HomeMy WebLinkAbout031-245-005STRE
A. P. -
George P. Huston
871 Colusa Ave . , Oroville 73
CONTR: S. John Voorhees, roville
Permit 161-'71B_(new sinle_familv_)
31' 245'05 "' 709-90B
ti ' ••..�.... •..s• Y.s - •'i .•'r i.�(M-' u. a ,rte _ Y
CAMERA ,'I Sam ��_?'>~ • �' * +;' �'
843 Colu_sa.-Ave,-Oroville
r. 3 - „ .
�,Coiitr •{Don C.George
x �Ir®rOOf �O_f+i tet. `
----_------
—
LOT
BLOCK
SUBDIV.
TYPE OF
PERMIT
PERMIT NO.
PLAN NO.
DATE ISS
REMARKS
S�
PERMIT DESIGNATION: B -BUILDING
I DEPARTMENT OF P -PLUMBING
BUILDING AND SAFETY T -TRAILER
E -ELECTRICAL U -USE PERMIT
TV - RADIO -TV ANTENNA V - VARIANCE
S/W-SIDEWALK NOTICE S -SIGN PERMIT
HM- HOUSE MOVING
EP -ENCROACHMENT
D - DEMOLI TION 600. 1
31V0 018 31V0 CIS 31VO 'CIS 31VO CIS 31VU CIS NOIIVN9IS30
=2I33W(1N 11WL13d
UMAWAW 9P rr1.-.YI/I W 1. /[1
�v •iv -uv i-w•iv
lVNid
S1N3A V S30NV11ddV
3N1"I H3M3S
9Nldld U31VM
LS31 3mnSS3Md SV9
NI-Honou
31VO CIS 31VO 'CIS 31V0 '918 31VO CIS 31V0 'CIS
tU38Wf1N 11WE13d
lVNld
SH313 W
S30NVI1ddV 8 S3unixld
NI'HCf10M
31VO CIS 31VO CIS 31V0 '913 31VO 913 31VC CIS
3L138Wf1N llWH3d
�v •iv -uv i-w•iv
lVNid
S1N3A V S30NV11ddV
3N1"I H3M3S
9Nldld U31VM
LS31 3mnSS3Md SV9
NI-Honou
31VO CIS 31VO 'CIS 31V0 '918 31VO CIS 31V0 'CIS
tU38Wf1N 11WE13d
Sri VAUZfddY DI IQlILLQ
CIU033H NOLOUSNI
31V0
'91S
31V0
'913
31V0
"913
31V0
g-vcl
31V0
'913
'
31V0
''JIS
31V4
'CIS
31V0
'91S
31V0
'91S
31V0•
_I
2
D
F
m
D
I'
m
AD
D�
Ir"m
m0
rZ
0X
�m
In
�%
m
-y1z
I A�
,Az
�m
-NIS
m
to
I %
Dm
_�
X
Z
�m
_�
X
p
3
a
A
0Z
m0
r'i
•n
c -g00
Obi
p�Z
Z 0
3
m'1
Sri VAUZfddY DI IQlILLQ
CIU033H NOLOUSNI
31`-245,-�05 ` r`; 709-90B
CAMERA, Sam-
843
am;.843 Colusa Ave,, Oroville a
Contr: bon C. George
_(reroof/sf) ,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT -r
ASSESSOR PARCEL NUMBE
ff - QS
ZONIN
BUILDING PERMIT
OWNER
SAM CAMERA
TELEPHONE
534-5059
SQ. FT. OCC. • BUILDING VALUATION
16 omv.
/�
960.00
OWNER'S MAILING ADDRESS
843 COLUSA AVE OROVILLE CA. 95965
CONTRACTOR'S NAME
DON C. GEORGE INC.
TELEPHONE
533-6393
CONTRACTOR'S MAILING ADDRESS
P.O. BOX 729 OROVILLE CA. 95965
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
960.00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 17.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Ener Plan Checkin Fee
Energy g
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING
843 RCOLUSA AVE. OROVILLE CA. 95965
Permit tee
$ 27.50
PLUMBING PERMIT
Filing Fee 10.00
Each Trap_
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF E9 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other []
Describe work: nVF.RT.AY — Cnjr p0gTTTnN SHTNnT.RC_
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1000 AMP ORV OR LESS10.00
Main service EA. ADO -1- 100 AMP
2.50
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 Prof essi qn� 2C,pde6 and my license is in full fpres4nd effect.
44 LL bb ll::
License No. Classification
Fl 1, 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 r
NEW CONST. // DWELLING OCCUP.&
OR ADDNS, l ACC. BLDGS.
21Y20sgft
NEW CONSTR. MULTI -OUTLET
NON•RESID BRANCH CIRC ITS
2,50 ea
/POWER APPARATUS &
(SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
20e50e
eAL®30
Ex. Occup. our ETS PLNS R
(RESID )EA.)
2.00 4
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.
X❑ 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.
