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HomeMy WebLinkAbout064-580-010N to 64-58-10 Jim Bruce } 60 Bentley Ct., lot 10, PP#11; Magalia Permit #5486 79BPP,E,M(new single �/ family) 64-58-10 E Permit #898-.90B(add deck/SF) 064-580-010 PERMIT#97-0487 > 4 GARLINGHOUSE, Lester &,Diane G 6332 Bentley Ct., Magalia Cont: Skyline Ent %/1 Replace Heat Pump/SF / t% I r _ 064-580-010 PERMIT#97-0487 GARLINGHOUSE, Lester & Diane 6332 Bentley U., Magalia Cont: Skyline Ent Replace Heat Pump/SF %�3,/i3198 COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville, Califofiia, 95965 - Telephone (Rev. 12/96) APPLICATION AND PERMIT BUILDING DIVISION .01 (916) 53 41 PERM T-jVO. ASSESSOR PARCEL NUMBER�4'�.^^ 010 ZONING B LDING PERMIT OWNER LESTER & DIANE GARLINGHOUSE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME yNT L I:d11 SKYLINE. TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. �. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 6332 $E MYEnergy Plan Checking Fee $ $ MAGALIA PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ,Q Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK v New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE HEAT PUMP 3 TON Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoonoaUEos 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 p .�f License Class (i G'4O t'`�� of Lic. No. Vel > OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contrac{ors 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 I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a C.BLDs. s0 3.5QFT: NOFIESIOT MULTHO'R." @7,50 APPARATUS d SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @I.00 BAL @ .50 ,"xM AESIoA. Ex. Occup. ..Oe 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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. I 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' cornpensation insurance—carrier and policy number are: Carrier T.�1'`T� /G1'� �cl Policy Number 00/O y02- (The above sections need not be completed if the 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 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. Date __z/f /V; _ Signature of Applicant - ❑ Owner AW Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ • Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 50.00 HA2. D. FEES 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 Le PERMIT EXPIRES ON I IDele the applicable provisions Resolutions to do work been paid. ` ^� Date .3 ! _ Receipt No. -14 % WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF OtVELOPMENT SERVICES - BUILDING DI ION 7 County Center Drive - OrovillP„ CalirAia 95965 - Telephone (916) 53 ' v — Q (Rev. 12/96) APPLICATION AND PERMIT - J ASSESSOR PARCEL NUMBER 064-580-010 I ' ZONING B LDING PERMIT OWNER LESTER &DIANE GARLINGHOUSE TELEPHONE S0. FT. OCC. BUILDING VALUATION OWNER'S MAIUNG ADDRESS CONTRACTOR'S NAME SKYLINE ENT. TELEPHONE CONTRACTORS 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 MAIUNG ADDRESS Plan Checking Fee $ BUILDINGADDRESS 6332 BENTLYEnergy Plan Checking Fee $ MAGALIA $ PERMIT FEE $ LOT NO. - SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF §P Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat pumpwater heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 15 Describe Work: REPLACE HEAT PUMP 3 TON Gas piping system 1 - 5 outlets 15.001 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos OR LIE 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 J' in full force and effect. B �y License Class (3 C20 GfJ GLLIC. NO. S� ( y/, OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that ['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 46.00NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. So 3.50 so NON-RESIDT ANCI C�CUT @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCU ourLEr OR FIXTURES BAS @'.50 Ex. Occup. oui�rs RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I 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. J&v I 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' co ensation insuranc carrier policy number are: Carrier �a T�%�� MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE S 50.00 Policy Number O®/B fwd a- (The above sections need not be completed if the 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 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. / ___ Date 77z/% �/ % _ Signature of Applicant - ❑Owner Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 50.00 HAZ. D. FEES IMP FLDOD CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees ave 1 B _ PCX ERMIT EXPIRES ON 3 the applicable provisions Resolutions to do work been paid. ate 4 _ 3 Da e ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT RES IDENT IAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVAT GULATIONS AT n % aL L (, (location). i _ BU ILD ING PERMIT NO. ZI&6 -- W� %�Z /n A .. P. NO. b THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge. II,Q Single Glazed Fdn. Walls Special (Insulated) Floors 2-I CERT. & LABELED WDS. Walls - 3 & SLIDING DRS. Ceiling/Roof,-v,"IZ 19 WEATHERSTRIPPED DRS. Ducts BACK DAMPERED FANS A Circulating Pipes INTERMITTENT IGNITION DEVICES'' A/& APPROVED HEATER t CERT. APPLIANCES L� APPROVED WTR.HTR. