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Home My WebLink About030-080-011A.P. 30-08-11 S. F. BRINKER - 1621 Sweem St., Oroville Permit 1639-73B,P,E,M (addition) B08-0883 :030-080-011 _- - -- MISCELLANEOUS HVAC Change Out-- - _ - INSTALL HVAC UNIT *` 1621 SWEEM ST 't' . ' BRINKER S F &, BARBARA \ 0 B .!'�- O9 i� �� _ 1r 1•x'3 4{� '+'� '_(R � YAtnR'y11 PERMIT NUMBER - g 1639-73B,P,E,M ry PERMIT EXPIRES OWNER S. F. Brinker CONTR: owner �LOCA I TION'(A.P. 30-08-11 ) t. 1621 Sweem St., Oroville y A j it i ' A P i i r• E ? t ry PERMIT EXPIRES OWNER S. F. Brinker CONTR: owner �LOCA I TION'(A.P. 30-08-11 ) t. 1621 Sweem St., Oroville y A j it i ' v t COUNTY OF BUTTE' -Pu Department 6f bli"c Works BUILDING INSPECTION. RECORD Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Ong-&— '2 Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents ezge� ;;2L -121/' Framing Plmg. ToPOLt Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary. Final' Temporary Final Cert. of Occt!'P Final OF DATE REMARKS OR CORRECTIONS v COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK. 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auururica tuprebeniatives of the County or Butte to enter upon the This permit is hereby issued under the applicable provisions of above mentioned prope ty for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ' 4 DIRECTOR.0,F PUBLIC WORKS V Date Signature of Permitee or Agent ' /0 l / / BY Date Receipt No. / -h White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant "' Building permit expires Date BUILDING Owner s• 14r SQ. FT. OCC. BUILDING VALUATION Mailing Address � le _02-22 Telephone No. Fireplace Contractor Total Valuation CV Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee - Building Address ��j s PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 �a Each Trap q 1.50 45V Repair drainage or vent piping 1.50 Water piping 1.50 1,S-6 Each gas water heater or vent 1.50 Q A. P."� (' Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Building'sewer 5.00 EQA Parking Platens Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. �s Rec'd �� Parser Approval p,vol Permit Fee NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00 Main service incl. 1 meter GV Additional meters, ach 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or ess) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Ligh fixtures 25 pal__ dlo J/so Re s., switch s & fix outlets ZU(�25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3D 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 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. @'FEE PERMIT FILING FEE $3.00 Heating ` v �+ Cooling Ventilation Hood 2.00 Permit Fee . $ ' GG $ O TOTAL PERMIT FEE auururica tuprebeniatives of the County or Butte to enter upon the This permit is hereby issued under the applicable provisions of above mentioned prope ty for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ' 4 DIRECTOR.0,F PUBLIC WORKS V Date Signature of Permitee or Agent ' /0 l / / BY Date Receipt No. / -h White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant "' Building permit expires Date A.P. 30=08=13 GEORGE KINSER .1605.Sweem-Street_, Oroville (Permit 4233-73B,E (change service & i c 11/ J7 � repair vandalism dam.) A. AP 30-08-13 GEORGE KINSER� 1605 Sweems St. Qrovi-lle Permit# 4842-74B,P,M(lst RENEWAL of 42.33-73 & Mas pi)2ina for heat., t 30-08-1 NEW W OWNER .� �NETH & WANDA GRAVES Ilal 1605 Sweem St, Orovile Permit#1025-85B(add porch/SF) l a/�sls6 ' rl 9 u LAND Address 0 196 Memorial Way Reply to Chico, California 95926 Telephone: 916/891-2727 ,�3atte C. OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH ki 7 County Center Drive 0 747 Elliott Road Oroville, California 95965 Paradise, California 95969 Telephone: 916/534-4281 Telephone: 916/872-2961, Ext. 58 February 13, 1986 CERTIFIED MAIL - RETURN RECEIPT REQUESTED Kenneth B. and/or Wanda Graves, et al 6316 Custer Lane Oroville, CA 95965 RE: Housing Complaint -. 1605 Sween, Oroville, CA/AP# 30-008-13 Dear Mr. and Mrs. Graves, el al:. This department received a complaint alleging health or safety hazards in -the above listed rental dwelling. The Butte County Assessor's records indicate you are the owners of the property. On February 7, 1986, I visited the property and the tenant allowed me to inspect her .rental unit. The following.items were observed which are in vio- lation of the California Health and Safety Code, Section 17920.3 (a) (12), (b), (e) and (f) and which pose health or safety hazards to the tenant. 1. There is a major roach infestation in the kitchen cabinets. 2. Rear door step has pulled away from the rear of the house with an opening developing between the rear of the step and the house wall which presents a safety hazard to the tenants. 