MECHANICAL PERMIT
FiIingFee 10.00
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 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 said.Cou y in consequence of the granting of this permit.
---^—"�
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
$
Energy Inspection Fee $
occ
ITOTAL
CONST TYPE
FE $ 27.50
E E
HAz
CUA
PARK
SCHL
PAR
PD
HD ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR F PUBLIC
By
PERM EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
ate 3 -
Receipt No. `5
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC
7 County Center Drive - OrovfII6, C tifornia 95965 - Telephone:
APPLICATION AND PERMIT
WORKS PERMIT NO.
916/538-7541 9 — C , o
e
.'iii
ASSESSOR PARCEL NUMBER
0S
ZONIN
BUILDING PERMIT
OWNER
SAM CAMERA534-5059
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
6 • om '.
960.00
OWNER'S MAILING ADDRESS
843 COLUSA'AVE OROVILLE CA. 95965
CONTRACTOR'S NAME
DON C. GEORGE INC.
TELEPHONE
533-6393
CONTRACTOR'S MAILING ADDRESS
P.O. BOX 729 OROVILLE CA. 95965
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
960.00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 17 .50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Energy Plan Checking Fee
E$. $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
843 COLUSA AVE. OROVILLE CA. 95965
Permit fee
$ 27 .50
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each gas water heater or vent
5.00
USE OF STRUCTURE
SF [I Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S J G JW 1
10.006
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [
Describe work: OVERT AY – COMPOSITION SHING=LES
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty Of perjury (check one):
IX I am licensed under provisions Of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full forc nd effect.
License No. 452266 Classification C
El 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 CONST. DWELLING OCCUP.B+
OR ADDNS. ( ACC. BLOGS.
2/20sgft
NEW CONSTR.ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS &
(SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES
20@30C
BAL® 30
Ex. Occup. OUTLETS IPRESID 1FIXED APLNS.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.
® 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.
MECHANICAL PERMIT
Filing Fee 10.00
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 County of
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 sal ou y in consequence of the granting of this permit.
X��G�_o_ Date 3-12-90
Signature of Applicant — Owner ❑ Contractor ❑ Agent X
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC I
CONSTTYPE
TOTAL FEE $ 27 .50
HAZ
I 7ARK
I SCHL
I FLD
I PAR
PD
HD I ISSUE
Th;s permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR 91F PUBLIC
By—
PER EXPIRES Date_.
the applicable provi-
resolutions to do
have been paid.
WORKS
[ion
Receipt No.
WNITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLOENROO-APPLI CANT
fA,
COUNTY -OF BUTTE,
' Department of Public Works
BUILDING INSPECT -ION RECORD
Zoning Setback Forms
Foundation Piers & Girders Fireplace
Rgh. Plumbing %/ )/y %/ " Bond Beam Lath & Plaster.
Rein. Steel Gas Piping & Test, Found. Vents
Framing. c % Plmg. TopoutRough Elec.
Wtr. Htr. Furnace Kitchen Vent
Firewall Garage Vents Sanitation & Water
ELECTRIC �jj �✓ GAS / BUILDING
Temporary -4_1 75/%l �\ Temporary ( Cert. of Occup.
Final Final - Final
DATE REMARKS OR CORRECTIONS
ki
Permittee Owner _
Mailing Address
Contractor �s
Mailing Address.
BLDG. Address __9 '117'/
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive Oroville, California 95965
Phone: 533-1230, Ext. 259
A P P LICATION AND BUILDING PERMIT
`✓j Planning
Fees ✓ I W. C. .r, �y
NEW ADDITION El REPAIRS 0 OTHER
Others
F 0 U N D A T 10 N
Fire Zone
MATERIAL
Sanitation
PIERS
Plans
WIdth at Top
`✓j Planning
Fees ✓ I W. C. .r, �y
NEW ADDITION El REPAIRS 0 OTHER
Others
F 0 U N D A T 10 N
MATERIAL
EXTERIOR
PIERS
Single Multi
USE OF STRUCTURE Family Duplex Dwelling
Others
WIdth at Top
Width at Bottom
Depth in Ground
SQ. FT.
OCC. "
BUILDING VALUATION
R.W. PLATE (Sill)
SIZE
SPACING
SPAN
rLA;
/x/_57" z .C-
Girders
.�.
r}
J
joists - 1st Floor
%f„ /,7
joists- 2nd Floor
Fireplace
Joists -'Ceiling
Total Valuation
'A
Exterior Studs
Permit Fee
Interior Studs
Plan Checking Fee &/or Penalty
Roof Rafters
Total Permit Fee 3 r�
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. .................. i �.Gfl ........:.. ?`� ✓ .fr .... .........:z!�....
..................... ..... ............................. .......
. ........................
..........................
.........................
License No.� . L;,%^,? t , , Classification ,,,,,,%^' ,,,,, ,,,,,,,,,,,,,,,,,,,,,,, and certify that the aforesaid license is in 4u11 force and effect.
B. OWNER-BUILDER"g, OTHERS COMPLETE THE FOLLOWING:
I am exempt from the Contractors 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).
