The URL can be used to link to this page

Home My WebLink About042-600-059519-91B: P;& M DONAII'SON-. -Cie- ' 111'9 S tieams i -d e' Ct;,lot 16-B,W Man6r,,.;Chico' (newsinglefamily) 'al W-ew 7,- 3-31-3t Tk& 77 4 09 i k REJIDON'IAL N 42-:-60-59 WkLSON, Craig 519-91B,P,Elm 111'9 Stroamside Ct, Manor, Chico lot16-B Walnut --.,(now single family) :t v r VOFFI C E Address I GAS Meter By ELECTRIC Meter By --Dateei/ OFFICE COPY Address-z//q. GAS W"Y' Meter By JOB FINALED (Date) Signature U Owner Permit No. F.NFRGY CERTT'F1CA'fION III ..��— L0(.:AT L 0 N ROOF MATERIAL THICKNESS EXTERIOR WALL DESCR LPTION OF' [NSULATION BRAND NAME'— THERMAL AMETHERMAL RES. A.P. NO. MATERIAL FIBERGLASS BRAND.NAME CERTAINTEED THICKNESS it TH' RMAL RES. 7S CEILING BATT OR BLANKET TYPEr�SRAND NAME_ CE-RTA.INTEED THICKNESS (alb THERMAL RES. 30 LOOSE FILLTYPE INSUL-SAFE,IIIBRAND NAME CERTAINTEED THICKNESS I-&%ff THERMAL RES. --3c> FLOOR,ELEVATED MATERIAL FIBERGLASS THICKNESS FLOOR, SLAB MATERIAL THICKNESS WIDTH BRAND NAME CERTAINTEED THERMAL RES. BRAND NAME THERMAL RES. [J ALL MATER AL BRAND N AME THICKNESS 3�. N THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY REQUIREMENTS. SHASTA INSULATION INC. #530235 FIRM NAP STATE CONTR. LICENSE NO. I hereby cert i.fy the above insulation and all required items as shown on the Building Depart. approved plans and attachments have been installed as required by the State of California Energy Requirements'. All equipment, dev;ces and materials are of the quality prescribed or are specifically -approved by the State of Calif. U------------- ------------------------------- FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO. GNATURE OF GENERAL CONTRACTOR/OWNER DATE This certificate must be on file with the BUILDING DEPARTMENT prior to final inspection approval and a copy shall be posted within the building. JANUARY 1984 COUNTY OF BI)TTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 ' 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 `P CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when orrection of work is completed. If you have any question pertaining to this ma er, or need additional explanation, please contact this office immediately. 9 r'..1z-0 -F-yr-P,,. 40, r C 2 Date / ��j Inspe o YJQr7/.4.,i� i.L � � _ �r :T,'G^ "" S • �`IY'n� '•vim " f[^.� \L+•- �� {T"Tf�,hij,{ .�1� `r + COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS (� 196 Memorial Way, Chico — Phone: 891-2751 - 7 7 County Center Drive, Oroville — Phone: 538-7541' 747 Elliott Road, Paradise— Phone: 872-6307 ' CORRECTION NOTICE fLAIC %sv.� .519 - 9 OWNED PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at �e above address and should be corrected. Please notify this office Y when rrection of work is completed. If you have any question pertaining to this �. matt or need additional explanation, please contact thin office immediately. y ' �t x:y 71. yt, r L A�o ;..1, Date �) -� / / Inspector loll (4:5:5 e 1 i/ J=OK O = Not OK , Not t Applicable NotMOBILE HOMES i Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricitv: Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /" L"ft./ /"LPG Clearance Date Card B-1 Date Card B-1 Date . Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements . 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 •Nr MISCELLANEOUS; Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 '4 OK Q = Not OK - allot Applicable Read Not Ready RESIDENTIAL,(Single & Duplex) = l Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) Hing -Setbacks -Easements -Flood -Slope Hangers -Post Caps -Anchors -Connectors F ., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth Cing. Joist-Rftr. ties-Purlin T Shthng.-Rfng. F , Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth . 1r a ies or Fireplace Throat clearance g., Porches & Decks; Soils -Steel-/ /Ftg. Depth 4VAttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles . temwalls, Main; Steel - Bloc kouts-Wrapped 49,,gdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions . Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50/6arage Fire Protection Framing 6a. HADowns and Special Anchors 51/Property Line Firewall & Openings 8. "rs-Fireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date 4�,yif,'% Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING Permit OK except #'s . Water Htr.; Vent -Access -Combustion Air -Baffle Water Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor -Nail Protection 1Q—.%hower Pan; Test, First Floor -Tub Access 20!1 est Tub & Shower, Second Floor -Tub Access .ZeGas Pipe; Size & Anchors Date .C{,ctj Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors . Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. 2fi!Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 2 Appliance Circuts in Kitchen & Conductor Size/GFI 21C Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size /1y ga. nor Al Range Circ. ga. Cu or 6LOven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes XNo ry onductors & Ground -Main Disconnect 3L—Equip. Clearances Panels-Motors-Mech. Equip. 39 -Clothes Closet Light -Shower Light -Spa Light 32( Smoke Detector Date 4.Cl( Card B-1 Date Card B-1 Date -ti Q Card B-1 Date Card B-1 e Date MECHANICAL (Permit) OK except #'s A.C. Ducts Insulation & Support . Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date Card B-1 C Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Sils, Proper Materialc rs Walls Studs -Nailing, Spacing & Bracing -Plates -Sound . Bearing Walls over Girders & Floor Nailing 6 Draft Stop in Walls (rat proof) 3 Fire Stops; Furred Ceilings -Stairs -Chases -Tub A. Headers & Beam -Size & Bearing 5a/Ext. Doors -One T -Check Garage -3rd Story, 2 Exits irs; Width -Headroom -Rise -Run -Landing -Fire Protection 54eply,Wdod on Roof Overhang -Attic Vents -Rafter Outriggers ing-Nailing Veneer - Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic 58--78hcar Walls; Nailing -Bolts 1paulEp-Waff§- erfr Infil ation- {s- 1 dows C'.A.cfl )el`rGAm*7 A)&„ r,JG G.&ir JMI / it:1J t1 11 M /1 S - Date t Card B-1 Date Card B-1 Date 4,6,1 Card B-1 C_ Date Card B-1 Date FI (Plans) OK except #'s 6f. EX. Steps -Door & Sidelight Protection -Landings S,rWke Detector urece; vgms-Clearance-Comb. Air-Connector- IXGaras7� Above Floor-Ducts-Mech. Protection I. & Bath Fixtures & Tub Access -Spa c. Jrim & Subpanel; Breaker Sizes & Labels St ' s & Rails _ jr0piace or Stove; Clearances -Hearth c. Outlets at Wood Panel; Int. & Ext. Grnd.-Air Gap -Cooking Clearance at Kit. Counter ge Fire Door; Swing-Landi Duct in Garage -Damper 74" Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 7A"P-X. Elec. & Mech. Equip. Listed for Location ;les in Garage; (G.F.I.)-Romex Protection m -Looked in Attic ❑ Yes X$! and Rails & Deck Construction -Post Caps . 7 Fdr�. Vents &Crawl Hole Door -Drainage & Wood -Earth earance Looked under Floor O Yes 8 . FollJowing instld.; Drive ❑ Yes ❑ No; Walks 0 Yes ❑ No; 91bAters 11 Yes 0 No Brown -Finish Unit; Disconnect, Electrical, Plum Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to I; Disconnect, Electrical, Plumbing Elec. Trim; G.F.I. Rec on Throughout House Previous In y! 89. Meters Tagged; Z_iectnc 9*4�atpr1i Sewer Connected -C/O to Grade-_ 511. Oergy Compliance Certificate -Other Certificates Oat 1_ Card B-1kX_ Date Card B-1 Date 7 ( —/3 - CJ/Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS t 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. � 519-91 ASSESSOR PARCEL NUMBER , 42-6cSI-59 ZONING -gyp 5P BUILDING PERMIT OWNER Craig Donalson TELEPHONE 342-8463 S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS P 0 Box 4055, Chico 95927 490 M 9,880-00 CONTRACTOR'S NAME XX Owner TELEPHONE 153 (21 1,530.00 CONTRACTOR'S MAILING ADDRESS Fireplace A 1.000-00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 609410- 0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 316, QQ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ Energy Plan Checking Fee $ 19-00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS$ 11 Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 91 2.00 18.00 Solar or heat pump water heater 120.00 LOT NO. 16B SUBDIVISION NAME I Walnut Manor PARCEL MAP Water piping 1 55.00 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFU Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer 1 5.00 1 5.00 Mobile Home S I G I W 1 0.00ea 5.00 TYPE OF WORK Nevo Addition[] Remodel❑ Utilities[] Installation❑ Other ❑ Describe work: master #60-88 Permit Fee $ 48.