Loading...
HomeMy WebLinkAbout042-020-0042-02-4 Justin JefFery STR w/s Gu n o. of Henshaw, . i Chico t -Permit-77-71B (addition) f A.P. 42-02-4 ' JUS11JFFFERY LOT BLOCK suBDly. w/s G Ave . ,4 mi. no. of Henshaw, Chico •/� TYPE OF PERMIT NO. PLAN NO. DATE I CONTR: Adams nst., Ch1 O DD/�/� D PERMIT Permit 297877.2B,. . `"(addition D S� %310 ` A.P . 42-02-4 I , . M�.LYEJEF'FERYw200' so. Bell Rd., Chico 'Permit 138 B,P,E,M _ 4. (add-Lt -0-4.II3��y i HELEN JEFFER W/S Guyn ve., 26001 N. of HenshaFi,Ch. Pe 3254-73B (add, deck_ to addition, ee _ e i I PERMIT DESIGNATION: B—BUILDING DEPARTMENT OF P—PLUMBING T—TRAILER BUILDING AND SAFETY 'r ,. JEFFERIES, J. 137-70B 42-02-4 w/s�Guynn Ave. 1000' so. of Bell ., 1cf CON IR: Ode n Griffin Roofing Co. , 1373 E.i (reroof)A -A -7O Ave . , dlv r t1 1 E—ELECTRICAL U—USE PERMIT TV — RADIO -TV ANTENNA V — VARIANCE S/W—SIDEWALK NOTICE S_ SIGN PERMIT HM—HOUSE MOVING EP—ENCROACHMENT D— DEMOLITION 600.1 INSPECTION RECORD BUILDING APPROVALS �w fm aZ DESIGNATION SIG. Z OmF F.iQ 000 IL 13 J 0 Z UJ w Zy W 4' Z U. _O= �QF zg O= G Fa- Fg Ow p F- g a Ow �F- FW-� a W EU Zm J �Q Q Q� OLL u J Ir U. Q SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE PLUMBING APPROVALS PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL ELECTRICAL APPROVALS PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS PERMIT NUMBERt DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE {{ J R PERMIT NUMBER — B 77-71 a P E 57-71 ` PERMIT EXPIRES -vC —%� OWNER Justin Jeffery. ',s` owner CONTR: t;LOCATION (A.P. 42-02-4 wls Guynn Ave. 2600' no, of Henshaw,'Chico e �.�K R ' 0 1 ! + COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION RECORD Zoning 4f:��.A!� -.7/ Setback "---?I Forms Foundation _�9��L��/o " // Piers & Girders Fireplace Rgh. Plumbing — Bond Beam Loth & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing 4 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 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 PHONE: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT Permittee Owner A. P. No Mailing Address Contractor Mailine Address BLDG. Address DESCRIPTION OF WORK NEW 0 ADDITION F_� METER SERVICE 0 OTHERS: Remarks: PERMIT FILING FEE No. Fee $2.00 Supplementary Filing Fee 1.00 Main Service Sub -panel (12 or (more than P less) 12) Each Range, Dryer or Water Heater Each LOO Oven, Cook -Top or Space Heater Each :.50 Light Fixtures First 20 .20 Each Additional 10 USE OF STRUCTURE Single Multi Family Duplex Dwelling 0 OTHERS Remarks: Rece tacles„ Switches & Fixture Outlets First 20 .20 Each Additional .10 Hood, Exhaust Fan or F.A. Furor Motor Each .50 Evap. Cooler, Gar. Disp. or Dishwasher Each .50 Air Conditioner or Heat Pump Water Pum Misc. Wiring TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof......................................................................................................................................................................................._................................................._.. . License No. ­* ... - o......... ..................I Classification,,,,,,,,,,,,,,,,,,............................ , and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER ✓1< OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one). Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, fo&other statutory exerription....................................................................................................._........_......».... _.._....._.. .. .» WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- sentatives of the County of Butte to enter upon the above mentioned property for inspection purposes. X...................................................................................... Date .. SIGNATURE OF PERMITTEE OR AGENT Receipt No...........................!G...............C....................... This ELECTRICAL PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS Date.... d� COUNTY OF BUTTE DEPARTMENT. OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533.1230, Ext. 259 APPLICATION AND BUILDING PERMIT Permittee Owner r r A. P. No. Mailing Address - %rr� • • Fire Zone Zoning Contractor • Sanitation 1 Planning Mailing Address Plans.:- Fees,_ W.C. r BLDG. Address �" `' R/W Encroachment NEW ADDITION 0" REPAIRS O OTHER 0 F 0 U N D A T 10 N Others MATERIAL EXTERIOR PIERS Single Multi Width at Top USE OF STRUCTURE Family © Duplex Dwelling Others Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN �} ) Girders joists - 1st Floor Joists- 2nd Floor Fireplace � Joists - Ceiling Total Valuation Exterior Sttlds Permit Fee Interior Studs Plan Checking Fee &/or Penalty Roof Rafters Total Permit Fee C) _ Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ License No. Classification .............................................. and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q 1. am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). Q I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis,. if any, for other statutory exemption...................................................... ............................. :.............................................................................. WORKMEN'S COMPENSATION INSURANCE I am, aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 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 PERMITTEE OR AGENT Receipt No.., This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By................................................................................ Date ................................ Permit Expires Date,,, `s:�,:.�` r,�, :a:.-. ac , . a,t ' �..-.�,,. .,.��. ,. .,;w �; 2 W "r�+ C ''•'7 .f : rl.,' �. } ...: j+.. �:.'.b .spy -_.;rte .:�+' '�.t!-'�s.."►+_,+' Each COUNTY OF BUTTE Range, Dryer or Water Heater � Each L00 DEPARTMENT OF PUBLIC WORKS Oven. Cook -Top or Space Heater Each :.50 7 County Center Drive - Oroville, California 95%5 ��yy First 2D .20 Each Additional .10 PHONE: 533-1230, Ext. 259 Receptacles., Switches & Fixture Outlets 1� �+�' Fic .20 Eachh Additional . 10 APPLICATION AND ELECTRICAL PERMIT Hood, Exhaust Fan or F.A. Fuca Motor �.e 2 Permittee Owner L�'� lJi��`" �'/�- A. P. No./ Air Conditioner or Heat Pum Q� ��,:'"/ Mailing Address-(// . •t*�sy Misc. Wiring' -Contractor Mailing Address /d BLDG. Address [.�/ /lry 'd!.� - 1 C7 o 0'/ .4 DESCRIPTION OF WORK NEW F_� ADDITION D10 -METER SERVICE OTHERS: Remarks: USE OF STRUCTURE Single .1*1' Family Q Duplex Q OTHERS - Remarks: Muld Dwelling Q No. PERMIT FILING FEE Supplementary Filing Fee Main Service Fee S2.00 , Z • O U 1.00 121 Sub -panel (less) S) 12) Each Range, Dryer or Water Heater Each L00 Oven. Cook -Top or Space Heater Each :.50 Light Fixtures First 2D .20 Each Additional .10 Receptacles., Switches & Fixture Outlets 1� �+�' Fic .20 Eachh Additional . 10 Hood, Exhaust Fan or F.A. Fuca Motor Each .50 Evap. Cooler, Gar. Disp. or Dishwasher Each .50 Air Conditioner or Heat Pum Water Pum Misc. Wiring' TOTAL FEE 3•C)O CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business tit Professions Code under the name styleof......................................................................................................................................................................................._..................................................... . License No .................•,,,•,,,..... Classification .............................................. , and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one} 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors, (Sec. 7044). ` 'F-1 I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis, if any, fococher statutory exemption....................................................................................................._........_...........__..........._.. ..... .. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- sentatives of the County of Butte to enter upon the above mentioned property for'inspection purposes. X..........`M .............. ..................... ...... .......... Date/`,..)J—....�....... ...... ...... ..... ........ . SIGNATURE OF PERMITTEE OR AGENT Receipt No...? 54 91 ..v .................................................................. This ELECTRICAL PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By............:......................................-................. Date ................................ 4 , 1386-73B5P5E5M PERMIT'N'UMBER -' B 4 P r, E PERMIT EXPIRES �-714- OWNER Mrs. Helen Jeffery CONTR:. owner LOCATION (A.P. 42-02-4 w/s Guynn.12001 so. Bell Rd,, Chico a 2 _ jl . z C 0 67 ew e Tc, f COUNTY OF BUTTE Department of Public' Works BUILDING INSPjECTION RECORD Zoning Setback 7 -2 Forms Foundation- Piers &Girders J--16-73 Fireploee -71 Z, Rgh. Plumbing Bond Beam 1, Loth & Plaster Rein. Steel Gas Piping & TestM -7:3 Found. Vents Framing PImg. Topout Rough Elec. -7 Wtr. Htr., --------- Furnace kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary !q 7-3 Temporary Cert. of Occup. 3 -7f Final Final -2- Final DATE REMARKS OR CORRECTIONS . z C 0 67 ew e Tc, f COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965 Telephone: 534.-4541 APPLICATION AND PERMIT I � autnunze representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. Date (� Signature of erm' a ent Receipt No, L (/ 14 tJ / to 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 By Date 3—.3 �7 Building permit expires Date BUILDING Owner e �v > � SQ. FT. OCC. BUILDING VALUATION 7 Mailing Address Telephone ' Contractor Fireplace Total Valuation 0 Mailing Address Permit Fee 60 Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ /' y� Building Address �jjj S 101 as t' �/ PLUMBING No. @ FEE 1 PERMIT FILING FEE $2.00 Q Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 fU Each gas water heater or vent 1.50 �y A. P. t7 z— Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Feeslo" W. C. ani ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION CK UTILITIES ❑ OTHER ❑ ELECTRICAL No. • @ FEE PERMIT FILING FEE $3.00 aC% 1. Main service incl. 1 meter Gv Additional meter -ch 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 pal AZO R e s., switdhes & fix ou lets 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 o Q® 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 M<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. nhave 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. 