Loading...
HomeMy WebLinkAbout062-200-10162-20-101 LINGARD T. N. - 575-66B BERT GEORGE 600-66P SIS Bald Rock Rd, app 1.6 mi•E/of Oro Quincy Rd, Contr : LaGrone Heatfin�giv&�AC, Oro s1s Bald Rock Rd. app. 12• mi. w. of Sugar Permit#3202-79E,M(inst. split sys Store, Berry Creek CONTR: Mtn. Develo ment Co., Star Route, tem Min pump) SF (new 'ngle family 94A, Berl, 062=20-0-101 7- i O - 6 Creel f HII,LIARD, JEAN Pi6- a© o l 734 BALD ROCK RD., BERRY CRE REPLACE ELECTRIC WATER HEATS7 062=200-101 - 06-1304" HILLARD, RICHARD • 734 BALD ROCK RD, BERRY CREEK Cont: OWNER AG BUILDING - �JI� DGS Panel Cho res Zb0 aYnr m _;: .�. y � E �w � �� � �' �.; � I i �: BUILDING DIVISION COUNTY"OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. j3Po6l`3oy Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ' ASSESSOR PARCEL NO. ZONING P ' `_ i Lf OWNER PHONE NO.. /hZ%AR o s -� a o OWNER'S ADDRESS L C -KE -C LOCATION OF BUILDING 7. R- P l 2.12 USE F BUILDING �`R/CL u 2 a ZAt,1 1 SIZE OF STRUCTURE SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME _,X— STEEL CONCRETE OTHER (Specify) TYPE OF SIDING wao ROOF COVERING FLOOR TYPE � ESTIMATED COST OF CONSTRUCTION $ 1..06 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: `py►' Iffkwn o itll-j lftyl A-0 `,olrnli"am FRONT.SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be Located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 6-0- e 6 Signature of Owner!2dzz/�O� Permit Fee -$109.98 The above described AG Building is exempt from a -building permit. Receipt No. L/5 5-5-76 S ^ FLOOD P��R P. p./ Roo ssu Manager/Buildingbivision White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant - 4 Butte County Department of Development Services BUILDING DIVISION 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile 6-7-06 Mr. Richard W. Hilliard Mrs. Jean T. Hilliard 734 Bald Rock Rd. Berry Creek CA 95916 RE: Building Permit Number: 06-1304 APN Number: 062-200-101 In order to continue processing and/or issue the above -referenced permit, we need the following information: ❑ Permit application signed and completed where indicated with all copies returned. ❑ Plot plans, 1/4 sets, signed by preparer of plans. ❑ Complete plans and calcs, % sets, signed by preparer of plans. ❑ Engineered plans and calcs,1/4 sets, with wet signature on plans. 0 ❑ Hazardous Material Form. ❑ Statement of Intent for Non -Heated and A/C Buildings. ❑ Engineered truss details and layout in duplicate. ❑ Mobile home data and manufacturer's installation instructions, 2 sets. ❑ Fees of , payable to: Butte County Treasurer. ❑ Impact fees paid. ❑ California Department of Forestry plan approval/fees. ❑ FEMA National Flood Insurance Program Elevation Certificate prepared by a licensed land surveyor, architect or engineer. ❑ Sanitation and plot plan approval from Oroville Environmental Health Department. ❑ City of Chico plumbing permit. ❑ Plot plan and business license approval from City of Biggs/Gridley. ❑ Planning approval for ❑ Land Development (a) Improvements (b) Drainage. ❑ Contractor's license information (No. Name, Style, Class) or exemption statement. ❑ Owner -Builder Verification Form ❑ Recorded copy of Agricultural Acknowledgment Statement ❑ Letter of signature authorization ❑ Copy of recorded deed of parcel creation and 60' right of way to a public road ® Letter of intent on building use. ❑ Mobile home utility clearance ❑ Documentation of legal access. ❑ Documentation of 50% subdivision developed of a) Road improvements completed and (b) Parcel meets zoning area and frontage requirements ❑ Existing violations/expired permits resolved. ❑ Plan check list data and revisions. ❑ 10 set(s) of plans in accordance with changes marked in red. ❑ Copy of recorded 60' right of way to a public road. Should you have any questions concerning the above, please call (530) 538-7541 and ask for the Permit Center. Sincerely, Tammie Powell Permit Technicianll --e a "-xcY.'+►• +.p.--....a...wsr+rr�*.,,r.•r..�ryr•r..�..-..-��,..�,.,,......r,....--.-..........."�-` r BUILDING -•� �DIVISION COUNTY OF BUTTE; -DEPARTMENT OF DEVELOPMENT SERVICES :r 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 "AGRICULTURAL BUILDING EXEMPTION PERMIT r �•». PERMIT NO. Agricultural building is defined as follows: Agricultural building,isZa �" tr/udture designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. w� 7 ASSESSOR PARCEL NO: : ' ZONING f t 6 © I o I OWNER PHONE NO. OWNER'S ADDRESS """ 3 N F)A L td I? 'CSG . t e . LOCATION OF BUILDING USE OF BUILDING e"'r 15-ef,/%U11 -71 Ir"'.:L. kt,-1 JPIY'Gi4 n Jtf SIZE OF STRUCTURE TYPE OF CONSTRUCTION: r WOOD FRAME STEEL CONCRETES OTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR TYPE 1 r ESTIMATED COST OF CONSTRUCTION .� AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: , ,1,71 , w®r FRONT "r SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. F AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall.be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. j 1 declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. j Date gn`ature of, Owner- � Permit Fee -$109.98 Receipt No. L/55-5'76 The above described AG Buildino is Manager�Buildi White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant from a buildinq permit. 'f% Date BUTTE COUNTY JUN 13 2006 DEVELOPMENT > SERVICES i e ffl � \ �I� �I� j' .. .., � � ,� ,� �� ' � � i�� _ � � �- �`� ,, . , !�� ��� ��� �' � }� i� �� ,�� � �; �;' �f� ,; �� �� �, ,, ,�► ��� �� -,� k ►'i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES:- BUIXDIN DIVISION 7 County Center Drive • Oroville, California 9.5965 • Telephone (53 8-7541M (Rev. 12/96) APPLICATION AND PERMIT j� ASSESSOR PARCEL NUMBER .. ZONING BUILDING PERMIT OWNER TELEPHONE SO, Fr, OCC. BUILDING VALUATION O'7V4 "MWTUCK RD. , BERRY CREEK, CA 95916 C(,tS�fA►�II%s {�AQwm Tit^ 1�/�11J :1J1�1�1D11�V TELEPHONE — 5280 CONTRACTORS MAIUNG ADDRESS _ 40 RB CHUX), rA 95971 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER ucENs- D. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ' t , 714 RALT) Energy Plan Checking Fee $ _ -69 $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF XX Duplex ❑ Mobilehome ❑ Other s Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other EA ! Describe work: REPLACE ELE WATER"HEATER Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00. Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service ioaL ow mss 23.00 T LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in �Ull Jorce and effect. / /�/, �% 2 License Class 5 G Lic. No. !!! ► J ♦ OWNER -BUILDER DECL R ION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale.; ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. . ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' comp-en_s¢tion,4nsuranoFrie� policy number are: Carrier �' %� i ff-- /t Policy Number i ;S r) / �!/_ - . (The above sections need not be o pl ed if a permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any m ner so as to become subject to workers' compensation laws of California, an agree that if I should become subject to the workers' compensation --p ovision of section 3700 of the Lab Code, shall forthwith complZfth, osrov' Ions ? X _. Date -?gnature �60App" i ^nt - Owner p. n actor ❑ Agen An OSHA permit is re uired for excavations over 60" deep and demoliti or construction of structures over 3 stories in height. Main Service 200A TO I000A 46.00NEW CONST. DWELLING OCCUP. so OR ADDNS. ( a ACC. BLAS. 3.50FT. T. XNpµpalp, MULTI -OUTLET @7.50 POWER APPARATUS a SINGLE oIJTLEf qR. 20 @ I.00 EX. OCCU SAL @ .SO OUTLET OR FIXTURES Ex. Occup. ouTIFTSREs o.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 FEES IMP FLOOD CDF PARCEL PO HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON r the applicable provisions Resolutions to do work been paid. ,( , Date afe ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF,DEVELOPMENT SERVICES - BUILDIN DIVISION -,;.. 7 County Center Drive • Oroville, California 95965 • Telephone (530 8-7541 o. A -W-0775 (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 062-200-101 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OW7!4 tffDRVCK RD., BERRY'CREEK, CA 95916 cTFAMs MMBING TELEPHONE CONTRACTORS MAILING ADDRESS 40 REGENT LANE-, ISHIC0, CA 99971 CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 714 BALD ROCK RD" BERRY CREEK Energy Plan Checking Fee $ I $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF KK Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ U6lrbes ❑ Installation ❑ Other ax Describe Work: REPLACE ELE WATER HEATER Gas i in system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 000v OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business end Professions Code, ( g ) and my license is intull4orce and effect. .License Class Lic. NO. ( �G `� OWNER -BUILDER DECL R ION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' com ens tin nsuran�ier a policy number are: Carrier W.—PERMIT Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. SO 3.5QFT: NEW CONST. MULTI.OUTLET NON RESID. C @7.50 POWER APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL p'. 