Loading...
HomeMy WebLinkAbout039-120-024~ I David Lake 24 W S Lone Pine, 16001 S. of River Rd.., contr: 40" Air Conditioning,Chila. le &�'nd ir 891 39-12-24 rppontir: Tri -County ermit #2060-76E(elect. for dual Lone I � Pine Road, south of River Road ac) SF Chico 39-12-24 contractor: Ray Delzell, P.O.Box 3536, Chico 39-12-24 ed contr: Holiday Pools, Chico Permit #2893-78B,P,E(new private SL Vimming pool & spa) o \ \ |/ � ^ \ | � � � - } � / . �'- - ~ I David Lake 24 W S Lone Pine, 16001 S. of River Rd.., contr: 40" Air Conditioning,Chila. le &�'nd ir 891 39-12-24 rppontir: Tri -County ermit #2060-76E(elect. for dual Lone I � Pine Road, south of River Road ac) SF Chico 39-12-24 contractor: Ray Delzell, P.O.Box 3536, Chico 39-12-24 ed contr: Holiday Pools, Chico Permit #2893-78B,P,E(new private SL Vimming pool & spa) o r 2893 78B,P,E PERMIT NO. Yee PERMIT EXPIRES Dave Lake OWNER CONTR. Holiday Pools, Chico .39-12-24 LOCATION (A.P. W/S Lone Pine, 1600'S.of River Rd.,Chico Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E 21- -7 - t,100'FINALED (Date) (Signature) Mesh COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • BUILDING INSPECTION AEC RD Grd. Fault Prot. -BUILDING BUILDING (Cont'd) A PLUMBING " etback f 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 Stemwa I I Garage Vents 4 Insulation Water Htr. Heaters Slab Carport Footings Prov. for physicall handica ed Conformance of structure Appliances Gt.as PI in & Test Temp. Gas Slab Final 6 Sanitation Patio FI EPLACE Final — �� r Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel 7-7— Final Fixtures ` Bond Beam — FIRE SeRILERS Motors Framing Test Water Htr. Mesh NICAL Grd. Fault Prot. Scratch HeatinV-Z-,E? 7 Service Brown Cooling - Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer ILFinal Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOB16EHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATEEMARKS COR E ry ..P �ol -7Coll coo (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OP BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 .0019 Telephone, 534-4541 APPLICATION AND PERMIT A authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. .cam Date Signa re of Perrmitee or Agent Receip o. / Zl Z,6� 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/P-01BLIC WORKS ey 1� B ding permit expires Date BUILDING Ev It Owner AVk' ` 4 K If 7 SQ. FT. OCC. BUILDING VALUATION Mailing AddressQG Telephone No. Contractor 610L1,0AzLS' Mailing Address // L Fireplace Total Valuation 3sfhone No. Permit Fee Building AddressPlan Checking Fee&/or Penalty Permit Fee /-)//V/_= 4111— ,�/oOO ��' PLUMBING No.1 @ FEE L, s- IC PERMIT FILING FEE $3.00 UO Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 .S -'G A. P. No. 391- 12 —G — aLl Zonin & Planning Each gas water heater or vent 1.50 ,S G s J VII Sa on Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 ,SG Parking Parcel EQA plans Declaration Parcel Map 60' R/W Improve me s Each additional outlet .30 Building sewer 5.00 � Idgn��Rec ParcelApproval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ZEE ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 O� ' Single Family E]Duplex Mobil Home Others ❑ ❑ Oth® Main service 600V OR LESS 10o AMP LESS 5.00 L Main service EA. ADD - 100 AMP 2,50 /_ / 1boL/ Qr. ,� Main service OVER P O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ADWECCLBLDGS.LING CCUP y) 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: `n &Vz_/ A1/ / ��J�S NEw RESID, BRANCH CIR T NO N.RESID (MULTI-OUTLET, BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS.11, NON.RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTIIRES 5 L2j FIXED APPLNS Ex. Occup.(OUTLETS((RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 c License No. 2 7-3a a Classification _ e-.'.3 Misc. Wiring Lz - e 6.25 S,,R I;— /I/ O 001- ❑ 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. �j I have placed on file with the County of Butte a certificate of p� 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 INo. @ 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-mentioned property for inspection purposes. .cam Date Signa re of Perrmitee or Agent Receip o. / Zl Z,6� 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/P-01BLIC WORKS ey 1� B ding permit expires Date •-PERMIT NO. 1642-77B,E PERMIT EXPIRES OWNER Dave Lake CONTR. owner LOCATION (A.P. 39-12-24 W/S Lone Pine Ave.,app.1600'S.of Chico River Rd., Chico R Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Si ature) COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville„California 95965 Telephone: -534-4541 APPLICATION AND PERMIT w .ter I.:�cna�.0 vca vi uIc 'Uun'y UI OUaic LU CIIIC[ UPUI] Ultl above-mentioned property for inspection purposes. X Cate Signature of Permitee or Agent Receipt No. 