HomeMy WebLinkAbout064-040-006AP 64-04-06
'JOHN T. LEARY -
�5 Leicester Dr.,.PP#12, lot 107,
galia
------------- - -
c ontr: Ray Munjar, Paradise
Permit# 3008-74P,E 9
(util., MH)
64-04-06
1 r C
P(,
.Permit #502P-75B(new covered
deck/MH)
John, ParalLs
CONTR:Englis
Permit #_573377_�5B(new deck/,)/22�
64-04-6
Permit #2724-77B(new private garageY
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BUTTE COUNTY INTER -DEPARTMENTAL CORRESPONDENCE
DELIVER TO LAST PERSON NAMED
DAT E NAME I DEPT. DATE NAME DEPT.
m
2724-77B
PERMIT NO.
PERMIT EXPIRES 'gzzilo�7i
OWNER John Leary
CONTR. -owner
64-04-6
LOCATION'(A.P.
55 Leicester Dr., lot 107, PP#12, Magalia
t
11
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
. Called PG&E
Temp. Gas Serv.
Called PG&E
OB
FINA ED (Date)
(Signat
Uf
COUNTY OF BUTTE DEPARTIVIENT'OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
Setback
Forms
Main Bldg.
Footings
Sternwal I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
ReInf. Steel
Bond Beam
Framing
Stucco
Mesh
Scratch
Brown
Finish
BUILDING (Cont'd)
". PLUMB1146-
Firewall
Soil Piping
Parapets
1st Floor
Restroorn Finish
2nd Floor
Windows
3rd Floor
Siding
Topout
Root Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Insulation
Heaters
Prov. for physically
handicappe
Conformance of ex.
structure
Appliances
Gas Piping & Test
..Temp. Gas
FIREP12ACE ' I Final
Fix
Test
Water Htr.
Final
Subpanels
MECHANICAL
Grd. Fault Prot.
Heating
Service
Cooling
Temp. Pole
Ducts
Underaround
E
L
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
=E OME INSTALLATION ---------- ---- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE --REMARKS OR CORRECTIONS
&9)1, Al. �A A4 ae
TI-vl tAW-
agn 6M& 415
G17
AMr-
07-t
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY -OF BJUJTTE� — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Qrovi Ile, California 95965
I
Telephone: 534-4541
APPLICATION AND PERMIT
762,�-- 7 1-7
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Cg� Sig;no re f P itee ent ate
Receipt No. Z (ol VS- -
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant
TOTAL PERMIT FEE 1$1-;w V �—
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid..
DIRECTOR 0 P BLIC WORKS
I ---
By 7=-en!,Qate �—J 0 -7�
BuOVing permit expires Date 6-16-19
BUILDING 7
"
Owner To t4 rq L K,4.
SO. FT. OCC. BUILDING VALUATION
a2 3 0\F
Mailing Address tort (J
TelepKone No.
Fireplace
Contractor
Total Valuation V
Mai I ing Address
Permit Fee
-
PlanChecking Fee&/orPenalty
Telephone No.
Permit Fee $
y
Building Address
PLUMBING No.
@ FEE
PERMIT FILING FEE
$3.00
t
Each Trap
1.50
P4 �711 L, 171'
Repair drainage or vent piping
1.50
Water piping
1.50
Each gas water heater or vent
1.50
A. P. N o. G
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
FLa,9' I
kl�.
Fire Dept.
I Fire Zone
Use Permit
Building sewer
5.00
EOA
I Parking
Plans
Parce! nj
Declaratio
Parce!>dp
1 60' R/W
I Improvements_
Lawn sprinkler system
2.00
Bldg. %pes Rec'd
Parcel Approval
Plooko7rpprovol
Permit Fee
$
NEW ADDITION UTILITIES OTHER
ELECTRICAL No.
@ FEE
PERMIT FILING FEE
$3.00
Main service 600V OR LESSESS
100 AMP OR L
5.00
Main service EA. ADD -L 100 AMP
2.50
Single Family 1� Duplex El Mobi I Home Others
OVER 600V
Main service 100 AMP OR LES:S
25.00
Main service EA. ADD -L 100 AMP
1.00
I L) G t4 fte+
NEW CONST. I DWELLING 0 'cup-
OR ADONS. % ACC. BLDGS.
