HomeMy WebLinkAbout030-211-016' A.P.-1
Willis Taber ..
843 Harlan Ave . , twlslit�p:
CONTR:.-Wm.-PearsaPermit 639-71B ("�
A. P. 30-21-1-16 t
4`
Willis. Taber
843 Harlan Ave. Oroville ,
Permit 1310-71B (Demolition---, J-
30-211-16 30-211-16
PERMIT #366- 6P(BLDG. SEWER }
N S T . ) SAF.
.n�
r
PERMIT NO. 366-76P
• 1
P
r
M
`MH UTIL.
PERMIT NO.
,
I PERMIT EXPIRES 1/26/27
OWNER WILLIS TABER
�CONTR. OWNER
ji
(''LOCATION (A.P. 30-211-16
843 HARLAN AVE., OROVILLE
i•
F
1`1
1
Temp. Power Pole
Cal ed PG&E _
Tem . Elec. Serv..
alled PG&E _
T mp. Gas Serv. _
Called PG&E _
JOB
FINALED
COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
. Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Pi in
Piers
Roofing .
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Gara a Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
:J S �O
�. G✓ ' �'
THERMALITO )IRRIGATION DISTRICT
410 GRAND AVENUE N2 159
OROVILLE. CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: $ y 3 2r— cx�
^
Owner's Name: l l:s )
Date:
Address: y-
Acct. No: G
rc)V,
A.P. No.: 3 0 —Q I I —1 L -
Phone:
No. Units: I
Applicant/Agent: 11I !I /i
Agents Proof: /J /?
Address:
Fees:
Phone:
Application $
?
c—��. t�
Preliminary Review By:--7h/�- � Date: /icl Z7 1-
Arrearage
CSA 26
Remarks:
SC -0 R
1 st mo. S.C.
Other
Total Fees c
Collected By:
Date: -
Field Review By: Date:
%
Remarks:
I ,
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
Date of TID approval of completed buiiding sewer (early connection).
❑ 30 days after date above, or on date of D.P.W. approval of completed building sever, which ever comes
first ("existing construction", prior to Mar. 5, 1974).
❑ 180 days after date above, or on date of D.P.W. approval of completed building
sewer, which ever comes
first ("new construction", after Mar. 5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT. PINK - DPW. GOLDENROD - DPW io TID
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, - • oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
all Urorrce representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X �.L,C_li �! ���- C pate '%b
Signature of Permitee orjAgent
Receipt No. _z 11 :�,— 42 1
White-D.P.W. — bellow -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-Ls' < h s-�Z Date
permit expires Date /— dam- 6
BUILDING
Owner;LLQei
SQ. FT. OCC. BUILDING VALUATION
Mailing Address P U. 20 k n-
DU 1, L
Telephone No.
5_33 - 8'Og
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address
g ig U 3 �.qr �.� �✓ �<✓�
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 ,O
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
F@
Sauitai+oa
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00 hep
EQA
Parkin
Plans�d
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
I
Parcel Approval
Plans Approval
Permit Fee $ 9.06
$ 6
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Z z4 1 L 51 1 IJ 0 Lt i a✓ ,V S%sS' G>'4Tt, 0./
Main 600V OR LESS
an service 100 AMP OR LESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. OCCUP. &) 22sgft
OR ADDNS. ( DWEACCLBL GLING S.
NON.RESID NEW R. ( 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
❑ I -am exempt from the contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
FF -1 I certify that in the performance of the work for which this
LLQ 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
$ g OC
all Urorrce representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X �.L,C_li �! ���- C pate '%b
Signature of Permitee orjAgent
Receipt No. _z 11 :�,— 42 1
White-D.P.W. — bellow -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-Ls' < h s-�Z Date
permit expires Date /— dam- 6
a
At
• PERMIT NUMBER — B 1310-71
1,
P
a� l
r
E
t PERMIT EXPIRES
r
,OWNER Willis Taber
+� CONTR:. Owner
LOCATION (A.P. 30-211-16
843 Harlan Ave..., Oroville
U V i
Zoning
Foundation _
Rgh. Plumbing
i Rein. Steel_
Framing
Wtv. Htr.
