.............,...................................... ..........................
• Permit Expires Date .............................
COUNTY OF BUTTE ' p
DEPARTMENT iOF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Phone: 533-1230, Ext. 259
Al
� /
APPLICATION AND PLUMBING PERMIT
Permittee Owner A r" /� l''/%S' f6' r-ao—e? C- 'do !.g/)� A.P. No.,��—��
Mailing Address
ContractorDGI//L.
Mailing Address? YJ �/�i 'S �h/-j"--I
BLDG. Address I/L /05' Tl� /�%%7 I ,��i / /� l �/7 a/-17 Z. `i ,
DESCRIPTION OF WORK
NEW ADDITION REPAIRS 0
OTHERS:
Remarks:
PERMIT FILING FEE
No,
@
Fee
82.00
a GG
Each fixture or trap or set of
fixtures on one trap
1.50
Repair -or alteration drainage
or vent piping
1.50
Installation or repair
water piping
1.50
w
/
Each gas water heater or
gas heater vent
1.50
USE OF STRUCTURE
Single Multi
RESIDENTIAL Family Duplex Dwelling
OTHERS: (/
Remarks:
Gas piping system 1 - 5 outlets
1.50
Gas piping 6 or more - Each
.30
House Sewer
5.00
Lawn Sprinkler system
2.00
TOTAL FEE
$
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am license�er �� vtsion's of�Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
styleof ......./............. .................y...............................t.........^...................................................................................................................................................
License No:Z�'r{Jd'Classification,,.,,,,1`,,,, ,,,,,,,,,,,,,,, and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE ,THE FOLLOWING:
I am exempt from the C6ntr6ctors'License Laws of the State of California under Sec. 7031.5 because (check one):
I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors.
( Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
0 Basis, if any, for other statutory exemption.................................................................................................................................................................:
.......................................................................
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
1 certify that I have read this application and state that the
above information is correct..I agree to comply with all County
ordinances and State Laws relating to building construction,
and hereby authorize representatives of the County of Butte
to enter upon the .above m nt, n property for inspection
purposes
'��
.........:.........................,............... .'....Date. .........
SIGNATURES OF
PERMITTEE OR AGENT
ReceiptNo. ........ /,,,(/....1....�...!................................. -
This PLUMBING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances. ,
DIRECTOR OF PUBLIC WORKS
Bye.-^✓"--P...................Date��i/�/
�..
COUNTY OF BUTTE
Remarks:
TOTAL FEE
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business dt Professions Code under the name
style of ...............................................:..... ................................................................................................. _.
........ .........
License No.;,,, r n l! , Classification s ...... , and certify that the aforesaid license is in full force and effect.
...................................................
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one).
Q I am the owner, of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
0 Basis, if any, foLother statutory exemption....................................................................................................._.._...........».... »._» »._....._..
.WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. .I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the above in-
formation is correct. I agree to comply with all County ordinances and
State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli-
sentatives of the County of .Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances.
property for inspection purposes. _
. DIRECTOR OF PUBLIC WORKS
X.......... .............. ..................... ...... .......... Date .........................................
SIGNATURE OF PERMITTEE OR AGENT
, By.......................................................................... Date ............................».».
Receipt No. /
..........................................
DEPARTMENT OF PUBLIC WORKS /.
- 7 County Center Drive- Oroville, California 95965
PHONE: 533-1230, Ext. 259
APPLICATION AND ELECTRICAL PERMIT
Permittee Owner sir
f.7�s 1"!t I tri f>.-� T'�ht�a�/ r A. P.
q
No.(:P-% /
Mailing Address
f
Contractor �1
Mailing Address
,, ff
BLDG. Address/// .�
�/G ,�.�/�/ Y/ri �/�; / y L %O/�i1 /P // /' /1._l
DESCRIPTION
NEW ®ADDITION F-1
I
OTHERS:
Remarks:
OF WORK
METERSERVICE 0
PERMIT FILING FEE
No.
Fee
12.00
Supplementary Filing Fee
1.00
Main Service
Sub -panel '(1 12) (more
Each
�. `
Range, Dryer or Water Heater
Each
L00
Oven, Cook -Top or Space Heater
Each
:..50
Li g
Light Fixtures
First 20 .20
Each Additional 10
USE OF STRUCTURE
Single Multi
Family F__j Duplex 0 Dwelling 0
OTHERS: v�G
5 1
✓
Race cacles„ Swi4es & Fixture Outlets
First 20 .20
Each Additional .10
r
Hood, Exhaust Fan or F.A. Furn. Motor
Each .50
Evap. Cooler, Gar. Disp. or Dishwasher
Each .50
Air Conditioner or Heat Pum
Water Pum
Misc. Wiring
Remarks:
TOTAL FEE
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business dt Professions Code under the name
style of ...............................................:..... ................................................................................................. _.
........ .........
License No.;,,, r n l! , Classification s ...... , and certify that the aforesaid license is in full force and effect.
...................................................
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one).
Q I am the owner, of the above property and I will contract to have all of the above work performed by licensed contractors.
(Sec. 7044).