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP - 99 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 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. � - Classification_I� ❑ 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 CONST. DWELLING OCC uP OR ADONS. ( ACC. BLDGS. / , /, 2sq ft 09 NEW CONST R.U TI.OUTLET NON•RESID BRANCH CI43. RC ITS 1,2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES SA OO 30 Ex. Occup. OUTLETS FIXED P(RESID )LNS KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ 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. ❑ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3 nn 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 Buttebuilding 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 t. agains said County in cons pence of the granting of thiMLO_54�,l X r DateThis Si pre of p licanr Owner❑ Contractor ElAgent I I I ermit An OSHA Pis required for excavations er 5'0" deep and demolition or construct- ion of structures over 3 stories 'n height. Mobile Home Installation Fee $ Energy Inspe ion Fee $ OD— o CONST PE TOTAL F $ 538. 0 HAL r— u P K sc L CDF PAR PD ISSU permit is hereby issued under the applicable provi- sions 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 g PER EXPIRES Date ^ 7-7 —/ Receipt No. 3�7r �. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -IN ..TOR, .OLDENROD-APPLICANT ✓ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �� o D (, l!/L}�/I/ A. P. No. oZ Proposed Building Use Building Inspector Date �5 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation %�X#2. instructions ...� .......1... � .�� .. ........ a / . Fees of $ a,.. . Chico Urban Area fees paid ...........: ��/•� �•3(�; c %( Park fees paid ...................... �.�. �.lfl ......... . School District fees pald. . ./6-.X 67. 5�. 14. Sanitation approval from Healtheparimen 5. City of Chico plumbing permit ............ ...... • • . • • • • • • �'�' 6. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ..... 18. Improvements may be required. Contact Land Development Section DPW 1(� k CEO. Driveway permit (construction approval required prior to occupancype ) 7- 20. Pre -Inspection for required . • • Pre-insc. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑)177 4. Recorded copy of Agricultural Acknowledgment Statement 04.If.�4. 25. Letter of signature authorization ................................... 26. 27. When you sue the�ermit, process as follows: Mail to owner. Mail to contractor. -Vele and hold for pickup at C -*'-_77 office. Deliver w/inspector. Other _ ApplicantDate Copy of Haz-Mat form sent Health Dept. Fire Dept. _fir Pollution Date Copy of plans sent -----Health Dept. Fire Dept. Other Date By The following data must be submitted prior pe it ' su ce: (Circ new item not ecked above). 1. Index permit for above items No. Z 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone--nail counter by .date Contractor, designer, owner, was advised of above required data by—phone _mall—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder s correct. I agree to comp y o Q to building construction, and hereby authorize representatives of the County of OCC CONST TYPE TOTAL FEE S 3�r 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 HAZ CUA PARR $CHL FLO I PAR PO Ho ssue all liabilities, judgments. costs, and expenses which may in a y way 'accrue againsl�said Copt y ' consequent• f the granting of this p rmi This permit is Hereby issued urger the applicable provi- / ' ate Zpl$ sions of the Butte County Code and/or resolutions to do ��workindicated above for which tees have been paid. p. Contractor I.Agent OIRFCTOR OF PUBLIC WORKS ,3 DEPARTMENT OF PUBLIC WORKS PERMIT NO. I COUNTY -OF BUTTE - 41 916/538-75 7 7 County Center Drive - Oroville.