HomeMy WebLinkAbout061-310-03161-31-31
Bruce Broderick
W/S B- Id Rock A.,* t3w �bfv GSuac
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P X44-79B,P M ngle
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File No.
BUTTE COUNTY
Public Works Dept.
Director
Dep. Dir.
Sec.
Rd. & Sr. Mtce.
Shop & Yards
Bldg.lnsp, q
rB
C / TrafficConst.
Des,
r. Des.
Sur. & Loc.
Transp.
R/W
Mapping
Land De, .
Ref. Disp.
Drng. / S. I.
Sub. & Pcl. Maps
P erm i is
A yv
(For Action
(For Information ✓)
1
Bruce Broderick
1513 7th Street
Oroville, CA. 95965
Dear Mr. Broderick:
October 21, 1980
RE: Permit Tees Refund
(AP 61-31-31)
4
With reference to the above subject and your request for a refund of fees for
Permit #6544-79 for a new house and Permit Applications -•#1359-80 for mobilehome
utilities and #1360-80 for mobilehome installation, we cannot process these
claims.
According to our field inspector, you have installed the mobilehome complete
with utilities without the permit issuance and without inspections and approvals
of this office. (We also have not received Health Department approval for a
sewage disposal system for the mobilehome.)
I suggest you contact the Butte County Health Department.about the sewage disposal
system and if cleared by them, we can issue the mobilehome permits if you pay
penalty fees of $62.10. (This figure was reduced with credit -from the unused
building permit fees.)
Since you apparently have sold the property, I suggest you contact the'new-owner
and arrange to have the work inspected and approved after permit issuance.
Should you have any questions concerning this, please contact us.
Yours very truly,
Clay Castleberry
Director of Public Works
J.F.. Glander
JFG:dd Chief Building Inspector
cc: Henry T. Runge, P.O. Box 2042, Oroville, CA. 95965
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Bruce Broderick
ADDRESS: 1513 7th St.
CITY & STATE: Oroville, CA. 95965 IMPORTANT:
October 15, 1980 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner sold property - not going to build. (B1dg.Permit #6544-79B,P,
,M -
Receipt #Z9828 - AP 61-31-313
Building permit fee pas ----- $84.00
Retain 1/3 of fee ------------ 118.00
Amount of re un ue -------------------
Plumbing permit tee pas ----- $t3.50
Retain filing fee ------------ 3.00
Amount of refund due -------------------
Electrical permit fee pas ---
Retain filing fee ------------ 3.00
Amount of refund due ------------------- $26.40
Mechanical permit fee paid --- 5.00
Retain filing fee ------------ 3.00
Amount of refund due ------------------- 2.00
Total Permit Fees Refund due -----------$94.90
Land Development Fee Refund due -------- JZ5.00
TOTAL REFUND DUE ---------- L ----------- $119.90
$119,921
TOTAL
$119
90
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is tru and correct as stated.
�/ J L ,a
Dated t s .. Cil/.:...I�/E day of ... 1/S.I........ 19 IC&W at ................................. Calif ............ ...... ... C
. .. ..... ...
Si a of Claim t
I, the undersigned, hereby certify that, to*the best of my knowledge, the services or articles specified above have -been performed or de-
livered and that there is a Budget Appropriation 0 or Specific Board Approval a (Check one) for the same.
Dated this 15th October 80 Oroville
.......................... day of ............................. 19....... at .............................. . Celif.....................................................................................
. Department Head or Authorized Deputy
Dept. Exp.
Code............................................ Code ................................................PAYABLE FROM...............................:............................................................ FUND
DO NOT WRITE BELOW THIS LINE _ AUDITOR'S USE ONLY
VENDOR
CODE
DEPT.
& SUB.
PROD•
SUB.
OBJ.
CLAIM
NO.
INVOICE
NO.
INVOICE
DATE
DISC.
GROSS
AMOUNT
ENCUMB.
SUB -DIST..
INSTRUCTIONS to .C.LA,IMANTS
All claims against the county must--be -itemized; •giving dates and '
character of service rendered or work performed, quantities, de-
scription and unit prices of articles furnished'or'delivered.
