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HomeMy WebLinkAbout030-140-024I rCOMPf TI,PM'�-T$SlF REQ U*'F _6 \ 30-14-24 t Walter Davison 1369 12th St. , Oti-ovilie Permit Y720-77B(reinstall patio cover/ SF) A. 30-14-24 ph na Pate 13 12th St., Oroville Permi #4766-76B,E,M(inst.new windows siding, wall;elec.serv.&kitchen ven 30-14-24 Permit 4864-76 1b for 4766-76 S F 7161 �v? % 1 - 4- Perml 68-7 1. y ELI rCOMPf TI,PM'�-T$SlF REQ U*'F _6 \ 30-14-24 t Walter Davison 1369 12th St. , Oti-ovilie Permit Y720-77B(reinstall patio cover/ SF) r (�" o •- � 1 0 PERMIT NO. 720-77B- ? a PERMIT EXPIRES OWNER w Walter Davison CONTR. owner LOCATION (A.P. 30-14-24 ) 1369 12th St.,"roville Temp. Power Pole ' Called PG&E Temp. Elec. Serv. Called PG&E Te p. Gas Serv. Called PG&E OB N / FINALED (Date) �. y (Signature) 1_. Setback Forms Main BI Footi Stemv Slab Piers Stemwal I Slab rootings Slab Patio ' Footings, Masonry Walls Relnf. Steel Bond Beam .Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer MOBILEHOME Water Piping MOBILEHOME Water Piping DATE COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ` BUILDING INSPECTION,RECOFD BUILDING BUILDING (Cont'd) PLUMBING Firewall , Soil Pipin Parapets 1st Floor % Restroom Finish 2nd Floor Windows / 3rd Floor`i Siding To out Roof Sheathing Water PI In Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physicao handicauoed Appliances I i FIREPLACE Footing Throat Final FIRE SPFXINKLWI MECHA Heating Cooling Ducts Ventilation z Final = ' - - - - - - - - Elec. Service Sewer 1 N = ------------Support Drainage REMARKS OR CORRECT L Gas Piping & Test Temp. Gas Sanitation Final Motors Water Htr. Subpanels Grd. Fault Pn Service Temp. Pole Undergrouni Permanent/ Final Elec. Pedestal Gas Piping 1 Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) M ICA L C�UUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 7(P- �� �� Telephone: 534-4541 APPLICXTIOfd AND PERMIT -W 41� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 'iJy W ,LDate �•S '-7/ Signature of Permitee or A ent Receipt No. � 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 hav een paid. DIRECT R F PUBLIC WORKS By l Date Z/i/lding permit expires Date Z Z'L— -77 BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address 4Z Telephone No. Fireplace 92 Contractor 1A Z Total Valuation Mailing Addres Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ 47 — Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes Wk<60,rrt tlrr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Pla ec'd arcel Approval PI pproval Permit Fee $ $ NE ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 • Main service 600V OR LESS 5,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGSCCUP. &) 20sgft NEW CONSTR MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS & NON -RES,D. SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES) 50 BA@� FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 � I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. � I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 $ `' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 'iJy W ,LDate �•S '-7/ Signature of Permitee or A ent Receipt No. � 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 hav een paid. DIRECT R F PUBLIC WORKS By l Date Z/i/lding permit expires Date Z Z'L— -77 0 PERMIT NO. 4766-76B;E0 r' PERMIT EXPIRES S�vvl OWNER Lena Pate CONTR. owner LOCATION (A.P. 30-14-24 1369 bath St., Orovflle i • - 1 t I t 49 L Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E / TemC�p. s S erv. v. ff led PG&E JOB Fol NA (Da e) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD. - BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms i Parapets 1st Floor D Main Bldg. Restroom Finish 2nd Floor Footings ; Windows 3rd Floor Stemwall �. Siding To out �O Slab Roof Sheathin—'0 Water Piping Piers Roofing Sewer Garage x Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. 3 Heaters Slab Carport Footings Prov. for physically -- handica ed Conformance of ex. structure 112 Appliances Gas Piping &Test ,Z Temp. Gas a Slab Final Sanitation Patio FIREPLACE oe Final /(52-/c5 , Footings Footing ELECIfUCAL Masonry Walls Throat Rough / Reinf. Steel Final Fixtures Bond Beam FIRE SPRINK ERS Motors Framing Test Water Htr. Stucco Final Final Sub anels Mesh MECHANICAL Grd. Fault Pr t. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final DA TE REMARKS OR CORRECTIONS Ir� 7 �ah Al ��//�/��v �-�-� Zr✓�� �i-��� rte- ��-- � _ --- off-' >1��'�r� sYi�f"isrd2f»t .,�,Uv�j is�l.:!+oA�,�.ZZ�-/ �.�;r _ --• t%'!'" �/�t3`j^ (NOTE: An entry must be made on this form each time you visit the job site.) f ,-� COUNTY OF BUTTE — DEPAATMENT OF PUBLIC WORKS • • 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �/7GG 7lv h L� authorize r resentat)ves of the County of Butte to enter upon the above-"ignature—AgeYt r inspe purp ses. X Date re Receipt No. ` 5-169 Z-- 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, r Date B %6 .01 Building permit expires Date /4 Y/7� BUILDING Owner 4EAj A PAIF SO, FT. OCC. BUILDING VALUATION _R6� Mailing Address �' 3 '�� 4VF- VV T-cle ph n ep Fireplace Contractor w �J E& Total Valuation QQ� Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address13 h ST PLUMBING No. @ FEE PERMIT FILING FEE $3.00 neo V, 11 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. 