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HomeMy WebLinkAbout040-170-133— ' - +-� -. —r. e� •e rte_ _. _- 40-17-133 ,r. BOB LACITINOLA W/S Lott Rd, 1800' N/Durham Oro Hwy,' Durham Contr: Larry's Heating & AC Permit-`#110-77P E , M ( ins ht 9. - 40=17-133 If;,. Conti untElectric Pyermit #1288-77E(ele ser chj�SF• all. MIWELLANEOUs 'Ag d LI ted D 1 954 L F t' DI TRI El . SUE REVOCABLE amu.. v , r' t t. i\ l T 44 �y�.,,o.•'; _..--..., s .n vi �./.: s'c.•�-•. 1�:---i.r �-PROPERTY LOCATION: I -w. .,! lal. '9Y%� IJ` ?� /i/?7 19 > NEIGHBORHOOD ''& SITE DESCRIPTION Gas: Public TRANSACTION RECORD 0 USE TYPE LAND VALUE' COMPUTA' .OCATION Date Price Seller & Bu r Source & Date Single "-" APpi:" Width- Mad. Unit Urbun [J Suburban E] Rural '11511-_ �) �Qy.rr,, t ,.,,, ��1 1'f7�'qZ QT 2.3t e"_ _Cy Multi -Sgt. Year Area Fact. Value V Peripheral ❑ Foothill E] Other7C]rg P -rear ?p' ,47/')/7r ,'��N,t;'/.s i _,4AC/T/JIfQL/ ', ��+7—cL� 7'!�rr'-3G3L Duplex /G 72x,jt� rlp= r P- St. Lights: Apt. / 7 wyCV l MPROVEMENT MIX RCLND tE Total Summation C & G: Flat No 0' Hamoganaous Heterogeneous �CCOMPUTATION r ® /'F 0 Comparable 1 + _ or Sdvrlks: Court No Predominant Use: Res. g Res.lncome E] RLJ� 33 !! 39 3_7_9( Schools: E G A F P Motel ' Cam'I. Indus. Ej Agri. M. Profsnl. Unit Cost Cost Unit Cost CONSTRUCTION RECORD CDU RATING Res. -Apt. J!'� Listed Price 1TIU IES -SITE IMPTS. ST/G Permit,,' No.! Ile. Base Appr. Amount Date Year Year Age Cand. Desir. Util. No. Units Declining I-1 F Water: Public Well or Ditch D �7 r ;✓ /�. rL /59.7 REMARKS// Electricity: Yes ® No ❑ I -w. .,! lal. '9Y%� IJ` ?� /i/?7 19 > e L� Gas: Public LPG [3 None 0 II` f2 fffiJi �t�OUI� Al A 7 Owners Tenants Mixed [j Sanitary Swr: Public ❑ Indiv. -Date s [iG P.frt. Ston" Swr. Public O Natural &I ,1AINTENANCE P -rear ' Slraa:: Cones !J Asph. Dirt El Grovel E G A F P P- St. Lights: Yes El No i RCLND tE Total Summation C & G: Yes O No 0' CLASS: �CCOMPUTATION r ® /'F 0 Comparable 1 + _ or Sdvrlks: Yes No APPRAISER & DATE: RLJ� 33 !! 39 3_7_9( Schools: E G A F P FP %" Item Fact. I (,,\gb 1!7 Unit Cost Cost Unit Cost Cost Unit Cost Cost G A F P 'REBID - J!'� Listed Price First Fioor �/ f, �/ s,�� � 1 r ,S ql1`. 0cSUMMA Imnrovina 11 Stable M Declining I-1 Second': Floor �/ / XXX X ;ITE TOPOGRAPHY Misc. Extras Level Rolling ','I Other Flatwork At u Abovei 1 Below ❑ Grade Slopr:s UP (- Down CD S-5 LI Vi,' I J Sector ° Total R'. C. L. N. D. TOTAL.( Land Z• /b Assessment Year 19 > OCCUPANCY Total Property /.=.�•*v /;� �'� Appraiser i G 3,3// Owners Tenants Mixed [j Gar. (( -� - F 3 d Q r �(�' f �/J rd,.r- -Date [iG P.frt. •S/ / , - &I ,1AINTENANCE P -rear R.C.L.N.D. E G A F P P- land Value Jr2O Patio c Total Summation ,RAVEL TIME & DISTANCE Comparable 1 + _ or Shopping: E G A F P AC �/, Q Comparable 2_/9.do� Schools: E G A F P FP %" Comparable 3 Core: E G A F P Kit. Extras/A�r'w J!'� Listed Price Plmbg. Extras /V.s� �,t%id.gi Sale Data ;ITE TOPOGRAPHY Misc. Extras Level Rolling ','I Other Flatwork At u Abovei 1 Below ❑ Grade Slopr:s UP (- Down CD S-5 LI Vi,' I J Sector ° Total R'. C. L. N. D. :i TOTAL.( Land Improvements Total Property /.=.�•*v /;� �'� Land impn:vemm is :i 11w yCgal/! BU I It UUUN I T KtJIUtIV I IAL rKUrtKI I KCI.UKU 166 BR: 1 ❑ 20, 3(4 40 5.❑ Book Page Parcel A � � ' __ a ! > yt� PROPERTY LOCATION: 169 Baths: 1 ❑ 2!Q 3 ❑ 1/2 ❑ ?/a ❑ _ 17 170 Base Year: ! SG TRANSACTION RECORD USE TYPE LAND VALUE COMPUTATION 4:T Price Seller & Bu r Source & Date Single --"'" Appi. " Width- Mod. Unit Site Total r M ' ,`1q7T �r2°3fzRJen multi -S91. Year Area Fact. Value VaFue Value3v ,pJ� 3311 3e 3-7-9(o ��rr�.? %' �G�A�i!7 --i✓ C'�%/JI/'QLI/ • .