HomeMy WebLinkAbout062-740-016IY
AP
\ SID HORRIII AN
p x:00" E. Hidden Springs Rd., 14601--S. no.
Rockerfeller Rd., on private rd.
Permit# 304-75E(construction poaOj'.'w
yftm pole)
P mit #4495-76B(new single family)
Permit #3929-78B (lst•. renewal)
Permit ##7384-78B,P,E (2nd, renewal
/4495-76 & ele & p bg for 4495-76�
/(3rd
n3 i06
Permit #5381-79 renewal/4495-76)
lig=c^-,r� i v `i .
f Permit#1890-83B,E(add living room/SF)
t Permit#k2216-83R(4th;� _5th & 6th renewal/
A495-76 &.add wood burning stove)
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k .
2'E
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cfli mail
6
PIP
.
En O.
S'
PERMIT EXPIRES
OWNER SID HORRIGAN
CONTR. owner
LOCATION (A.P. 62-23-106
App 400' E of Hidden
Springs
Rd', 1400' S
of Rockerfeller Rd,
on pri.
Rd. Berry Cr,
y�
t<
i
F
r
l
Temp. Power Pole
Called PG&E
4,
1
Temp. Elec. Ser,.
Called PG&E �•
Temp. Gas Serv.
Called PG&E °
Y;
JOB
FINALED
.a
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMr=NT'OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
Setback
Forms !
Main Bldg.
Footings
'T
Stemwall
Slab
Piers,z� i!? 6 L
Garage
Footings
Stemwal I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Relnf. Steel
Bond Beam
Framing~
Stucco
f Mesh
1 Scratch
Brown
Finish
Interior Lath
Door Closer
BUILDING (Cont'd)
Firewall
Restroom Finish
Windows
Siding
Roof Sheathing
Roofing
Fdn. Vents
Garage Vents
Prov. for physically.
handica ed
Conformance of ex.,,o
structure
_Final
F R LAC
Footing
Throat .�
Final % /i
FIRE SP INKLEF
Test
Final
MECHAN AL
Heatin
Cool in
Ducts
Ventil
Final
0
DATE REMARKS OR CORRECTIONS
_4T -4 int ?-.S
w,,;CA-
Grd: Fault Prot.
Service
Temp. Pole
Underground/
Pennane
Final
Ix -
(NOTE: An entry must.be made on this form each time you visit the job site.)
PLUMBING
Soil Piping
_
1st Floor
2nd Floor
3rd Floor
Topout
!—
Water Piping
sewer
Fixtures
Water Htr.
Heaters
Appliances
i ih &
est
T as
Sanitation
Final
ELECTRICAL
Rough
Fixtures
Motors r
Grd: Fault Prot.
Service
Temp. Pole
Underground/
Pennane
Final
Ix -
(NOTE: An entry must.be made on this form each time you visit the job site.)
I2^ , 'V
"h
I
December 12, 1976
Dept. of Public Works
7 County Drive
Oroville, California
Dear Sir:
I would like to apply for an inspection of
setback, forms and reinforcing steel on con-
struction per building permit # 4495-76B.
Plans and job card are at site attached 16
side of storage shed.
Thank you,
SID HORRIGAN
5392 Joseph Lane
San Jose, California 95118
t
COUNTY OF BUTTE
DEPARTMENT OF PU 3LIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
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 correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
L // 1
i
` r
Inspector '' Coate - _
gg9S--9G -2a -8-3
PERMIT NO. 1890-83B,E
PERMIT EXPIRES
OWNER SID HORRIGAN
CONTR. owner
ASSESSOR PARCEL 62-23-106
LOCATION App 400'E Hidden Springs Rd-, 1400'
S Rockerfeller Rd, Berry Creek
9
a
1
i
a
Temp. Power Pole
r. Called PG&E
Temp. Elec. Service
{
Called PG&E
Temp. Gas Service
c
r
Called PG&E
JOB FINALE[
Signature
i
J = OK
0 = Not OK
Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS -
Date
MOBILEHOME UTILITIES (Plans) OK except k's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
1, Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
_
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors -
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
_
Date Card -BI. Date
Date
MOBILEHOME INSTALLATION (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Date
_
POOLS (Plans) OK except ft's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
5. Elec.; Poollighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding: Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes- Enc losures- Pane [boards -Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J=OK
0 = Not OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date UNDERF Plans OK except N's Date FRAMING (Continued)
oni quirements-Setbacks-Easements 48. wall & Openings
tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth . oors-One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50--64etrg-WicRh-Headroom-Rise-Run-Landing-Fire Protection
4. F , orches & Decks; Soils -Steel- / /" Ftg. Depth ood on Roof Overhang -Attic Vents -Rafter Outriggers
7- Stemwalls, Main; Steel-Blockouts-Wrapped-Slab iding-Nailing-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab S3.-StaclEstr-Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel 54 ing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 5 iling-Bolts
9. Gas Pipe; Size -Anchors
10. Weter-Pipe; Test -Anchors -Regulator -Service Test
11.-deetf-ic; Underground
12. &Ducts; Clearance -Material -Support -Ins.
