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HomeMy WebLinkAbout030-410-00930-41-09 ' STANLEY HURTE 276 Zack Circle, Oroville-lD Permit ##1459-76P (bldg. sew. inst ) SF 30=4-1-09 ---... ontr: Don George, Oroville4;hA IPermit##1819-81B(reroof/SF) dela i a � ' P MIT No. -- 91819-81B i PERMIT EXPIRES 5/19/82 1 OWNER S. HURTE CONTR. Don C;PnrQP Rnnfi na ASSESSOR PARCEL 30-41-09 LOCATION 1276 Zack Circle, Orovi l le Temp. Power Pole Called PG&E y Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date)L// O Signature t v i _ OK 0 = Not OK e — =Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Date DECKS., COVERS, CARPORTS, ETC. (Plans) OK except Ws 1. Zoning Requirements—Setbacks-Easements 2. Soils; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed.(Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat:or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals-Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10, Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIALISing.le and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg.' Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwall's, Garage' Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test .55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Seryice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date rd -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date t Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails _ 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date' Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except p's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic El Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes [I No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes 11 No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B-1 Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's Comments at Final: 36, Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors F�Cing. Joist-Rftr._Ties-Purlin-Roof Brac.-Truss-Shthng.-R 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47, Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) b. COUNTY OF BUTTE -DEPARTMENT OF PUB "LIC WORKS, - '-PEAIUI .No Y , 7 County Center Drive"= Orovilrle, Ca'hf6rnia'95965 - Telephone 916%534-454 APPLICATIO Ahi'a` PERMIT ;YA SSES OR PARC U - ZNG B.UILDING •PERMIT-. .., -OWN .. �1.� r TELEP N POE ;SO FT: -. 'OCCBUILDING VALUATION O WNER'S M_ KING ADDRESS 77 •-CO.NT C TORS M-Lpr -y 71 TELEPHONE,- ' r�Fffeo CON,TR•A,CTOR'S NIAIl.tN DDR S'r E U r:. 4, ,> _lace ,+ ' -,.CONSTRUCTION LEN R f "'y i'• `..' - t ;' UN NOWN / •'- T ' otal Valuation - rF II. $-' .,,�1�0. ing F,ee 00.. _ ', . LENDER•.S MAILING ADDRESS �:- ,, '. ' �r'a.• w y`' permit Fee_ $ ARCHITECT OR --ENGINEER P•Ian,Checking Fee - Penalty ARLHfTEC:T.OR ENGINEER S.MAILING. ADDRESS,. a... , , _ Permit feeAl BUILDING. ADDRESS -t k. _t '' -i s}; - :�.:PLUMBING PERMIT Filing Fee _' 10.00 y, Each -Trap 2:00•' Repair,drainage'orvent,'piping "' `'5.00. t l' at LOT NO.. SUBDIVISION NAME• .+,'- -.:`� •' �. ` PARCEL -MAP - vent 00+ Ea gas water. heater or v 5. - Gas piping 'system 1.