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 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION <` Mailing Address � Telephone No. 7 e i4' . Fireplace Contractor Total Valuations Mai ling Address Permit Fee e Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address- PLUMING No.1 @ FEE �'- PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 i,, ✓�� 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 Fees W, C-. Sanitation' Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma `l P 60 R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plan"s Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES.[] OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00' Main service i°o°o AMP LESS 5.00 Main service EA. ADD -L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ 0 OEAMP oR LESS 25.00 Main service 1 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELLING OCC'j/ UP::>& OR ADDNS. ACC.BLDG ��-7 ) 2tsgft NEW CONSTR. MULTI-OUTLET- NON-RESID. ( BRANCH CIRCUITS) '2.50ea NEW CONSTR. (POWER APPARATUS & NON -RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapnr 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@Lisa BAL@1 FIXED APPL Ex. Occu NS. OR P• ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classificaton Misc. Wiring 6.25 0 I am exempt from the Contractors License Lawsof the State of California. Permit Fee $ $ j r� 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 Eutte 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. No. @ FEESURANCE 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 TOTAL PERMIT FEE $ w .ter I.:�cna�.0 vca vi uIc 'Uun'y UI OUaic LU CIIIC[ UPUI] Ultl above-mentioned property for inspection purposes. X Cate Signature of Permitee or Agent Receipt No. 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 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant I Building permit expires Date Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEWOMEINSTALLATI N --------------Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS �f (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT..OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall 0 n -Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows — 3rd Floor Stemwall SidingTo out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I f 1 - – 7 Garage Vents Insulation Water Htr. Heaters Slab Carport Footings s^'/ ^- 7 Prov. for physically handica ed –� Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FIREtPRINKLERS Motors Framing — Test Water Htr. 1– Stucco Final Subpanels Mesh MECHAN AL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underaround 1 Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEWOMEINSTALLATI N --------------Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS �f (NOTE: An entry must be made on this form each time you visit the job site.) ' - ' - 4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive �- Urovilie, California 95965, ' Telephone,. 534-4541 APPLICATION AND PERMIT Permit Fee $ BUILDING ELECTRICAL No.1 Owner L - ; SQ. FT. OCC. BUILDING VALUATION _ C� �✓'����j r� ��- �j� �;• Mai I i ng Address 5.00 Main service EA. ADD'L 100 AMP 2,50 • We hone No. • elFireplace 25.00 Main service EA. ADD'L 100 AMP 1.00 Contractor — 6,0 21tsq ft Total Valuation NEW CONSTR. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS) Mailing Address— Permit Fee Plan Checking Fee&/or Penalty 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: $� _ v�le hone Permit Fee $ Ex. Occup(OUTLETS OR FIXTURES)/ B250 AL@ Building Address Ex. Occup.( FIXED APPLNS, OR OUTLETS (RESFIXED EA) 2.00 O �, O / PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 Mobile Home Facilities 15.00 C/C O Each Trap 1.50 �C Repair drainage or vent piping 1.50 Permit Fee !?y�L u 02 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No Heating Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Pe -els FireDept' . FireZone Use Permit Building sewer 5.00 EQA Parking I I Declaration Parcel Map I 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg.—PT—ons ec d q y I Parcel Approval I Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER !9 ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 ' _ C� �✓'����j r� ��- �j� �;• 600V OR LESS Mann 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. / DWELLING OCCUP. & OR ADDNS. ( ACC, BLOGS. ) 21tsq ft NEW CONSTR. MULTI -OUTLET NON-RESID. 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: $� _ O C Ex. Occup(OUTLETS OR FIXTURES)/ B250 AL@ Ex. Occup.( FIXED APPLNS, OR OUTLETS (RESFIXED EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License Noo2.Z1/-. S 43 �! �o Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 02 WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor em Code which re uires ever e I t b ' d l; b' ' MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating oyer o e Insure aga(nst )a )I)ty for Workmen's Compensation. . 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. 