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HomeMy WebLinkAbout040-360-030L , JOHN BARKSDALE A.P. 40-36-30 w -63--Fad-r- wa ; Dr Estates Chicon Lot:-fOOTButte.-Creek. Permit 2/,52-72B,P,E,M�! 1 (new sin ler l��e ]73, family f?al L , m, ac Donald #63 Fairway Drive, lot #100 B ate K Creek' Estates, .Chico contr,: Holiday Pools; Chico '6 ; Permit #946-M,P(new priva a swimming, pool).+.. 40-36-30�.� Permit 2 7B reroof) S p�p�s40-36=30 3 ontr' ServamatI.c Solar, "Chico Permi-t-, 6- 83P(solar wtrghtr)SF e ,�,,.. .p. __ �..,..+nr..r ''�'�: ., YyYta.::e*'+'�a�.jrr�.-...ryv:'?7: �Wi.,:.wn._, :�w.arK'r.m�., �,.,, ... .... ..: ... . - �o�-S �b y ,���� �� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville California 95965 - Telephone 916/534-4541 } APPLICATION -AND PERMIT . ASSESSOR PARCEL NUMBER 44G -::56r 3p ZONING BUILDING PERMIT ';r0,5& ERg� T G �,�i�r '�tir� TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C�N,TIRALC TSO /R �'.S}NAMyE CONTRACTOR'S MAILING ADDRESS (f Fireplace CONSTRUC',TI`!N/�ON LEE �Nf� tj ��� J6. t61t UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS PCO���(/1 G- Permit Fee $ ARCHITECT OR ENGINEER; LICENSE NO. Plan Checking Fee Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUIL IS ADD ESS ' PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Ir,* !tJ Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE rn SF L Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ InstalI ion ❑ Other L Describe work: f"fK� �JN) %y �/� Permit Fee $ (i p-0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP.&) 2Y2¢sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Q— 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. License No. iZO/i V S Classification �jt_' 7 S ❑ 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 CONSTR ' MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES a� ®g oe FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. F'I 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. 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 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 aga!Qt, said County in consequence of�the granting of this permit. j X "? N `' XDate Signature of Applicant — Owner g pp ❑ 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 $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD No ISSUE This permit is hereby issued under sions o) the Butte County Code and/or work i Icated �bove for which fees , / % DIRECTOR OF PUBLIC J� B y PERMIT EXPIRES Date the applicable provi- resolutions to do have been aid. P WORKS Date �' � (� 57/16 Receipt No. v / /6 / WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT } c�7 54'-17-7 'y PERMIT NO. 2756-79B A a � , PERMIT EXPIRES 51/14./gO e �. OWNER BOB MaCDONALD CONTR. owner LOCATION (A.P. 40-36-30 ) .;63 Fairway Dr, Chico Y Temp. Power Pole Called PG&E _ - Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E _ JOB FINAL! Y } c�7 54'-17-7 'y PERMIT NO. 2756-79B A a � , PERMIT EXPIRES 51/14./gO e �. OWNER BOB MaCDONALD CONTR. owner LOCATION (A.P. 40-36-30 ) .;63 Fairway Dr, Chico Y Temp. Power Pole Called PG&E _ - Temp. Elec. Serv.. Called PG&E _ Temp. Gas Serv. _ Called PG&E _ JOB FINAL! i 1 COUNTY OF BUTTE — 'DEPARTMENT OF .PUBLIC WORKS BUILDING INSPECTION RECORD t BUILDING ;' BUILDING (Cont'd) PLUMBING'' Setback t Firewall Soil P_I In Forms. Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor s •u:..s Footings Windows 3rd Floor •_ '�? ' Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for ph sically handica ed Conformance of ex. structure Final Appliances Gas Piping & Test Temp. Gas Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer ft Final Final MOBILEHOME UTILITIES------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping in 9 DATE REMARKS OR CORRECTIONS (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 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO ASSESSOF1 PARCEL NUMBER '10--%— 30 ZONING BUILDING PERMIT ow6P-�/ / lyc- D TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADP 'S NAME C NT VCi1/✓(/ /. I L/ Lpl� �Tl�/ U`[ J e, T / J4 / CONTRACTOR'S MAILING DD ESS /,g /N Fireplace CONST MOON L N/�E�,� �� OM ����L`� UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDR29 ESS /� Fr/J�� AJ Permit Fee $ ARCHITECT OR ENGINE LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGIN ER'S MAILING ADDRESS Permit fee $ eulLX5 ADD !� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 �Uli te�nn,, �jfy�W Water piping 5.00 LOT NO.SUBDIVISION NAME 77fPARCEL MAP Each•gas water heater or vent 5.00 _ Gas piping .system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodeel ❑ U7tillities/�❑ ins tala /ion ❑ Other [' Describe work: �L�l� �U�„' �' Lc/ /' Permit Fee $ p� Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.