-.5 outlets Y - USE OF.STRUCTURE s "' �'• SF Duplex.❑ ; N1obi lehome❑ Other' - - SP.ECI,FY µBui'Iding sewer Lawn sprinkler system` 5 00; - - TYPE OF WORK 1 .New❑ Additi ❑ Remo I ❑,, • ti lilies ❑ lnsta lation 'Other . ..'Contractor �- Describe -work: ' ., - _.,+.... '�'� : Permit Fee .-+ - .-ELECTRICAL-'PERMIT Filing.Fee 10.00' ' 'BOOV OR LESS - Main service t00 AMP OR LESS. 5.0�• - _ 9•'� - serVice,EA. ADD•IL100 AMP 2.50' CONST.'•J'DWELLING'OCCUP:ei)_:. .2C,s,q•ft ' DDNS. '•ACC: BLDGSrCONTRACTORS - LICENSE -LAW -RESD '•ffdeclare'under penalty. of perjury' (checkone):;s pCON am licensed -under-provisions; of Chapt. 9, Div 33' of .the Business .and' Professions Code and m license isin full force. and effect _ _y License No. a`7 Classification F" c7 9 ❑•• I; as the owner,":or my employees. with'.wages as their sole compen-.. sation,-wi11 do the work -and the structure.is,not .'intended -or offered' for sale. (Sec -.'7044) .. ' .' contract `.I', as the owner', am.ezclusively contracting with licensed-contract- ors. ors.- (Sec. 2044) -: I am exemp'f under Sec ;'Business.and Profession' Code, for this reason CONSTR 1_ u L T 2.50 ea rNE ST R. (POWER APPARATUSR.ES I D,-,,, SINGLE'OUTL'ET CIR.I 5o P �¢ Occup, OUTLETS OR FIXTURES_•^. BAL@1 1'XED APPLNS OR. ' Ex. bcdU �OUTLETSI(RESID.) EA./2.00. ' •Temporary service `- 10.00 :• Mobile Home:Faciflties - 15.00 '. Misc. Wiring 7.50 ; Pertol"t Fee $ Contractor MECHAMcAL�'PERMIT FiIingFee; .10.00 WORKMEN'S'COIIPENSATION -INSURANCE. s declare under penalty'of,p'erjury (check orie):", �❑.-,The permit is for $100.00 (valuatlon) or less' I. have placed on file withtheCounty of Butte Building Department a, Certifi,cate,of-Workmeri's'Compensati•on I'nsuranc_el'or''a Certificate; of Consent to Self=Insure I shall' not employ any person, In any'manner so as to become subject ❑ 'to,fhe W C -laws of California t Notice to -Applicant If: -after making"this statement, should'you become subject, to the•W., provisions'of the Labor Code,•you must_�forthwith comply with ;such provi'sions'of this,permit•shall be deemed revoked f'''.' Heating, .`Cooling" ' .Hood'_- _ 3.00 Ventilation .permit Fee' Contfactor ' • 1 certify that ; I have read 'this application and state,tfiat the above, information is,'correcL, l agree.to•compiy 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 sa%e; jndemnify and keep,harft less: the -County of Butte -against - all'iliabiIiii es, ='judgments,• cost`s,; and expenses` which,may'in any, way accrue' against.said my, in consequep6e,of .the granting:of this permit " * X rr Date' / / � ; Slgriature of Ap Y ni r Ownei ❑ 'Contractor, A Brit A�� OSHA pe YIis required for<excavatlons over 5'4 deep and demolition or construct- ion o4 structurevover 3:st6rles; Mobile Home installation Fee $ ` - - - --TOTAL' ,PERMIT FEE occuP, GRouP TY PE'OF CONST. •' ,' ]PAPCEL PD '. HD' ,.is9UE; This permit is: hereby issued under the applicable provi- . si'ons=:of the Butte County,'Code'.anii/or resolutions to do Work indicated., above. for which- fees :have ,,been'paid. ECTOR-OF PUBLIC WORKS 1 By Date PERMIT EXPIRES D e :S/�yry� �(\� ?