30 / �- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 ee sl W.C. SeraHew Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3,dD e (jJ"j j f} eW �►J �c��t! ' S �dt 0V OR LE Main service 100 AMP ORSLESS 5.00 6: ap Sexy✓' cz i t7',_(-tP yelil.— Main service EA. ADD'L too AMP 2.50 Single Family'g] Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L too AMP 1.00 NEW OR ADDNST ( DACCLBLDGLING OCCUP. &) 20sgft NEW CONSTR. (MULTI -OUTLET NON•RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON -REST D• (SINGLE OUTLET CIR, 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 st le of: y Ex. Occup(OUTLETS OR FIXTURES)50 @25a 109 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ fJ' 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 rkmen'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 _cp Heating Cooling Ventilation Hood / 2.00 Qj) Permit Fee $ zzQ $ S ai 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 $ authorize r resentat)ves of the County of Butte to enter upon the above-"ignature—AgeYt r inspe purp ses. X Date re Receipt No. ` 5-169 Z-- 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, r Date B %6 .01 Building permit expires Date /4 Y/7� - i _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT A// authorize r resentatives of the County of Butte to enter upon the above -me ioned property for i ection purposes. X Date 5 Signature o /of ermitee r Agent Receipt No. ls-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. DIRECA:OR OF PUBLIC WORKS By �-�' P v� Date Bfi.ldiog permit expires Date BUILDING Owner l "' ` SO. FT. OCC. BUILDING VA4jATION Mailing Address f -•, Cm AVE_ Telephone No. Fireplace Contractor Oto � -� Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address l3(�9 ! L r(1 g /�' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �,eo 7/-, Each Trap 11.50 Repair drainage or vent piping i.- 1.50 1, Q Water piping 1.50 ,S Each gas water heater or vent 1.50 % S -Z) A. P. No. © �- —Z Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. S=iattbn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 ec Parcel Approval Plans Approval Permit Fee $ 9(�Q NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,' P/ <, U AA b /NC - IRC) a- p 7 � T >�p 4v 94 Main service 0v OR LESS 100 AMP OR LESS 5.00 10 Main service EA. ADD'L 100 AMP 2.50 Single Family P5 Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST [DWELLING ACCBDOCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR, 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: Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 EI 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. certify that in the performance of the work for which this 91 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 Hood 2.00 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 q $ / authorize r resentatives of the County of Butte to enter upon the above -me ioned property for i ection purposes. X Date 5 Signature o /of ermitee r Agent Receipt No. ls-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. DIRECA:OR OF PUBLIC WORKS By �-�' P v� Date Bfi.ldiog permit expires Date / BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS44"4�- Y SPECIAL INSPECTION REPORT Owner: Address • R 1 '1 -2, S P E' JUC og- ALli: A.P. # 3y -/Y-' a2 Date of Inspection Tenant: Inspector �-df Building Location: 1 3(o l Z (n S "i ©2u✓t ! �e. Type of Inspection requested: 1. Housing / / 2. Financing 3. Change of Occupancy to / 4. Other (specify) -Re Pto de k Uo us e-. Present use of building: Sr ti-Gt e Fog cm i Pc i �✓p��c � A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments• B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments • (1 'M-41�r.6I' C. Electrical 1. Service and 2. Receptacles: 3. Fusing: 4. Comments: D. Plumb in 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments• F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): 2. What action taken (give complete description): 3. What action recommended: 7-7 A. Information only - file. B. Hold'for ten (10) days, then write letter. C. Write letter. D. Other:����,G�2_ e"d* qJ(3Uttle OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Lena Pate ' ADDRESS: 3173 Spencer Ave. CITY & STATE: Oroville, CA. 95965 IMPORTANT: SEE INSTRUCTIONS DATE OF CLAIM: February 15, 1977 ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has sold property. . , - Reuetpt #151692 -AP 30-14-24) Plumbing permit fee ----- $33.00 Retain filing fee ------- , 3.00 _ Amount of refund due ------------ $30.00 Electrical permit fee --- $23.00 Retainee. - ----- Amount of refund due ------------ Jg2.00 TOTAL REFUND DUE - ;-------------- $50.00 $50.00 i TOTAL $50.00 I, 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 this .................................. day of ............................. 