74 Girders -Sills- chor Bolts -Joists -Vents -Cripples Card -BI Date
'&4AJ J/kA_ Lp7_'1K_ /(ii/S Card -BI Date
Card -BI Date
T.fswb I_ Date�L� Card -BI Date
C�-�r64 Date -yJ2- Card -BI Date Date F (P s) OK except q's
56. t. Steps -Door & Sidelight Protection -Landings
Date PLUMBING (Permit) OK except N's 5 Smoke Detector
14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector -
15.. Water Pipe; Test &Anchors -Nail Protection }rt Garage; ove�-veer�Dlrpts-Mech. Protection
I Dale
Card -BI Date
Card -BI . Date
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
B dfoom Exitinc
17. Shower Pan; Test, First Floor -Tub Access
Date Card -BI Date
6
G.F &'Bath F
18. Test Tub & Shower, 2nd Floor -Tub Access
Card -BI
61
le . Trim & Su
19. Gas Pipe; Size & Anchors
W.-Elec. Outlets & Receptacles at Kit. Counter
3
_
arin Is over Girders & Floor Nailing___
aft Stop in Walls (rat proof)
67.
6
place or Sto
& Tub Access
Breaker Sizes-
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
64. Ele Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
Card -BI �_ Date Card -BI Date
Date FRAMI cans) OK except N's
ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
_ alls ds -Nailing, Spacing & Bracing -Plates -Sound
W.-Elec. Outlets & Receptacles at Kit. Counter
3
_
arin Is over Girders & Floor Nailing___
aft Stop in Walls (rat proof)
67.
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICALPermit OK except N's
41g_ -Size & Bearing
42..6Ha___a ps-Anchors-Connectors_ _
4 Joist-Rflr. Ties -Perlin -Roof Brac.-Truss-Shthnq.-Rfnq.
- � 44. Fire Ties or Type A Flue -Fireplace Throat
6.
are e -Damper
Fixture &TClearance -Ins. Protection
ttic cess: Size & Romex Protection -Draft Stop -Ins. Baffles
69ransformer
Wtr. ir.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
-I
24. _lec. Receptacles Spacing -Lights & Switches at Doors
ge; Above Floor-, Mach. Protection
2� ize Boxes & No. of Conductors -Stapled
7
„ Elec. & Mech. Equip. Listed for Location
2i_R'o'mezTnstaIled Close to Edge of Studs & C.J.
7e./Elec.
Receptacles in Garage; (G.F.1.)-Rome titec.
2Ae-E uip. Ground made up w/Mech. Fasteners -Bond Gas &Water
7.
Insul m -Looked in Attic e -s
-s
25. -2 -Appliance Cicctits in Kitchen &Conductor Size
& Deck Construction -Post Caps
26. Sable ad-Wire-3i-ze-y / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
4..Fdn.
Vents & Crawl Ho eD age & Wood -Earth Clearance
Looked Floor
- -
27. Ran a ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
75,
under LJYes
Following instld.: Drive Yes o; Walks [I Yes �fd�
I elated Neutral []Yes El No
Planters ❑Yeso
_
28 i. Conductors & Ground -Main Disconnect
76
- finish
--
29._E9mjpearances; Panels-Motors-Mech. Equip.
A niisconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
--_
30-'Ctolhes-CIt5581^dight-Shower Light _
7
n bove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
------- ---
7
t .isconnect, Electrical, Plumbing
-------
80
t or lec. Trim; G.F.I. Receptacle -Underground
'
C4tf Bl-%
Date Card -BI Date
t
Card B -I
_
Date Card -BI Date
81.en
ation throughout House
8ass
Protection
84r
_
Correct' s from Previous Inspections
Date
MECHANICAL (Permit) OK except N's
est -Meters Tagged; Gas -Electric
-_-
31. A.C. Ducts: Insulation & Support
85.
ater &�gwEr.Connected-C/O to Grade -HD Approval
-_
32. Vent Fan; Exhaust above Insulation
-T6-
Energy Compliance Certificate -Other Certificates
-
33. Condensate Drain & Overilow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
--------- -
Card -BI -- DateCard-BI Date
Card -BI Date Card -BI Date
Card -BI ate Crd-BI Date
Card -BI Date C rd -BI Date
Card -BI �_ Date Card -BI Date
Date FRAMI cans) OK except N's
omments at Final:
l roper Material & Anchors
_ alls ds -Nailing, Spacing & Bracing -Plates -Sound
3
_
arin Is over Girders & Floor Nailing___
aft Stop in Walls (rat proof)
_ 40_Brred
Ceilings -Stairs -Chases -Tub
r
41g_ -Size & Bearing
42..6Ha___a ps-Anchors-Connectors_ _
4 Joist-Rflr. Ties -Perlin -Roof Brac.-Truss-Shthnq.-Rfnq.
- � 44. Fire Ties or Type A Flue -Fireplace Throat
_
;
ttic cess: Size & Romex Protection -Draft Stop -Ins. Baffles
47
ndovvsZ7r-�1eiting Doors -Sill Hgt. & Dimensions
tion Framing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
(0 2- 23 �- /06
ZONING
BUILDING PERMIT
owNF�„r�,DIOP__,e/e,AAJ
?H�Q� !
(j!
SO. FT. OCC. BUILDING VALUATION
D ✓DRESS
qZ1 A I L I NFOSEPI� 1,4). 54AJ JOs� 6+
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace A
Qp0
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee X /
$ - 00
ARCHITECT OR ENGINEER
LICENSE NO.
$ Z5ao
r
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ av
/
BUIL,p � AD co -s EAST 0" Aqui(/ SP IMI 1 " 141W /
�l'i
PLUMBING PERMIT
Filing Fee 10.00
S, of �L�2 eD, anJ �i�(VA%C �•
Each Trap
2.00
Solar Water Heater
20.00
Ci
Water piping
5.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G W
10-00e
TYPE OF WORK
New ❑ Additio �g nodel tili es ❑ Ins allation� Other
Describe work: �G' �P
%t/p "P G!J(ba10 66feXI/d%y
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
10.00
$7Z✓€
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS, ACC, BLDGS.
2/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
icense 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 ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS.
NEW CONSTR POWER APPARATUS &'%\
NON.RESID. SINGLE OUTLET CIR. /
Ex. Occu / 20050e
P\o OR FIXTURES SAL®300
FIXED A
Ex. Occup. OUTLETS PRESID,ILNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
a ertificate of Workmen's Compensation Insurance or a Certificate
f Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
Z
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
$
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 Countyot
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 liabII'ties, judgme ts, costs, and expenses which may in any way accrue
against aid�Count i consequence of the granting of this peiirmi .
X Date v a
Signature of Applicant — OJ QerContractor ❑ Agent ❑
An OSHA permit is required for etions 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
TYPE OF CONST,
IPZ—R71110
IesuE
This rmit is hereby issued under
sion o the Butte County Code and/or
wor i is d a ove for which
IR CTOR DF PUBLIC
B
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dte �` 3
Receipt No. �/ Z
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
` - 7 County Center Drive - Orovil'le, Califiornia,95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PEF)MIT NO.
ma
P /
ASSESSOR PAF%CEL NUMB RZONING
(,PZ— 2 /06
BUILDING PERMIT
OWNERS/ 4OC- ,. /1
r/(J
�8.
TELE PHO E
2�� !�'�6��
7
SO. FT OCC. BUILDING V LUAT N
38
/�f0`((,� SA
l�/'
Ob6N�,F�'S MAI JOSEP14E55 �, SAAJ Jo's + e' ?5//9
CONTRACTOR'S NAME
,/
OWN
ELE
TPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEND E
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING A DRESS
Permit Fee
$ 00
ARCHITECT OR ENGINEER
'A`'A✓'.
