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HomeMy WebLinkAbout042-170-02342-17-23 vin Schlaf in Schla N S IS av app. 00 E.of Dairy Rd., Chico Permit #6jY).-76BZ(car o arp.�F)E. .6+..aZ29�_ NEW- OWNER 42-17-23 CLAY M. NORTON NIS Grape way app 1000' E of Dairy Rd, Chic Permit #309-78E , M(ele ser ch & heat pump) SF 42-17-23 contr: Bel -Aire Contr., Chico Permit #999-78B,E extending service -porch 2 ft. /SF 42-17-23 Permit#1816-81B(lst, 2nd & 3rd renewal/309-78) fA �.764� W.A01V I � � y ,r. .._ r.. � � .. '" ,e. C. 14151P c— 3 © 7.7 Pop 'PERMIT No. 999-78B,E PERMIT EXPIRES "/7 Clay Norton OWNER CONTR. Bel -Aire Contr., Chico 'LOCATION (A.P. 42-17-23 ) i NIS Grape Way,app.1000'E.of Dairy Rd.,Chicc I f ti r f Temp. Power Po' Called PG,S�&"E Temp. Elec,��/Ser% CalledfPG&E Temp. Caas Serv. Called anx.F JO INALED acratcn Heating Service If� Brown Cooling Temp. Pole Finish Ducts `T ffp Underground Interior Lath VentilationZ Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 7 "4 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS t . BUILDING INSPECTION -RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping —;?<. 7 . Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding. To out Slab Roof Sheathing / Water Piping —.Z r— 7 Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Slab Final s Sanitation Patio FIREPLACE Final Footings Footin ELE d TRICAL Masonry Walls Throat „ Rough —7 Reinf. Steel 3,1 —7 Final Fixtures Bond Beam 3 — / — % g - FIRE SPRINKLERS Motors 4 Framing Test Water Htr. Stucco Final Sub anels Mesh MECHANICAL Gird. Fault Prot. .d acratcn Heating Service If� Brown Cooling Temp. Pole Finish Ducts `T ffp Underground Interior Lath VentilationZ Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 7 "4 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 CoVty Center Drive - Oroville, California 95965 Telephone: 334-4541 / APPLICATION AND PERMIT M auu wllcc 1VV1=oG11taUvW.J UI IIIC I.,UUnIy VI DUMC IV CIIICI UPUn the above -menti ned operty for inspection purposes. Date 7 Signature of Permiitee or Agent Receipt No. /67aZ 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 0 BLIC WORKS By Date ?- i E ? Building permit expires Date BUILDING Owner 0 SO. FT. OCC. BUILDING VALUATION r Mailing Address Telephone No. Contractor "ROLAi Mailing Address `T Fireplace Total Valuation elephone Permit Fee Building Address Kin P I an Checki ng Fee &/or Penalty Permit Fee Ion n 76W 17Y T? e4 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1,50 A. P. No. 4 — Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F W Semteiserl FireDept. Fire Zone Use Pennit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 R149 Plan Ree'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDI,TION UTILITIES ❑ OTHER Permit Fee $ $ a —Z ELECTRICAL No. @ FEE ` PERMIT FILING FEE $3.00 600V OR L Main service ESS 100 AMP OR LESS 5.00 - S)n le Family Duplex g y p ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service 010VOEAMP OR LESS 25.00 Main service/ EA. ADD'L 100 AMP 1.00 OR ADDNS.NEW CONST. (DWEACCL'L GS CUP, m) 20Sgft CONTRACTORS LICENSE LAW - I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le Y (LJLR� �N NEW MULTI.O LET NON-RESIESID BRANC1 ( H IRCUITS/ 2.50ea NEW CONSTR(POWER APPARATUS & NON -RES ID. SINGLE OUTLET CIR. Ex. OCCUI)(OUTLETS OR FIXTIIPES 5 L� FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 2^1C7Z.0,aClassification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 3. 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. 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.) agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ I 17-S auu wllcc 1VV1=oG11taUvW.J UI IIIC I.,UUnIy VI DUMC IV CIIICI UPUn the above -menti ned operty for inspection purposes. Date 7 Signature of Permiitee or Agent Receipt No. /67aZ 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 0 BLIC WORKS By Date ?