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065-175-014
^ ..:A ,P. $ 05 /7b*!y _ HORACEn"SMITH'`'"' CONTR: Ray N.,Munj r Const., Paradise ` ,Pgrmit 2219-72P 0 �,, a7� ' (water piping onl for mobile%/Io e) HORACE F. SMITH �S Y j 180 Elmwood Dr. M Permit 2297-,72W alfa / �� (garage to be us with mobG'he ome) - _. - --- ---- - -- - - - �_ F—HORKCE:,�F. 7.fr SMITHwood Dr.Magalia2598-72PEies for ,mobile A . P . LH SMITH �y l lmwood Dr,, L tMagalia FH Uen: Paradise t 2 82- ent.Ga �.5 72P pipi a;. ng only for mobile home h ! A.P. HORACE� F. SMITH. +�5'r7S 51 t 180 Elmwood Dr . <Magalia �; Permit,-,,2050-;-73B-J; =� (two (2) decks f rymo 3.1 e home) ti r i j 1 r i4--_ ..,_. a PERMIT NUMBER B 1873=72B-9 -Pq E V P E PERMIT EXPIRES (OWNER H. F. Smith ,4 CONTR: owner LOCATION (A.P. 57-16F-3 387 Elmwood Dr.,,, Magalia 3 l 11 COUNTY OF BUTTE Department of Public Works BUILDING INS- ECTLON RECORD Zoning Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wir. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS l 11 6> 6l COUNTY OF BUTTE —u- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 5; 123b, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ui Signature of Permitee or Agent 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 u` By �t �, �r� - Date Building Permit Expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Addresses Fireplace �a Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ 00 $ Building Address, PLUMBING No. @ FEE PERMIT FILING FEE $2.00 A,O Each Trap' P 1.50®� f� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. Na �` ��. f Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. S.aoftatZn°��, Planning Building sewer 5.00 Plans Fees W. C. 4-1R/W V Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee $ J$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 v,40 Main service incl. 1 meter ,V' 41n 5,410 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) J F6��� USE OF STRUCTURE Single Family UAJ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Aeel0 Oven, Cook -top or space heater 1.00 "7771 Light fixtures �� �� 2 °i"_ Re6e,s., 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: H od, Ex. Fan or F. A. Furn. Motor 1.00 y,,a Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification �l am exempt from the Contractors License Laws of the State of California. Permit Fee $ $�� =Di 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 $3.00m ?>°� Heating Cooling Ventilation 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 SPermit �ris� �rnentati �rr�n v anion $0.07/$1000 Evaluation TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date ui Signature of Permitee or Agent 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 u` By �t �, �r� - Date Building Permit Expires Date PERMIT NUMBER - B 2050-73B P r.E PERMIT EXPIRES OWNER Horace F. Smith CONTR: owner iLOCATION (A.P. 57-165-18 180 Elmwood Dr, Magalia COUNTY OF. BUTTE Department . of Public Works ' BUILDING �, INSPECTION RECORD ��3 '044ri -6_2-P"_� Zoning Setback Forms Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS Y2 N,651WP 5 P rc//- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Qrovi lie, California 95965 Tel ep6one: 534-4541 APPLICATION AND PERMIT aUU1011Le 1eNlesehtduves of the County of Butte to enter upon the above-mentioned property for ins ection purposes. X Signature of Perrmmitee or Agent Receipt No. M " 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 zl= Building permi+ expires Date.:;l„a�„— 7 r: z. BUILDING Owner '' SQ. FT. OCC. BUILDING VALUATION Mailing Address / Telephone No. Fireplace Contractor Total Valuation e Mailing Address Permit Fee pp Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ 'Gd $ Ive 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 �i A. P. No ��" �o Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fee S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES E] OTHER ELECTRICAL >No. a @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home *Others ❑ Sub -panel (12 or less) (morethon 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures _ cl_ a10 Rinin eceps., switches & fix outlets 2023 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. FanorF.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 *119 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.' 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ aUU1011Le 1eNlesehtduves of the County of Butte to enter upon the above-mentioned property for ins ection purposes. X Signature of Perrmmitee or Agent Receipt No. M " 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 zl= Building permi+ expires Date.:;l„a�„— 7 r: z. ILI 1,17 6,3 r 1 17 , Vie, - i "X 6 \I. o PERMIT NUMBER — B 2297-72B � A PERMIT NUMBER — B 2297-72B E t PERMIT EXPIRES '.owNER Horace F. Smith 1CONTR: owner i . LOCATION (A.P. 57-165-18 .1W Elmwood Drive, Magalia OF— //10/./Zl fe/D!