0 Ex. Occup. DFlxs as D OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Coolin - Hood 6.50 Ventilation FEE S Policy Number (The above sections nee not be 6offipt6ted if It a permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any ma ner so as to become subject to workers' ation laws of California, an agree that if I should become subject to the coEhweith W rs' ompensatio ovision of section 3700 of the Lab Code, shall fo ompiy w' os rov' ions. G X Date fes/ ignatur -App i nt - Owner contractor ❑ Age An O A rmit is re uired for excavations over 5'0" deep and demolitio or construction of st motes over 3 s ories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. p, FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By ,& 64& PERMIT EXPIRES O the applicable provisions Resolutions to do work been paid. /Il ' /Date (D44) Receipt No. 80 WHITE-D.D.S.-B.D. CANAR -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT /' � � � > o �� � r <� 1.. , + � � ' i y/s/8�' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 w APPLICATION AND PERMIT authorize representatives of the County of 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. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. I Sanitatlon Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A royal Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Lawn sprinkler system 2.00 Permit Fee $ Is - 7 -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. ( DWELING OR ADDNS. ACCLBLDGS.CCUP. 4\ 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 style of: NEW CONST R. MULTI.OUTL T NON -CONS BRANCH CIRCUITS 2.50ea NEW CONST R. POWER APPARATUS e NON.RESID, \SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXT11RES 50AL210 FIXED APLNS Ex. 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 $3.00 Heating Cooling Ventilation Hood 2.00 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 Land Development Fee is TOTAL PERMIT FEE $ authorize representatives of the County of 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 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,ICalifornia 95965 Telephone: 534-F541 . , ^ APPLICATION^ AND PERMIT authorize representatives of the county of Butte to 'enter upon, the above-mentioned property for inspection purposes. X Date Signature of�Permitee or Agent i Receipt No. rte'? 94:!!2� 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. IRE ISLOR OF PUBLIC WORKS�YA24zfzcl 404 vw" IA--A—L % Date F Building permit expires ate �` r �� BUILDING / Owner SQ. FT. OCC. BUILDING VALUATION t� Mailing Address `g G Cee- Te k9ne No. s jj 7 Contractor A �vt-G' - G Mailing Address d S P `� -elhone Fireplace Total Valuation 11(3 R _ Telephone No. T 5433, 7 o Permit Fee Building Address 0e, Plan Checking Fee&/or Penalty Permit Fee 5 fD PLUMBING No.1 @ FEE d ii'il0 - P�IIJ PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. eo2 —:2o /O A z oning 8� Planning Water piping 1.50 Each gas water heater or vent 1.50 S Fire Dept. FireZone 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 g1da RIGR ie 'cl - Parcel ApEroval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Z permit Fee $ 5 ►I►-/ ` L h „� ELECTRICAL No. @tFEPERMIT FILING FEE $3.00 Main service 100V OR L 00 AMP ORSL=SS 5.00 Single Family Duplex Mobil Home ❑ Others ❑ Main service -EA. ADD -L 100 AMP 2.50 Main service OVER e O 25.00 100 AMP OR LESS , Main service EA. ADD'L 100 AMP 1.00 NEW CONST.OR ADDNS. (DWELLING ACCBLDS.CCUP 6� 20 sq 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 St le of: Y + NEW RESID,CONSTBRANCH CIRCUITS) NON-RESID � BRANCH CIRCUITS/ 2.5Oea ' NEWCONSTR./POWER APPARATUS 6 NON - RES ID. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES B L@; Ex. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID•) EA1 2.00 6 iU0 Temporary service 10.00 Mobile Home Facilities •15.00 License No.a3 ~752 / Classification C--2-0 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. j' 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�whlch this permit is issued I shall not employ any person lin` any manner so as to become subject to the Workmen's Compensation Laws,of California. �;...a @ MECHANICAL No. FEEPERMIT FILING FEE $3.00 d0 Heating po / pa Cooling sQ Ventilation +2.00 !Hood - IPermit Fee $ .� !i $ f L I certify that I have read this application and state that the above information is correct. I agree to comply to all County,'Ordinancl:'s� and State Laws relating to building construction;: and her, Land Development Fee $ TOTAL PERMIT FEE $ + S authorize representatives of the county of Butte to 'enter upon, the above-mentioned property for inspection purposes. X Date Signature of�Permitee or Agent i Receipt No. rte'? 94:!!2� 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. IRE ISLOR OF PUBLIC WORKS�YA24zfzcl 404 vw" IA--A—L % Date F Building permit expires ate �` r �� 'Tl Zip �6'