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HomeMy WebLinkAbout035-222-021TP_ 35-222-? �. I ON LD PETERSON PETERSON 1�-76 , Donald 4g8SLi�tQ84 Oroville 466-69B contr: W.N. Gill spie, Live Oak Permit# 4802-74B,P,E,M(new -SF) 'JAS l-IxAc • I o2 vi le . 35-222-2� 0 - 035-222-021, PERMIT#97-1595 r (demolish e emmolish residenc) �_ r LOT BLOCKL4 S f LACEY, Donald & Barbara 7 , _ . , nOroville TYPE OF Reroof/SF / �•s, ' PERMIT NO. PLAN NO. DATE ISSUED PERMIT '�� i,- Q ;sem �� A-%�:r�' •-1-._'-�^-.-._ _.....`+ j - I� f 4 +'e PERMIT DESIGNATION: B—BUILDING E—ELECTRICAL U—USE PERMIT HM—HOUSE MOVING DEPARTMENT OF P—PLUMBING TV—RADIO-TV ANTENNA V—VARIANCE EP—ENCROACHMENT T—TRAILER S/W—SIDEWALK NOTICE S—SIGN PERMIT D— DEMOLITION BUILDING AND SAFETY 600.1 INSPECTION RECORD BUILDING APPROVALS t W DESIGNATION SIG. Z Z O 0 6l Z UJ O Z K O= a �� OW K� ( OW Iw 4411 WJ U j J im F iQ aW �� it _O= aFQQ. w Ir N Ff. y aU UI- OQ � W D aZ U O Z Q H J Z W Za W Z 0 W Ir IL III _Z a JLLO wN LL Wa Um Dli u. U.rc SIG. I I DATE SIG. DATE SIG. DATE SIG. _ DATE O ani E-' SIG. DATE C) ¢ M o X SIG. DATE N SIG. Q iDATE USIG. DATE W Q Q SIG. z X Z Z DATE .-] W .•� N W O (D f1, SIG. Q r DATE Cn r-� CU Q N SIG. DATE SIG. DATE 1Rill%Iilleft'MINI] W IA► PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL L'L.L+Y;TRIVA/, APPROVALe PERMIT NUMBER: DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL 1%l/►YNIVNW.reffPff]#K/wJlo"ill W! It PERMIT NUMBER: DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE 391w.'a*4%[!9!�PX��" a .. s`�.W�`I'I'+�( 'irr .N' Y^Yui 11R—r rv.rrr.-:-wrry�py7•9�"t P' 'vis wyp.l�.fi'�/�'egt t " 035-222-021 PERMIT #97-1595 LACEY, DONALD & BARBARA ►.._ 4984 VIRGINIA AVE., OROVILL:E REROOF/SF COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Cali(nrnia 95665 ,Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT" ASSESSOR PARCEL NUMBER 035--222-022 ZONINGTRNBUILDING I PERMIT OWNER DONALD E. AND BARBAR J. LACEY TELEPHOCC. 1OWNER'S BUILDING VALUATION 900 MAIUNG ADDRESS i 4984 VIRGINIA AVE., OROVILLE CA 95%6 CONTR�AjC�TOOR'S NAME OMR TELEPH l CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $13 Q0 ARCHITECT OR ENGINEERS MAILING ADDRESS i' 4 Plan Checkin Fee $ BUILDING ADDRESS 4984 VIRGINIA AVE., OROVILL•E Energy Plan Checking Fee $ $ 3 PERMIT FEE $ 4.1.M LOT NO. SUBDIVISION'S NAME PARCEL MAP f PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE I SF ❑Duplex ❑ Mobilehome ❑ Other ' T SPECIFY w tl Solar or heat pump water heater 23.00 Water piping 15-.00 Each gas water heater or vent 15.00 TYPE OF WORK I New ❑ Addition'O Remodel ❑ Utilities ❑ Installation ❑ Other Ll Describe Work: RROOF WC" Gas piping system 1 - 5 outlets -15.00 Building sewer 15.00 Mobile Home S I G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 800V 0R LESS Main Service 20.AORLESS 23.00 e LICENSED CONTRACTOR'S DECLARATION I I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter ii 9 (commencing wth Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.PSING License Class Lic. No. +- - OWNER -BUILDER DECLARATION M } I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: % M ® I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure•is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensedl contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason •ti Main Service ( To 46.00so COU000A NEW CONST. DWELLING OCCUP. SO DWE200ALLING OR ADDNS. ( a ACC. Bins. 3.50FT; NEW CONST. MULTI.OUTLET NON•RESID. ANC CI culls @7.50 OWERLEOUAPPARATTLET CS .