20sqft
NEW.CONSTR. (MULTI -OUTLET,
NON RESID. BRANCH CIRCU Ts)
2.50ea
NEW CONSTR. (POWER APPARATUS.&)
NON-RESID. SINGLE OUTLET CIR
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES)
50 @ 254
BAL@104
Ex. Occup. (FIXED A P PLNS. OR
OUTLETS (RESID.) EA)
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.
1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
;I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
Cal i forni a.
MECHANICAL No.
@ FEE
PERMIT FILING' FEE
$3.00
Heating
Cooling
Ventilation
Hood
2.00
Permit Fee
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Cg� Sig;no re f P itee ent ate
Receipt No. Z (ol VS- -
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant
TOTAL PERMIT FEE 1$1-;w V �—
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid..
DIRECTOR 0 P BLIC WORKS
I ---
By 7=-en!,Qate �—J 0 -7�
BuOVing permit expires Date 6-16-19
L
ZZ
le I, --g
ol
0
4
4.v
aPERMIT NO.
P
E
M
�MH UTIL.
PERMIT NO. 3008-7420E.
PERMIT E XPIRES
-OWNER John T. Leary
Ray Muniar, Paradise
,CONTR.
�*JrLOCATION (A.P. 64-04-06
At
\��eecester
5 5 Dr.; PP#12,,lot
10.7
Magalia
-1.,
Temp. Power Pole
Called PG&E
Teme. § I ec. Se rv. -3 '7
Called PG&E qW:2q
Vi
Temp. Gas Serv.
Called PG&E
/JOB
FINALED
(Ddte)
.(SigrTalure)
COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
S e t ba c k 14 A
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidinq
Topout
Slab
Roof Sheathing
Water Piping !2 4 a
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garacie Vents
Water Htr.
Stemwa I I
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final Z////7�
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
ReInf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service" (2-2 CA 4
Brown
Cooling
Temp. Pole
,Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
�'T
COUNTY OF BUTTE DEPARTM�NT OF PUBLIC
7 County Center Drive Orovilfe, California 95965
JTelephone: 534-4541
APPLICATION AND PERMIT
W 0
authorize representatives of the County of Butte to enter upon the
ab.ove-mentioned property for inspection purposes.
X 9_,:222zz,�� -Date 1ZAZ6��
Signature of Permitee or AgeW
0.
R eipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant
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 Datef—.,
1134 eding'permit expires bate ..................
_WE_
BUILDIN
Owner John T. Leary
-.SQ. FT. OCC. BUILDING VALUATION
Mailing Address 352� Earl Dr.
Santa -Clara, Ca. .95051 (4o8 -
Fireplace
Contractor Ray N. Munjar Const.
To - tal Valuation
Mailing Address 5248 Scottwood Rd.
Permit Fee
PlanChecking Fee&/orPenalty
Paradise, Ca. IyLthw
No
73 33-
Permit Fee
$
$
Building Address PP# 12- Lot# 107
PLUMBING
No.
@
' FEE
.
PERMIT FILING FEE I $2.00
2.00
55 Leicester Dr.
Each Trap 1.50
Magalia, Ca. 95954
Repair drainage or vent piping
1.50
Water piping 1 1.50 1.50
Each gas water heater or vent 1.50
A. P.,No.
11VIT, 9�wj&Each
Gas piping system 1 - 5 outlets
1
1.50
1.50
additional outlet .30
V(s
(anWn) F i re D ep t.