Firewall
ELECTRIC
Temporary
Final.
DATE
COUNTY OF BUTTE
Department of'Publie Works
BUILDING INSPECTION RECORD
Setback
Forms
Piers & Girders
Fireplace
Bond Beam
Lath & Plaster_
Gas Piping & Test
Found. Vents
Plmg. Topout
Rough Elec.
Furnace
Kitchen Vent
-Garage Vents
Sanitation & Water
GAS
BUILDING
Temporary
Cert. of Occup. _
Final
Final
REMARKS OR' CORRECTIONS
J
i
--- --- -7c uDep il Y OF
D P
u
&-tic
WOR
a`N �l,/�
KS
paf
r y
1
• 1.
NEW D ADDITION 0 REPAIRS 0 OTHER Q
Others /f s-'-, G. c- f—l' ,
Single Multi
USE OF STRUCTURE Family Dupleu'0 Dwelling 0 '
Others
FOUND A TION
COUNTY OF BUTTE
MATERIAL
L/
PIERS '
Width at Top
DEPARTMENT -bF "P6BLIC WORKS
y ,
Width at Bottom
7 County Center Drive - Oroville, California 95965
SQ. FT.
Phone: 533:1230, Ext. 259
,
R.W. PLATE (Sill)
SIZE
SPACING
APPLICATION AND BUILDING
PERMIT
Girders
joists - 1st Floor
Permittee Owner
A. P. No.
l ' • �.' -
Joists - Ceiling
l
Mailing Address
Total Valuation
--� / �- ✓' - wr +' ., .
Exterior Studs
Fire Zone
Zoning
Permit Fee
Contractor
4
Sanitation
Plan Checking Fee &/or Penalty
Planning
Roof Rafters
Total Permit Fee
�`
Bearing Walls
Mailing AddressJ
i
Plans
Fees Com.-
W.C.
BLDG. Address
-�
r 1 Y '
�- '�� " * f'Y� "`�'r
V
R/W
Encroachment
NEW D ADDITION 0 REPAIRS 0 OTHER Q
Others /f s-'-, G. c- f—l' ,
Single Multi
USE OF STRUCTURE Family Dupleu'0 Dwelling 0 '
Others
FOUND A TION
MATERIAL
EXTERIOR
PIERS '
Width at Top
y ,
Width at Bottom
Depth in Ground
SQ. FT.
OCC.
BUILDING VALUATION
R.W. PLATE (Sill)
SIZE
SPACING
SPAN
Girders
joists - 1st Floor
Joists- 2nd Floor
Fireplace
Joists - Ceiling
Total Valuation
Exterior Studs
Permit Fee
Interior Studs
Plan Checking Fee &/or Penalty
Roof Rafters
Total Permit Fee
�`
Bearing Walls
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 & Professions Code under the name
styleof................................................................................................................................................................................................................................................
License No . ........................... Classification............................................... and certify that the aforesaid license is in -full force and effect.
B. OWNER -BUILDER 8, 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).
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.
X......................................................................:....... D ate ................................
SIGNATURE OF PERMITTEE OR AGENT
ReceiptNo.........................................................................................................
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By................................................................................ Date
................................
Permit Expires Date ..................................
,� � z�-��. �v��e�' � car, -y 1
'G�"r� o-'� 1 �Je-LE�o �a-@�-e-�
PERMIT NUMBER B - 639-71
P 613-71
E 583-71
PERMIT EXPIRES
JOWNER Willis Taber
ijCONTR"Wm. Pearsall, Yuba ty
:
LOCATION ,(A" . P.�z 30-211-16
843 Harlan Ave., OrovV:e
L
COUNTY OF BUTTE
Department of Public Works
BUILDINGNSPE/C'Td N R CORD
Zoning Setback !o F - Forms vle
Jol
Foundation �Piers & Girders Fireplace -
Rgh. Plumbi g Bond Beam Lath & Plaster
Rein. Steel Gas Piping & Test L Found.Vents _
Framing Plmg. Topout Rough Elee.
