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Home My WebLink About041-250-012A.P. 41-25-12 & 13- \. Ralph Hamilton ppi 4 mi. off w/s Cherokee°Rd. ap i mi. above Oregon City Permit 834-73 (repairs) f - - -- A.P . /1-25-12 & 13 - RALPH HAMILTON app. -A mi. off wls Cherokee d. app. 2 mi. above Oregon City Permit 1028-73B (two (2) Type A flues -for wood --stoves, 041-250-013 • 01-2950 HAMILTON, CAROL.; 3401 CHEROKEE RD. OROVILLE CONT: OWNER REPLACE BROKEN WEATHER ENL E 1d30 I 3WVN 131da p 'ld3a I 3WVN 1 3144 Q3WVN NOS113d 1Sd1 Ol 213AI130 �■� "" ��' �E¢ ,; 1 N3WlHdd30-H3lNl AIN003 31108 PERMIT NUMBER - B 834-73 B,E t P i E PERMIT EXPIRES _a �� / i OWNER Ralph Hamilton • r owner CONTR: . 41-25-12 & 13 LOCATION (A.P. �P app. 4 mi. off .w/s Cherokee Rd, app. 2 Mi. s _ c3i�-TAS Y R: a, A� F, a" Y ,a a' u j DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE Department of Public Works BUILDING INS0ECT&ON RECORD Zoning Setback Forms Foundation Piers &Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Pimg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary (o — %�. Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 •`� `� Telepho;)e: E34=14541 APPLICATION AND PERMIT i BUILDING Owner �` SO. FT. OCC. BUILDING VALUATION Mailing Address or I Telephone No. Contractor Mailing Address Telephone No. Building Address A. P. No.�— % 11,17- �� Zoning &Planning Rses .0 I Sanitation I Fire Dept. I Fire Zone Use Permit EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements Bldg. d4 meed Parcel Approval Plans Approval NNE7W ❑ ADDITION [:]UTILITIES ❑ OTHER -® / Single Family Duplex ❑ Mobil Home ❑ Others ❑ 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 II 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. I certify that in the performance of the work for which this VY 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 above-mentioned property for inspection purposes. X Date J Sig azure of Permitee or Agent / Receipt No. zo White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Fireplace Total Valuation Permit Fee PI ar) Checking Fee &/or Penal ty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (morec4ron 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar, disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wiring Permit Fee MECHANICAL PERMIT FILING FEE Heating Coolin Ventilation Hood Permit Fee FEE $2.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 @ $3.00 2.00 $ FEE TOTAL PERMIT FEE $ 3 Su 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 UBLIC WORKS By Date JL -2C ` 21 Building permit expires Dafd 3.., ��, .-Y ?3q-73 p -,r - PERMIT NUMBER - B 1028-73B P E PERMIT EXPIRES OWNER Ralph Hamilton 'CONTR: owner LOCATION (A.P. 41-25-12 & 13 app- mi. off w/s Cherokee Rd. app. 2 mi. above Oregon City 5 I COUNTY OF BUTTE Department 'of Public Works BUILDING INSPECTION RECORD. Zoning _ Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel -Gas Piping & Test. Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC - GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS I COUNTY OF BUTTE — DEPA4P.T1m.EtNT OF PUBLIC 7 County Center Drive — Oroville, 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. X Date Sig ature of Permit a 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 Date . 14011— �1—% 7 Building permit expires Dater— 7,,_, BUILDING Owner / SO. FT. OCC. BUILDING VALUATION Mailing Address Tel ep one No. Fireplace Total Valuation Contractor Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address� T PLUMBING No. @ FEE PERMIT FILING FEE 52.00 ` Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 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 s / W Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 (% Main service incl. 1 meter f —4 Additional meters, -each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1,00 Water Heater or Space Heater 1.00 Light fixtures bol a20 Receps., switches & fix outlets 2t l 3 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring —A 0 1 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. ❑1 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 TOTAL PERMIT FEE $ P authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Sig ature of Permit a 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 Date . 14011— �1—% 7 Building permit expires Dater— 7,,_, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. 9-� �� (Rev. 12/96) APPLICATION AND PERMIT �-.