I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the
improvements. (Sec. 7044).
0 Basis, if any, foLother statutory exemption....................................................................................................._.._...........».... »._» »._....._..
.WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil-
ity for Workmen's Compensation. .I have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
I certify that I have read this application and state that the above in-
formation is correct. I agree to comply with all County ordinances and
State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli-
sentatives of the County of .Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances.
property for inspection purposes. _
. DIRECTOR OF PUBLIC WORKS
X.......... .............. ..................... ...... .......... Date .........................................
SIGNATURE OF PERMITTEE OR AGENT
, By.......................................................................... Date ............................».».
Receipt No. /
..........................................
T'
• r
y PERMIT NUMBER - B 3527-72 B,E
S43 -' 74
P
E
7 .
PERMIT EXPIRES
OWNER r George Doering
CONTR owner
LOCATION (A.P. 29-22-56
w/s 99E z mi. no. of Butte City Hwy,,
Richvale
V t
_ A /
f
F�
Zoning: _
Foundation
Rgh. Plumbing
Rein. Steel
Framing r %
i
Wtr.. Htr.
Firewall
ELECTRIC
Temporary
Final
DATE
COUNTY OF BUTTE
Department of. Public Works
BUILDING ))INSPECTION RECORD
• Setback cam -r22/2 2-• )-,/'
Piers & Girders
Bond Beam
Gas Piping & Test
Plmg. Topout
Furnace
Garage Vents
GAS
Temporary
Final
Forms 2 Z2,2,L�
Fireplace
Lath & Plaster
Found. Vents
Rough Elec.
Kitchen Vent
Sanitation & Water
BUILDING
Cert. of Occup.
Final I--,' _ „7
REMARKS OR'CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7c;),
7 County Center Drive - OroviIle, California 95965
Telephonewl
: 533-1230, Ext. 259
APPLICATION AND PERMIT
BUILDING
Owner/12
FT. OCC. BUILDING VALUATION
Z�I e3 iso r L» 6 ao
Mai I i n g Address 2 'R6,C ) 04�, 7 �tz/ir 1-.2 ( v / -S-7 g
Contractor
Mailing Address ljG
Building Addr ss -
IT/ .
A. P. No. d-oq `' 1:� 2 "— S_ C tZoning
Fire Zone Fire Dept. ISanitation i/ IPlannin
Plans IFees ✓ W. C.P" R/W I Encroachment
NEW ❑ ADDITION OTHER ❑
f /) • A
USE OF STRUCTURE Single Family Duplex ❑ 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
"'`�❑ i am exempt from the Contractors License Laws of the State of California.
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.
❑ 1 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.
X Date Z,?
Signature Permitee or Agent
Receipt No.
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
Fireplace
$
Total Valuation
No. @ FEE
Permit Fee
$3.00
Plan Checking Fee &/or Penalty
Permit Fee
$
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
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.50
Building sewer
5.00
Lawn sprinkler system
2.00
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)
Range, dryer or water heater
1.00
Oven, Cook -top or space heater
1.00
Lig t fixtures
Re s., switches & fix o tlets
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. wirina
Permit Fee $ `,
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heatino
Cool i
Ventilation
Permit Fee $ $
$tate Fee for Stryng Motion
9trumentation rogram $0.07/$1000 Evaluation $
In
TOTAL PERMIT FEE $
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 Date ��� 7C --7Z_
Building Permit Expires Date/Z" 7,4'"73
a
PERMIT NUMBER - B-243-72
c P 208-72
r
E 204-72
PERMIT EXPIRES �� 3- 73
OWNER George Doering
CONTR: Louis Thacker. Durham
LOCATION (A.P. 29-22-56
'J
f
w/s 99E app. lTl mi. so. of Oroville-Richvale
Rd.2 Richvale (at Mandarin Orchard)
l
w
i
1
COUNTY OF BUTTE
Department of Public Works
BUILDING INSPECTION RECORDz
Zoning � Setback 45,04� 5t�--7:3- "' ? Forms 4>11-4 '
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents
Framing
Plmg. Topout
Rough Elec. Q10ro '
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final
DATE
REMARKS
OR' CORRECTIONS
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORa/�,�_�
7 County Center DrivLN — CtoviIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
-
BUILDING
Owner ��Z
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address A0
0 137 6
CP
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
$
04
$
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. <J`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
Ig Ie !C
Main service incl. 1'meter
Ofd
Additional meters, each
1.00
USE OF STRUCTURE Single Family Duplex ❑ Others ❑
Sub -panel (12 or less) (morel on 12)
Range, dryer or water heater 1.00
Oven, Cook -top or space heater
1.00
Light fixtures III
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. Classification
❑ i am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
f'�
$
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.
Elhave 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
SPermit
Int;rrumentattionrrpn a Motion $0.07/$1000 Evaluation Is
TOTAL PERMIT
PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned propert or inspection purposes.
X Date
$ignatur of Permiteeeoror Aget
j
Receipt No. / 0 / 0 n
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
By e Date .2— 7` 7 1
Building Permit Expires Date4= 7—