\ 8 Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 REs BAL @ .50 OR Ex. Occup. ourLFIXEETs D APPS. WRESIT. EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I I hereby affirm under penalty of perjury one of the following declarations: _ ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700.of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation —/ of one hundred dollars ($100) or less.) - 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. /J ..� X ' . Date Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Bttefounty Code and/or Resolutions to do work indicated above for which fees h ve been paid. B Date %�30�9% Y . _ � ,� - /� %Q�'/" PERMIT EXPIRES ON �Yly% ,/ A Dade `� ReceiptNo. CC WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI N 7 County Center Drive - OFoville,-C'aliforMa, 99965 - Telephone (916) 538-7 _ / PERMIT NO. (Rev.1P/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 035-222-021 ZONING RN BU DING PERMIT OWNER - DONALD E. AND BARBAR J. LACEY TELEPHONE OCC. BUILDING VALUATION 00 OWNER'S MAILING ADDRESS 4984 VIRGINIA AVE., OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE ' rFimplace CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE LENDER'S MAILING ADDRESS ' TotalValuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee �3 0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADD KESS 4984 VIRGINIA AVE., OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE t4-3.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CYXDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat*pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IM Describe Work: REROOF W/COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 LESS Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawfor the following reason: b� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACc. BLOB. so 3.50FT. NEW CONST. NON-RESID. MUCTI-OCUTLEi 97,50 OWERAPPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 sAL @ .so Ex. Occup. DESID.OE UTrs RA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) - 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall hwith comp) with those provisions. a X Date Sign tura of Applicant - wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under of the Bu County Code and/or indicate ab a for whi fees h By EXPIRES ON the applicable provisions Resolutions to do work e en paid. Date 7/30/97 S� Date �- Receipt No. 222559PERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES ®. NO ❑ 2. I HAVE IQ HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: -/ SOCIAL SECURITY NUMBER: DATE:�3a NOTE. This Owner Builder Verification is required by Section 198.31 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit OWNE R- BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted iny our name listing yourself as the builder of'property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from .possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 :-ii-mcre. for the entire project, and such persons are not licensed as contractors rr subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact.the Department of Benefit Payments and the Division of Industrial Accidents. ' If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit,,erroneously implying that the property owner is providing his or her ownlabor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1030 N Street, Sacramento,' CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi iia; C.B.O. M ger, Building Inspection NOTE. This Groner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER - •,m icro mnit muauiIIlo'1 T=OnMI)V suopcooi �n!