-California 95965 -Telephone: APPLICATION AND PERMIT i I _ ZONING BUILDING PERMIT ' ASSESSOR PARCEL NUMBER — OCC. BUILDING VALUATION 4�-Fi0- TELE PH NE SO. FT. OWNER� 3423 R 52 000.00 I td 0 1,300 — OWNER'S MAILING ADDRESS 420 M 5 880.00 _ _ TELEPHONE 153 C 1,530.00 CONTRACTOR'S"NAME A 'S MAILING AOOR ESS Fireplace 1 7000.00 CONTRACT DRA UNKNOWN Total Valuation g 10.00 CONSTRUCTION LENDER Filing Fee _ L ENO ER'S MAILING AODREss Permit Fee $ 316.00 LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty g $ i Permit fee .00 1 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 (� Each Trap 2.00 Solar or heat pump water heater 20.00 5.00 PARCEL MAP Water piping L T NO SUBDIVISION NAMEi' Each or vent pas water heater 5.00 Gas piping system 1 - 5 outlets 5.00 OF STRUCTURE Building sewer 5.00 a RC1USE SF IJ Duplex❑ Mobilehome❑ Other SPECIFY Mobile Home S G W O.00e L— TYPE OF WORK�.1 $ j Addition ❑ Remodel ❑ 'Utilities ❑ . Installation❑ 0the► ❑ Permit Fee t New Contractor Describe work: ELECTRICAL PERMIT FilingFee 10.00 t PtASTF.R- Main service 100vAMOR P ORSLE55 1 10.00 10.00 ; Main service EA. ADO'L 100 AMP ! DWELLING OCCUP.Ei\ 2.50 `/,¢Soft 43.00 ' NEW CONST. ^__-^.•4. ;6C' -TORS LICENSE LAW OR AOONS. t ACC. BLDGS. I ULTI .OUTLET 2.50 ea C • CONS R NEW G I declare under penalty of perjury (check one). NON -CONS BRANCH CIRC ITS POWER APPARATUS &) I am licensed under provisions of Chapt. 9, Div. 3 of the Business (SINGLE OUTLET CIR. I license is in fu1� force and effect. C de my Occup(OUTLETS OR FIXTURES zoesot y 5AL030t and Profession D Ex. Classification FIXED , OR 2.00 T IREPL, License No. EX. OCCUp. OUTLETS 1RE51D.1 EA.� I, as the owner, or my employees with wages as their sole compen- is not intended or offered TemMobperary 10.00 sation, will do the work, and the structure Home Focalities 15.00 j for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors.. (Sec. 7044) I am exempt under Sec. Business and Professions Code Permit Fee S 7'1 .00 for this reason Contractor WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT Filing Fee 10.00 I declare under penalty of perjury (check one): Heating Zhe permit is for 5100.00 (valuation) or less. , file with the County of Butte Building Department �/I have placed on a Certificate of Workmen's Compensation Insurance or a Certificate Cooling 0 of Consent to Self-Insure.3.00 in any manner so as to become subject Hood 0 C1I shall not employ any person Ventilation to the W. C. laws of California. to Applicant: If after making this statement, should you become subject Permit Fee S Notice to the W. C. provisions of the Labor Code, you must forthwith comply with such Contractor provisions or this permit shall be deemed revoked. Mobile Home Installation Fee $ ,ertify that I have read this applicationandstate that the above information Ener Inspection Fee I t all Count Ordinances and State Laws relattn 9y S s correct. I agree to comp y o Q to building construction, and hereby authorize representatives of the County of OCC CONST TYPE TOTAL FEE S 3�r 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 HAZ CUA PARR $CHL FLO I PAR PO Ho ssue all liabilities, judgments. costs, and expenses which may in a y way 'accrue againsl�said Copt y ' consequent• f the granting of this p rmi This permit is Hereby issued urger the applicable provi- / ' ate Zpl$ sions of the Butte County Code and/or resolutions to do ��workindicated above for which tees have been paid. p. Contractor I.Agent OIRFCTOR OF PUBLIC WORKS Pip IV K-2 I 1�N ��/�I�N.UT �4A - 'ft 0 of plan &W qmMeaAm MV3T be itoo on the job of all flirnas rar-d- It is unlawful' is rusk® any thaws or alterations on same wlOww writta,h pwfplmn from fhe -D"uMwmt of Puh6 104" cownly of AW116 See Masfer Plan on "0 "'Waft Plans- .A60 - jai CW tkk GOA" est �� f' .a•�' 'r�- -.� • r'. • , i '. '� r. � -1 � ��Y��'tC �&lf,Yx..w„i'.i� &-c ;i' +tf Cro9 .. k, ti . ! °s"K 1. ,Oa Tu #wp COY V.dul ip in, l'1 a.';, . 1.. w^r3 yOI.►1 i.L'Q a-' +w "Ina lot AT