HomeMy WebLinkAbout042-170-013/3f
I
A.P. 42-17-13�
HOWARD LEWIS
SIE corner Dairy Rd, and Sacra-.:-'
mento Avenue, Chico j..#
CONTR. Lou Thacker, Durham
Permit 2227-74B,P,E (Swimming Pool
Single family)
AP 42-17-13
HOWARD'- LEW I S
SE corner Dairy Rd, & Sacramento
Ave., Chico
Permit# 4411-74B(new deck & part.
reroof) 000 40,00ad .
42-17-13
Permit #1224-78P(ch from propane
to natural .as) 2 meters SF &
dryers
�t
��,
t
. COUNI!Y OF BUTTE — ~DEPARTMENT OF PUBLIC WORKS r
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
or
APPLICATIOWAND PERMIT
autnonze representatives or the county or butte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
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
By Date
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.,
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address '_
Plan Checking Fee&/orPenalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each TraD 1.50
Repair drainage or vent piping 1.50
A. P. No.
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fees
W.C.
Sanitation
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
Bldg. Plans Recd
Parcel A royal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
permit Fee $
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
00V OR L
Main service 100 AMP ORSLESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others El',
Main service EA. ADD'L 100 AMP 2.50
- �
c
Main service OVER s 25.00
100 AMP O OR LESS
Main service EA. ADO'L 100 AMP 1.00
NEW CONST DWELING
OR ADDNS. ACCLBLDGS.CCUP. 61) 22 sq ft
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:Ex.
\
NEW RESID. BRANCOU CIRCLETUITS)
NON-RESID. BRANCH CIRCUITS/ 2.50ea
NEW CONSTR. /POWER APPARATUS a
NON RES ,SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIPES BAL@1
BAL�1
Occup.(OUTLETSP(RESID )REA) 2.00
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 $
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
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 J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that 1 have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
autnonze representatives or the county or butte to enter upon the
above-mentioned property for inspection purposes.
X
Signature of Permitee or Agent
Date
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
By Date
Building permit expires Date
Owner ��/ /�
Mailing Address a
Contractor h
Mailing Address
Building Address S (i
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 J/
APPLICATION ANI' PERMIT �
Telephone No.
u
A. P. No. Zoning & Planning
F. �atritc�4iorf Fire Dept. Fire Zone Use Permit
EQA Parking I Parcel Parcel Ma 60' R/W Improvements
Plans Declaration P provements
ec d Parcel Approval Plans Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER FTi—
Single Family ISI Duplex ❑ Mobil Home ❑ Others P'
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
f l am exempt from the Contractors License Laws of the State of California.
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.
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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for ' spection purposes.
X Dat ao%7 D
ignature of Permitee or Agent
Receipt No. / // Li/
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
_ BUILDING
SQ. FT. I OCC. I BUILDING VALUATION
Fireplace
$
Total Valuation '
@
Permit Fee
$3.00
Plan Checking Fee &/or Penalty
15.00
Permit Fee
2.50
PLUMBING
No. @ FEE
PERMIT FILING FEE
$3.00
Each Trap
1,50
Repair drainage or vent piping
1.50
Water piping
1.50
Each gas water heater or vent
1.50
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
Building sewer
5.00
Lawn sprinkler system
2.00
Permit Fee
$
ELECTRICAL No.
@
PERMIT FILING FEE
$3.00
Main service 100 AMP OR00V OR LESS5.00
15.00
Main service EA. ADD'L 100 AMP
2.50
Main service OVEReoov
100 AMP OR LESS
25.00
Main service EA. ADD'L 100 AMP
1.00
NEW CONST. / DWELLING OCCUP. Sill
nA__a,
Ex. OCCUD(OUTLETS OR FIXTI1RES50@25a
.11
BAL01
FIXED APPLNS. OR
EX. QCCUP•(OUTLETS (RESIO.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee $
MECHANICAL No @
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE Is 6 IX
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.
DI ECT R OF PUBLIC WORKS
-71 BY ' Date—T// 7F
RA -U-4 ilk permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965
Telephone: 534-4541 // �'%
APPLICATION AND PERMIT /
ouuiviicc �cN�cacnaau vca UI Lilt; VUUllly UI OULUl lU WHIUI UpUrl Ule
above-mentioned property for inspection purposes.
