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HomeMy WebLinkAbout039-270-078PAI Larry Lambert 79 SE/S' Ord Ferry Rd., app.100'SW of Gerke St., lot 69, Dayton Permit #4710- 78B P 9(new single 3 039-270--078 02-1103. _— _-- FERRY _—.�_ ' COVERED PATIO ' . , . .. L3 � ' C71 i �1 1�l 039-270-078 02-1103 WOODBECK, SHARON. 3961 ORD FERRY RD.; CHICO COVERED PATIO 1, i i 1 i t 1� i t t� ,r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone. (530) 538-7541—C) (Rev.12/96) APPLICATION AND PERMIT I ASSESSOR PARCEL NUMBER 039-270-078 ZONING - BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION 346 ON 7j098 OWNERS MAILING ADDRESS 3961 ORD FERRY RD., MIM, CA 99928 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 64.35 BUILDING ADDRESS 3961 ORD FERRY RD. 9 CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 183.35 LAT No. SUBDIVISIONS NAME PMC MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECS Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition Y Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CDVEM PATIO Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provision of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profe Ions Code, and my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: V. 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 license contractors to construct the project. I ❑ 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. ( & ACC. BUDS. so 3.50 FT. ONS MULTI.OUTLET NON RESID. @7.50 APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 ® 1.00 BAL ® .50 Ex. Occup. oimFTs aESI6.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 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 If the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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.) 6ii 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 forthwith comply with those provisions. % X h_':J, 1 L C -a l )r''� �; 1"- — Date .: [1 signature of Applicant - W -,Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee I $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 183.35 HA2. �„ D. FEES IMP FLOOD �. CDF . PARCEL ,.VJ PD HO SUE 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. r B ti6,_ Date ) 0 i� PERMIT EXPIRES ON are Receipt No. WHITE-D.D.S.-B.D. CANAR -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 M-3 NO. (Rev.' 2/96) APPLICATION AND PERMIT ©a ASSESSOR PARCEL NUMBER 039-270-078 ZONING BUILDING PERMIT OWNER SHARON WOODRECK TELEPHONE SO. FT. OCC. BUILDING VALUATION 346 COV 7,098 . OWNERS MAILING ADDRESS 3961 ORD FERRY RD, CHIM, CA 99998 CONTRACTOR'S NAME QWNFR TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 99.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Mn Checking Fee $ 64.35 BUILDINGADDRESS 3961 ORD FERRY RD., CHICO Energy Plan Checking Fee $ $ PERMIT FEE $ 183.35 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF XK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition NK Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: COVERED PATIO Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 500V OR LE Main Service p.AO.LEgg 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. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 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. DW EwNG OCCUP. OR ADDNS. ( a Acc. S. SO 3.50FT: 11Oµq�,p MULTI.OU BRANCH CULTTS @7,50 POWER APPARATUS 8 SINGLE OVrLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .SO Ex. Occup. ovnfTs Ra1D) OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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 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.) o 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 forthwith comply with those provisions. r Date _J 3 ';L i nature 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 coNsr. TYPE TOTAL FEE $ 183.35 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD SUE 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. f` B Date O PERMIT EXPIRES ONHITE-D.D.S.-B.D. ale eceipt No. CANARY -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT L OWNER BUILDER INFORMATION I Dear Property Ower' An application for a building permit has been submitted in your 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 parry 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 pian 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 5300 or more for the entire project, and such persons are not licensed as contractors or 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 tinder 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 contactor 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 own labor 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. I4Ntger, ly, �� C. Vi ira, C.B.O. Building Inspection NOTE: Tris Owner -Builder Information is required by Section 19810 of the Ca4yornla Health and Sajery Coda OVER OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your sigutti . 