�d''ici- �v��.L3G3L / 72x4. }.Daple Unit Cost Cost Unit Cost Cost Unit Cost 17-2 D ,.?0 S� S � Apt. 33 1-71-7 wy 31) e SHEET % / OF / Flat SUMMARY 160 Use,/Code: ' or Court 161 Sales Area Code: p 7�• XX 7 Motel 'y1 / 162 Appraiser Nmti:�'a•' ' t^ v ONSTRUCTION RECORD CDU RATING Res. -Apt. / :' 163 Incomplete, P.U. 19............ APPfalSaf " Base Appr. L' 33 // - ' C S �•S" o� / �5-"' f �Q 164 Zoning:_' Item Amount Data Year Year Age Canal. Desir. LIM. No. Units d� / I 165. Zoning Conformity: Yes No ❑ ' t �/j�r; /e/Sl /`7'J/ /�f t %sj� ✓G ! t !/ REMARKS /�� / oef,=� �3Uh'3Z ?iE c 166 Use Conformity Yes No ❑ P -rear z e / R. C. L. N. D. 167 Bldg. Class: ,/ 11w yCgal/! ;/0 A7 166 BR: 1 ❑ 20, 3(4 40 5.❑ 169 Baths: 1 ❑ 2!Q 3 ❑ 1/2 ❑ ?/a ❑ 170 Base Year: ! SG . / 171 Area��„�J�—}'� •+�/o•� �; _ _ RCLND COMPUTATION 1 172 Land Type: Lot Lam.%Acreage j❑ r M D 173 Garage: Yes W No ❑ R & DATE: ,pJ� 3311 3e 3-7-9(o 174 Pool: Yes ❑ No ty r Fact. IImt,F�U Unit Cost Cost Unit Cost Cost Unit Cost Cost SUMMARY or 'q�L.p ca. Dt.I / /� XX.=< XXX p 7�• XX 7 'y1 Assessment Year 19 / 1977 19 19 L APPfalSaf L' 33 // - ' C S �•S" o� / �5-"' F3 �Q r f �t4. Dote G '� d� / P-frt• /r a? �36t R.C.N. P -rear R. C. L. N. D. p- Land Value '% , /ff T>�,4/_ 1.:.,;•C . ff c.., " 'Polio Total Summation £ !—rr Comparable 1 .+ _ or0^Q kirk r Comparable 2 -� •✓fir./ ../j v /��u /jZi LJ >Q- r 9 f'�c 3 ni Comparable 3 T D-''"Jrt 1-v°arl, �/i�✓j Listed Price •as / G/ iS.r1i Sale Data t TOTAL PROPERTY APPRAISAL Land e ^ ✓J � �..Z� 4 ��rz Improvements _ /J z �o/o/ Total Property /._/j l r� /'1 ^'� .4/ „/ / ,• '"��• •� :� ,71 (i _.� -. ._'• —ASSESSED VALUES 1 - { ,,< .N.D. /u• , Jf 70.nr,n Land ImlJfr:vamf'n l' y _i ai i ` 90-051810 V Rec Fee 5:00 f Cash 5.00 Recorded r Official Records 1 County of Butte _ .Candace J. Grubbs Recorder. 11 :07am' 3-De.c-90, ,••X .:. ,i Return to DPW Ac;tt_1CUI.T111W, S-I'AT m.'; of ACYNOWZYMCEM. FOR RES1DENTIA1, DEVELOPMENT Section 26-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort arising from the use of agriculttiral chemicals, including, but not limited to herbicides, pesticides,' and fertilizers; and from the pursuit of agricultural operations including, but not limit to cultivation, plowing, spraying;; pruning, and harvesting which occasionally generate dt smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and or adjacent property should be prepared to accept such inconvenience or disconform from none necessary farm operations. All that real property situate in the County of Butte, State of California, describes as follows: Date: November 21; 1990 PROPERTY OWNERS: State of CALIFORNIA ) On this the 21st day of November 19 90 befot; � County of BUTTE SS, me, the undersigned Notary Public, personally appeared ) : F ••., WILLIAM R. LEONARD ® / / Personally known to me./ Proved to me on the basis JlJ1,lANNE PETERS f of satisfactory evidence.. ® NOTARYPUBUC-CALIFORP41A n to be the person(s) whose hams s is ■ Buse county ER C ) subscribed g ■■ WCprnm{sslon,Explms Feb. 16,1991 wn the within instrument and acknowledged thathe- �■�■®®ee®®®®®®®tman®sem®�a®®�k executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official set Notary Public Present A.P. No. EN® OF DOCUMENT' 4 Owner COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dr*e — 4OroviIle, California 95965 Telephone: 534-4541 ' APPLICATION AND PERMIT i , Of t _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor r.' ' Total Valuation _ Mailing Address � Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address r r PLUMBING PERMIT FILING FEE �+ Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent A. P. No. = Zoning & Planning g g Gas piping system 1 - 5 outlets Each additional outlet Fees W. C. Sanitation Fire Dept. Fire Zone - Use Permit Building sewer EQA Parking Plans Parcel Declaration parcel Ma p 60' R/W Im rovements p Lawn sprinkler system Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Efl ELECTRICALPERMIT FILING FEE • • r .