X aazl" w Z't'`GaJ Date -1r6
%ignOture of Permitee or Agent
Receipt No. Ir-
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
Building permit expires Date .......................................
BUILDING
Owner�G
SQ. FT. OCC. BUILDING VALUATION
Mailing Address jL l —
_
Telephone No.
Fireplace
Contractor
Total Valuation 77 a:3
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Tlephone No.
e
Permit Fee
$
$ Q2
Building Address , dL
PLUMBING
No.
@ FEE
PERMIT FILING FEE $2.00
/ �//fJ%
X!. C e,, -L /e4- —
Each Trap 1.50
C
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. —/7 — /
Zoning8 Planning
ng
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
es
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
ParcelParcel
Declaration
Ma P
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@ 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 20� 1d�1�0
Receps., switches & fix outlets 2 I
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
-,+-�
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
1 certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ a
ouuiviicc �cN�cacnaau vca UI Lilt; VUUllly UI OULUl lU WHIUI UpUrl Ule
above-mentioned property for inspection purposes.
X aazl" w Z't'`GaJ Date -1r6
%ignOture of Permitee or Agent
Receipt No. Ir-
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
Building permit expires Date .......................................
--...— �.�--v-a----..rv;-+tv.....r—.�.....�^.n-^'�+`�....^r--u.nr�,.,,.,-�...�t--,...r -v.s•....-�-.+:-....:.-r.Ar'�."'^rs�...ti�.'�--�.iT.�+,.I+�+r,-.. G..���..�+�-.-.
x370 - 75'
Gam/ �S
7 �u�A-1 j el v�
,JJJJ/
11 -
COUNTY OF.BUTTE — DEPARTMENT OF PUBLIC WORKS'
'7 County'Center Drive s— Oroville, California 95965
Tel ephone: 534-4541
. , APPLICATION AND PERMIT
.tea- Y
aumuricem representatives or the county or tsutte to enter upon the
above-mentioned property for inspection purposes.
X / / _...� �I.C�C'e ��Jl pate
Signature of Pe/rmitee or Ag
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. i
✓��`J,vDIRE;CTOR OF � C WORKS
By J_C .JJ� - Date
_Building permit expires Date ........................................
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 60A,T •? �� S'�s' ��i/ Y l�/�.
e-N/«e"'./1,oC 1.744
TePephone-No.
`Ahl&
Fireplace
Contractor /„/ -]- f,%
Total Valuation
Mailing Address /jf)�0,��;a-/C�aNS/^ 14j6C
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $
$
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
Each gas water heater or vent 1.50
A. P. No., — '+%--» {Zo
ning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees.
W C
SSanitati'on
Fire Dept,
,faireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
X60' R/W
Improvements
p
Lawn sprinkler system 2.00
BIdg-Plons Recd
Pa�el`Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ® UTILITIES OTHER OTHER ❑
ELECTRICAL No. @ FEEPERMIT
FILING FEE $3.00 3-()U
/�it✓L//'F ��/� T/� /4�A /1/ i. �// /t�f�
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12) J
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixturesbal10
Receps., switches & fix outlets b. 0102
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: _--,
/,v/LL/.UAty yu6G / i I
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. .?7Gi!J Classification
wiring ami'
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 4 Qb
$ e :a;
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.
Wool 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 $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
$
aumuricem representatives or the county or tsutte to enter upon the
above-mentioned property for inspection purposes.
X / / _...� �I.C�C'e ��Jl pate
Signature of Pe/rmitee or Ag
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. i
✓��`J,vDIRE;CTOR OF � C WORKS
By J_C .JJ� - Date
_Building permit expires Date ........................................
r COUNTY OF BUTTE — DEP'ARTWNT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Tel eph3ne: 534-4541
APPLICATION AND PERMIT
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
r
X Date ® J 17A
Signature of P �tee_or IF
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 h ve been paid.
IR T R OF PUBLIC WORKS
By r Date
hermit expires Da ........... ��... ......