3. Toilet is leaking at base or wall stop. 4. Heater flue has been repaired with duct tape. These conditions shall be corrected as follows, and within THIRTY (30) DAYS from receipt of this notice. Obtain any permits from the Butte County'Depart- ment of Public Works, 7 County Center Drive, Oroville, California prior to making repairs. 1. Eradicate roaches from throughout the house. 2. Repair or replace rear door step to eliminate opening that presents hazard to persons using the rear door. 3. Repair or replace toilet to eliminate leak. 4. Repair or replace space heater flue - eliminate duct'tape. 'a 3 Kenneth B. and/or Wanda Graves, et al Page 2 A reinspection will be made. If the house is vacated, do not occupy, rent or lease until all corrections are made. Contact me at the above listed address or telephone number, if -you have any questions concerning this notice. Sincerely, Howard J. nydJr R.S. Division of Environmental Health [US/k f. cc: Public Works - Jim Glander emu4 of --' q OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Kenneth & Wanda Graves ADDRESS: 6316 Custer Lane CITY & STATE: Oroville, CA 95965 IMPORTANT: Januar 2 1986 SEE INSTRUCTIONS: DATE OF CLAIM: Y ON REVERSE SIDE ' SUBMIT CLAIM TO DEPARTMENT RECEIVING GnnnS no cs:ovoricc DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. (Bldg Permit Appin #1025- 5 B Receipt No. 37594 dated 4/12/85. AP #30-08-13) Building permit fees paid ------------------------- $76.75 Retaining filing fee---------- 10.00 0.00 Refunddue --------------------------------------------------$66.75 - TOTAL 66 5 1, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this ' claim is true and correct as stated. Dated thio Q > ........ de of .... N .Z;/ U Calif. �==/��....... Y .. ................. 19 et .............. ., ..... 4i�l .... Signature of Claimant I, the undersigned, hereby certify that, to the beat of my knowledge, the services or articles specified above have n performed or de- me. livered and that there is a Budget Appropriation or Specific Board Approval (CE4partment Datedthis ?R4 .......................... day or JanuarX 19 86 at Oroville ......, .............................. ........................................ .................... Head or Authorized ty Dept. ,. Exp. Code............................................ Code ................................................PAYABLE FROM ....................... FUND ........................................................... DO NOT WRITE BELOW THIS LINE - AUDITOR'S _USE DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT N . 0. 0� ASSES AJ3 ZONING BUILDING PERMIT OWNE a✓� TELEPHONE - y - ,SQ. FT. OCC; .BUILDING VALUATION OWNER' MAI I G A RESS 14 r 4n, Oroui e CONT CTOR'S NAME r TELEPHONE - CONTR CTOR'S MAILING ADDRESS Fireplace CONSTRU ION LENDER C— UNKNOWN. Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS " Permit Fee $ , 5_ ARCHIT OR ENGINEER LICENSE NO. Plan Checking Fee $ a Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS �OS / w6e W, I . PLUMBING PERMIT" Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20,00 eo f 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 I SF Duplex ❑ Mobi Iehome ❑ Other SPECIFY Building sewer 5.00 Mobi le Home S G W 10.00 e a TYPE OF WORK New ❑ Addition Remodel Elp;es ElInstallation ❑ Other ❑ Describe work: ►�Cr.� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service &ooV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.&` OR ADDNS. l ACC. BLDGS. / 21/20sgft 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. 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code fo this reason NEW CONSTR TI.OUTLET 2,50 ea NO N.RESID BRANCH CIRC ITS NEW CONSTR POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occu 2D®s0a P�o OR FIXTURES 6AL®so FIXED A Ex. Occup. OUTLETS P(RESID )UNS REA.) 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 . 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 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, judgments, costs, and expenses which may in any way accrue against sai County in ;onsequensw the granting of this permit. Q X Date�1 �� 0� 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 $ , 6 OCCUP. GROUP TYPE OF CONST, PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By 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 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNT' J6ENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER S t� n t lel )� M r ,(SI(-) a/ter 1) 0- C, A. P. No. 36 Proposed Building Use & I(` e- F Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) -.fir � /s Building Inspector �� A �1� 4 I Date At time of permit application, I was advised thWfollowing data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED, APPROVED 1. All items have been submitted. . . . . . . . . . . . t Plot plans in duel triplicate. . . . : . . . . . . Complete plans in duple e1triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ 1�9. Letter of signature authorization. . . 