�pl?nq tie �lm ueid jotd a ,�eip Isntu io;aadsui n•: is i::::t:f�:+:e:,..:te i:i:i:i •r•••t•• H :.. t:�rerirF moi:: .rs•• ::wet. n. 'r c •:tom• ::tt•.•ye:• :�t:t .•t . .,i. t :;:;.;:;i:}! �:;: iP -i •,m icro mnit muauiIIlo'1 T=OnMI)V suopcooi �n!�pl?nq tie �lm ueid jotd a ,�eip Isntu io;aadsui n•: is i::::t:f�:+:e:,..:te i:i:i:i •r•••t•• H :.. t:�rerirF moi:: .rs•• ::wet. n. 'r c •:tom• ::tt•.•ye:• :�t:t .•t . .,i. t :;:;.;:;i:}! �:;: COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES t ; 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE OWNER ..f =d 35- ��-z-oijw PERMIT NO. > A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work n is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 1 I 1 k 15 0-t r; c •e '-'-1 -C ry , -0- _1 vy e-,, AJ �r 3 Coti-��,-� �L o�d ra d 14 t3p [A {4 I, Date Lp, 3 C? 7 Inspector; REV 10/92 — -!�r 480?.-74B.P.E k N0. f d6 117' P '' E M . ,4MH UTIL. VPERMIT NO. 'A ' PERMIT EXPIRES /6? X76 OWNER Donald Peterson —CONTR. W.N. Gillespie- hive Dak LOCATION (A.P. 35-222-21 ) 4985 Lincoln Blvd., Oroville a, f F Temp. Power Pole _ Called PG&E Temp. Elec. Serv. S— Called PG&E emp. Gas Serv. y 7-- ^7� Called PG&EOB FINALED ! 7 - (Date) (Signal re) 1 9 COUNTY OF BUTTE - DEPARTMENT., OF PUBLIC WORKS BUILDING INSPECTION RECORD DATE / REMARKS OR CORRECTIONS //moo � d � � 4 //P r 7t- lrlpi �j� !�• /�°d� �' /ii �Gf 6'1G(ty lGS /�GLe�"• 1 X11 I- BUILDING I BUILDING (Cont'd) I PLUMBING - Setback /,j, -:L-/ -' Firewall 7;;e- Soil Piping Forms Parapets 1st Floo Y Main Bldg. Restroom Finish 2nd Floor Footings ® Windows 3rd Floor StemwaII Siding To out ;:-5�Zs- Slab Roof Sheathing 0�0Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures F o o t i n g s 02 % Garage Vents t�� Water. Htr. - -- Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Z y Slab Final Sanitation Patio FIREPLACE, Final Footings Footing ELECTRICAL Masonry Walls Throat Rough -a Reinf. Steel Final Fixtures - �- Bond Beam FIRE SPRINKLERS Motors Framing 0 `' Test Water Htr. Stucco Final Subpanels Mesh - MECHANICAL Grd. Fault Prot. Scratch Heating i. Service Brown Cooling Temp. Pole Finish `Z - y G - 7 Ducts - Z J Underground Interior Lath Ventilation Permanent Door Closer 3 -/ 7- Final '5:2) - l7 r7 t, Final --;� — / -� DATE / REMARKS OR CORRECTIONS //moo � d � � 4 //P r 7t- lrlpi �j� !�• /�°d� �' /ii �Gf 6'1G(ty lGS /�GLe�"• 1 X11 I- . •_=_S[rT 3/,¢•• I.P. O r PO /N T O E r-- &i,,A 0^14. Y PL A 7 OF SUMP VE Y OF A P0�4. OF L OT /42, plq X lo^/ 'S Svc., L y/wG W,C5 -ER LI Y OF VIP G I A11 4 /AVE. EOR TER S © Al s A/ 9', 3 7 F /� 7. 93' 3o' N B 8 z 8 -37 O 5' \ 0/lb f �ol V jf(` p' LINE f_ '10 a! 6UIL r o �° SND Sli L.S. 3525 `O D 3 Av E l PREP.q Y' V 02 Gt//L L /ANS G✓. 45 . 36 2.S II . j . •_=_S[rT 3/,¢•• I.P. O r PO /N T O E r-- &i,,A 0^14. Y PL A 7 OF SUMP VE Y OF A P0�4. OF L OT /42, plq X lo^/ 'S Svc., L y/wG W,C5 -ER LI Y OF VIP G I A11 4 /AVE. EOR TER S © Al s A/ 9', 3 7 F /� 7. 93' 3o' N B 8 z 8 -37 O 5' \ 0/lb f �ol V jf(` p' LINE f_ '10 a! 6UIL r o �° SND Sli L.S. 3525 `O D 3 Av E l PREP.q Y' V 02 Gt//L L /ANS G✓. 45 . 36 2.S COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W KS 7 County Center Drive - Oroville, California 95965 TelephonEo'_5&4-4,,41 APPLICATION AND PERMIT / •�Y ""�^"�v� ,n1 vvun,y vi uu — V11LV1 UFUII UIC above-mentioned property for inspection purposes. Date o�� rrg Signature of Permite-e/or Agent Receipt No. White-D.P.W. — )el3AsagTr — Pin/jly'octor — 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. DIRE TOR OF PUBLIC WORKS By Date 7 Building permit expires Date.... f..Z...7S� ...................... BUILDING Owner _D0144 