BUILDING
Owner
SQ. FT. OCC. BUILDI G VALUATION
Mailing Address
T ephone o.
Fireplace
Contractor —"
Total Valuation
Mailing Address �,
�•
Permit Fee
Plan Checking Fee &/or Penalty
/yl/9ig-17, 1 - /C
Telephone No.
Permit Fee $
$
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $2.00
Cho
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
V451144uoitetiQPi
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Imp rovements
P
Lawn sprinkler system 2.00
BIdT.—"o-
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 60
Main service incl. 1 meter
C C
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)Or
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures 20 (@ 10
Receps., switches & fix outlets 4
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:_ _T
Lt//LL14A1 V : /� U66 / I %
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 , a
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. ,Z76Q/D Classification C�/�
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ o�
$
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 Wor men's Compensation.
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 $3.00
Heating
Cooling
Ventilation
L2.00
Hood
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
$
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
r
X Date ® J 17A
Signature of P �tee_or IF
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 h ve been paid.
IR T R OF PUBLIC WORKS
By r Date
hermit expires Da ........... ��... ......
PERMIT NO. 2227-74B,P,E
r`
.� P
t
E
M
!MH UTIL.
.
4PERMIT NO.
�
PERMIT EXPIRES
}
-?OWNER Howard Lewis
'I
ONTR. Lou Thacker
LOCATION (A.P.- 42-17-13 )
S/E corner Dairy Rd, and Sacramento
Avenue, Chico
` k
•
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. -Gas Serv.
Called PG&E
JOB _
FINALED
(Date)
i .
(Signature)
COUNTY OF BUTTE - DEPARTMENT OF-PUBLIC WORKS
BUILDING INSPECTION RECORD. ,
BUILDING BUILDING (Cont'd) PLUMBING
Setback 9 ,; Firewall Soil Piping
Forms % Parapets 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
1 Stemwall Siding To out
' Slab Roof Sheathing Water Piping
Piers Roofing Sewer'
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
� Stemwall Prov. for physically Heaters
e Slab handicapped Appliances
Carport Conformance of ex. Gas Pip ng & Test
Footings structure Temp. Gas
Slab Final Sanitation
Patio FIREPLACE Final
Footings Footing ELECTRICAL
o
Masonry Walls Throat Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service f
,a Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
M
DATE REMARKS OR CORRECTIONS
b/"pU'zC,l te ell ce
h
v �GiP �C a ��►/10 `' r y
1
�.a�owsn )016 5 ;�; OV-7
COUNTY OF BUTTE — DLPATMENT OF PUBLIC WO5kS V
7 County Center Drive — Oroville, California 95965
Telephone' 534-4541
APPLICATION AND PERMIT
authorize
BUILDINCI
Owner/
SQ. FT. OCC. BUILD
G VALUATION
Mailing Address
Telephone No.
Fireplace
_
Contractor
Total Valuation
Mailing Address _ell
Permit Fee
Plan Checking Fee &/or Penalty
Telephone N
Permit Fee
'
Bui d'ng Address) ,E „J +
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.
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees
C. S n
Fire Dept. Fire Zone
Use Permit
Building sewer 5.00
EQA Parking Parcel
Plans Decla.ationn"�++��
Parcel Ma P
60' R/W
Im rovem is
P
Lawn sprinkler system 2.00
Bld'
r�e0qq
'�Par.! Approvol
Plans pproval
Permit Fee
$
$
N ❑ ADDITION ❑ UT TIES ❑ OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00VA
a 1
Main service incl. 1 meter
Additional meters, each
1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 ss) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures al Flo ;
Receps., sw' es & fix o tlets 7
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: 1
/lLl.t�;7la- (r�/�%
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or h at pump
Water pump .
Mobil Home Facilitties 5.00
Temp. Power Pole 5.00
License No. r,0r 00
�L-� Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
r rD
$ 7�
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.1
@
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
M
TOTAL PERMIT FEE-
EE
$ <
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X �Li%2./r� _ u/,,a spate —7v
Signature
Signature of Permitee 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 PALIC WORKS
BY Date
llding permit expires Date...........—