(DWELLING OCCUR.& OR ADONS. ACC. BLDGS. 21hQSgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): e.5 tam licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions �� Code and my license is in full force and effect. C SC y S License No. . ®6 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 CONSTR. I M ULT' -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) POWER APPARATUS &) NEW NON -CONSTRESID. \R fSINGLE OUTLET CIR. / Ex. Occup(OUTLETS OR FIXTURES 20@50t FIxeD APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor t 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. 1 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 ag s said C unt in co ence of he granting of this permit. ` ”^� Date Signature of Applicant — 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 $ TOTAL PERMIT FEE $ occuP. GROUP TYPE OF CONST. I PARCEL PO I 7-IS9UE This p rmit is hereby issued under sion o otheButte County Code and/or wor i dbove for which CTOR OF PUBLIC B y PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date3 73 � Receipt No. 5l�(v/ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 0rov0e, California 95965 Telephone: 534-4541 C� APPLICATION AND PERMIT C�2 %Sl0 5a'd= BAL@1 BUILDING 2.00 Owner b Mod P SQ. FT. OCC. BUILDING VALUATION Mobile Home Facilities L�der Mailing Address t+.r r 6.25 A 1 G a r` Telephone �r g Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee .CM Building Address - lv Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 G GZ�i Repair drainage or vent piping 1.50 A. P. No. /FZoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F4 &-e Sag4aujon Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map , 60' R, W Improvements Each additional outlet .30 Building sewer 5.00 Parcel Aroyal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ - �� zF �aa� g�j� (r•g ELECTRICAL No. @ FEE li PERMIT FILING FEE $3.00 00V OR LMain service 100 AMP ORSLESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main servlce EA. ADD'L 100 AMP 1 1 1.00 OR ADDNSCONST. %ACCLBLDGS.LING OCCUP. 91 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: License No. Classification I am exempt from the Contractors License Laws of the State of California. 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. z I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner 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 above-mentioned property for inspection purposes. %�M-Aki XDate gn Siature of Permitee Jr Agent Receipt No. ';; Z 3; 7oZ-,Z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant EX. OCCUD(OUTLETS OR FIXT11RES 5a'd= BAL@1 FIXED APPLNS. OR EX. QCCUp.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heatina Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee $ TOTAL PERMIT FEE is 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. ECTOR&FUIC WORKS ZB Date permit expires Date �SC� PERMIT NUMBER - B 2452-72B P E M Gi c- A (it/ ri' vy �5 �G G! S �• •3 `.Ci CjrjS , { ' . -•-- /" i �. PERMIT EXPIRES , 1 oWNER John Barksdale ► �1iI �--� CONTR: 41LOCATION n�.mPr _ _ (A.P.'40-36. 30f 1� 63 Fairway Dr., Lot 100, Butte Creek Estates, iChico ;. A L • � 100i . .Y't2 I 1t ' 1 ' • � is •. __• �Ylt �// �� � - r; - t j o a g 4i , COUNTY. OF BUTTE � y j � Department ofPublic Works E BUILDING IASPEC-TION RECORD Zoning -Setback �r��/ I?— Forms L' t Foundation Piers & Gi.rders °C5 Fireplace est Rgh. Plumbing _1C) �" Z_ Bond Beam -- kw ; Loth & Plaster Rein. Steel ." Gas Piping & Test S - —. Found. Vents s%— �C� Framing "7 a+ Piing. Topout _ L 3 — %-%1- Rough Elec. 4 -- 3 - 7 Z_ Wtr. Htr. - —"?- Furnace Kitchen Vent s% - -2 a-"7 Firewall Garage Vents Sanitation & Water ------- ELECTRIC GAS BUILDING Temporary /� ' / S�`7 Z-- Temporar Cert. of Occup. r! 2-e=,"? 3 Final Final -2 * Final -7 DATE REMARKS OR CORRECTIONS �4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 53-5=1230,'Ext. 259 APPLICATION AND PERMIT auuluii7e ictNreseniauves or the County of Butte to enter upon the above-mentioned property for inspection purposes. X JDate %-del Signature of Permite*eedor ent Receipt No. White-D.P.W, — Pink -Inspector — Goldenrod -Assessor — Yellow -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 - Ll - 7 Z Building Permit Expires Date-?' —7-1 �� BUILDING Owner S SO. FT. OCC. BUILDING VALUATION �c d _ Mailing Address U pp Fireplace Contractor Total Valuation Mailing Address Permit Fee C G'✓ Plan Checking Fee&/or Penalty Permit Fee $ GO $ Building