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HomeMy WebLinkAbout035-213-032• - r. 3. - 21 AP 35-213- GLEN COLLINSON ® , CdT�Y.,fR8Y Q1�,_ ..filen _ _ _ _ 396.6,44E 4'535 Lincoln B1 d, O oville Permit## 3960-74B (repair porch) 1° t j -35-213- Perm�t �' 3�(�l 35-213- 4535 Lincoln Blvd., Orovi e-� #2761_79B(reroof) S P (repair porch) "Z Permit #4815-79B 35-213- — }' (addition &new siding/SF Cz 35-213-32 Permit ��727 5-79B(enclose por,h/SF) SL__ ��'4*1Y d 6 0 �r lr t 6 0 �r BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED _ DATE NAME DEET, I DATE NAME DEPT. I -- 0 i ° U �I ' II u II ' � ..Y_ .• +.���I �,{.^.�.�w.��-f��� s ;..\»�,ws.w ��Y"fir. 1.,� ' �.� $1PERMh NO. 7275-79B PERMIT EXPIRES 7/"u { OWNER Glen Collinson CONTR. owner / 35-213-32 LOCATION (A.P. ) 4535 Lincoln Blvd:, Oroville Temp. Power Pole OV r' Called IG&E Temp. EI c. Serv. Call "d PG&E Temp. as Serv. C led PG&E JO �I ALED l V (Date) (Signa e) Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio , Footings Masonry Walls Relnf. Steel Bond Bea COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION' RECORD BUILDING BUILDING Xont'd) PLUMBING Firewall Soil Piping Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Sidina To out Roof Sheathing Water Piping Roofing °£i . Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physics ly A li F re -- of ex. Gas Piping & Test Temp. Gas Sanitation FI EP CE _ Final FIR MECHANICAL Fixtures ELECTRICAL Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventllatlon V Permanent Door Closer Final Final MOBILEHOME UTILITIES ---------•-------- Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - • - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ` (NOTE: An entry must be made on this form each time you visit the job site.) RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT (location) BUILDING PERMIT NO. n Z7 –71- A.. P. NO. –Z-1 3 Z THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. Fdn. Walls Floors Walls G I Ceiling/Roof Ducts Circulating Pipes — APPROVED HEATER `---- APPROVED WTR.HTR. �--� GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE -TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name L (fa- ZIg- C a Signature of (please print) Insulation Applicator State Contractors QQ License No.' General Contractor/Owner Name/xo­ (please print) Signature of 1 General :Contractor/Owne �e �3 f State Contractors License No. THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND. SHALL BE POSTED IN A CONSPICUOUS. LOCATION ' WITHIN THE DWELLING. ,; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS M 7 Coutlty Center Drive — Oroville, California 95965 Tel ephone! 534-45$1 APPLICATION AND PERMIT ' BUILDING OwnerSO. FT. OCC. BUILDING VALUA ION Mailing Address id%�/bLAf v�`CJ Telephone No. % r7 Contractor Mailing Address Fireplace Total Valuation 7i Telephone No. Permit Fee Building Address � _36- ���� �n IanCheckin ee /or Penalty Permit Fee s ze.�,o G PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. 3S-Z� ��' Z GZ Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F&Is/ Wl�. 1 talion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A proval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q Permit Fee $ $ r1 --e_0 e-1CO V er. et!/ ELECTRICAL No. @ FEE /tel Pd /,a �t O �/IC �d!� PERMIT FILING FEE .$3.00 4015* Main service 100 AMP OR00V OR SLE55 5.00 Single Family Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER eooV 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST %ACCLBLDGS.LING Ccup. Y) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business 81 Professions Code under the name st le of: Y TLET NEW CONSTR BRANCH CIRCU NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 9 NON.RESID. 'SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTIIRES) 50@250 BAL@1 Ex. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc..Wiring 6.25 P -,ram 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. 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 1 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 Land Development Fee $ TOTAL PERMIT FEE $ SiC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. v Date Signature of Permitee/or Agent Receipt No. I -77•ee 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/ Z—J . 7 5% Buiding permit expires Date l 7- -3 �O i r ;If , • ARMIT NO. 2761-79B PERMIT EXPIRES 5/14/80 OWNER GLEN COT-T-ILLINSON -CONTR. Owner LOCATION (A.P. 35-213-24 ) 4535 Lincoln Blvd. Oroville 1 i 9 k' i 1 { r � . tTemp. Power Pole 1 Called PG&E Temp. Elect S,erv. r Callefi PG&E i Temp. as Serv. Called PG&E YVOB `. ED U (Date) (Signature) 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 Piping Piers Roofing 0 Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. akuelwe Appliances Gas Piping &Test Temp. Gas Slab anal 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 MOBILEHOME UTILITIES -------•---------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEH )MEINSTALLATION -------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE • t . REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT I authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date 7 Signature of Permitee �.rAg.nl 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 have been paid. DIRECTO OF PUBLIC WORKS By Date 5 Building perrhi expir Date BUILDING Owner %C7AJ CO C [r% N60,0 SQ. FT. OCC. BUILDING VALUATION Mailing Address 4s3.5 L `NG©c_PJ &Volk Telephone No. Contractor (,(j,rt2..., Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address 66-IL�A�C,N Jp ` 75- Plant ng Fee&/or Penalty Permit Fee Fee � PLUMBING No. @ I FEE PERMIT FILING FEE $3.00 Each Trap 1,50 (� � Q K1 Repair drainage or vent piping 1.50 A. P. NO. %37 - �'3'�Z Zoning & Planning— Water piping 1.50 Each gas water heater or vent 1.50 Fikfs W.1e.