/ fd, Receipt No `'' /JIblz� .WHITE-D.P.W., YELLOW -ASSESSOR PINK INSPECTOR„ GOLDENROD --APPLICANT C r 4 #4 s t 4 J f .t^ .1.l, tom. _ r �,; Sy Y.i tM .., !.. !' , ":nr _ �.:; !i 1 �,7 .1. `. is sl, .r ;-:,, tt - -1, . yj-' I Ili, Ay 1 '{�S_�" S -_- F { r �..7..11 i� , !'. , S r, 1�`A i ..wt, ,y, .i. < :�, ."�,, r a. •'+ Irl Fr _ ,1 - .. 7 .��.N t: ' uX ;.c," r y s. -,p j", .,+ , .r -,.-'.N..4 fes:' 't' :r i' r > to{. ,/ 'y.'.;, :y ?, .r . . .,��- j , v t r+'.1r ;� .f 'v,. �,„:. *'4 -.�- ,v:: ^,,. ) to �a .l:i .�; tt r;..",� ,.a t :. r,r •�iY .$.«may {3..:^ - '.,_ i .4 . i Jt, ' ' ~ - "% . 4 ! • r', --'it . - , t - r - - �f"'' i. %' ,r . 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":rt. .: 1.s i -+ �J. tri 3•' t. r ;{ -i ! •�t > - ,'7, .F. `"` ..-,.�c- :"�? l.c. y y. ! �':+ 1't' .A. 1 I A . i'.:' ! a :" ' - - 1 � ,"r 4,f. i• � f �,", r t s' I & .'.d r t ty:• j _ i - r S 5 �'r.i 4 ^!s '! -.1?. r._.,.,f:+�,. ,L.� ,).. ^�.^if.'.� d •..s- ,, s1 t - ¢ i �. 1. ; .Y_1 :, 5. ,n ,i, i `3 t.�. .�, �, ! r r ';.i' :v.,e+"l�.irl. r i 4i a i1: 'i 4 a Y mit c` .'I 1 �. >' k..v � � � !r � r.i,-( .T s t' t4 .�, .c �,, .;1'• ..S f .x '��:I `.. :;.. ' t t t•.,e '" ,>.t 3 ,Z.'�1, 1,j g. :!, � 1>W-�-.ri'�..I�e��`• r[� ,� r -.c. :. ,l v - r y.. s ti a 'n, x tt�� a., r V1 r , « PEF(AIT NO. 1459-76P , PERMIT EXPIRES 3/29/77 OWNER STANLEY HURTE CONTR. Owner LOCATION (A.P. 30-41-09 ) 1276 Zack Circle, Oroville Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas S Calle G&E INALED /. (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION REC-ORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Pipin 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 Garage 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 F6otinq 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 r (NOTE: An entry must be made on this form each time you vislt the job site.) .. � ,. fi;.i'-<".�:tiT�'�I., ..::.�%ri.:i�,.�4FnrZ;riti..r3c tNt{,.+'��}:� "I�+'�-,'t�''-'�',r�'r�.. ;i:..in'-� _:�..+,v. � ..�„>._"*,i,.a.,,'�,• -W''DISTRICT 410 'GRAND AVENUE w `'�, 179 OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service. Address: 1-0 �L �.� r �_ , r. -0 Owner's Name: 4"») Date: Address: Acct. No: v, l%e. C/1 �S"9� s' A.P. No.:,2iO - V-1 Phone: No. Units: /. Applicant/Agent: N'/ A� Agents Proof: A) %A Address: Fees: Phone: Application $ ' J- `7� Arrearage Preliminary Review By: l e1 -X_ A1_0- Date: CSA 26 / Remarks: SC -OR / 1st mo. S.C. Other Total -Fees jthal� Collected By: Date: Field ReviewB Date: Remarks: O Gni/ MONTHLY SERVICE CHARGES WILL'COMMENCE AUTOMATICALLY UPON: Date of TID approval of complet dbuilding sewer (early connection). E 30 days after date above, or on date of.D I +P.W: approval of completed building sewer, 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 to TID COUNTY. OF BUTTE DEPARTMENT OF PUBLIC WORKS' ' 7 County Center Drive O,royiIle, California 95965 r. Telephone: 534-4541 APPLICATION AND PERMIT QUUIUI V 1VF1V0GI