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HomeMy WebLinkAbout040-140-04140-14-41 OTIS BETHARD S/S Mldway,.app 1200' NW of Oro Durham Hwy, Durham Contr: Four Counties Roofing,Chic PErmi #4585,-78 (reroo SF_ ®�Yd 40-14-41 LAWRENCE BETHARD 805 Oro Chico Hwy, D:rham ontr: t�MRE PErmi#3443-87B(vinyl siding/SF ` 040-140-041 PERMIT#97-2517 BETHARD,Jan` 805 Oro Chico Rd., Durham Cont: Four. Counties Roofing'' Reroof/SF i41e V i i 040=1.40_-041' , PERMIT#97-2517 BETHARD-, Jan i 805 Orb Chico Rd:, Dur`ham,, _ Cont: FO,ur Counties Roofing ReroA/SF r • s y } r r rVqAC- 7- COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS N y 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 is PER IT NO. APPLICATION AND PERMIT ASSESSORPAR ZONING BUIL NG PERMIT OWNER Jan Bethard TELEPHONE 34`1-3374 SO. Fr, OCC. BUILDING VALUATION OWNER'S MAILINGgSS Oro Chico Road Durham CA _1593Eshingles V� � , eroof exist n rolif .!/' o . ositi shin le `�.. CONTRACTOR'S Four Coubities Roof is ONE 4.j --1416a 21; s . x $601.00 per sq. - $126 CONTRACTOR'S MAILING ADDRESS 3 Crusdder Court Chico CA 9l`>273 Fireplace CONSTRUCTION LENDER UNKNOWN "t Total Valuation I1,2_60.0 LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ 81. Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee•. $ Penalty $ BUILDING ADDRESS 805 Oro Chico Road Durham CA 95938 PERMITFEE $ 51.00W PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. S UBDNISON'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SFeDuplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Othe ��I��I ttlttl Describe Work: raroof Rxi at. i ng: rnnf w 1enmi3nRi t i on Mobile Home I S I GI W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 shingles Main Service ( OOOV00A OR LELESSSS ) 23.00 2OR Main Service ( 200A TO 1000A ) 46:00 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 C-39 Lic. No. q 9246 OWNER -BUILDER DECLARATION I 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-t-":. s ❑ 1 am exempt under Sec. Business and Professions Code for f"his reason NEW CONST. DWELLING OCCUP. SO. OR NS. ( a ACC. ) 3.SQ FT. NEW CT CONST. MULTI-OUUTLETLE NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) d SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FDCTURES ) 20 @ 1.00 B" 50 Ex. Occup. (oUTLEEDTs RESID.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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. XX I 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 Cal Comp MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number W971002001 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in thQperformance 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 ,`. ,=�� ` 'Tr.Date 11/24/97 Signature of Applicant - ❑ Owner ❑ Contractor E1 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 Is Energy Inspection Fee Is OCC CONST. TYPE51. OQ TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD 5S This permit is hereby issued under the applicable provisions of the Bite County Code and/or Resolutions to do work indicated above for hi F4 fees h ve een paid. -� B /Date PERMITEXPIRESON I e) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT on .0C COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754 PERMIT NO. APPLICATION AND PERMIT ASSESSORPAR 5 O �D V ZONING BUI G PERMIT OWNER Jan Bethard 342NE3374 SO. Fr. OCC. BUILDING VALUATION existing roof w com osit ' OWNERS MAILING(afiFSS Oro Chico Road, Durham, CA 95938 �J� shinRerogles gle CONTRACTOR'S NAME Four Counties Roofing I TELEPHONE 343-1416 21 sq. x $6D.00 e r s.= $1260 CONTRACTORS MAILING ADDRESS 3 Crusader Court Chico CA 95973 Fireplace CONSTRUCTION LENDER UNIOV0 Total Valuation J$L, 260. 00 Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 31.