Claims must be certified by the claimant and submitted to the De-
partment head for approval. Upon, approval the. Department head.
will forward claim to County Auditor -for payment.. procedure.. . Do -
not file with the County Auditor, first .............. ....
Claims should be presented to officials for..approval immediately
upon completion of services requested of materi•al-ordered:
............... ,
Claims are paid every Tuesday,; however, same must 'be approved by
officials and in Auditor's office before preceeding Wednesday noon.,
Compliance with above will expedite payment of claim, failure to do
so may delay payment considerably.
PERMIT No. 6544-79b,?E,M
PERMIT EXPIRES
Bruce Broderick
OWNER
CONTR. owner
61-31-31
LOCATION (A.P. )
W/S Bald Rock Rd:, 3;ii.past Sugar. Pine -
Store, Berry Creek
-r,
Temp. Power Pole���
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT,OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
"Ing
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
p
Footings
Prov. for physically
handicappedy
Conformance of ex.
structure
Appliances
Gas Piping&Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
stucco
Final
Subpanels
Mesh
MECHANICAL Grd. 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
REMARKS OR CORRECTIONS
plv �. �' /l., s� /,yr$ per.
(NOTE: An entry must be made on this form each time you visit the job site.)
/5- 7 3
V
o
d
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d
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center'Drive Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT /V
autnonze representatives of the county of twtte to enter upon the
above-mentioned property for inspection purposes.4
XXI,A,�"Date 0
Signature of fermitee
y/oor Agent
Receipt No. I� v
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 I
(ding permit expires Date P c7
BUILDING
Owner e,� "7f.1 G
SQ. FT. OCC. BUILDINP'�AJJATIUN
Zed
/
Mailing Address l ? v
/
Telephone No.
3
Contractor 0 as
Fl -
Mailing Address
Fireplace tr OCA
Total Valuation O
Telephone No.
Permit Fee
Building Address
Plan Checking Fee Vor Penalty
Permit Fee
sl"
PLUMBING No.1 FEE
PERMIT FILING FEE $3.00 3''o
Each Trap 1.50 G, 06
pair drainage or vent piping 1.50
A. P. No. f/6 1 -
Z
Planch
ter piping 1.50 , 0
I
gas water heater or vent 1.50 , ,SO
/Zoni8
FSS
Sa n
Fire Dept.
Fire Zone
Use Pe it
Gas piping system 1 - 5 outlets 1.50
EQA
Par Ing P rcel
Declaration
Parcel p
60' R/W
Improvements
p
Each additional outlet .30
Building sewer 5.00
Bld Plan c'dParcel royal I
Plan4A#pproval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
L G W
Permit Fee $ . �j'�
$ 3
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. OR ADDNS. ( ACCLBLDGS.LING C P 2¢sgft O
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:
NEW RESID. BRANCH L T
NON •RESI T (BRANCH CIRCUITS 2.50ea
NEW CONSTR. (POWER APPARATUS 11
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES ) BAL*1 BAL�1os
Ex. Occup. (OUTLETSP(RESIDIREA) 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 $ ,
$ e
MECHANICAL No. @ 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.
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.
PERMIT FILING FEE $3.00 ,60
Heating
,�-�l
Vv
Cooling
Ventilation
Hood 2.00
Permit Fee $ , Q�
$ -�
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
Land Development Fee
$ 7 -
TOTAL PERMIT FEE
$%,�(� C
autnonze representatives of the county of twtte to enter upon the
above-mentioned property for inspection purposes.4
XXI,A,�"Date 0
Signature of fermitee
y/oor Agent
Receipt No. I� v
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 I
(ding permit expires Date P c7
RESIDENTIAL PLAN CHECKING GUIDE
(S.F.,.DVIPLEX, & MISC. ONLY) ll`
•- ' Bldg. Permit #6
OWNER �r KC 4 Boa er;� k A.P. # �� _ a� —41
A. GENERAL 2
oning requirements (sideyards and parking).
Valuation.
Signature by R.C.E. or Architect (if require ).