- ASSESSOR PARCEL NUMBER 041-250-013 ZONING - B U I LD I NG P ER M IT OWNER HAMILTON CAROL TELEPHONE 532-0217 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 3401 RD. OROVILLE CA 5 CONTRACTOR'S cD OWNER 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 $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 3401 CHEROKEE RD. OROVILLE CA 95965 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF LX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other lX Describe Work: REPT ACE BROKEN WEAMM HEAD Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service z. R LIESS 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 I hereby affirm under penalty of perjury that 1 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. DWELLING OCCUP. OR ADDNS. ( i ACC. BLDS. So 3.50FT: T. NON-ROESIIDD. MULTI-OUTLETHIRCUITS @7,50 R A 8 SIPOWELEPPARATUS NGOUTLET CIR. Ex. Occu OUTLET ORFIXTURESBA 20 1.O0 Q .50 FIXED A Ex. Occup.O.q,D° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PRE_ 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 Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S 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.) 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall rthwith com ly with hose prov' ions. �J X _ Date _d'(rU� Signature of Applicant Owner ❑ Contractor ❑ A ent An OSHA permit is requir for excavations over 60" deep and demolition or construction of structures over 3 stories in he' Mobile Home Installation Fee s Energy Inspection Fee s Occ CONST. TYPE TOTAL FEE $ 89. 00 HAz. D FEES IMP _ FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By - PERMIT EXPIRES O the applicable provisions Resolutions to do work been paid. Date d efe Receipt No. .39 117 Tv 77 7f7 WHITE-D.D.S.-B.D. A A Y- ESSOR __tLUKWSPECTOR GOLDENROD -APPLICANT II COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-7541 (Rev. 1219&) APPLICATION AND PERMIT IT NO. ASSESSOR PARCEL NUMOM ;,wI BUILDING PERMIT OWNER ' E SQ• F. OCC. BUILDING VALUATION OWN 'S WOUND AD _ .. / - . / _ _ CONSTRVCTION LENDER . 20 o I.00 APPLNS. OR Ex. OCCU SAL 30 LENDER S MNUNo ADDRESS Fireplace Temporary Service 23.00 ARCHITECT OR ENOINEEA Total Valuation E 23.00 LICENSE NO. PER IT FEE S ARCHITECT OR ENONEDI9 MAaiNo ADDRESS Filin Fee $ 20.00 Ccx Permit Fee $ 6.50 WILDING ADDRESS Plan Checkin Fee b Energy Plan Checking Fee E S ,OT No iU901VBDNSNAME ` PARCEL MAP PERMIT FEE i PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Trap 7.00 SF O Duplex O Mobilehome O Other Solar or heat pump water heater 23.00 Water i in 15.00 TYPE OF WORK Each gas water heater or vent 15.00 New O Addition O Reodel C3 U1C7 O InstnOn a Other O Gas Piping system 1 - 5 outlets 15.00 Building sewer 15.00 De crib Work: Mobile Home S G W 0P20.00 // L - PERMIT FEE S ELECTRICAL PERMIT Filin Fee 20.00 800V OR LESS Main Service f 200A OR LESS 23.00 Main Service 200A TO 100DA 46.00 NEW CONST. DWELLMOCC. P. OR AODNS. A AOC. S. 3.5t-o- *PERJNIT FEE PAM SRA SHERIFF OTHER AMOUNT RECEIVED -� N,MM 337 To ee wr MM coMwrm Ex. Occup. f OUTLET OR FOMAES 20 o I.00 APPLNS. OR Ex. OCCU SAL 30 .FUMD OUTLEM ESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 23.00 PER IT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heatin Ccx Hood 6.50 PERMIT FEi3 S Mobile Home Installation Fee S Energy- Inspection Fee $ occ I CONST. TYPE -1 TOTAL FEES MAA I D. FE® I IMP I FLOOD I COP I PARCEL PO ND ES 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. By Date PERMIT EXPIRES ON DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE (,�'AS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: ResiuentialM of units: Currently Occupied Abandoned/Vacant Electric: Yes No Electric currently On_ Off Condition of Electric Gas: Natural Propane None Currently On. Off Obvious Problems: Sanitation: Plumbing Working Well Working Pota:bl.e Water Obvious SewageProblems Comments: ACTION RECOMMENDED: ISSUE: Inspector: HOLD FOR Date Sketch buildings ®n reverse and i indicate locatl®n ®n property. //12-8/,01 d f COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT 7 County Center Drive • Oroville; California SERVICES'- BUILDING DIVISION 95965 • Telephone (530) 538-7541 IRev.12/96) APPLICATION AND PERMIT PERMIT NO A! SESlOR PAACELNUMI Z01,01"(11 OWNER BUILDING PERMIT E OWNEA4 NO AD ALUATION CONT J ' T[L1P�pNE COMRACTOR MAalNO AOOAESS MI&ce CONSTRUCTION LENOEA LENDER'S MAIUNO AOORFSS ARcNnECT OR ENOINEEA UCErGE No. Filing Fee S AIIC/fTECT OR ENOa+[D19 MAlJNO ADORES! 