110..Sanitation approval from ,_ Health Dept. .. . 11. Planning approval for (A) Use: ~ (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (do., name style, -class if.) 14. Owner -Builder Verification (Given to owner[], Mail to ownern) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . • 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector (Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. r Telephone and hold for pickup at office. Deliver w. /inspector. Other Appl icant Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by 'Telephone Mail Other By Date 64 L0#r-- Plans "checked by 'Date Plans approved by Date Other: ` Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drivt, Oroville, CA 95965 Phone:' 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) �J e 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No." 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social -Security Number Date !�Z_ / ,� NOTE: This Owner -Builder Verification is sent to you as.required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. e ea -7,z Y, an�rez-ri 4 si f PERMIT NUMBER - B E 4233-738,E :i P ti a }1 - -E- PERMIT EXPIRES R OWNER George Kinser yF CONTR: Owner LOCATION (A.P. 30-08-13 M 1605 Sweem St., Oro. 4 si f .r ... r COUNTY OF BUTTE i' 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^�/7� ✓ Found. Vents Framing % Plmg. Topout Rough Elec. - 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 WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION ANb PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X A4 Date//— rr- 7c. $ignotur o Permittee+e or Agent -� Receipt No. �Gyl� �3f /2c�7rf"�oJ 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. DI ECTOR 0 PUBLIC WORKS By Date//—,27-7t/ Buiing permit expires Date ...... �/ jai BUILDING Owner L•��OQ�j� /:fs�2 SQ. FT. OCC. BUILDING VALUATION Mai I ing Address Telephone No�V Fireplace Contractor AIEI(, Total Valuation 0_ Mailing Address ` Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address W _ ST PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 O Q)C Qu Lk 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. b �Q G 3G Zoning &Planning Gas piping system 1- 5 outlets 1.50 Each additional outlet .30 s W Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ 3,6-0$ 53,t NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 50.2 /K6 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Efl Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures ba l_ �1 Receps., switches & fix outlets 2 7x25 b.1.00 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 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 2V f 13 License No._ l ll l0 Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 C, Heating Cooling Ventilation Hood 2.00 Permit Fee $ �. a,y $ 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 $ / t authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X A4 Date//— rr- 7c. $ignotur o Permittee+e or Agent -� Receipt No. �Gyl� �3f /2c�7rf"�oJ 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. DI ECTOR 0 PUBLIC WORKS By Date//—,27-7t/ Buiing permit expires Date ...... �/ jai COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W S 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 J APPLICATION'AND PERMIT BUILDING Owner � r G SQ. FT. OCC. BUILDING VALUATION � Mailing Address] j 9 '1Tf Sl- Telephone No. Fireplace Contractor Total Valuation Mailing Address k ' Permit Fee Plan Checking Fee &/or Penalty - Telephone No. Permit Fee $ $ Q Building Address r/�S s _ ` PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 i 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. —Dom'- /.� Zoning.& Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sanitation Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION E] UTILITIES ❑ OTHER [!� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 d L Main service incl. 1 meter 3 as At Additional meters, each 1.00 Single Family'a Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or lam) (more than 12) y'c7 Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2025 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring co am exempt from the Contractors License Laws of the State of California. Permit Fee $ $2—� d 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. ❑ 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. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and. hereby MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ �.27;6 authorize representatives of the County of Butte to enter upon the above -menti ed property for inspection purposes. X Date L, /3 - i-3 Signature o ermi ee or Agent Receipt No. Z 4,1% White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date K