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES k! NO C3 2QI HAVE O! HAVE NOT 0 signed an application for a building permit for the proposed woo& 3. I have contracted with the following person (firm) to provide the proposed construction: NAiviE: 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: PH0NNE: CONTRACTOR'S LICENSE NO. 5.. I will provide some of the work but I have contacted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SI NED: q PROPERTYOWNER: �t? ,* ,(%r0UIC4k I DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19831 of AW California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit 61311 OVER 36' i- v N P PROPOSED CONCRETEg CONCRETE IL PATIO 110'7' AND COVER �o 6 WOODBECK 13' 35'6' SEPTIC TAN 3961 ORD FERRY RD. ' APN 039-270-078 3' SCALE: i'= 20' S, RESERVE LINE PROJECT AREA: 42'X13'= 546 SO. FT. 3' in 132' gnldefaulAplotplan.dgn May. 03, 2002 09:50:38 10' RESERVE LINE 22' SETBACK FROW ®3* PROPERTY LINE 16' 3 . epppp.ssw-g^��03 VV�FY{gcy� �. 'tl� ING DEPAS f � IM Me moi! P R V 1 ej 1� t.' .WOODBECK 3961 ORD FERRY RD. APN 039-270-078 24" _ _ n //vG // I CnrCD IAI T TU V A AIrCDC n //vc // END POST CAP 4"X6" POST CAPS POST CAPS POST CAPS LL ALL ZINTL1UnI3 ROOF FRAMING DETAIL SCALE: 1"= 5' END POST CAP \11-4"X4" ..lustafionldgnldefau4abo.dgn May. 03. 2002 13:04:56 S'5" OC (TYPICAL) FRONT VIEW -SCALE: 1"= 5' 4 "X 4 "✓ TTE COi -�,477* APPROV fu µ* 4 "X6 WOODBECK2"X6" ROOF HANGER FRAME TIMBER 3961 ORD FERRY RD. olk j APN 039-270-078 0. 0 ROOFING ROLL OSB 2 ,� 2 "X6" LEDGER 1/202 PITCH �. FS��r' �6 o.L. LEDGER DETAIL 2"X6" LEDGER �Jf5A4 JWO NO SCALE Z3 �- �' 8'3/4 POST BASE 7161/121 X= PATIO SLAB STANDOFF 4,.X4,. wo 7 12" 'MIN 26"X26 CONCRETE PATIO 13' . � FOOTING DETAIL PROFILE VIEW -SCALE: 1 = 5 NO SCALE lustadonldgnldefaufllpaGo.dgn May. 03, 2002 13:14:43 .&JTm wcqfll� APPHUVED E.H. USE ONLY Plot Plan AHachod Floor Plan Anssle )4 an4 to ®.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Locati n AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well � Clearance for dwelling. Other r Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date 8/96 �O 46' 45'9" 36' WELL S, a CONCRETE oo i� N a 00 PROPOSEDCONCRETEoo x oo CONCRETEa c v PATIO AND - COVER oo iolo 6 ' WOODBECK 13' j 35'6" SEPTIC TANK oo 3961 ORD FERRY RD. 35' 3 APN 039-270-078 3 RESERVE LINE 22' SETBACK FRO „_ , 1 20 ® ' PROPERTY LINE 3PROJECT SCALE: RESERVE LINE 1�3 AREA: 42'X13'= 546 SO. FT. TY 16' 132' ..�dgnldefaultlplotplan.dgn Apr. 30, 2002 13:35:22 Environmental Health APR 3 0 2002 -Chico, California T_ z' 1 R 11 - f_ 1• r� L t i r r � rj 3 , T_ PERMIT NO. —4710-78B,P,E,M sr PERMIT EXPIRES ''OWNER Larry Lambert CONTR. nwnpr LOCATION (A.P. 39-27-70 port. ( rd Ferry Rd., app.100'SW of Gerke St., 9, lot 6 Dayton Temp. Power Pole Called PG&E Temp. Elec. Serv. C filed PG&E -,ex" ;;-4' Tyfr. Gas Serv. [led PG&E -VJOB c FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback-�� i Firewall )-1,7 - 7Soil Piping Forms Parapets - 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 79& 3rd Floor Stemwal I Siding ` To out . AR- Slab Roof Sheathingr 1 % Water Pi p In Piers Roofing t/ - 2 % Sewer Garage Fdn. Vents ----------, Fixtures Footings —1 7 T Garage Vents Water Htr. 'Ji- 7 Stemwall,?! sulation - Heaters C(� Slab - or physically Appliances 7 _) Carport handicapped Gas Pi Ing & Test Conformance of ex. Footings structure Temp. Ga Slab Final anita o ai Patio FIREPLACE Final /Z ~% �` Footin s / 7 Footing -7JV 9-C, ELECTRICAL Masonry Walls Throat - --7 Rough Retnf. Steel Final Z-09, Fixtures Bond Beam FIRE SPRINKLERS Motors Framing s -5. - 7 5 Test Water Htr. Tim Stucco Final Subpanels �— Mesh MECHANICAL Grd. Fault Prot. - Z- 7 Scratch Heatin - 7i�7 Service Brown Cooling jr-/Z-%3P Temp. Pole Finish Ducts Underground Interior Lath Ventilation - Z- 9 Permanent - 7 Door Closer- 7i - Final 3 Z P Final -7 �y MOBILEHOME UTILITIES --- - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping TEyM�ARKS OR CORREC ONS CA) 2��3-79 i�icvd; d>< tvf7/ ala71it ,,.c_ Zv /�'`� 4F/w P-74 //Ed dre rAvS14 - '�9cOevv7- DoT C1iw' � G -19 s�'�i � £ s � K i 46a v� DSC ev �y (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 CQAFORMANg WITH CURRENT