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 00 Heating v Cooling Ventilation Hood 2.00 Permit Fee $ $ % TOTAL PERMIT FEE $ autnunze representatives of the County of butte to enter upon the above-mentioned property for inspection purposes. Date (� Signature of erm' a ent Receipt No, L (/ 14 tJ / to 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 By Date 3—.3 �7 Building permit expires Date i 6. 1 PERMIT NUMBER - B 2978-72B,E • P l E PERMIT EXPIRES i'OWNER Mrs. Justin Jeffery CONTR• , Adams Const., Chico .LOCATION (A.P. 42-02-4 ) w/s°,Guynn Ave. .4 mi. no. of Henshaw, Chico G/6 13 1 l f ' t 0 1 COUNTY OF BUTTE f 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 1 f ' t 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 533-12y30, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date ld -2 Signat re of Permitee o gent Receipt No. "1 9 (7 73 "I _ 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 Building Permit Expires Date/ ---L7-7 BUILDING Ownert' ` G Gi^ SQ. FT. OCC. BUILDING VALUATION �� Mailing Address Fireplace Contractor A Ila Total Valuation Mailing Address Permit Fee E71 �— Plan Checking Fee&/or Penalty G Permit Fee $ $ Building Address' S 14 J4 PLUMBING No. @ FEE PERMIT FILING FEE $2.00 C w Each Trap 1.50 / G Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 0 Z — dZ— (j v4 Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. anitat Planning Building sewer 5.00 Plans Fees W. CY R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ® OTHER ❑ Permit Fee $ $ F ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -pane 2 or less (more than 12) 1 1 USE OF STRUCTURE . Single Family ® Duplex ❑ Others ❑ Range, dryer water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures (0ZU fid 2 Re s., switc es & fix out is p a 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: l/ Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat " Z / —D p0 e�>3 Water pump Misc. wiring License No.—/ ---Classification ❑ 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. 0l 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. @ I FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation 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 $jPermit Iris rumentaationt`�n waonion $0.07/$1000 Evaluation $ TOTALY PERMIT FEE $ 64, 94 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date ld -2 Signat re of Permitee o gent Receipt No. "1 9 (7 73 "I _ 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 Building Permit Expires Date/ ---L7-7 PERMIT NUMBER - B 3254-73B P E PERMIT EXPIRES �� / 7- OWNER Helen Jeffery CONTR: Ctmer LOCATION (A.P. 42-02-4 W/S Guynn Ave. 26001 N. of Henshaw,Chico s r i (n COUNTY OF BUTTE Department of Public Works BUILDING INSPECTIQfI RECORD Zoning ��;'• �. Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents ' .Framing 2 ' / — 74 Plmg. Topout Rough Elec. '-'Wt, Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE 2 — / 3— _%� REMARKS OR CORRECTIONS t k � � 1 .1 I v � • .i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — �OroviIle, California 95965 • Tel ep'ione: 534-4541 APPLICATION AND PERMIT auuwnce representatives of the County of tsutte to enter upon the above-mentioned property for inspection purposes. a , Date _ Signature of Pe e n t Receipt No. f s= 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. DIRECTO F PUBLIC WORKS By DateJZ-- (Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address © 230 b i D ` L jT�p one No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee O© oC Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Ah-- Cg (C © Each gas water heater or vent 1.50 A. P. No. Z -2--Gas LJ Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 r Fes W. ire Dept. FireZone Use Permit • EQA I Parking Parcel Parcel Ma 60' R/W Improvements Plans Declaration P provements Building sewer 5.00 Lawn sprinkler system 2.00 Bldg. Plans Recd` Pouel-Appr6 Pla pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 DO DECK 15W 4001770,(_% SES`' Main service incl. 1 meter _7GRM! t2y%� 7r� Q,C Additional meters, each' 1.00 Single Family U�— Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20025 palalo Receps., switches & fix outlets b 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. Fur n. Motor 1.00 Evap. cooler, gar. di sp. 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 $ 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 Wfor orkmen's Compensation. have placed on file with the County of Butte a certificate of IBJ 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE Is auuwnce representatives of the County of tsutte to enter upon the above-mentioned property for inspection purposes. a , Date _ Signature of Pe e n t Receipt No. f s= 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. DIRECTO F PUBLIC WORKS By DateJZ-- (Building permit expires Date