Address O PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 „s® Each gas water heater or vent 1.50 S" A. P. No. �— -3Zoning Gas piping system 1 - 5 outlets 1.50 r '' Each additional outlet .50 Fire Zone Fire Dept. Planning Building sewer 5.00 Plans ^� / Fees ie"/ W. C. � R/W Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee $ e ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ASCU Main service incl. 1 meter Additional meters, each 1.00 - - USE OF STRUCTURE- Single Family Duplex ❑ Others ❑ Sub -panel tn-2 orless) re than 12) o0 Ra ge, dryer or watter6eater 1.00 DO Oven, Cook -top or space heater 1.00 Li gJQixtures Rees., switche & fix outlets 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:um r !r1 // "�►�� to p�. �"lS S _l Q �cv Hod, Ex. Fan or F.A. Furn. Motor 1.00 0 Evap. cooler, gar. di sp. or D.W. 9 1.00 00 Air conditioner or heat pump dO Water pump Misc. wiring License No. -12-741 7 Classification ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $<106 $ O 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. MI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I to an certify that in the performance of the work for which this ermit is issued I shall not em p employ y 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating 4% Cooling _v Ventilation SOU Permit Fee $ O rotate Fee for Str1� ng Motion Instrumentation Program $0.07/$1000 Evaluation $ S d $ ey ? TOTAL PERMIT FEE $ ' auuluii7e ictNreseniauves or the County of Butte to enter upon the above-mentioned property for inspection purposes. X JDate %-del Signature of Permite*eedor ent Receipt No. White-D.P.W, — Pink -Inspector — Goldenrod -Assessor — Yellow -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 - Ll - 7 Z Building Permit Expires Date-?' —7-1 �� 1 NIT'NO. 946-76B,P PERMIT EXPIRES �ZW " .OWNER Robert MacDonald f N 'ecONTR. Holiday Pools, Chico __ �OCATION (A.P. 40-36-30 ) #63 Fairway Drive, lot #100, Butte Creek Estates, 1, Ch is o Temp. Power Pole Called PG&E aTemp. Elea Serv. Called PG&E i T p. Gas Serv. t' ;i Called PG&E JOB c FINALED (Date) �s "t (Signature I• COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTI6N'RECORD B PI;1r. . ey BUILDING (Cont'd) PLUMBING Setback — Firewall 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 Garacie Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final — K Patio F REP.LACE Footings Footing Walls Throat Reinf. Steel — Final Bond Beam E SPRIN ERS Framing Test Stucco Final Mesh MECHA'WICAIZ Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE 3--2G?'- -7 .� �o��i�� �� REMARKS OR CORRECTIONS � � Gl�-`T � �(� L(c P ono..• Sanitation Final ELECTRICAL Rough �` --> Fixtures Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final �5-- (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE -' PARTMENT OF PUBLIC WORKS 7 County Center Drivel — Oroville, California 95965 Te!phAne:, 5344541 APPLUTION AND PERMIT p y ( n BUILDING Owner ® r G ��� lc� SQ. FT. OCC. UILDING VALUATION Mailing Address OO• C90 Telephone No. Fireplace Contractor D / CD Total Valuation 020 (, Mailing Address % E SS Permit Fee Plan Checking Fee&/or Penalty C Telephone No. Permit Fee $ Building Addressml PLUMBING No. @ FEE PERMIT FILING FEE $3.00 y1 OO G Each Trap 1.50 0 E leC � Repair drainage or vent piping 1.50 l©CJ Water piping 1.50 5 Each gas water heater or vent 1.50 A. P. No. Q —3 6 �5 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W. (E%(6ti Fire Dept- FireZone Use Permit Building sewer 5.00 EQA Parkin Plans�S7"E Declaration Parcel Map ' R/W Improvements Lawn sprinkler system 2.00 Idg. Ions Recd Parcel Appro al Pans Approval Permit Fee NEW fEg- ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 000 AMP LESS Main service 10OR 5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others OVR 600V Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 S�v� //► 0 NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACG. BLDGS. 2�sgft (MULTI 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 style of:Ex. L �00/s Ex. OCCUp(OUTLETS OR FIXTURES) BAL 21 OCCU ( FIXED APLNS. OR P•OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.V?09 302.2Classification 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. @ FEE PERMIT FILING FEE J$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 s above-mentioned ro ert for t ' ' TOTAL PERMIT FEE This permit is hereby issued under the applicable provisions of ) F., on purposes. X Date Sign aof Permitee or Agent Receipt No. Z �� White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOJOF PUBLIC WORKS C Date Building permit expires Date _ _77, r