I Fi re Zone
Use Permit
Building sewer 5.00
5-00
EQA
Park . ng
Plans
Parcel
Dec laration
I Parcel Yap
1 60' R/W
Improvem5ots
'Lawn sprinkler system 2.00
PNRI, Plans te�cd
I Parck<p0proval
Pl,nrArp�pr. .1
Permit Fee
$
10.00
$ 10100
NEW ADDITION UTILITIES OTHER
'ELECTRICAL
No.1
@
FEE
PERMIT FILING FEE 1 $3.00
3.00
_
Main service incl. 1 meter
3-o
3 -nn
Additional meters, each
-I—
1.00
Sub -panel (12 or less) (mor�thon`12)
Single Family Duplex Mobil Home [E OthersEl
Range, Cook -top or Oven 1.00
50`5> 41' lAt 1'CLC9W
Water Heater or Space Heater
1.00
Light fixtures 20 -0-27—
FA je
Receps., switches & fix outlets :Zu (W Zb
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:
Ray N. Munjar C onst.
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. di sp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
5.M
.
Temp. Power Pole 5.00
License No. 271019 Classification A
Misc. wiring
EJ I am exempt from the contractors License Laws of the State of California.
Permit Fee
$
11.00
11 F00
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
0 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 $
$ _T_
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
authorize representatives of the County of Butte to enter upon the
ab.ove-mentioned property for inspection purposes.
X 9_,:222zz,�� -Date 1ZAZ6��
Signature of Permitee or AgeW
0.
R eipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant
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 Datef—.,
1134 eding'permit expires bate ..................
PERMIT NO. 5028-75IR
P
E
M
�H UTIL.
'PERMIT NO.
PERMIT EXPIRES
0 1 WNER John T. Leary
CONTR. owner
,�f 0
L CATION jA.P. 64-04-06
-V55 Leicester Dr.,lot 107,PP#12, Magalia
A,
1
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
/Temp Gas Serv.
alled PG&E
J 0
OB
L
FINALED
D a le)—ali
)�,
(Sign
""I I "
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION -RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback W,,r,-y
Firewall
Vil Piping
Forms rl
Parapets
1st Floor
Main Bldg. 2�
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwa I I
Siding
Topout
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer -
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Wate Htr.
Sternwall
Slab
Prov. for physically
handicapl: y
Heaters
Appliances
Carport
Footings
Conformance 0;e&
structure
?-,- Diping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLAEEF
Final
Footings
Footih
ELECTAqICAIL
Masonry Walls
Throat
Rough
Reinf. Stee AV
Final
Fixtures
Bond Beam
iS�WE SPRINKLXRS
Motors
Fr min_q_-
Test N",
Water Htr.
Stucco
Final
Subpanels
Mesh
MEcAANLCAL
Grd. Fault Prot.
Scratch
Heatinq
Service I
Brown
Cooling
Temp. Pole/
Finish
Ducts
Undergroug(d
Interior Lath
Ventilati
Permaneo
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
6OUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OrQville, California 95965
Teleph(;ne: 534-4541
APPLICATION AND PERMIT
duiriurize representatives oi the County oi Butte 16 enter upon Me
above-mentioned proper' y f 'inspection purposes.
X D ate 715-
0 ermite
XReceipt No.
White-D.P.W. Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant
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 J6F)PUBLIC WORKS
DateM_141
Building permit expires Date ............... > (c,
.......................
BUILDING I
Owner -J 49 �Y _T 4,6i� Y
SQ. FT. OCC. BUILDING VALUATION
/ a o
Mailing Address 1�7A f? L D)?.
,5,09 N7-;;9 C, 1—,o9 A2 4 , CA
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
��erp ��o
Permit Fee $
T F0
Building Address 4o;- /0 -7
PLUM ING 0.1 @ FEE
PERMIT FILING FEE J$2.00
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.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F bre'§- I
W.
a n
FireDept.
I Fire Zone
Use Permit
Building sewer 5.00
EQA
I Parking
Plans
Parce!
Declaration I
Pa,ceZap
60' R/W
Improyements
Lawn sprinkler system 2.00
BlAfIP"Ions Rec'�_
Porceleopproval I
Permit Fee $
NEW* 2111, ADDITION UTILITIES OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Single Family Duplex Mobil Home Uj-�-�OthersE:]'
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
4�1_e
Water Heater or Space Heater 1.00
Light fixtures —M
balUln
2u
Receps., switches & fix outlets A 2b
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Di v. 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
D-I'arn exempt from the Contractors Licerise Laws of th !� tate of Cali forni a.