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S S MAILING ADDRESS
Permit fee
$ ,pv
BUILDING ADDR SS
/qp0, OOH QST p1� �CLIDZ� I/ 3P1�/�t% 1PLUMBING
PERMIT
Filing Fee 10.00
ADO/ d�
Each Trap
2.00
Solar Water Heater
20.00
F -D . g[e f✓Y ems`
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
model❑ Utilit. s❑ Installation❑ Other
New ❑ Addition �/�V
Describe work: L�1 �• l?ELOG47�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10,00 /0,&V
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELING
OR ADDNS. ACCLBLDGS.0
21h0sgft o
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, 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 LII -OUTLET
NON.RESID BRANCH CIRCUITS
2.50 ea
NEW CONSTR. POWER APPARATUS &'
NON.RESID. SINGLE OUTLET CIR.
Ex. Occu P\/ 20@50C
OR FIXTURES 6AL®ao
o XED
A
FIXED APP LNS, OR
Ex. Occup. OUTLETS (RESID,) EA.) 2.00
Temporary service 10.00 r
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$ p
Contractor
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.
gI 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.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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 authorize representatives of the Countyot
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
against aid Cou t in consequence of the granting of this permit..
Si Date "' ®
Signature of Applicant- er ❑ Contractor E]Agent❑
An OSHA permit is required fo exc vations over 5'0" deep and demol tion or construct-
ion of structures over 3 stories in he ght.
Mobile Home Installation Fee $
TOTAL PERMIT FEE �rJ ems$ v
Occup. GROUP
g
TYPE OF C NST.
V_
PARC}
i/
PD
HD SS
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
BY
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date?^y(3�
's d /
Receipt No.noVil 160 ®tv-2' 0, lCU
WHITE-D.P.W., YELLOW-ASSF SSOR, P Ib K -I N SPECTOR, O DENROD-APPLIC NT
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive —' Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above -m ntioned property for inspection purposes.
X a"� Date R�
Signature of P,errmmitfee�or Ag nt
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 whi ees have been paid.
ECTOR 0 BLIC WORKS
B Date �d
Building permit expires Date
BUILDING
Owner
SO. FT. OCC. BUILDING VALU N
Mailing Address —
fziw o5c� �y " %t
Telephone No.
v"zLtl - QgGy
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee 4K2 I g ,p0
Building Ad dress _
L20 OD O
PlanCheckingF a&/or Penalty
Permit Fee
r _C 60
PLUMBING No.1 @ FEE
-
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. _ p2 —
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
FAfs' I
vte- SaR44e4en
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA
Parking
Plans
Parcel
on
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
ec d
Parcel A royal
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
ELECTRICAL No. @ FEE
'9'd 0-7_79
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 loo 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 ADONS. ACCLBLDGS.LING Occup- Y) 2¢Sgft
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
of:
NEW CONSTR. BRANCHCIRMULTI-OUTLET
NON.R ESID � BRANCH CIRCUITS 12.50ea
NEW CONSTR. POWER APPARATUS 6
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUP(OUTLETS OR FIXTURES) g 0251'Oel
FIXED LNS.style
Ex. Occup. (OUTLETS APP
(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 $
$
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.
ElI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
1;4I 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 $
$
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
$
TOTAL PERMIT FEE
$ g
authorize representatives of the County of Butte to enter upon the
above -m ntioned property for inspection purposes.
X a"� Date R�
Signature of P,errmmitfee�or Ag nt
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 whi ees have been paid.
ECTOR 0 BLIC WORKS
B Date �d
Building permit expires Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive' — �OroviIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the (;ounty of Butte to enter upon the
above-mentioned property for inspection purposes.
221)6"
C`� Date `
Signature of Permitee r Ag nt
Receipt No.
Ll ehite-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 aid.
BY4DI TO,B�, UBLIC WORKS ��`% %
Date a/� v_r `?
Building permit expires Date__� 2 !f &Y
BUILDING
Owner2-4 q r�
SQ. FT. OCC. BUILDING VALUATION
Mai I ing Address
Telephone No.
