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Home My WebLink About064-220-038,��►►J N 6L�-22-3g . .,.. �VID 516�EWE •...... � .._ , 2 Carnegie Rd . , PP 114, Lot,113, Mag . Pe " t 3153-73 (utilities for MH ) A.P. 64-22-38 DAVID S. C EWEN 2251Carneg e Rd:, PP##14,L.113 CONTR —Rich- d=Doak, Par -a. - iPermit: 1575=74 B (fi'replace )-- V64-2�2;-�31 David McEwen _ . _ 1 ---/ 225�Car_nege- .,--'Maga la - (Lot 113, P-Ifr4)- CONTR:/ .1chard Doak, Paradise Pe t 1503-74 (new single family- •w/detached garA`e,.r4 064=220.038_ -PERMIT#97=1466 �* MCEWEN ;, Da`vid '& .Marion X4692.V arnegie''Rd' , Magali Cont: x ales s.°HVAC _ n/ rGas. Servic. e&'Heater/SF� ,, t t t r ,��►►J N 6L�-22-3g . .,.. �VID 516�EWE •...... � .._ , 2 Carnegie Rd . , PP 114, Lot,113, Mag . Pe " t 3153-73 (utilities for MH ) A.P. 64-22-38 DAVID S. C EWEN 2251Carneg e Rd:, PP##14,L.113 CONTR —Rich- d=Doak, Par -a. - iPermit: 1575=74 B (fi'replace )-- V64-2�2;-�31 David McEwen _ . _ 1 ---/ 225�Car_nege- .,--'Maga la - (Lot 113, P-Ifr4)- CONTR:/ .1chard Doak, Paradise Pe t 1503-74 (new single family- •w/detached garA`e,.r4 064=220.038_ -PERMIT#97=1466 �* MCEWEN ;, Da`vid '& .Marion X4692.V arnegie''Rd' , Magali Cont: x ales s.°HVAC _ n/ rGas. Servic. e&'Heater/SF� ,, 1 t r ,��►►J N 6L�-22-3g . .,.. �VID 516�EWE •...... � .._ , 2 Carnegie Rd . , PP 114, Lot,113, Mag . Pe " t 3153-73 (utilities for MH ) A.P. 64-22-38 DAVID S. C EWEN 2251Carneg e Rd:, PP##14,L.113 CONTR —Rich- d=Doak, Par -a. - iPermit: 1575=74 B (fi'replace )-- V64-2�2;-�31 David McEwen _ . _ 1 ---/ 225�Car_nege- .,--'Maga la - (Lot 113, P-Ifr4)- CONTR:/ .1chard Doak, Paradise Pe t 1503-74 (new single family- •w/detached garA`e,.r4 064=220.038_ -PERMIT#97=1466 �* MCEWEN ;, Da`vid '& .Marion X4692.V arnegie''Rd' , Magali Cont: x ales s.°HVAC _ n/ rGas. Servic. e&'Heater/SF� ,, r s t f f T f c i i I i i I A 064-220-038 PERMIT#97=1466!'. ,MCEWEN , David & Marion- 14692 arion.14692 Carnegie Rd., Magalia Cont:Dale's HVAC Gas Service& Heater/SF !„ ` <, Address x GAS Meter By �r .*7 T ,.,ELECT C-.,+",},� _ Date dl -Meter By• ae c , v �� f " COUNTY OF BUTTE: DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Californ?a 95965 - Telephone (916) 538-7541P,E9MIT NO. (Rev. 12/96) APPLICATION ANUPERMIT �� ' Jy 0 ASSESSOR PARCEL NUMBER / 4 20NINGk- BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS 141 .4 I CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'SMMUNG ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filen Fee/— $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS / 4,112. �� w e / ,4 f Energy Plan Checking Fee $ a Q4 C PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP,I v PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF J. IDf Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater�or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ',I- Describe Work: k -'s fn.4i Vr^� 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 ,j ELECTRICAL PERMIT Filing Fee 20.00 Main Service ioonoRLEss 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 and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I 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' compensation insurance carrier and policy number are: Carrier Main Service ( 200A To I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLD S. SO 3.5¢x. NEW NON -R SMULTI.DT 0cU cu Ts 97,50 APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FIXTURES 00 BAL I.50 Ex. Occup. ouiLEEDrs AEws o.oeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating I Cooling Hood 6.50 Ventilation PERMIT FEE S ►` Policy Number (The above sections need not be completed if the permit is for work of a valuation � of one hundred dollars ($100) or less.) .�' 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions., X Q C' h � Date 11�� Signature of Applicant - - Owner ❑ Contractor ❑ Agent r An OSHA permit is required for excavations ovee 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE U �y TOTAL FEE $ 7 J HA2. D. FES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. %�J `Date%/ / Date Receipt No. ". 'LL 1-15 3 A, WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 0 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING D ISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 53 541grz _ P�9MjT ryp� (Rev. 12/96) APPLICATION AND PERMIT // �`�& ASSESSOR PARCEL NUMBER � q - 2 -Lo .-. O3 v ZONING k- BALDING PERMIT OWNER ��J 1 -e 4,4l ori MC LAI,;,j mi6r TELEPHONE i / SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS /y46 ?1CONTRACTOR'S NAMETELEPHONE .D �1e s 11 v -C. ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS / , /� /_ q 2� / `7 L Energy Pian Checking Fee $ PERMIT FEE S LOT NO. SUBDNISIONS NAME PARCEL MA PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ,P/"'Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat um 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 Describe Work:L�� Vr Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service oonoao=ss 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 and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I 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 Main Service ( 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. 3.5QF°: ( NEW CONST. MUL�TICOU TLET NON•RESID. C c curs 97.50 POWER APpARATUs d SINGLE OUTLET 'IR. Ex. OCCU OUTLET OR FIXTURES BAL "00 5a Ex. Occup. OUTELETS RE�SIDOFRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 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' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �� (�1.1 A -A_! Date � Signature of Applicant - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONS PE K_ �, TOTAL FEE $ 7O �.A. D. FEES IMP FLOOD CD PARCEL PD HD ISSUE 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. p By �Date / / PERMIT EXPIRES ON Dale Receipt No. L23 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT y —1503-74 B?PERMIT NO. >P >E •'fi 1575-74B (fireplace) P E M ''4- hl UTIL. PERMIT PERMIT EXPIRES 557— PERMIT -OWNER .° !-�; David McEwen • CONTR. Richard Doak, Paradise ° . LOCATION (A.P. 64-22-38 ) '225 Carnegie-Rd., Magalia (LOT-113, PP #14) • a o FF., . ' _• � } �.( '�K 1 ice'! ! Temp., Power Pole Called PG&E M1\ _' tw JAM—Elec. Serv. y• T Called PG&E - ' *Temp. Gas Serv. Called PG&E FINALED� �a� ��•. igna ure COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Subpanels PLUMBING Setback , - 3- 7 Firewall Soil Piping - -- 7 Forms G...— Parapets 1st Floor Temp. Pole Main Bldg. Restroom Finish 2nd Floor Interior Lath Footings Windows 3rd Floor Final --%/,.-'- r9 Cr rit„ StemwaI I Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage / Fdn. Vents Fixtures Footings Garage Vents Water Htr. t Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Pi in & Test Temp. Gas _ Slab Final Sanitation Patio FIREPLACE Final Footings Footinq ELECTRICAL Bond Beam I FIRE SPRINKLERS I Motors Stucco Final, Subpanels Mesh MECHANICAL Grd. Fault Prot. Scr tch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation , L-1-1 Permanent Door Closer , Final --%/,.-'- r9 Cr rit„ Final '--0 �.�- %CVj DATE 9 3 ` % / REMARKS OR CORRECTIONS C S z e v �""' U .In 6 /-A �v -FC� 2 C' /ti- ec � a ,,,� �r 2 �► �- /I ` ��' � 14" v.s e- w.4S ./+ho-u-T� -5 o -eke -J L.JA t.,J u.1 e /}rri v Pll� T-,14 ��Tcvr�s o!t -�� TS b�Th �Xh��T� ill -Ll e c ii a .✓ �1 "/� l Fur TOS L p r ` � /Ki�—S' �vilJ'e+k�CC I GLl Q h TC l7 e _Cca iv T.r� O e J s M,4 lrl %\ 1=v %1 .¢'j�4 e tv s c-r-C4c i a-c'''etr i� LLri f'' ez I -rr M A V,.// -�}� V,./ c•/ i v � /fro- v t �.re l � r• � /J .er �3-. �•-F-.�� ;�,V 1 /1'1,� :7� l�i►�►�o r �+ cru r M ni &- ® P 1,T- /1 e.�� CI �tJ e. lL�v-e C�,O�..v�T4QTF/�/�I� lie �► rL, Cl�- �r� �r 1 W ----7f' Y �,-t,-c,� dC 5. T ,/,�,,(a-aT dei-,- � � E�7'/$ •s �.1� COUNTY OF BUTTE — DEPARTMENT OF PUBLI WO 7 County Center Drive — Orovi Ile, California 959 Telephone -*534-4541 / �f- APPLICATION AND PERMIT I �cNicooiiiau vco yr urc "'Uunry ur ouuc ru cniar upun ure above-mentioned property for inspection purposes. _ r Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — 4Pink-ector — 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 Dated ;d1i'ding' permit expires Date ..................... .. %J...... BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace &-c) Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $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. �' aZ Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. PI Recd Par Approval Plans Approval Permit Fee $ $ NEWrfn ADDITION ❑ UTILITIES ❑ OTHERELECTRICAL No. @ 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 20 25 hal Flo Receps., switches & fix outlets 2 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 zSTC Z Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 • Temp. Power Pole 5.00 License No,g=.'&�Classification Misc. wiring ❑ 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. 