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO. THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. �• Insulation Applicator Name Au1 wS + N1S(AL/q`T-1,0r ) ed, • IC Signature of (please prin ) Insulation Applicator 4� State Contractors License No. General Contractor/Owner Name TIM Z 2LA 0-.(m ease print) Signature of General Contractor/Owner5 A to tate Contractors License No. J-3- THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE. DWELLING. Y r � 5486-79B,P,E;M PERMIT NO. r � PERMIT EXPIRES Jim Bruce OWNER CONTR. owner LOCATION (A.P. 64-58-10 ) 60 Bendy Ct., lot 10, PP#11, Magalia 1 Temp. Power Pole Called PG&E Temp. E)ea Serv. Cal ed PG&E Temp. Gas Serv. ailed PG&E /FINALED- 3J d U (Date) - (Signature) 5486-79B,P,E;M PERMIT NO. r � PERMIT EXPIRES Jim Bruce OWNER CONTR. owner LOCATION (A.P. 64-58-10 ) 60 Bendy Ct., lot 10, PP#11, Magalia 1 Temp. Power Pole Called PG&E Temp. E)ea Serv. Cal ed PG&E Temp. Gas Serv. ailed PG&E /FINALED- 3J d U (Date) - (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD masonry walls I BUILDING BUILDING (Cont'd) PLUMBING Setback Q- Final Firewall -,r o Sol[ Piping 1/0 is Forms G -7 Parapets 1st Floor r Main Bldg. Test Restroom Finish 2nd Floor Footings d'/%7f;,Ap Windows N 3rd Floor Stemwall !4 %9Erl Siding `• To out Slab Heatin Roof Sheathin Water Piping)' C"./ - "We jj' 6p Roofing /7r Sewer _ — Garage Finish Fdn. Vents Fixtures j r Po 4A, Footings Stemwallp,If 7� Garage Vents nsu ation (� 4 ater H Heaters Slab - Carport Po Footings _rov. or ph sically handica ed Conformance of ex structure . Appliances Gas Piping &Test Temp. Gas Slab Patio Patio j Ina d I, , FIREPLACEFin tat /- ia1 3 masonry walls I Throat Rou h 12 1, 1 Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors r Framing�� ) ` Test ater tr. Stucco Final ub Mesh MECHANICAL Grd. Fault Prot,,.7-41-f O® Scratch Heatin - O ip Service Brown Cooling -p 0) Temp. Pole Finish Ducts eP Underground Interior Lath Ventilation ,Z - a 10 Permanent - fJ r los Final ey i. MOBILEHOME LMLITIES ---- Elec- Service Elec. Pedest Water Piping Sewer Gas Piping B[LEHOME INSTALLATION Support Elec. CorAinuity y c'7 n9/fol?/$ LlA/d c %yc lc cGEMrair /'j, J GD. i J f/d/eii fc• /c�Ca.�V° G4 .� C. C�Lap A?,Zd�o ole /7rL Vic, r✓/,�l f� Yz Ivo/ Gl �' i D�/r DATE REMARKS OR CORRECTI NS A° az 25 Ise f/.���c Flvo,t !;�/`O �����✓ ��'�7:�� o%/�� �o � l.�/,r7//tQi v�!/�Jihhlq 4 w Ll ilo' 0-1 4rlwr- C,4. o.t/ GJ�SdEiz vai Qr�7 �d'4 -9WV Tis rz7 2�0 av7 'OL ,42-0 D/< <o /-, e,,,-1 02 aza-�a / WAGC (A,7ol1G� if/ff dNt 4iSCt�..��//� E: A try/m-/made on this form each time you visit the job site.) VA j?UV06' PERMIT NO. 898-80B ' PERMIT EXPIRES ! 3 Jim Bruce OWNER CONTR. owner 64-58-19 LOCATION (A.P. ) 60 Bentley Ct., lot 10, PP#11, Magalia FI ' a i t I ' ti } t I f t Temp. ower Pole C Iled PG&E Tem . Elec.. Serv. /,Called PG&E T P. Gas Serv. f ~ Called PG&E 1 ' JOB I FINALED - (Date) (Signature Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwal I Slab Carport Footings Slab Patio Footi s Masonry IIs COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTIONAECORD BUILDING BUILDIN.G (Cont'd) Firewall Soil Piping / Parapets 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Piping Roofing Sewer Finish Fixtures nFdn.ts ent n Water Htr. Heaters p ysically d onormance of ex. structure A liances Gas Piping & T Temp. Gas Final Sanitation FIR&LACE Final Reinf. Steel Final Bond Beam FIAE SPRINKLERS Framin C? ` Test Stucco Final Mesh I MECHANICAL Scratch Heatin Brown Cool Ing Finish Ducts Interior Lath Vent ation Door Closer Final MOBILEHOMEUTILITIES ---------------- Elec_ Service Water Piping 4 Sewer ,§dOBILEHOME INSTALLATION - - - - - - - - - - - Support Water Piping Drainage DATE REMARKS OR CORRECTIONS_ Grd. Fault Pfro Service Temp. P le Under r and Perman nt Final Elec. Peestal Gas Pipi g Elec. C intinuity Gas Pirlinq (NOTE: An entry must be made on this form each time you visit the job site.) Ce- LECTRICAL i COUNTY OF BUTTE — 6EPARTME14T OF PUBLIC WORKS 7 County Center Drive - OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 