�-
Contractor w
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address ypp�
P I an Check i ng Fee Vor Pena I ty
Permit Fee f ��
PQ •�
l dU� r�2
PLUMBING No.1 @ FEE
/-
1, d
PERMIT FILING FEE $3.00 Coot
Each TraD 1.50 .[?C7
Repair drainage or vent piping 1.50
A. P. N 2.—Z3— /�b
��
oning Planning
Water piping 1.50 /,r -p
Each gas water heater or vent 1.50
FeesW.
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,—P—Lo^..-Rg�d
Parcel Approval 1
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $ 1016-0
.$ Z0 C
2-v%, i �•,�� ch
ELECTRICAL No. @ FEE
I49,5-7
PERMIT FILING FEE $3.00 , c) n
OR LES 5.00
Main service 100 AMP ORSL=SS
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. ADO'L 100 AMP 1.00
NEW CONST. DWELLING OCC P.
OR ADDNS. ACG, BLDGS. 2P'Sq ft ! a
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 CONSTR. BRANCH CIR
NON-RESID � BRANCH CIRCUITS) 2.50ea
NEW CONSTR (POWER APPARATUS a
NON•RESID. SINGLE OUTLET CIR,
Ex. OCCUD(OUTLETS OR FIXTIiRES I g L1� �
Ex. OCCU FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Lic se No. Classification
Misc. Wiring 6.25
1 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.
ve placed on file with the County of Butte a certificate of
kmen's Compensation Insurance.
ertify that in the performance of the work for which thisVentilation
Vpermit 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
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
Land Development Fee
$
TOTAL PERMIT FEE
$ 7 j$
authorize representatives of the (;ounty of Butte to enter upon the
above-mentioned property for inspection purposes.
221)6"
C`� Date `
Signature of Permitee r Ag nt
Receipt No.
Ll ehite-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 aid.
BY4DI TO,B�, UBLIC WORKS ��`% %
Date a/� v_r `?
Building permit expires Date__� 2 !f &Y
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive ' - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XCL—� ^ Date J
Signature of ermitee orAgen
Receipt No. /7
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
K�l
hich fees have been paid.
R4ERE T R OF BLIC WORKS
DateAL
Building permit expires Dae ��— aJ , —78
BUILDING
Owner �sr �•
SQ. FT. OCC. BUILDING VALUATION
.c`✓L
Mailing Address.
Telephone No.
d, r G
Contractor (�
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
_ ,
Building Address v
Plan Checking Fee&/or Penalty
Permit Fee
Q(
Y � p' e9
PLUMBING No. @ FEE
4 rJv9-•
PERMIT FILING FEE $3.00
Each Trap 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
Fetes
-W-16. I
Sanitation
FireDept.
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
6+dg-P+arn-Rec'd I
Plans Approval
Lawn sprinkler system 2.00
__E=L.!A1222val
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
L
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE 1 $3.00
Main service 800V OR LESS
100 AMP OR LESS 5•��
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 OR ADONST // DWE%ACCLBLDGS.LING CCUP, &) 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 CONSTR BRANCH CIRCUITS) NON-RESID ( BRANCH CIRCUITS 2.50ea
NEW CONSTR. POWER APPARATUS 8
NON-RESID, SINGLE OUTLET CIR,
Ex. OCcuo(OUTLETS OR FIXTtIRES 50L@
BALeoi
FIXED APLNS
Ex. Occup. (o TLETSP(RESID.)REA) 1 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 $
$
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.
r'j I certify that in the performance of the work for which this
ermit 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 N0.1 @ 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
Land Development Fee
is
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XCL—� ^ Date J
Signature of ermitee orAgen
Receipt No. /7
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
K�l
hich fees have been paid.
R4ERE T R OF BLIC WORKS
DateAL
Building permit expires Dae ��— aJ , —78
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive— Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
autnonze representatives of the County of Butte to enter upon the
above -m tioned property for inspection purposes.
t xDate T/S/n
igna ure If ermiteeAge t 9
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 aid.
DIRECTOR 0 UBLIC WORKS
By Date j=Zy—
F ?_
ding permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address '
Telephone No.
z e_!?"