Wtr. Htr. Furnace Kitchen Vent /0 - ./.--7
Firewall Garage Vents Sanitation & Water -
ELECTRIC fj GAS BUILDING
Temporary
Temporary _ Cert. of Occup.
•--
Final � Q � Final 13 ~- ? Final '�� •
DATE REMARKS OR CORRECTIONS
661
• i�-d � 6Y �� � J /
'i
COUNTY OF - BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive-,OroOille, California 95965
Phones 533-1230, Ext. 259
APPLICATION AND BUILDING PERMIT
Permittee Owner �'! i�. ✓_... A P_ -Nn-
Mailing
Nn
Mailing Address �'�—.^ .,per-+�. f..rr �' •�nT,t !r '/
� _.
Fire Zone
Zoning
Saitation�y_Contractor
Plannin
Mailing Address % '- t' R / i -•-,.n( !w ,_wv Wil;.[ t.�rr.. r�� ft f.
Plans
Fees t� W.C. .' 41
BLDG. Address C •` t/
R W Encroac 6 ent
NEW ADDITION 0 REPAIRS 0 OTHER
Others
Single Multi
USE OF STRUCTURE Family 1. Duplex 0 Dwelling 0
Others
F O U N D A T 10 N
MATERIAL
EXTERIOR
PIERS
Width at Top
Width at Bottom
Depth in Ground
SO. FT.
OCC.
BUILDING VALUATION
R.W. PLATE (Sill)
SIZE
SPACING
SPAN
/ (j
v%
.7
•
/ r
•/� (t _/
Girders
oists - 1st Floor
Joists- 2nd Floor
/
ff
f its
Fireplace
Joists - Ceiling
Total Valuation
Exterior Studs
Permit Fee
Interior Studs
Plan Checking Fee &/or Penalty
Roof Rafters
Total Permit Fee
Bearing Walls
vvn r nwv r vna L11ULRJC LAU
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
style of...... ....................
...... ....... ......
License No./,�?.......... f! ....... . Classification,,,,,,,,,»,,�........................... and certify that the aforesaid license is in-4ttll 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):
0 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).
ED 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 1 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.
�j 1 r/ -
X
....... .� :.:.:.: Date
................................
SIGNATURE OF PERMITTEE OR AGENT
Receipt No ,,,,, 4 i
,
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
r
Date - 0
BY............ � ..................' .-........ ..............
I ....
Permit Expires Date.
DESCRIPTION OF WORK
NEW ®' ADDITION 0 REPAIRS
OTHERS:
Remarks:
USE OF STRUCTURE
Single
RESIDENTIAL Family Q' Duplex 0
OTHERS:
Remarks:
PERMIT FILING FEE
Each fixture or trap or set of
fixtures on one trap
Repair or alteration drainage
or vent piping
Installation or repair
water piping
ach gasZWater heatecor
Gas piping system 1 - 5 outlets
Multi
Dwelling r --j Gas
L awn
No. @
$2.00
1.50
1.50
I
1A
Sing 6 or more - Each
Sewer
sprinkler system
TOTAL FEE $
CONTRACTORS LICE
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
1.50
1.50
1.50
.30
5.00
2.00
Fee
6
9*,:, n
1 am licensed 'under the provisions o� f Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
style of..........................y......::sf1
`..............................................................................................................................................................................................
License No.�Z<: .......... Classification.......... � 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).
Basis, if any, for other statutory exemption..................................................................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
l,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 mentioned property for inspection
purposes.
7..................................................Date ...........................,
SIGNATURE OF PERMITTEE OR AGENT
Receipt No. 4r— ; 11f-/
................................
This PLUMBING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
Bc�� ' �-r Dates
Y............................................................................... ............................