/'o jV/y✓-73 y i •� ,la— ��— t / v COUNTY OF BUTTE Department of Public Works BUILDING INSPECTIOt4 RECORD Zoning Setback Ih-�g7�-�/q� Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam//// Loth & Plaster Rein. Steel Gas Piping & Test 9� -7Z A//, Found. Vents Framing f Plmg. Topout Rough Elec. Wtv. Htr. Furnace Kitchen Vent Firewall t Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary 6X72 Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS aavtY' ,_•_-6-/T Y 1v A1— 1646 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Qrovi Ile, California 95965 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. Date Signature of Permiteee`or Agent Receipt No. T 7 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 �t�! Date IV,41 ' Building Permit Expires Date BUILDING Owner a SQ. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor ;u `r{ r y �,ft�/� �• Total Valuation Mailing Address O �® Permit Fee Plan Checking Fee &/or Penalty r Permit Fee $ $ Building AddressPLUMBING No. @ FEE PERMIT FILING FEE $2.00 $yd�o Each Trap 1.50 67 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning —Z Fire Zone Fire Dept. ariitation anning Gas piping system 1 -5 outlets % 1.50 Each additional outlet .50 Building sewer 5.00 Plans Fees W. C� R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHERF Permit Fee $ ,2-0$ 3,,6-6 ELECTRICAL 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) - - USE OF STRUCTURE Single Family ❑ Duplex ❑ Others Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 2 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 st le f- r, 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 Misc. wiring License No.f !/), Classification ❑ 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 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 ion �ns rumentotiontr s am $0.07/$1000 Evaluation Is TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permiteee`or Agent Receipt No. T 7 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 �t�! Date IV,41 ' Building Permit Expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK ��• �/ 7 County Center Drive — Qroville, California 95965 / Telephone' 533-1230, Ext. 259 9), 97. 72 9 APPLICATION AND PERMIT aurnunce representatives of the County of tjutte to enter upon the above-mentioned property for inspection purposes. XG.GLy!//� Signature of Permitee or Agent Receipt No. �42 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 elm Date �� Y Building Permit Expires Date Zf BUILDING = Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address�'� Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty 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 /1_67-C) Each gas water heater or vent 1.50 / A. P. No. �(j Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 S/OQ Plans Fees W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITI N ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 '�=,Op Main service incl. 1 meter ,Qa 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 �ffl 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 Misc. wiring License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee pC SOU 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. permit is issued I shall not employ any person in any manner _'TI certify that in the performance of the work for which this as to become subject to the Workmen's Compensation Laws of California. 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 MECHANICAL No.1 @ I 'FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee tate Fee for $trQg Motion nate Fee for n grrm $0.07/$1000 Evaluation ogra s TOTAL PERMIT FEE $ D aurnunce representatives of the County of tjutte to enter upon the above-mentioned property for inspection purposes. XG.GLy!//� Signature of Permitee or Agent Receipt No. �42 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 elm Date �� Y Building Permit Expires Date Zf COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO —72,7 County Center Drive — 9roville, California 95965 p�, Telephone". 5$3-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspectio purposes. X� ate Signature of Permitee or Agent 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 7-1 2_7L Building Permit Expires Date �'—f Z-7 BUILDING / Owner 1,0,-ve SQ. FT. OCC. BUILDING VALUATION Mailing Address-,? mI app Al"elo Fireplace Contractor !. 0 e y^ Total Valuation Mailing Address SQ`jj Permit Fee Plan Checking Fee&/or Penalty t Permit Fee $ f pd $ /S; eD Building Address' ���� v`p 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. - !