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 805 Oro Chico Road Durham CA 95938 PERMITFEE $ 51.00 PLUMBINGPERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. S UBONISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF,k'o�Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other�f Describe Work: � � rt-roaf PXisting ror)f w//composition Mobile Home 71S G W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT FilinQ Fee 20:00 shingles Main Service a OV OR LESS ( 200AORLESS ) 23.00 Main Service ( 200A TO I000A ) 46.00 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 C-39 Lic. No.489246 OWNER -BUILDER DECLARATION I 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 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. Xlk I 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 Cal Comp NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET UTLE NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8 POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 BAL SO Ex. Occup. OUFIXED A TLETS PRESD.°FRa ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s Contractor MECHANICAL PERMIT Filing g Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number W971002001 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in thq performance of the work for which this permit is issued, I shallTOTAL 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 __ Date 124/97 Ig ature of A ant - ❑ Owner ❑ Contractor NI Agent A OSHA permit is required for excavations over 5'0" deep and demolition or construction f structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is OCC CONST. TYPE FEE $ 51.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD 5SU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat a ove for is fees have en paid. i B Date PERMITEXPIRESON &�� (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY- SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Dn we TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance Cl y Z, ^���- 411 owner location AP # Driveway permit 46 .2 has'been issued for the above property. nu b ,La7' sign re date 25 =� .Slcl�c�� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-75+ J APPLICA1�TrON AND PERMIT � - ASSESSOR PARCEL NUMBER - � r t• ' ZONIN 57 BUILDING PERMIT"W OWNER / TELEPHONE S(]. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S,N AME -/ TELEPHONE CONTRACTOR'S MAILING ADDRESS / ( / tee: - ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ C.rl Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ /. �� , / PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF E2 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel[] Utilities ❑ Installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10,00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): / Fq I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. L License No. -� • 1 Classification ❑ 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.N /20sgIt OR AODNS. ACC• BLOGS. , NEW CONSTR MULTI -OUTLET 2,50 ea NON.RESID BRANCHCIRC ITS POWER APPARATUS e SINGLE OUTLET CIR, EX. OCCUp(OUTLETS OR FIXTURES eA 020 0 6 0q FIXED PR Ex. Occup. OUTLETS (RESID.)EAJ 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. Lidhave 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. 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 County in consequence of the granting of this permit. fl ��,,�, �G'/�/_ ,r / X Date Ctractor ElElAgent Signature of Applicant — Owner on 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 $ TOTAL PERMIT FEE $ occUP. CONST.TYPt SCHOOL FLDOO PARCEL PD ND 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTORIOF PUBLIC BY `^�J/�-;! ./ J/ / PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS atX_/f /1 p /� '/ / q X Receipt No. �/ WHITE-O.P.W., YELLOW-A3e[S30R. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 959e5 - Telephone: 916/538-7541 APPLICATION AND PERMIT P RM T NfO� UM � ASSESSOR PARCEL NR it — ZONIN BUILDING PERMIT OWN R/TEL�~� l OW R'S Ay1JLING ADDRESS .J ^ SQ. FT. OCC. BUILDING VALUATION D CONT A TOR' TELEPHONE C A O� M24ING A DRESS Fireplace CONSTRUCTION LENDER KNOWN LENDER'S MAILING ADDRESS Total Valuation I$ Filing Fee Permit Fee $ 10,00 a ARCHITECT OR ENGINEER LICENSE NO. F ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee Energy Plan Checking Fee Penalty ,$ $ $ BUILDING ADDRESS Permit fee $ le 0 R 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 M Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home JSFG W 0.00 ea TYPE OF WORK New ❑ Addition ❑ emodel ❑ Z Utilities ❑ stallation❑ Other ❑ ', Describe work: ,Contractor Permit Fee $ ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar under penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnesS and Profession ,� a Be 'my license is in full force and effect. License No. 4 0 J �_ Classification 1) © 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.SII '/x¢sgft OR ADDNS. \ ACC. BLDGS. I NEW CONSTR.TI-OUTLET 2,50 ea NON.RESID .BRANCH CIRCUITS) POWER APPARATUS e SINGLE OUTLET CIR. EX. QCCUp�OUTLETS OR FIXTURES eA 090 Ex. OCCup. OUTLETS P(RESID.)FIXED APLNS. REJ 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. V1 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 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 authorize representatives of the Countyot 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 sad County in co equence o he granting of this permit. /b me_/ ^� P X Date 7 6 Signature o pplicant — 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 $ TOTAL PERMIT FEE $ J U 5CCUP. CONST.TYPEJ SCHOOL FLOOD PARCEL PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indi ed above for which DIRX;2—Date 9 P MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS /O / Receipt No. WHITE-D.P.W.. YELLOW-ASeESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ' r PERMIT NO 4585-,78B • PERMIT EXPIRES 8/4/79 OWNER OTIS BETHARD CONTR. Four Counties Roofing Co. LOCATION (A.P. 40-14-41 IS Midway, 1200' NW Oro Dur Hwy, Durham x r, Temp. Power Pole Called PG&E Temp. Elec. Serv. Cal I eyG& E Temp. Gas Serv. Ca, led PG&E 0B FINALED (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 StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Carport Footings 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 FIRE SPRINKLERS Motors 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 BI E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATES /!/j / 3�� REMARKS OR CORRECTIONS ��� // �/LDI�J �0 rte C. �2 7 r (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 a , Telephone: 534-4341 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 44 1 Date Signature of Per ee or Agent )2WhiReceipt No. 1:79/ ()—)— White-D.P.W. te-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. �DIR OR PUBLIC WORKS BY , Date R>/4//79r Building permit expires Ciate Ll, 7 9 BUILDING Owner Otis Bethard SQ. FT. OCC. BUILDING VALUATION Mailing Address P.O. BOX 105 Built—up re—roof Durham California Telephone No. Contractor Four Counties Roofing Company Mailing Address ' P.0. BOX 3215 Fireplace Total Valuation$1,150.00 Chico California Tel hone No. 5TQ-004.1 Permit Fee Building Address Go down the Midway to the old Chico Plan Checking Fee &/orPenalty Permit Fee 12.00 2 ( Oroville Pd. go to the end of the road, it's PLUMBING No.1 @ FEE the only house at the point on the right side PERMIT FILING FEE $3.00 Each Trap 1.50 ,- )I S S / 16Opo D,,, 46 Repair drainage or vent piping 1.50 A. P. No. T/ Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 Wf/ "C. Fire Dept. Fire Zone i Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking I Plans ParcelEach Declaration I Parcel Map 60' R/W I Improvements additional outlet .30 Building sewer 5.00 B1dg-'Pfvn512eed+ Parcel A rovol Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® Permit Fee $ $ Built-up ra-roof ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 600V Main service AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L loo AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1,00 NEW OR ADDNST ( DWEACCLBLDGS.LING Ccup, 1) 22sgft 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: Four Counties Roofing Company NEW CONSTR BRANCHCTL T NON.CRESID.ONST (BRANCH CIRCUITS 2.50ea NEW CONSTR (POWER APPARATUS 8 NON-RESID, SINGLE OUTLET CIR, Ex. OCCUD(OUTLETS OR FIXTURES) g L 100 FIXED APPLNT._ Ex. Occup.(OUT (OUTLETS ((RESID )R EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 252071 B -1—C-39 Classification License No. ssification Misc. Wiring 6.25 ❑ 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. 1 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 $ 1� OC authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 44 1 Date Signature of Per ee or Agent )2WhiReceipt No. 1:79/ ()—)— White-D.P.W. te-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. �DIR OR PUBLIC WORKS BY , Date R>/4//79r Building permit expires Ciate Ll, 7 9 �dS��'��i�'�°2IgII�OI�g►Q�,�� 8L61�� �. Sx� r)a jp u� 10 ga