LP DM SQ. FT. OCC. BUILDING VALUATION Q 0o Mailing Address T O Telephoneyo 3' , 5 16 Fireplace Contractor W &IUESi o/ - _ Total Valuation Mailing Address a 7410 F10- 15T Permit Fee Plan Checking Fee&/or Penalty / p. QT —rL*phone No. Permit Fee $- $ Q� Building Address � 8!S- /�%0�./� .. ��,�� � PLUMBING No. @ FEE. PERMIT FILING FEE $2.00 2.4D0 (f U, L Each Trap 1.50 �%, p O Repair drainage or vent piping 1.50 Water piping 1.50 0 Each gas 4ter heater or vent 1.50 Q A. P. No. �'- a _ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 O 90�j Each additional outlet .30 F s I SIQFire Dept. Fire Zone Use Permit Building sewer 5.00 S,00 EQA I Parking Parcel Plans Declaration Parcel Ma P 60' R/W Improvements provements sprinkler system 2.00 BI @c' Parcer"Approval Plans kpproval Permit Fee $ $ NEW,N ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,00 Main service incl. 1 meter , QO Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (morel nl2) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 b0025 , 7 Light fixturesal 010 R ., s &fitlets O CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. -3, of the State of California Business & Professions Code under the name style of: H d, Ex. Fan or F.A. urn. Motor 1.00 2,00 Evap. cooler, gar. disp. or D.W. 1.00 Air cord i ner or heat pump , O 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 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. ❑ 1 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. @ FEE PERMIT FILING FEE $3.00 'J'00 Heating O O Cooling Ventilation Hood 2.00 Q Permit Fee $ $ I Q� 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 13J`-1.1�5 TOTAL PERMIT FEE •�Y ""�^"�v� ,n1 vvun,y vi uu — V11LV1 UFUII UIC above-mentioned property for inspection purposes. Date o�� rrg Signature of Permite-e/or Agent Receipt No. White-D.P.W. — )el3AsagTr — Pin/jly'octor — 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. DIRE TOR OF PUBLIC WORKS By Date 7 Building permit expires Date.... f..Z...7S� ...................... /OC I v ` j ,.7 ® 9 1 7 8 U 30 29 /3 j 14 15 16 v' Q U U j I 1 34 �1 O 3 I Q I .y,� %.1 49 5 / F•• 5 5 f. . O N i r J9 b 4O ; 4 4f i 43 r �� N 4 4'S16. 1 ^ 1 / 4 / /42 50 731 23 6 i 3 1 EMu E o VIRGINIA c{ b 50 V O / a ''JJ I �N� 44 0 18 19 m 21 v a a `� `T ► 7 !i 74 73 1 72 1 7/ 1 70 69 �9 6 6b 65� rc b � O • `nV 6 B2 S/ so /9 78 3s ,. V I 8 I I l2 62 0 OI 2 O O O �...0 O O I 200 1 50 50 50 5 R ti 3 j S ®2 O 30 5 93.9 1 5G 50 AVAI 50 50 50 50 /00 /00 50 /0 50 / i M 50 •Q a � 43 '' r 68 o 50 5G 30 50 I 1 1 4 I Q 28 1' 1 c7 11` I 14 © � 1 .f ! /2d h /�s`9 ( !30 /3/ /32 /33 C 34 1 /35 /27 q b I 1, oo � B K.36 •� ,� /21y /23 /25 1 , off, 1 M I 7. 8 i 1 1 v IE 11 T J a alp 4- �. I w >� I 1 & 4Z 1ab ( PALERMO) 101► LINCOLN L micoL�! `_:.Bou�'E ✓A C2'd 3 , 4 I PACIFIC /47 /46 /45 ,I4� /43 ` •. rf . .' O /30.89 _ _ _ ,•; ',2 j` OI ol- .'q4c _ N �9�949--__, — - '--I9�o� »� ' ` •B2 l8 I 65 S ID /5 / 503S 46 /I 64 '� 1 - 4V. so 2 S 1 63 toll o 5l O ~' _ -J-- J I N O BFB' I 34!1 2 i 1 45 h / 1 I S Z4 f O O ►Q(o 65 I I O >- 75 2 R Oe-/3 6l' h p _E_�_ _ 1 R a �9� 3 i i 10 -4.1 � ht � 5p 2 I I -------- 2 � -- -•--- V � � / O 1 1 O /4O 1 1 /40 j45g 66 . 1 4 73 � 76T, �` O N 6f i O I O 60 %q .. .1 2O dt3 O 45 1450p 53 i / / 0. 72 Av. Abond_ 8d. of Sup. Res. 67-118 f i 36 O 9 h Q 2 . /O 'L4Lvi YL 7/ RK5rl{ 1.1 flee. 7/6/67 1484 / 378 9 /5n /50 ,: 11 rit �6 7 g _ 1 `, 0 G i'T M A J�-22 I 7 8 W O v^ ag p J �' .I 6s, 9 �G 5O /3 /4 O O b 5 58 - p W 1 A 4 hr- 0 5 0 r �. = r I O U n tY O U , 3: 3B 39 40 �/ �p J• 1 ` " REVISED: i� 6 ..J NISC O 5O O +