-I SaRiialia& Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service 100 A Ms00PORv LESS 25.00 100 A Main service/ EA. ADD'L 100 AMP 1.00 OR ADDNS. ACCNEW CONST. GS.LING CCUP. Y) 20 Sq ft ( 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: NEW RESID, BRANCH CIR T NON.CONS ( BRANCH CIRCUITS) 2.50ea NEWCONSTF;L (POWER APPARATUS 0 NON .RESID. SINGLE OUTLET CIR, 250 Ex. OCCUD(OUTLETS OR FIXTURES 5 L , 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 1 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 o 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 $ $ 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 Land Development Fee Is TOTAL PERMIT FEE $ t authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date 7 Signature of Permitee �.rAg.nl 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 have been paid. DIRECTO OF PUBLIC WORKS By Date 5 Building perrhi expir Date i • -PERMIT NO. 3960-74B E M MH UTIL. PERMIT NO. PERMIT EXPIRES TOWNER Glen Collinson S � !,CONTR. ILOCATION (A.P. 35-213-24 ) 4535 Lincoln Blvd, Oroville r i Temp. Power Pole Called PG&E t Temp. Elec. Secv. Called Pr&': Temp. Gay f Called JOB !! FINALED a (signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I 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 Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Finalf �� -- % Sanitation Pati FIREPLACt Final FootingsG 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 m COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965 Telephone: 5304541 �✓C•� APPLICATION AND PERMIT autnunce representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent C� Receipt No. / Z +5 y / 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 PUBLIC WORKS BY 011 Date wilding 4Dpeexpires Date/%a.— ............................... BUILDING Owner /X ^ SQ. FT. OCC. BUILDING VALUATION J •© Mailing Add re2d!f e4l 1�5I D�d Telephone No. 3-7y3 Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ X91 / Building Address � S ��� C © �L�d PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ® /Z 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. Zoning Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet - 30 F s 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. PI s Rec'd I Parcel val Plans fp Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 r A%eC Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbal a10 Receps., switches & fix outlets 2U P 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 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. I certify that in the performance of the work for which this �•10N 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. .1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ dl autnunce representatives of the county of tsutte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent C� Receipt No. / Z +5 y / 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 PUBLIC WORKS BY 011 Date wilding 4Dpeexpires Date/%a.— ............................... PERMIT N 4815-79B � x PERMIT EXPIRES OWNER Glen Collinson owner CONTR. • LOCATION (A.P. 35-213-24 ) 4535 Lincoln Blvd., lot 104, Orov111e 1 f t i I Temp. •Power Pol i Called PG&E Temp. Elea Seru Called PG&E Temp. Gas Serv. Called PG&E • JOB � � / FINALED (Da (S' ature) I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC NIORKS BUILDING INSPECTION REWORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Elec. Pedestal To out Slab --Siding Roof Aeathlig Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Carport p Footings Slab Prov. for phsically handicaped Conformance of ex. re anal Appliances Gas PipingTest Temp. Gas Sanitation Patio fIREPLACE Final Footings Footinq EL FIRE SPRINKLERS Mesh - MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath I Ventilation Permanent Door Closer I Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping • Sewer Gas Piping M12I3I6EHQME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive 2 Orovi•le, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above- %nproperty for inspection purposes. Date 60 7 7 Signature of Permitee or Agent Receipt No. a a-0 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 FYJBLIC WORKS Building permit expires Date BUILDING DID OwnerG G SO. FT. OCC. VA UA ION BUILDING Mailing Address V t;--3 S s��► c a LN L vo�. Gd4 Sid —' G� Telephone No. Contractor Q �r-��, Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan 4&yd, Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 _ L►6f V Vf LL f Repair drainage or vent piping 1.50 A. P. No. S oning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F6e61' 4-1 S ft on Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans I Parcel Declaration Parcel Ma pBuilding 60' R/W Improvements= Each additional outlet .30 sewer 5.00 Bldg. 4.66..'d Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION JRr UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Single Family 12 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. AOD'L 100 AMP 2.50 Main service OVER 6001 25.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 1,00 ' (. �V✓� NEW CONST. DWELLING OC CUP- Y OR ADONS. ( ACC, SLOGS. 20sgft 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. NEW -RE SICO D, / BRANCH CIR T NON -REBID 1 BRANCH CIRCUITS) 2.50ea NEW CONST R. (POWER APPARATUS .& NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTURES B L@; Occup. ( OUT ETS P(RESID,)REA) 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 t 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. LPI' 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 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above- %nproperty for inspection purposes. Date 60 7 7 Signature of Permitee or Agent Receipt No. a a-0 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 FYJBLIC WORKS Building permit expires Date