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 l above-mentioned property for inspection purposes. Date L $ignatu of Per i ee or Agent Receipt No. t �� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE $ 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 pai . CTdR OF BLIC WORKS Date g permit expires Date 0 7-- 717 COUNTY OF BUTTE- — DEPARTMENT OF PUBLIC WORKS 7 County Center DYive — Oroville, California 95965 Tetephone:'534-4541 APPLICATION AND PERMIT duinunze representatives of the County of Butte to enter upon the above -men ned property for inspection purposes. e x X - Date ignoture off Permiitee or gent 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 0 PUBLIC WORKS By Date 4-1J X77 i lding permit expires Date — y / J-- BUILDING Owner Z C SQ. FT. OCC. BUILDING VALUATION Mailing Address � S'14 /�T 3 o Welel.e hone No. , �3 Fireplace Contractor Total Valuation Mailing Address Permit FeeQd Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ sQ� Building Address W �� ' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 /C7, I -e Aecl, Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ai Each gas water heater or vent 1.50 A. P. o. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Vs V/� S i on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking arcelLawn Plans Declaration I a!ef- R 60' R/W Improvements sprinkler system 2.00 Bldg. Pfans Recd Parcel Approval PI pproval Permit Fee $ $ NEW ❑ ADDITION UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3, v ( Main service 1000V OR 0 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service// EA. ADD'L 100 AMP 1.00 NEW CONS.Fr OR ADDNST t ACCLBLDGDWELINGOC2 JE &) 20sgft NEW CONSTR. (MULTI -OUTLET' NON-RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESI D. (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)50 @25t 100 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 ` 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ -$—Iel LTy 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. XI 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 $ $ 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 $ .71, duinunze representatives of the County of Butte to enter upon the above -men ned property for inspection purposes. e x X - Date ignoture off Permiitee or gent 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 0 PUBLIC WORKS By Date 4-1J X77 i lding permit expires Date — y / J-- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS- ' 7 County Centel Crive"— Uroville, California 95965 Telephone: 534-4541 ; (/ APPLICATION AND PERMIT autnor( represen tives of the County of Butte to enter upon the above- nti0ned p p ty for inspection purposes. X ' v/v Date 13,'76 Signature of Permitee or Agent 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. DIRECTOR OF PUBLIC WORKS By Date�� -permit expires Date BUILDING Owner David Lake SQ. FT. OCC. BUILDING VALUATION Mailing Address P.O. Box. 3546 Chico Ca. one LI 9 Fireplace Contractor McClelland Air Conditioning Total Valuation Mailing Address 252 East Avenue Permit Fee Plan Checking Fee &/or Penalty Chico Ca. Tele hone No. (4. Permit Fee $ Building Addresse�s azi;,� �'a=, � �� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3,00 Left off Aver Road 1 mile on Lon Each Trap 1.50 Pine third house on right Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �9 / — �, Zoning $ Planning Gas piping system 1 - 5 outlets 1.50 1 0 Each additional outlet .30 Smzti-4at+ect> FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Parcel Approval I Plans Approval Permit Fee $ $ 4 0 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ;] ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Install Duopak 000 ASLESS 5.00 Main service 10MOR P OR Main service EA. ADD•L loo AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Single Family ED Duplex ❑ Mobil Home ❑ Others ❑ Main service( EA. ADD•L 100 AMP 1.00 NEW CONST.DWELING OR AODNS. ( ACCLBLDGS. OCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. 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 sty le of: McClelland Air Conditioning Ex. Occup(OUTLETS OR FIXTURES) BgL rl Ex. Occu FIXED APPLNS, OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 252 East Avenue Mobile Home Facilities 15.00 License No._ 241475 Classification C-20 Misc. Wiring 6.25 ❑ 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. ©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 so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE $3.00 3.00 Heating 100 M 4.00 Cooling 3T. 4..00 Ventilation Hood 2.00 Permit Fee $ $ 11 100 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 Stage Laws relating to building construction, and hereby TOTAL PERMIT FEE $:=10 autnor( represen tives of the County of Butte to enter upon the above- nti0ned p p ty for inspection purposes. X ' v/v Date 13,'76 Signature of Permitee or Agent 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. DIRECTOR OF PUBLIC WORKS By Date�� -permit expires Date