� _ i �_• 1 OR LE Main service 100 AMP ORSLESS Main service EA. ADD -L too AMP Main service OVER 600V 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L too AMP NEW CONST. ( DWELLING OCCUP. 8 OR ADDNS. ACC. BLDGS. NEW CONSTR (MULTI -OUTLET NON-RESID. 1 BRANCH CIRCUITS NEW CONSTR. POWER APPARATUS 8 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: Ex. Occup(OUTLETS OR FIXTURE! FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA Temporary service Mobile Home Facilities License No. Classification Misc. Wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL 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. F -1I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE Heating Cooling Ventilation Hood 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant FEE $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 @ FEE $3.00 5.00 2.50 25.00 1.00 ?.50ea .0@25¢ 3AL@101 2.00 10.00 15.00 6.25 $ $ �l i @ FEE $3.00 r rfrf 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 paid. DIRECTOR OF PUBLIC WORKS • r . By ' Date Building permit expires Date .T i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ,r Urovllle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. l7 Signature of P// // eiirmmritee or Agent Receipt No. MAL �o - 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. (RECTOR OF PUBLIC WORKS V —Date 3.-lt7-77 &uildh g permit expires Date BUILDING Owner Ad 771 t9 O SO. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace _ Contractor u b'1 �� QC-% ' Total Valuation Mailing Address & J! Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address w s �0�' 6�z PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,D 0-Q V Each Trap 1.50 N'1 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. y�� ��� �J'3� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F es / �OI-C. Sam ati,ou FireDept. FireZone Use Permit Building sewer 5.00 EDA Parking Plans Parcel Declaration .Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 B 'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 & — j �, Main service 100 AMP ORLESS5.00 Jc^, 7 Main service EA. ADD'L too AMP 2.50 07 Sb Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 100 AMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 NEW CONST OR ADDNS. ( ACCLBLDGS.DWELING CCUP. &) 20sgft NEWCONSTR. MULTI -OUTLET NON . RES I D. ( 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: r y Ex. Occ Up(OUTLETS OR FIXTURES)X25¢ BAL�1 FIXED APLNT. Ex. Occup. (OUT ETS PRESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Il License No. � 0 Z y 2 Z Classification C.� L/ Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 112,r� $ D L 9 MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of f' 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. 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 buildinq construction, and hereby TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. l7 Signature of P// // eiirmmritee or Agent Receipt No. MAL �o - 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. (RECTOR OF PUBLIC WORKS V —Date 3.-lt7-77 &uildh g permit expires Date �,✓�",�,"._,�C-l.,-;.-...�—^A.ir.✓�..�:"�-r✓��..rn�-�-.. -. .�.�-.v-,�-.--..-�..--.��,�R -.r. ".i .ter---^-'�-=v�F--�..�3-�;-+s.�A .,.1....;.�'��s .-.r-. ,.�,.,.-., //" .,. .. Y e ai �� '-i . .. 