6.W-7�1�6- authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X `"n Date 5 IeI4 n ture of Permitee or A ent �JReceipt 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 Bu' ing permit expires Date BUILDING Owner (,LGE SQ. FT. OCC. BUILDING VALUATION Mailing Address `50UiteJ Telephone No. Z Contractor 0ZV_n1___/L Mailing Address Fireplace j 67E) Total Valuation $S Telephone No. Permit Fee ?j Address ��- Building G0 ��Mk: 'Plan CheckingFee &/orPenal ty Permit Fee (7j a I -- - PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3- Each Trap 1.50 Z_ Cie) 6. �" Repair drainage or vent piping 1.50 A. P. No. rT �� Zoning L Plann' i � Water piping 1.50 �- Each gas water heater or vent 1.50, sol Flare S Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Parcel Plans Declaration Parc ap 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plan ec'd Parcel A rov Plans Approval Lawn sprinkler system 2.00 P Y NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ZLz Permit Fee $ 76,525 11� ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .crU 600v OR LESS 5•00 Main service 100 AMP OR LESS Single FamilyR Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O y Main service EA. ADD'L 100 AMP- 1.00 NEW CONST.( DWELLING OCf�J P�, y� OR A.D.S. l ACC. BLDGS. OGCO� 2Q 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 le of: style NEW RESID,CONST/ BRANCH CIRCUITS) NON-RESID l BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS e NON-RESID, (SINGLE OUTLET CIR. Ex. OCCUQ(OUTLETS OR FIXTtIRES BAL 2251 APPLNS. OR Ex. Occup. (OUTLETS p•\OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ZrI am exempt from the Contractors License Laws of the State of California. Permit Fee $ -1-10 WORKMEN'S COMPENSATION INSURANCE I 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 ou Heating /Oa h— Gov-, Cooling 00 Ventilation Hood 2.00 7-.60 Permit Fee $ j ?jr 0Z $ 13 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 S TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X `"n Date 5 IeI4 n ture of Permitee or A ent �JReceipt 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 Bu' ing permit expires Date COUNTY 0E 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. X Date s Signa t*Xerrn�'tMr Agent Receipt No. v White-D.P.W. - Yellow -Asses or - 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 QfINPUBLIC WORKS By Date.7- 3— ?<> Building permit expires Date BUILDING Owner SQ. T. OCC. BUILDING VALUATION ® .00 Mailing Address / M A e��/2 / Com/ v.� `j/ -tel® Telephone No. Contractor`%/�'�' Mailing Address Fireplace Total Valuation 00 Telephone No, Permit Fee 10a Building Address - Plan Checking Fee&/or Penalty Permit Fee ,pip � PLUMBING @ FEE —No.1 PERMIT FILING FEE $3.00 Each Trap 1.50 /-� �aa Z10 7— /a / M"Avl� Repair drainage or vent piping 1.50 A. P. No. 5 l �� / Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F/sl �Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W I Improvements E!2h additional outlet .30 wilding sewer 5.00 Bldg. •Plops Recd Parcel A proval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ®UTILITIES ❑ OTHER ❑ Permit Fee $ $ 6 ELECTRICAL No.1 @ 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 OR ADDNST % ACCI BLDGS.CCUP. 4') 2¢sgft CONTRACTORS LICENSE LAW 1 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. MULTI.OU TLET NON-RESID BRANCH CIRCUITS) 2.50ea o - NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. Occup {OUTLETS OR FIXTSIRES) g L ,� Ex. Occu (( FIXED APPLNS. OR p•IOUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 VT I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ $ 777- 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 performan-.e 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 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 $ TOTAL PERMIT FEE $ G authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date s Signa t*Xerrn�'tMr Agent Receipt No. v White-D.P.W. - Yellow -Asses or - 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 QfINPUBLIC WORKS By Date.7- 3— ?<> Building permit expires Date s- (/�j[' INSTRUCTIONAL No. 27 AIDS CO., INC. i 177 ve GES"ER INSTRUETAIDS Co., � NAL No. 27 NC. 6 I 'J wx" , f at t h i44 w z ' ii a i g A. m i L � } t. `7A tF Y• r i , A r d N. e� ff5j! 1 1 Y I P d� tL a { y m r' } f� ] _ R y r M M ,frM jj iA M G j ,rN i + I , + l ! a j V x i k 5 f .. _ _ r . Q ,. L ki4Y_ _ M•� , y S �: 11 F i 7 » 4. r I � y h { I W k { k i •r I * j X „ aj F e 1 rn I: r I, t I x Y r rx i' r `R I tY Y' A r - f k. s 1 i r 1 t i� Y r I M l A k. y t ,u _ , , ::. .. �. r .. .- ..� E. �r..r�«,....r 'Iw.�+l �.w. +�.r ..'..� �, � �1V�' '. +,.i •�;..��� ,k,. X LI'u'." 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