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 6f
Workmen's Compensation Insurance. I
2tcertify that in the performance of the work for which this
perm it 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
TOTAL PERMIT FEE.
duiriurize representatives oi the County oi Butte 16 enter upon Me
above-mentioned proper' y f 'inspection purposes.
X D ate 715-
0 ermite
XReceipt No.
White-D.P.W. Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant
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 J6F)PUBLIC WORKS
DateM_141
Building permit expires Date ............... > (c,
.......................
PERMIT NO. 5733-75B
P
E
M
MH UTIL.
PERMIT NO.
PERMIT EXPIRES
OWNER - John Leary-
CONTR. English John MH Service.Paradise
LOCATION (A.P. 64-04-6 -
55 Leicester, Lot 107, PP 12, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
OB
�'/T
FINALED
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
ql 2:3' 1 Firewall
Soil Piping
V Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
Topout
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Prov. for physica y
handicap �4
Heaters
Appliances
Conformancedf ex.
Gas Pinino & Test
Setback 4biE
Forms (1^1
Main Bldg.
Footings
Stemw�a I I
Slab
Piers
Garage
Footings
Stemwall
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Bgam
Framing
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
DATE
Footing
Throat
Final 7
FIRLRPRINK,ZERS
Test
Final
Mj?'C'HANIC'-A,L
Heating
Cooling
Ducts
VentilatiQ#f
Final
REMARKS OR CORRECTIONS
I
Temp. Gas
Sanitation*
Final
ELEC
Rough
Fixtures
Motors
Water Htr.
Subpanels
Grd. Fault Prot.
Service
Temp. Pole
Underground/
Permanenj/
Final
J
CdUNTY OF 1 BUTTE DEPARTMENT OF PUBLIC WORKS
1 7 County Center Dri�e —, 10rov * ille, California 95965 57S,3- 70
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-ment' d property for purposes.
I �0-
Z=1 - ///7 Xz�
Signature of Permitee or Agent
Receipt No. -1-37 7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenmd-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 BLIC WORKS
Date
��Ull ing, permit expires Date _. // —/ D —
BUILDING
Owner
SQ. FT. . OCC. BUILDING VALUATION
771— Z;&- C 14
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mai I ing AddressSq 0 0 (f ',! 4 k4 i
Permit Fee
PlanChecking Fee&/orPenalty
Permit Fee $
1$
Building Address S-,-�l 0,6"SZ6-,ve_
PLUMBING NO. @ FEE
PERMIT FILING FEE $3.00
PP /:A
12- Xo7% /07
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping , 1 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F&191
616.11
Sa
re Dept.
Fir'eZone
Use Permit
Building sewer 5.00
Q
E A
I Parking' Parcel
Plans Declaration
I Parcel Map
1 60' R/W
I Improv ts
Lawn sprinkler system 2.00
Vd-9" Aq,�;� Rleco'd"�J
P a r c e! (AV%'ro v a I
P I a n dL*fp/r a v a I
Permit Fee $
NEW A'D'DITION UTILITIES OTHER [:]
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
u -Panel (12 or less) (more than 12)
Single Family Duplex Mobi I Home X] OthersEl
Range, Cook -top or Oven 1.00
.,Water Heater or Space Heater 1.00
Light fixtures 2002T—
a 10
Receps, switches & fix outlets 25
CONT ACTORS 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. 2-Z'o' 44 'cf& Classification
Misc. wiring
I am exempt from the Contractors License La�vs of the State of Cali fornia.
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
� or en's Compensation.
Iha e placed on file with the County of Butte a certificate of
v
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject 'to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00,
Permit Fee $
$
I certify that I have read this application and state that the above
'information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
authorize representatives of the County of Butte to enter upon the
above-ment' d property for purposes.
I �0-
Z=1 - ///7 Xz�
Signature of Permitee or Agent
Receipt No. -1-37 7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenmd-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 BLIC WORKS
Date
��Ull ing, permit expires Date _. // —/ D —