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee ,36 le
�
Building Address o
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00
Op
Each Trap 1.50
RAP
Repair drainage or vent piping 1.50
Water piping 1.50
/
�ilu.�"�
Each gas water heater or vent 1.50
A. P. No. 3 ���
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
sS
e FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parkin
Plans
Parcel
Declaration
I
60' R/W
Im rovements
p
Lawn sprinkler system 2.00
I►'1L7.,(_
ce Apva
Plans Approval
Permit Fee $
$
NEWAull ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ 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 -bo r,1
Receps.., switches &.fix outlets 120025
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
f
r
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
it 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.
y j, I certify that in the performance of the work for which this '
ermit ,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
$ -3>6ae
autnonze representatives of the County of Butte to enter upon the
above -m tioned property for inspection purposes.
t xDate T/S/n
igna ure If ermiteeAge t 9
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 aid.
DIRECTOR 0 UBLIC WORKS
By Date j=Zy—
F ?_
ding permit expires Date
COUNTY OF BUTTE — ID314-4541
TMENT OF.PUBLIC WORKS
~�} 7 County Center Driveroville, California 95965
Teleph
APPLICATND 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. /75-_37-/R
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
Byi- z^' %'�'r Date G/�' �✓ii .�
=Building- permit expires Date
BUILDING
Owner 5 �� f .������J
SQ. FT. OCC. BUILDING VALUATION
Mailing Address e,f—
J 1. I�.Gr" ori ri ,',vet
Telephone No.
lam.-'! sr'_-,
Fireplace
Contractor , •,�
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address , ,�� ^ i.f ,.
i
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Trap 1.50
_rfEach
do�`_ , i 7
Repair drainage or vent piping 1.50
Water piping 1.50
r
Each gas water heater or vent 1.50
A. P. No. ,1 - l _� — �l (�
j_
Zoning 8 Planning '
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.Cr,''Sanitation
FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Im rovemen:
P
Lawn sprinkler system 2.00
Bldg.. Plans Rec'd
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 1e
Main service incl. 1 meter
—
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home ❑ Others Q
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
25
Light fixtures b l�
Rig
Receps., switches & fix outlets
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 $
A-> e
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 2.0010
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 relatinq to buildinq construction, and hereby
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. /75-_37-/R
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
Byi- z^' %'�'r Date G/�' �✓ii .�
=Building- permit expires Date
IN
� a _ a3 -ivy
COUNTY OF BUTTE — DEPARTMENT OF.PUBLIC WORKS
7 County Center Drive — Orc2�ille, California 95965
Tel ephoo�.- 534%541
APPLICATION AND PERMIT
autnunze representatives or the county or tsutte to enter upon the
above -m ntioned property for inspection purposes.
Date
Signature of Peer2rmitee or Agen U �7
Receipt No. J
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code d/or res lutions to do work indicated
above for wh' a ave been d.
CTOR PUBLIC WORKS
By Date ZG 5
"Bzr�l�g^permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address51 ���Z
Telephone No.
b - 6 `
Fireplace
Contractor ,�
Total Valuation _
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee $
Telephone No.
Building Address , 7
PLUMBING
No.
@
FEE
PERMIT FILING FEE $3.00
IAI
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. a —2.3 -- /a 6
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Building sewer 5.00
F 6esiW.
SaFiTfJMh
Fire Dept.
Fire Zone
Use Permit
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
p ovements
Lawn sprinkler system 2.00
Permit Fee $
BId4_Rknv*trc'd
Parcel Approval
Plans Approval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE V $3.00
0�
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
-
Single Family ❑ Duplex ❑ Mobil Home ❑ Others 2]
Range, Cook -top or Oven 1.00
r
Water Heater or Space Heater
1.00
Light fixtures bal (01
Receps., switches & fix outlets
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 -,L 5.00
License No. Classification
i
Misc. wiring
V Q<arn exempt from the Contractors License Laws of the State of California.
Permit Fee -
$
- p�
$
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.
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 $
$
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
$
autnunze representatives or the county or tsutte to enter upon the
above -m ntioned property for inspection purposes.
Date
Signature of Peer2rmitee or Agen U �7
Receipt No. J
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code d/or res lutions to do work indicated
above for wh' a ave been d.
CTOR PUBLIC WORKS
By Date ZG 5
"Bzr�l�g^permit expires Date
l
Cie-
�,P_ G .lJ �� .rte G i � /L� •e.
YrV
r
t / /�7 dam► / �-f�"'..r 'V i/� / � S
-- - --- ---- -
_539 C)�
COUNTY 0,BU-
DIP T. OF PUBLIC wQaj�S
JUL 1 0 1975