1 1 � �: � r � � . F � /! �I y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Tel ephoA, 534-1541 = APPLICATION AND PERMIT Owner Mailing Address I I _ BUILDING SQ. FT. I OCC. I BUILDING VALUATION 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. Date Signature of Permitee or Agent , No. . — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant U TOTAL PERMIT FEE $ 1 1,, 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 Building permit expires Date Telephone No. Fireplace Contractor r Total Valuation Mai l i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. r r Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 1 Repair drainage or vent piping 1.50 Water piping 1.50 + Each gas water heater or vent 1.50 A. P. No. Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system .00 P Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ 11 " NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .�- 600V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2.50 Main service OVER 6 O 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW CONST.( DWELLING OCCUP. &) OR ADDNS. ACC. BLDGS. 22sgft NEW CONSTR. MULTI -OUTLET NON.RESI D. ( 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 St le of: Y Ex. Occup(OUTLETS OR FIXTURES)BAL@ia Ex. Occu (FIXED APP LNS. OR ) r2.00 p•\OUTLETS (RESID.) EA Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification - Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 4 MECHANICAL No.1 @ 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. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent , No. . — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant U TOTAL PERMIT FEE $ 1 1,, 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 Building permit expires Date COUNTY OF BUTTE — DEPAR=TMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel epl-one: 514-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -me tioned property for inspection purposes. X Date _ Sign ure of Pernl ee or rr7Agent 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 U LIC WORKS By Date uilding permit expires Date 7 BUILDING Owner SO. FT. OCC. BUILDING VAL ATION Mai I i ng Address Telephone No. Fireplace e Contractor- Total Valuation Mailing Address o3 /-2d�}Y/ �C C / Permit Fee Plan Checking Fee &/or Penalty C eco T lephone No. V7 _,T 37 Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 (.41 O < /goo Each Trap 1.50 N yg.y,,, ©� u �� M Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No"VID - 13 3 Zoning s Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe *,I- . I SarITT877575 I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 ec Parcel Approval Plans Approval Permit Fee $ J� NEW ❑ ADDITION ❑ UTILITIES ❑ OTHERELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 500V OR L 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family -R] Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING OCCUP. I!, 22sgft NEW CONSTR. MULTI -OUTLET NON_RESID- ( BRANCH CIRCUITS) 2.50ea NEW CONST R. (POWER APPARATUS &) NON -RES ID. (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 o Ex. Occup(OUTLETS OR FIXTURES)50 @25C 109 Ex. Occup. ( OUTLETS P(RESID,I EA) 2•00 _ Temporary service 10.00 Mobile Home Facilities 15.00 License No. SISR Z O Classification C—.0q I� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ 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. A!al that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 3� Heating Cooling "' L%, Ventilation Hood 2.00 Permit Fee $ If� $ / 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 relatinq to buildinq construction, and hereby TOTAL PERMIT FEE $ .Z® authorize representatives of the County of Butte to enter upon the above -me tioned property for inspection purposes. X Date _ Sign ure of Pernl ee or rr7Agent 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 U LIC WORKS By Date uilding permit expires Date 7