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
/
7 County Center Drive , Oroville, California 95965 '
Phone: 533-1230, Ext. 259
APPLICATION AND PLUMBING PERMIT
Permittee Owner
/�<fyGl�
�iL.e ,✓ — A.P. No.
Mailing Address
?4-3
��,.�. /J •,c -`(p
Contractorr--A
.t7
Mailing Address
BLDG. Address
DESCRIPTION OF WORK
NEW ®' ADDITION 0 REPAIRS
OTHERS:
Remarks:
USE OF STRUCTURE
Single
RESIDENTIAL Family Q' Duplex 0
OTHERS:
Remarks:
PERMIT FILING FEE
Each fixture or trap or set of
fixtures on one trap
Repair or alteration drainage
or vent piping
Installation or repair
water piping
ach gasZWater heatecor
Gas piping system 1 - 5 outlets
Multi
Dwelling r --j Gas
L awn
No. @
$2.00
1.50
1.50
I
1A
Sing 6 or more - Each
Sewer
sprinkler system
TOTAL FEE $
CONTRACTORS LICE
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
1.50
1.50
1.50
.30
5.00
2.00
Fee
6
9*,:, n
1 am licensed 'under the provisions o� f Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
style of..........................y......::sf1
`..............................................................................................................................................................................................
License No.�Z<: .......... Classification.......... � 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).
Basis, if any, for other statutory exemption..................................................................................................................................................................
WORKMEN'S COMPENSATION INSURANCE
l,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 mentioned property for inspection
purposes.
7..................................................Date ...........................,
SIGNATURE OF PERMITTEE OR AGENT
Receipt No. 4r— ; 11f-/
................................
This PLUMBING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
Bc�� ' �-r Dates
Y............................................................................... ............................
APPLI
COUNTY OF BUTTE
DEPARTMENT OF .PUBLIC WORKS !-
7 County Center Drive - Oroville, California 95965
t�/ !
c -
PHONE: X33-1230, Ext. 259
CATION AND ELECTRICAL PERMIT
Permittee Owner u_ l�tµ,., / �s_. - A. P. No.
Mailing Address :F.4
3
Contractor -,-P,
Mailing Address ;r62 /1111-i"— (i f.
BLDG. Address CP 4_3
DESCRIPTION OF WORK
NEW ®� ADDITION F-1METER SERVICE
OTHERS:
Remarks:
PERMIT FILING FEE
No.
Fee
=2.00
Supplementary Filing Fee
1.00
Main Service
(12 or (more than
Sub -panel less) ,12)
Each
Range„ ry 9r or Water Heater
/
Each L00
i -
Oven, Cook -Top or Space Heater
Each .:.50
Light Fixtures
Li B
First 20 .20
Each Additional .10
'
USE OF STRUCTURE
Single Multi
Family "i Duplex E] Dwelling Q
OTHERS:
`
R em ark s:
.;� 4 i0
Receptacle ., Switches & Fixture Oudets
4(o
First 20 .20
Each Additional .10
Hood,(Exhaust Fan or F.A. Furn. Motor
Each .50
—`--""
Evap. Cooler, Gar. Disp. or Dishwasher
Each .50
Air Condicionec or Heat Pum
Water P um
Misc. Wiring
TOTAL
FEE
� r
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 & Professions Code under the name
styleof...... r, �'1� ........::.........r.:.:7.. 'fit (.......................................................
License No../_P.+ G�,�......I Classification .............................................. . and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
1 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).
QBasis, 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. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption
pursuant to Section 3800.
formation is correct. I agree to comply with all County ordinances and
State Laws relating to building construction, and hereby authorize repre-
sentatives of the County of Butte to enter upon the above mentioned
property for inspection purposes.
T...... '.:G! .''•''..... Date ........................................
................. ..,.
SIGNATURE OFrF7ERMITTEE OR AGENT
Receipt No. ........
..........................................................
This ELECTRICAL PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By. ..... ..... .............:.r................................. Date ......................... ....... ...