ILQUVVO UI LIIC L✓UUIILY UI DULLV-lU cnLCI UPUIF 11JU a bove.mentionaEd property for ins ction purposes. :i� • Y 'Date_j Signature of,Pei- tee r Agent . Receipt No.' White-D.P.X. — 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. ' JO.RECTOF, PUBLIC WORKS By Date -Z4 ^? . Bui ing permit expires Date 2-/ - 77 BUILDING,- Owner SQ. FT. " OCC. BUILDING VALUATION Mailing Address - Telephone No. Contractor _ Fireplace Total Valuation Mai I ing,Address :Permit Fee Plan Checking Fee &/or Penalty - Telephone No ' Permit Fee Building Address' ('L. `LIQ CI 2C"L PLUMBING No. @ FEE • $3:00. PERMIT FILING FEE 3,p0 © �% 1 L • `' Each Trap Repair drainage or vent`piping� 1.50: 1 Water piping?.; 1.50 Each gas water heater or vent, 1,50 A. P. No. -36 -4 — " Zoning Planning ;Gas• piping system 1 -5 outlets 1:50 Each additional outlet ' .30 Fk Wl.e' SarTTMT6n Fire Dept 'Fire Zone., Use Pen -nit 'Building sewer 5.00 �j C7p EQA Parking' Plans -.Parcel Declaration; Parcel Map - 60 R/W Improveents:. Lawnmsprinklersystem 2.00 - Parcel:App �oval Plans Approval Permit Fee.. $ fe,Oo $ OZ NEW E]ADDITION.❑,. f :UTILITIES ❑ :•'OTHER ELECTRICAL No. @R-.. FEE PERMIT FILING:FEE'.' -_• ,., $3.00 - �,/'.��'; ��-•1L..,�(� Main service; .10000 AMP,OR;LESS LESS 5.00 r . • .• ': ',• -Main service` EA. ADD,•L: too AMP 2.50 ' - --%OVER Single Family, �'- Duplex ❑, Mob)I Home ❑ Others ❑ 600V 'Maln.servlce. I't00 AMP OR LESS" 25.00 Main service' 'EA. ADD - too AMP 1,00 ' - NEW CONS. I DWELINGOR ADONST A ACC. BLDGOCCUP,, .&) - 2¢Sgft - - MUTI.OUTLET NEW CONSTR L NON-RESID,-.-(BRANC•H CIRCUITS)2.50ea - NEW CONSTR. POWERAPPARATUS& ,NON-RESID,. , •. SINGLE OUTLET CIR. - CONTRACTORS LICENSE,LAW ; 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(oy TLE:TS OR FIXTURES) 50 @255 . BALQl (FIXED Ex. Occu FIXED APPLNS. OR' ' EA) -2:00-. Temporary service 10.00 Mobile Home Facilities_ 15.00 License No -. -.-Classification Misc. Wiring" 6.25 - - r: 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. E]I have'pl"aced on file with'the'County of -Butte a certificate of Workmen's Compensation'lnsurance: �'• I® certify,Ahat in'.the*perf6rmanice' of the, work for which this permit.is:`issued :,:shah not employ any, person 'i_n •any manner so as to become.subject to the Workmen's -Compensation Laws of California. . MECHANICAL No. @ . FEE r• PERMIT FILING FEE. $3.00 Heating Cooling Ventilation: Hood' 2.00 Permit Fee' I certify that I have -read this •application.and state, that the above. _:inforination is;correct.,°I"agree .to.c6mply-to`all County Ordinances and .-State: Lawsg relating'? to 'fiui (ding ' construction, . and , hereby p TOTAL PERMIT. FEE $ CG QUUIUI V 1VF1V0GI ILQUVVO UI LIIC L✓UUIILY UI DULLV-lU cnLCI UPUIF 11JU a bove.mentionaEd property for ins ction purposes. :i� • Y 'Date_j Signature of,Pei- tee r Agent . Receipt No.' White-D.P.X. — 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. ' JO.RECTOF, PUBLIC WORKS By Date -Z4 ^? . Bui ing permit expires Date 2-/ - 77 ,r. y . � .t r - _ i �l , - �' _ � ' - �. - - � � s _ _ e,, ' x. , . , 'r _