'PAST Ftl�n�JOpT��
B. %.-PL-QT PLAN
Complete parcel size and dimensions.
Setback, sideyards, easements, etc.
Other buildings or structures.
4� Grading, fills, drainage.
C. FLOOR PLAN
1! Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1405).
Required windows for second exit.(Sec. 1404).
-1lowable glazing for energy requirements (20% max. per.State law).
F� Human impact glass (Sec. 5406)..
Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
.8-' Light fixtures, switches,.receptacles, and exterior receptacles for maintenance of
mechanical equipment.
.%_._. Locations of water heater, heating & cooling equipment, other electrical or gas
_equipment, and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(4)).
/`1�- 3'0" exterior exit door (Sec. 3303d).
la:�Fireplace location.
]r3� Smoke detectors (Sec. 1413).
D. URCTURAL DETAILS
�,Foundation plan complete enough to construct building.
floor construction details complete enough to construct building..
ji. Elevations and wall construction details complete,enough to construct building.
oof construction details complete enough to construct building.
ireplace construction details and calcs if over one-story in height.
_ufficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
CX plywood on exposed locations and overhangs.
�tairway details (Sec. 3305).
.�Ouardrail details (Sec. 1716).
{a! Brick or stone veneer (Chapter 30).
xterior plaster -,weep screeds (Sec. 4706 & 4708).
&� .roper roof.pitch for roof covering (Chapter 32).
fter ties or bearing ridge beam.
Garage door or porch header sizes.
!__equate bracing.
UK'Living area over garage - complete 1 -hour separation
walls and posts, etc.
W; Two.(2) exits on three-story dwellings (Sec. 3302)..
-INSIALM014Z 144T 1?-kQtA%%%Q
-XT009a s-%gAr.V_ #-NWITABt,.F WkT
required including supporting
CLAIMANT:
eaunta of xuw
OF
ORQVILLE, CALIFORNIA'
GENERAL CLAIM ,
Bruce Broderick
ADDRESS: 1513 7th St.
CITY & STATE: Oro -Ville, CA. 95965 IMPORTANT:
October 15, 1980 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner sold property - not going to place mobilehome on property,
(Mobilehome Utilities Permit Appin.'#1359-80P,E and Mobilehome
Installation Permit Appin. #1360-80 - Receipt #36561 -AP 61-31-31
Plumbing permit fee paid ----- $33.00
Retain filing fee------------- 3.00
Amount of refund due ---------------------$30.00
Electrical permit fee paid ---.$24.00
Retain filing fee ------------ 3.00
Amount of refund due ---------------------$21.00
Mobilehome Installation permit
tee par ------------------- $40.00
Retain 1/3 of fee ------------13.33
-
ount ot re un ue.--------------------- $26.67
TOTAL REFUND DUE ------------------------ - 77.67
$77.67
TOTAL
$77
67
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
�and
claim is true iccoorreejct as stated. /f� Q/, l�i� /d �'a/••G''•••
Dated this .:.Xlf.Ll1/..:. /.�a y Of ....(„/tip:......:.. 19414✓ at ................................. Calif.G�Sl.�uta?�L.eC
Signe f Claim
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a -Budget Appropriation❑ or Specific Board Approvals (Checkone) for the same.
Dated this 15th da of October. 19 $� et Oroville Calif
.................................... Y ............... ....... .............................. . ..... ............. ......... ..
........ ........ ................ .......................
Department Head or Authorized D eputy
Dept. Exp.
Code............................................ Code ................................................PAYABLE FROM ..................................................... ............. .......................... FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
VENDOR
CODE
DEPT.
& SUB.
PROD•
SUB.
0BJ.
CLAIM
NO.
INVOICE
NO.
INVOICE
DATE
DISC.
GROSS
AMOUNT
ENCUMB.
SUB -DIST.
INSTRUCTIONS' to" CLAIMANTS
All claims against the county must be -itemized; -giving - dates- and'
character of service tendered ..or • work- -•performed; -,quantities,' de-
scription and unit prices of articles furnished or delivered.