19....... at.Oroville Celif. ................................ .................................................................................... Signature of Claimant I, the undersigned, hereby certify that, to the beat of my knowledge, the services or articles specified above have been performed or de- livered and that there Is a Budget Appropriation ❑ or Specific Board Approval F'-] (Check one) for the same. Dated this 15th day of Feb • 197!, at Oroville Calif. .................... ............................. .............................. ..................................................................................... Department Head or Authorized Deputy Dept. Exp. Code ............................................ Code ................................................PAYABLE FROM............................................................................................. FUND DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD• SUB. OBJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. or INSTRUCTIONS to CLMMANTS All claims against the county must be itemized, giving dates.and character of service rendered or work performed, quantities, de- scription and unit prices of. articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF BUTTE' DEPARTMENT OF PUBLIC WORKS 7 County Center brive 4 Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMITI � �176t �7 - '- vcJ VI tnc lwunly VI OUIIG LV GIILVI UPVII Lilt!above-me o d property for inspec 'on purposes. Date alAlo Signature of Permitee or Agent Receipt No. 1574,-572— White-D.P.W. 5749Z._.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 Building permit expires Date Date BUILDING Owner CN A 7—� SQ. FT. OCC. BUILDING VALUATION Mailing Address 3 C�2 Telephone No. Fireplace Contractor ®LCI JUP' Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address.) 3 L S �— PLUMBING No. @ FEE PERMIT FILING FEE $3.00 • 0z �. Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Q, Loning YerificafQah C3nIy, Each gas water heater or vent 1.50 v. .. A. P. No.jV A Z0 Gas piping system 1 - 5 outlets 1.50 additional outlet .30 Fees a. -.Each W.C. Sanitation) Fire Dept. FireZone Use Permit Building sewer 5.00 1().40 EQA Parking Plans arce Parcel Ma Declarat' P 60' R/W Improvement P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parc pprovol Plans Approval Permit Fee $ 33`Q $ 3 31 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3- GJ) Main service 100 AMP OR00V OR LE LESS5.00 09 Main service EA. ADD -L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home gJ Others ❑ Main service VER 600V t0 0 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR ADDNST ( DACCLBLGLING OCCUP. &) 20sgft NEWCONSTR. MULTI -OUTLET NON . RES I D. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. 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 st le of: y • Ex. OCCup(OUTLETS OR FIXTURES)50 @25C 104 Ex. QCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00. Mobile Home Facilities 15.00 , License No. Classification Misc. Wiring .6.25 INI am exempt from the Contractors License Laws of the State of California. Permit Fee $ . _923 00 $ 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. @ FEEPERMIT ' FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 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 $ vcJ VI tnc lwunly VI OUIIG LV GIILVI UPVII Lilt!above-me o d property for inspec 'on purposes. Date alAlo Signature of Permitee or Agent Receipt No. 1574,-572— White-D.P.W. 5749Z._.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 Building permit expires Date Date FILE MEMO ' OWNER cl — 2— AP AP N0" - At time of permit application, the applicant was advised the following data or information must'be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans in duplicate/triplicate. 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and calcs. 5. Fees of $ 6. Letter of signature authorization. 7. Sanitation approval. 8. Planning approval 9. Workmen's Compensation Insurance Certificate. 10. Contractors license information. Parcel declaration. 12. Access declaration. 13. Aunt Minnie information. 14. Deed of access. 15. Deed of parcel creation. 16. Parcel map. 17. Pre -inspection request for 18. Other By Date 2-,0 '`�,91�', Bldg. Inspector mamaaoamaaamamgmammommaomaaammamammamaaoaaaommaomoammaaommaaaamaomamommamomomaommmmommmmmmmmmmmm When permit is issued, process as follows: 1. 2. 3. cam— 4. 5. Mail to owner. Mail to contractor. Deliver with inspection. Telephone T I.S�Z and hold for pickup. Other ■a�a�aaaaaaoaasaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa�aaaeaaaoaaaaaaaaaaaaaaaaaaaaaaaaaaa During plan checking process, the following data or information must be submitted prior to permit issuance: 1. Index permit for items numbered 7 4 // above. 2. Applicant advised by telephone we need r 3. Send letter to applicant. We need 4. Pre -inspection for NOT verified. (Index) 5. Other 6. PlagCs the d and/or approved by aeoeaaaoae..eeaeeeaaeeecaa=t=aeaa a - aaaa,aaaaaaaoao Additional Processing or Notes: 74; Date YZ ;2 maaaaaamammamamammam mm mmmmmmmmmm