20.00 Permit Fee S euaowoAooREss / � 7 Plen Checkin Fee S Energy Plan Checking Fee S S 'OANOYUaONea7Nt NAME IARCEL MAP PERMIT FEE S PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE Each Tre 7.00 SF ❑ Duplex O Mobilehome ❑ Other Soler or heat um water heater 23.00 �vEcsr Water i in 15.00 TYPE OF WORK Eech ea water heeler or vent 15.00 New ❑ Addition ❑ ReOf O U .1.. , O Installatipin O Other ❑ Ges I ing system 1 - 5 outlets 15.00 C// % T Derib Work: % Buildin sewer 15.00 Mobile Home S G W 020.00 � 7 PERMIT FEE _ ELECTRICAL PERMIT Flln Fee 20.00 Mein Service °00101 Les! xw OR Less 23.00 Mein Service iow TO IOWA 46.00 NEW CONST, IfOwn 1*4 OCCUR OR ADONs. a ACC. sos. 3.5c FT. NON•RESID. MULTI -OUTLET 07.50 POWER APPARATUS a SMILE OUTLET CI1L Ex. Occup. OUTIET OR FDnURES 20 0 I•00 SAL.so FGIEO APPt�' Ex. OCCU . oLTLETs Fs�o. EA 5.00 Tem orer Service 23.00 Mobile Home Facilities 20.00 Sc. ir' 23.00 PER IT FEE EIF "PERJYIIT FEE PAlb s Fq MECHANICAL PERMIT Fling Fee 20.00 Heatin SARA _ Conlin SHERIFF Hood 8.50 Ventilation OTHER : PERMIT FEis _ Mobile Home Installation Fee S Energy Inspection Fee S /i occ CONST. TYPE TOTAL FEE $ AMOVW R`CEZVEb J NAz 0. FEE! IMP RMD COF PARCH PO "D s! This permit is hereby Issued under the appkable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. A TO 0L sir =rm COMPUTER ..e.� By Date PERMIT EXPIRES ON N COUNTY OF BUTTE — DEPAR-TMEjVT OF PUBLIC W 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT all LHOFLC representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. o X7Date � 3 Sig ature of Permit a or Agent Receipt No. 1.4 d �� White-D.P.W. — Yello—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 ��Suil�dinq Date permit expires Date.;,.-.,7f.T.., BUILDING Owner / d SQ. FT. OCC. BUILDING VALUATION Mailing Address Telep one No. Fireplace Gv Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address s PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. •- S —�� . Zoning & Planning Gas piping system '1 - 5 outlets 1.50 Each additional outlet .30 Fp--/s / W Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking I Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval' Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 (% /� Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal__P2 Receps., switches & fix outlets 2200 ((da2255 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: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring -1 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 $ $ 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 $ �% all LHOFLC representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. o X7Date � 3 Sig ature of Permit a or Agent Receipt No. 1.4 d �� White-D.P.W. — Yello—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 ��Suil�dinq Date permit expires Date.;,.-.,7f.T.., COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS /� �� 7 County Center Drive — Oroville, California 95965 `� i Tel epho€.e: -534 X541 1 APPLICATION AND PERMIT auinorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XJ- Date.Jz 3 2n r) 3 $ig ature of. Perm'itee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable prov sions of the Butte County Code and/or resolutions to do work i-tdicated above for which fees have been paid. DIRECTOR OF.PUBLIC WORKS By 43t Date -7-26 %ZL Building permit expires Dafe 3.., ', r-7 BUILDING Owner _ SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation S�� - Permit Fee Mai I ing Address Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address BG/ PLUMBING No. @ FEE PERMIT FILING FEE $2.00 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. i ,Zj� �a'� /3 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fiaeg I e -C-1. Sanitation Fire Dept. Fire Zone Use Pen -nit Building sewer 5.00 EQA Parking Plans Parcel60' Declaration Parcel Ma p R/W Im p Improvements Lawn sprinkler system 2.00 Bldg. ins Recd Parcel—Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER-® ELECTRICAL No.1 @ FEE - PERMIT FILING FEE — $3.00 ✓ Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (moreohran 12) �7 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures aReceps., switches & fix outlets An 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ -Irl 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. I certify that in the performance of the work for which this VY 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 $ a 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 S .S auinorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XJ- Date.Jz 3 2n r) 3 $ig ature of. Perm'itee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable prov sions of the Butte County Code and/or resolutions to do work i-tdicated above for which fees have been paid. DIRECTOR OF.PUBLIC WORKS By 43t Date -7-26 %ZL Building permit expires Dafe 3.., ', r-7