Claims must be certified by the claimant and" siibmitted''to`the.De-
partment head for approval. Upon approval the Department head
will forward claim to County Auditor for .payment procedure.._... Do
not file with the County Auditor first.
Claims should be preseneed••to•offic-ials- for' approval. immediately
upon completion of services `requested- or- material' •ord-ered:•--
Claims are paid every Tuesday; however, same must be approved by
officials and in Auditor's office before preceeding Wednesday noon.
Compliance with above will expedite payment of claim, failure to do
so may delay payment considerably.
t
61-31=31
Permit #1359-80P,E(u-til. ,MH)
ELEC . U-^
GAS
SUPPORT STRUCTURE REQ.
COMPACTION TEST REQ.
bCOUNTY OF BUTTE — ' DEPARTMENTrIT
UBLIC WORKS
7 County Center Drive - Orovi Ile, Ca 95965 /r
Telephone: 534-4541 PO
APPLICATION ANCA PER /
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X N'� /' Date 05
Signature of Permitee or Agent
Receipt No.��5�'
White-D.P.W. - Yellow-Assessorl- 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.
—ems
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
�
Building Address
Aga
Pl-an Checking Fee B,/or Penalty
Permit Fee
� a
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 3..
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. _ (
ping & Planning
Water piping 1.50 o.00
Each gas water heater or vent 1.50
FQe<
Sanitation FireDept.
FireZone Use Permit
Gas piping system 1 - 5 outlets 1.50 .Q
11
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Im r
p oveme is
Each additional outlet .30
Building sewer 5.00 ,o
Bldg. ans Recd
Parcel royal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ry OTHER ❑
Permit Fee $
$
ELECTRICAL No• @ FEE
PERMIT FILING FEE $3.00
00V OR LEMain service 100 AMP ORS5.00 ;�
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVERe00v 25.00
100 AMP OR LESS
Main service/ EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST l ACCDWELBLDGS.LING CCUP. Y) 22sgft
_
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
NEW CONSTR BRANCH CIRCUITS
NON-RESID. � BRANCH CIRCUITS 2.50ea
NEW CONSTR/POWER APPARATUS 8
NON -RES ID. \SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIiRES) g L 1� 0¢
Ex. Occup. (OUTLETSP(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 �.(7
License No. Classification
Mise. Wiring 6.25
o
,am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ ,r
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.
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
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
Land Development Fee
$
$
TOTAL PERMIT FEE
$�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X N'� /' Date 05
Signature of Permitee or Agent
Receipt No.��5�'
White-D.P.W. - Yellow-Assessorl- 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
a�®�
C
4A.)
i
61-31-31"
� .f
Permit #1360-8gmm
Issued y
r
COUNTY OF BUTTE — IJEPARTM>=NT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
' Telephone: 534-4541
APPLICATION AND PERMIT
/&�0-Pd
0 A
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
0.111
Mailing Addre
Telephone No.
/V e,
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address c
Plan Checking Fee&/or Penalty
Permit Fee
e
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trao 1.50
Repair drainage or vent piping 1.50
A. P. No./
ning &Planning
Water piping 1.50
Each gas water heater or vent 1.50
s
&C�7
Sm*WtieR
I 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. PIdt�Rec'd
Parcel A 'oval
Plans royal
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
/35 _ 0
ELECTRICAL No. @ FEE
PERMIT - FILING FEE $3.00
V OR LE
Main service 100 AMP ORSLESS 5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER
100 AMPs00v OR LESS 25.00
Main service// EA. ADD'L 100 AMP 1.00
NEW OR ADDNST \ ACCDWE. BLDGS.LING C CUP. s) 20sq ft
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:
NEW RESID. BRANCH CIR T
NEW CO I T � BRANCH CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUS 8
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES) B L@;
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee $140"
$
MECHANICAL No. @ FE_ E
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
as to become subject to the Workmen's Compensation Laws of
F
California.
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 buildinq construction, and hereby
I anri Detelnnment �ee
^�
.$.410
TOTAL PERMIT EE$
� --
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X ^111 Date
Signature of
P,e`rmitee or Agent
Receipt No. —36s T
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
Building permit expires Date