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PERMIT NUMBER _ B 1017-72 B,P,E,M
P
4
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PERMIT EXPIRES
,.OWNER Larwin Development Inc.
CONTR:. Pine Mountain Development, Magalia.
VLOCATION (A.P. 57-25-16�
! 25 Wycliff Way, Magalia
73
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PERMIT NUMBER _ B 1017-72 B,P,E,M
P
4
E
PERMIT EXPIRES
,.OWNER Larwin Development Inc.
CONTR:. Pine Mountain Development, Magalia.
VLOCATION (A.P. 57-25-16�
! 25 Wycliff Way, Magalia
73
n
1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965 C/
Telephone: 533-1230 Ext. 259
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date (P
ignature of Permitee or A t
Receipt No.
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 4--1-3 —7 Z_
Building Permit Expires Date (.-1 — -73
BUILDING
Owner
SQ. FT. OCC. BUILDINP VALUATION
Mailing Address o
Fireplace
Contractor
Total Valuation
Mailing Address �-.
Permit Fee
Plan Checking Fee&/or Penalty
Permit Fee $
Building Address )L. 1
PLUMBING No. @ FEE
PERMIT FILING FEE i $2.00 Grp
►.,
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50 —0
Each gas water heater or vent 1.50
A. P. No.
Zoning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation LrJ(
Planning
Building sewer --O
5.00 �S a
Plan
Fees ,�
W. C. ✓
R/W
Encroachment
Lawn sprinkler system 2.00
NEW AD OTHER ®
Permit Fee $
$ O. a-0
Zx/ f
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
USE OF STRUCTURE Single Family Duplex ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, dryer or water heater 1.00
_
Oven, Cook -top or space heater 1.00
Light fixtures b_aJJd 10
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:
PINE MDVNVA)N
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap, cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump- J �, Q -O
Water pump
Misc. wiring
CoAc o D k V P,,.y cT�J
License No._'R Z Classification A — 1
❑ i am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ a�
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 G
Heating
Cooling
Ventilation
Permit Fee $
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
S$ntate Fee tFor Srr�ng Motion
rtenrg$0.07/$1000 Evaluation
71
$
TOTAL PERMIT FEE
.o
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date (P
ignature of Permitee or A t
Receipt No.
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 4--1-3 —7 Z_
Building Permit Expires Date (.-1 — -73
COUNTY OF BUTTE
Department of Public Works
BUILDING INSPEC-TJON RECORD
Zoning _ Setback
Foundation Piers & Girders Fireplace
Rgh. Plumbing Bond Beam Lath & Plaster
Rein. Steel Gas Piping & Test � v Found. Vents
Framing Pimg. Topout Rough Elec.
Wtr. Htr. Furnace Kitchen Vent
Firewall Garage Vents Sanitation & Water
ELECTRIC GAS BUILDING
Temporarry. —q�` Temporary Cert. of Occup.
Final d ' % S i Final Final
DATE REMARKS. OR' CORRECTIONS
,� .