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 $ Dc �cNicooiiiau vco yr urc "'Uunry ur ouuc ru cniar upun ure above-mentioned property for inspection purposes. _ r Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — 4Pink-ector — 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 Dated ;d1i'ding' permit expires Date ..................... .. %J...... COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ? % 7 County Center Drive - OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purpos X6 011c Date Signature o fPer/mitee or Agent or Receipt No. ( ( -2q4S� 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 UBLIC WORKS By Date 9__ Zai --7 B ding permit expires Date ................. ....1_i�ls BUILDING Owner SQ. FT. OCC. BUILDING VALUATION ,r, Mailing Address Telephone No. Fireplace Contractor G Total Valuation Mailing Address o Permit Fee Plan Checking Fee&/or Penalty T lep2 No.� 4 Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $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. fo Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. S ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel . Declaration Parcel Ma P 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parce Approval Plans Approval Permit Fee $ $ NEWr1_1111- ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE " PERMIT FILING FEE $3.00 QG ® elMain service incl. 1 meter Additional meters, each 1.00 t Sub -panel (12.o ess) (mor on 12) Single Family Duplex ❑ Mobil Home ❑ Others El —Ra nge, Co p or Oven 1.00 Water Heater or Space H a er 1.00 - Light fixtures 20_0f�25 J 01 .- Re , swi chs & fix ou s 2 r C7 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 /% Ho x. Fa or F.A. F n. Motor 1.00 ' Evap, cooler, gar. sp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 'r Temp. Power Pole 5.00 License No aZ"_2 Classification 4!F— Z Misc. wiring ❑ 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. I certify that in the performance of the work for which this El 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 TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purpos X6 011c Date Signature o fPer/mitee or Agent or Receipt No. ( ( -2q4S� 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 UBLIC WORKS By Date 9__ Zai --7 B ding permit expires Date ................. ....1_i�ls 877- 6/lam/ lfeuH�fd G��uw' c,s✓G�n as/I�cl i If ioes e-- � o4 A's i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone 534-4541 APPLICATION AND PERMIT BUILDING Owner C �� s Lt/ PGZ SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address7elephone No. Fireplace Contractor / �,.` t?` Total Valuation Permit Fee Mailing Address 2//7 rk Telephone No. Plan Checking Fee &/orPenalty $ Permit Fee $ Building Address PLUMBING No. @ FEE 3 >— l✓ • PERMIT FILING FEE $2.00 /P/ lZ� ��,, �Y Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping ( 1.50 , sp Each gas water heater or vent 1.50 Z Gas piping system 1 - 5 outlets 1.50 A. P. No. �p �`"' iZ 2- AZoni— P Each additional outlet 30 Fees S,9;aKo,. Fire Dept. Fire Zone Use Pen-nit Building sewer 5.00 L1a EQA Parking Parcel Parcel Ma 60' R/W Im Lawn sprinkler system . 2.00 Plans Declaration P provements a Permit Fee $ Dad $ (� C1r) B dg. P tf("is Recd Parc�Approval Plans Approval NEWADDITION ELECTRICAL No. @ FEE ❑ ❑ UTILITIES OTHER ❑ PERMIT FILING FEE $3.00 00 Main service incl. 1 meter e,p 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 p20 al Bio Receps., switches & fix outlets CONTRACTORS LICENSE LAW Hood, Ex. Fan or F.A. Furn. Motor 1.00 I am licensed under the provisions of Chapter 9, Div. 3, of the Evap. cooler, gar, lisp. or D.W. 1.00 State of California Business & Professions Code under the name Air conditioner or heat pump style of: Water pump Mobil Home Facilities 5.00 OD Temp. Power Pole 5.00 License No.Misc. wiring Classification 1( I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 14,0 $ WORKMEN'S COMPENSATION INSURANCE MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 1 am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 'have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. I Io an certify that in the performance of the work for which this ermit is issued I shall not em Ventilation P employ y person in any manner - so as to become subject to the Workmen's Compensation Laws ofHood 2.00 California. 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 This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. tDIRECTOR OF PUBLIC WORKS X Date a "� ._ 3 - Signature of Permitee o gent DD Receipt No. /D�C�//�� J® BY Date .i�7oZ White-D.P.W. — Yellow-Assessor — Pink-Inspector — Goldenrod-Applicant.� Building permit expires Date �_:.4 _ L pj , t�,A"Pt� \rIj, �Iyiiv 4-t U) C;) Will V% 0� Y -z cyl� ()f ESSI till 12436 CI la�,N c- 7 77��` Gj L Cp 14 0,4 GN r"Ir 0 O"N J111" it i CAI L (vo) 4,* vz� Ct 04F CS 01 No, 124,16 !;t. cly OP CA "J"Al A Vl,il "A vs yl"4 " V