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. 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......................::......................................�........ Date ...............................:
SIGNATURE OF PE.RMMITTEE OR AGENT
ReceiptNo..........:.1...`..`..................:................................................................
This BUILDING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
Br.................:....^. .:.`..:f.::.:.................................. Date ..............................
Permit Ekpires Date,.,,
.............. ...
.......
Permittee Owner
Mailing Add
Contractor
Mailing Add
BLDG. Add
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965
Phonet 533-1230, Ext. 259
APPLICATION AND PLUMBING P E R M I
A.P. No.,�� S'�s
DESCRIPTION OF WORK
NEW ADDITION ED REPAIRS 0
v
OTHERS:
Remarks:
PERMIT FILING FEE
No.
@
Fee
$2.00
:' ••
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
Each gas coater heater or
gasheatervent
1.50
USE OF STRUCTURE
Single Multi
RESIDENTIAL Family® Duplex 0 Dwelling 0
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
$
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. 7� T �,g,., Classification „C„„ 0 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):
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).
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. 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 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.
��^' Dace
�.........:..:...*.-r....:....................................... ''........Z..3. ../..
SIGNATURE OF PERMITTEE OR AGENT
r ~
Receipt No.,,,;, ` ' .
This PLUMBING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
Permittee Owner
Mailing Add
Contractor
Mailing Add
BLDG. Address r7O/
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
7 County Center Daive - Oroville, California 95965
Phone: 533-1230, Ext. 259
APPLICATION AND PLUMBING P E R M I
A. P. No.
DESCRIPTION OF WORK
No.
@
Fee
52.00,
NEW' 0. ADDITION REPAIRS 0
PERMIT FILING FEE
Each fixture or trap or set of
fixtures on one trap
1.50
OTHERS:
Repair or alteration drainage
or vent piping
1.50
Remarks:
Installation or repair
water piping
1.50
Each gas water heater or
gas- heater vent
1.50
- _u
"
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
4
1.50
Single Multi
RESIDENTIAL Family Duplex F-1 Dwelling Q
Gas piping 6 or more - Each
.30
House Sewer
5.00
Lawn Sprinkler system
2.00
OTHERS:
Remarks:
TOTAL FEE I $ c J
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
styl e o f ....i l t1.{ Ca�IC...�,�s-a�:A.
_ ................ ..
License No ,7 1 ��, Classification...0 .."3 .............. 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):
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). .
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 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.
<. / J i 17 ..� f .. _ Date - '2 r% /
.................. /...........................................................:........ ....... ................................
SIGNATURE OF PERMITTEE OR AGENT
Receipt No.,, �,,•�,� 3 r
..........................................................
This PLUMBING PERMIT is hereby issued under the appli-
cable provisions of County resolutions and/or ordinances.
DIRECTOR OF PUBLIC WORKS
By..!.::-..-t..r-t—e ' ..................Date ................... ...
r'
- COUNTY OF BUTTE (�
DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
PHONE, 5331230, Ext. 259
APPLICATION AND ELECTRICAL
_ Permittee Owner f�%•! i''� ,/,i� ,r tom./ A. P. No.i"
Mailing Address
-Contractor
Mailing Address
.�.
BLDG. Addiess ,:1
DESCRIPTION OF WORK
NEWy ADDITION 0 METER SERVICE
- OTHERS:
Remarks
USE. OF STRUCTURE
Single / Muld
Family 0 Duplex 0 Dwelling Q
OTHERS:
PERMIT FILING FEE
No.
Fee
$2.00
corj
Supplementary Filing Fee
1.00
Main Service
Sub -panel less) (more than
12) _
S.-
Each
Ridge, Dryer Water Heater
Each
L00
Oven, Cook -Top or Space Heater
Each
:.,50
Light Fixtures
�/
First 20
Each Additional
.20
.10
.Z
,,,j C'
.7 ��
tacles„ Switches & Fixture Outlets
y fj
First 20
Each Additional
.20
:10
/
�^
acRecti
Hood, Exhaust Fan or F.A. Furn, Motor
Each
.50
EvaD. Cooler. Gar. Di SD. or Dishwasher
Each
.50
Misc.
- Remarks:
-TOTAL FEE
CONTRACTORS LICENSE LAW
A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING:
I am licensed -under provisions -of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name
styleof, lr:.i°�.....!iT; `�►- c/.......................................................................................................-.-..............................................»_ .
License No.,:7.e+ !!t.3„� classification / 'r, ................ ..and certify that the aforesaid license is in full force and effect.
B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING:
I a n exempt from the Contractors 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).
QBasis, if any, fo&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 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 tinder 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.
yrss. - - ,� DIRECTOR OF PUBLIC WORKS
X......... +lir/ t �'%.• V l
................................................................ Date .............................. %
"......
SIGNATURE OF PERMITTEE OR AGENT
B _-
y................:.: .................................... .................. Date ............................_....
ReceiptNo...................................................................