RGY CONSERVATION REGULATIONS AT (loca 'on) BUILDING PERMIT NO. '1710-7r8. STM A;P. NO. J 9 ,27- 7®,00,e r THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge. &19- Single Glazed MA. Fdn. Walls && Special (Insulated) JYA , Ci,A TZ7 Floors IVA CERT. & LABELED WDS. Walls R— ( 1 `f7U-F�FoAk & SLIDING DRS. p0,JL C-LA,z.G Ceiling/Roof R—f5 WEATHERSTRIPPED DRS. P 8 Ducts 2.11 rI2FIcALA5S D "N BACK DAMPERED FANS 21 Circula nig Pipe INTERMITTENT IGNITION DEVICES AI APPROVED HEATER t1EA�r'QVMP CERT. APPLIANCES N/a APPROVED WTR. HTR. 2l.kG .4 0, 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- `.AKRY J, LAAOJ�kl-- Signature of (please print) Insulation Applicator G v State Contractors License No. 2 -"C --Y3 General Contractor/Owner Name /.A /Rt� y Q, /. ,A g E�R T' (lease print) Signature of General Contractor/Owner ZDate—T Iq 7 State Contractors License No. ,2.44(6 Lf3 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 - •z; 7 County Center Drive - Oroville, California 95965 .� r. Telephone: 534-4541 APPLICATION AND PERMIT K •ter••-•-.... •..a• •—•+ • ,� vv ..ay v vu - L. c ,a uNvn my above-mentioned property for inspection purposes. Sign u,gkf Per/�miitee or Agent Receipt No. / • White-D.P.W. - Yellow -Assessor - Pin Date v —// 7t/ 17? o& & J t G., r—, nspector — Goldenrod -Applicant iA This permit is hereby issued under the applicable provi f f,! (o the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR TUBLIC WORKS By ` OR Date Building permit expires Date, LT BUILDING Owner �� SQ. FT. OCBUILDING VALUATION Mai I i ng Address Telephone No. S Contractor j Mailing Address D �� G Fireplace DO Total Valuation 6 Tele ho No. p Permit Fee Q D Building Address Plan Checking Fee &/or Penalty Permit Fee $ P, 0 O C D PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 a p x Repair drainage or vent piping 1.50 A. P. i z f rAKO 0Water Zonin ann & P in piping 1.50 Each gas water heater or vent 1.50 es Sa tion Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 - EQA Parking Parcel plans Declaration Parcel ap 60' R/W '� Improv en Each additional outlet .30 /Q t Building sewer 5.00 841g. Plans Recd Parc rovol Plans Approval a Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ 'v permit Fee $ $ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 ` Main service soot/ OR LESS loo AMP LESS 5.00 Single Family Duplex Mobil Home Others ❑ ❑ ❑ -L Main service EA. ADD100 AMP 2.50 Main service OVER 100 AMP &oovOR LESS 25.00 Main service EA. ADD'L 100 AMP 1,00 NEW CONST. ( DWELLING O OR ADDNS. \ ACC. BLDG S &)1 20sgft d 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: ULTI T NEW.CONSTR ANC -OUTLET NON.CONS ( BBRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR, Ex. QCCUD OUTLETS OR FIXTHRES BAL 250 1@ Ex. OCCU FIXED APPLNS, OR P•(OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 4ASAy ( 14101 �_Xr Mobile Home Facilities 15.00 License No. Classification Classification /� 1 Misc. Wiring 6.25 MisEck ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. 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 Y" Workmen's Compensation Insurance. I certify that in the performance of the work for which this i 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 $3.0000 ea Hting ' d . O Cooling v VentilationzaO4 O O Hood 2.00 p O Permit Fee $-1-5:0 0 $ DO 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 $ K •ter••-•-.... •..a• •—•+ • ,� vv ..ay v vu - L. c ,a uNvn my above-mentioned property for inspection purposes. Sign u,gkf Per/�miitee or Agent Receipt No. / • White-D.P.W. - Yellow -Assessor - Pin Date v —// 7t/ 17? o& & J t G., r—, nspector — Goldenrod -Applicant iA This permit is hereby issued under the applicable provi f f,! (o the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIR TUBLIC WORKS By ` OR Date Building permit expires Date, LT i i I I ilk , ,!I ti l li i I,C �•j: ��� �� I I i I � Wi,4JG Z, il. fir III l ''rI i� II r, I IiIII I��� I '.ill qI I q Morii'UI k, �I I�� 1•I� a '.uh .« i��? �a i �fiir}j' +I ��' �It .�..I [ )�l l,ol� � 3 � I� i I I I it ,II I Edi j� HapJ�lr9lfh y����i� I �i�aYp��lf i iPe� ala I��B it ,, �� ►I 4 i:f oul i16. „ il)00 r I'. .. :. I _ I �h,� it I My�ii �' • � ���R.i �lw'� � !, ►r.l i ;i.1�t I`�I II q liE i�' lil r u 4TOY w i I l i l I�! I � I � I I I t� �� tri'. ,•Y mk �^ 1 i1 1 F v�G (I✓ f l4tiF�C� �/� I 1 _1 t,. I �,f: •I h I I Ia I i t '� 1a a II I$ j l ,n I G ,o, 1 1 II '�'jiipd �l � �' ili+ p�I I i,, i fll � � � �� �Il i I`• J � �I,II I I i�� Iib 111 i-` al I �L h �I:IrI le ul n'0 I'li 1 1-72 1xl+ir ' I i� ' i � slim �mlll� I