- i E ? Building permit expires Date 1 � . PER4 MIT NO. �-n-.o�nr�=IF jVL PERMIT EXPIRES . OWNER ___ CLAY- M. NORTON coNTR. owner LOCATION (A.P. 42-17-23 ) {Nls Grape Way, app 1000' E of Dairy Rd, Chico i .: Jz F,. t� J .,j A Q. )" C 1" r Temp. Power Pole Called PG&E� Temp. Elec. Se,,rrv. o'T' Called Temp. G,yyri Serv. Ca, ed PG&E JO F NALED (Date) (Si gyre) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION, RECORD BUILDING I BUILDING (Cont'd) PLOMBING Setback Firewall Soil Piping �l Forms Parapets list Floor Main Bldg. Restroom Finish 2nd Floor Footings 42_ /4"—.,7 Windows 3rd Floor Stemwal l Sidin T Slab Roof Sheathing Water Piping z-� Piers. Roofing Sewer GarageFdn. Vents Fixtures Footings Stemwall Garage Vents 6' Insulation / Water Htr. Heaters Slab Carport Footings Slab Prov. for phsically handica ed Conformance of x. structure Final % Appliances Gas PIping & Test Temp. Gas Sanitation Patio IR PLACE Final Footings Footing t /% I ELECTRICAL Reinf. Steel Final wl6v ri rvw Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco I Final Subpanels mesn MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage' Gas Piping DATE a2 119' ` P REMARKS OR CORRECTIONS r ' er� 'z-. ': (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ER ITN . 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 541 .� ' APPLICATION AND PERMIT j ASSESSOR PARC L N B 4a_I r% ZONING BUILDING PERMIT OwN TELEPHONE SO. FT. OCC. BUILDING VALUATION O 'S MAI�AKGADDRISS CO TRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ , -Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUI IN ADD SS PLUMBING PERMIT 'FiIIng Fee 10.00 t d Each Trap 2.00 Repair drainage or vent piping 5.00 1 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent - 5.00 Gas piping system 1 - 5 outlets -- USE OF STRUCTURE SF Lys Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition ❑ Remodel[:] Utilities[] t Installation❑ Other Describe work: I .� �� �-� 5R-o/y\PxAJ t" Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR SLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.y1 OR ADDNS. ACC. BLDGS. / 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): EJI 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. 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 •OUTLET 2.50 ea NON•RES'D BRANCH CIRC ITS POWER APPARATUS 1 NEW CONSTR ( 6 NON.RESID. (SINGLE OUTLET CIR. I Ex. Occup OUTLETS OR FIXTURES a �@1 IXED APPLNS. OR Ex. OccUp.(OUTLETS (RESID.) EA. 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring . 7.50 • Permit Fee $ Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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. Ell,"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 S 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 County of 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 again said C unty in consequence of the granting of this permit. X ✓ Date s �9_�� Signature of A plioanr - 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 I TYPE OF CONST. I PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IR T I OF PUBLIC PERMIT EXPIRES D to —a the applicable provi- resolutions to do fees have been paid. WORKS 1� <O �(J Receipt No.� _(; WHITE-D.P.W.. YELLOW -ASSESSOR. PINK•INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE —� DEPARTMENT OF PUBLIC' WORKS 7 County Center Drive — Uroville, California 95965 0 �-7d'_', %� Telephone: 534-4541 // APPLICATION AND PERMIT /n t� above-mentioned property for inspection purposes. X Date Signature of Per itee or A ent 0 -744L' Receipt No. r White-D.P.W. _ ello�A�se�s ink nspect — Go enrod-Applicant This permit is hereby issued under the applicable provisl n the Butte County Code and/or resolutions to do work in d� above for which fees have been paid. DIRECTOR OF BLIC WORKS ���� BY Date 7 % Bu ding permit expires Date ^� 7� BUILDING Owner01 't n SQ. FT. OCC. BUILDING VALUATION Mailing Address e e hone No A Fireplace .� Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address JA PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 Repair drainage or vent piping 1.50 Water piping 1.50 CIO Each gas water heater or vent 1.50 A. P. No. Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F - S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA IPar Ing arcel Plans Declaration' Parcel Ma P 60' R/W Im r p o ments Lawn sprinkler system 2.00 Parcel Vproval Pla Approval Permit Fee $ 0y NEW ❑ ADDITION r: t/ UTILITIES ❑ OTHER I� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 t Y1 600V OR LESS Ma'n service 100 AMP OR LESS 5.00 gat -Tb mv JOVER vice EA. ADO'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ 600V aln VICe 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1,00 NEW OR ADDNS. / DCCL G CUP. 2¢Sgft NEW CONST R. MU I -O LET NON-RESID, ( 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. Occup(OUTLETS OR FIXTURES) @251'tOo EX. OCCU FIXED APP LNS, OR P•(OUTLETS (RESID•) EA) 2,00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.2511 