��~ — Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. nning Building sewer 5.00 Plans Fees W. C.ve" R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER Permit Fee $ $ ¢�� e ELECTRICAL 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) USE OF STRUCTURE . Single Family ❑ Duplex ❑ Others, Range, dryer or water heater 1.00 �J Oven, Cook -top or space heater 1.00 Light fixtures 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 Misc. wiring License No. Classification 1`7 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. XI 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.1 @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 r�Permit Inst umente tatiofor nir� a Motion $0.07/$1000 Evaluation $ TOTALY PERMIT FEE $ �` ,l'7 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspectio purposes. X� ate Signature of Permitee or Agent 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 7-1 2_7L Building Permit Expires Date �'—f Z-7 i.. - r... . �. COUNTY.OF BUTTE .— jDEPARTMENT OF PU.BLIC.WORKS % 7 County Center Dri!9a -T •,�roville, California 95965' o2� /?- Telephone: 533-1230, Ext. 259 A APPLICATION AND PERMIT autnonze representatives or the uounty or tsutte to enter upon ine above-mentioned property for inspection purposes. x 1-3 - :222,e""MDate,% 2- /_17-),, Signature of Peerrmiteee or Agent/ / /l/ Receipt No. - White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant a 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 r/ /�1�.� �.Date Building Permit Expires Date '/ -f 7- -? BUILDING 1" `• �' + i Owner G ' SQ. FT. OCC, BUILDING VALUATION Mailing Address 0 `1 / _� f .P r) Z / S / Oil/ �C—: �i r' ' Fireplace Contractor A ` �J r ��S Total Valuation Mailing Address�a*/, (J�j�l� J o _ /dr_1 Permit Fee V P I an Checking Fee &/or Penalty _ �7 d JSP t �� , Permit Fee $ $ Building Address/� -g/ PLUMBING No. @ FEE -" PERMIT FILING FEE $2.00, Q 0 (/1S'/'10AI Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 S -d (y n 0 �•i,?C�1 Each gas water heater or vent 1.50 A. P. No. °"}��;'� Zo.ning ",2, Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. ��San:i.taii.on Planning -Buildin sewer 5.00 9 Plans Fees W. C.'/ R/W I Encroachment Lawn sprinkler system 2.00 NEW, ADDITION ❑ OTHER ❑ Permit Fee $ .50 6� ELECTRICAL 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) USE OF STRUCTURE Single Family, Duplex ❑ Others ❑ Range, dryer or water heater 1.00 ©� i� �� Oven, Cook -top or space heater 1.00 Light fixtures a " Receps., switches & fix outlets h 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: '} r �'A /� /� ✓1-�'► �i�`'� 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 Misc. wiring License Nox!� %�/%/ �J Classification ❑ 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. ElI certify that in the performance of the work for which this permitis 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 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 ,State Fee for StrpngMotion $0.07/$1000 Evaluation Instrumentation rogram $ TOTAL PERMIT FEE $ autnonze representatives or the uounty or tsutte to enter upon ine above-mentioned property for inspection purposes. x 1-3 - :222,e""MDate,% 2- /_17-),, Signature of Peerrmiteee or Agent/ / /l/ Receipt No. - White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant a 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 r/ /�1�.� �.Date Building Permit Expires Date '/ -f 7- -? COUNTY CF BUTTE — DEPARTMENT OF PUBLIC WO ���� 7 County Center Drive _ Or:;ville, California 95965 / Telephone: x.33-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X - pppp tri Date Signature o�ermitee or Age eceipt 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 T- f Z'""'zL. 77 Building Permit Expires Date BUILDING Owner h1Z a r— SO. FT. OCC. BUILDING VALUATION Ila Mai I i ng AddressZa 2! J /'a—'V 44 oO 67— a 11'-4Fireplace Contractor aW '-- Total Valuation Mai lingAddress D ?d Permit Fee Plan Checking Fee&/or Penalty / A0'� d stf rA Permit Fee $ $ Building Address �� '� g PLUMBING No. @ FEE PERMIT FILING FEE $2.00 �, 0 0 Each Trap 1.50 /� Repair drainage or vent piping 1.50 Water piping 1.50 t) Each gas water heater or vent 1.50 A. P. No. 59-1�Zo _z Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Planning Bui ding sewer 5.00 Plans / Fees t✓ W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW JE ADDITION ❑ OTHER ❑ Permit Fee $ 0 $ 2,v �7 0/, a z / ��/ ELECTRICAL 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) USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 n 0 19 Oven, Cook -top or space heater 1.00 Light fixturesRE 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 st le of: Iv, 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 Misc. wiring License No. Classification ❑ 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. ElI certify that in the performance of the work for which this 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 Ventilationis 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 r�Permit In Strumentaoron q Motion $0.07/$1000 Evaluation $ TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X - pppp tri Date Signature o�ermitee or Age eceipt 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 T- f Z'""'zL. 77 Building Permit Expires Date