1 © 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 $3.00 an Heating(' --.TU Cooling Ventilation Hood 2.00 Permit Fee $ LS $ S� 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 Is —11 above-mentioned property for inspection purposes. X Date Signature of Per itee or A ent 0 -744L' Receipt No. r White-D.P.W. _ ello�A�se�s ink nspect — Go enrod-Applicant This permit is hereby issued under the applicable provisl n the Butte County Code and/or resolutions to do work in d� above for which fees have been paid. DIRECTOR OF BLIC WORKS ���� BY Date 7 % Bu ding permit expires Date ^� 7� Owner: .1 • BUTTE COUNTY DEPARTMENT OF PUBLIC -WORKS A. P. # Address: Date of Inspection — —/� Tenant: ��/Y�Q Inspector Building. Location: Type of Inspection requested: 1. Housing / / 2. Financing 3. Change of Occupancy to / / 4. Other (specify) Present use of buildin A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5.. Hot and cold water to fixtures: 6: Heating facilities: 7. Natural light and.venfilation: 8. Room and .space requirements: 9.' Bedroom window or door for second exit: 10. Infestation of insects; vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Coma ents• B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumb in 1. Fixtures connected and vented: .2. Gas water heater: 3. Gas heating vents: 4. Comments: (continued on back) _ E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Z on irg : 8. Comments: G. Field Problems or Violations 1. Problem or vi/%Jolation (give complete description): 2. What actioi?`t.-&en Sgive complete descri tion)I- lei: r 0 3. What000hction rec ended: A. Information only - file. B. Hold for ten (10) days, then write letter. C. Write letter. 7 D. Other: A ( *PERMIT NO. 6155-76B PERMIT EXPIRES OWNER Irvin Schlaf CONTR. owner. ,i LOCATION (A.P. 42-17-23 � 1 NIS Grape Way, app. 1000'E.of Dairy Rd., Chico t s I Temp. Power Pole Called PG&E Temp. Elec. Serv. ZTem G&E Ierv. G&E FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ; BUILDING INSPECTION RECORD ,. BUILDING BU I LDING.(Cont'd) PLUMBING Setback Firewall Soil Pipin Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents ' Insulation Water Htr. Heaters Slab Carport Footings— 7 % Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping & Temp. Gas Slab Final 7 7,t Sanitatio Patio F113EPLACE Final Footings X Footing Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SP INKLE.F Framing!!! —' % Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS_ -7 f, VL1 /- 7 7 Dtz Water Htr. Subpanels Grd. Fault Pr Service Temp. Pole Under rou Penna t Final (NOTE: An entry must be made on this form each time you visit the job site.) ELECTRI COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ' r,S 7-6 abov-mentirnedvpr- tvfor v ection purposes. X Date —76 ignoture of Permitee or Agent Receipt No. White-D.P.W. — yelr m)c-r.)- Pin -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 Building permit expires Date // z BUILDING Owner SO. FT. OCC. LDIN VALUATION G Mailing Address 3 — ; ST v Tele one No — Fireplace Contractor elp Total Valuation 741 61 66 Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ ` O0 Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 / � Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 is 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 F s Sa on Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA IParking Pla Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Ap oval Plans A proval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEEPERMIT FILING FEE $3.00 00V OR LES Main service 100 AMP ORS SLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others JC Main service OVER 1100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 _ c �I `/ J ���� NEW OR ADDNST ( DWELACC. BLDGS.LING CCUP. &) 20sg ft NEW CONSTMULTI-OUTLET NO N.RESI R. D. ( BRANCH CIRCUITS) 12.50ea 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. Occup(OUTLETS OR FIXTURES) @�¢ L@104 Ex. Occu FIXED APPLNS. OR P•(OUT LTS (RESID.) EA) 2.0 t` 0 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 $ 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 Cal i forni a. 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 $ abov-mentirnedvpr- tvfor v ection purposes. X Date —76 ignoture of Permitee or Agent Receipt No. White-D.P.W. — yelr m)c-r.)- Pin -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 Building permit expires Date // z