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HomeMy WebLinkAbout065-180-0141, A. P. Edward Conners 384 Elmwood, Magalia6aa � CONTR: Franks Refrig.,radise Permit 1307-71B (patent chimney) > T. �sfi'W48-14 1 1` VERNA- CARPER 6605"dAnd'iew; Magalia Permit#32.36L'8 B -remoe `_ e�'n t ::'1S�•�r,::Si,iif ngl ,L1C n �.stucco)Sg a. , • t t ' t - t �- 3236-89B ,CARP.ER, Verna 6605 Grandview Magali t / ,`: • �: # ((remove siding/stucco)SF ., rL All +\ 4L 1 ,v 4 '... ' � - �{.( �i Thi% � � • Lt2. COUNTY OF BUTTE - UEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - OrovilletCalifornia 95965 =Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESX �A`CEL NUM E^T /!5S -""- ZONING BUILDING PERMIT OW /fern r �' v TELEP ON 3�/�.,I,s rJ SO. FT. OCC. BUILDING VALUATION OWNER'S AILING ADDRESS 1.9-32 !'J <c o CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S AILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 8 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS !fir f T S $ i '— BUILDING A DRESS ' - •- A a „ of L.A r -e Permit fee $ ;S.v PLUMBING PERMITOlt! lingFee 10.00 ' Each Trap 2.00 Solar or heat pump water ater 20.00 LOT NO. SUBDIVISION NAME PARC EL MAP Water piping 5.00 Each qas water ater or vent 5.00 USE OF STRUCTURE SFZ_ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping s tem 1 - 5 outlets 5.00 Buildin ewer 5.00 Mobil Home I S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installati_on❑ . Other >r Describe work: A1'/P'1 0 s.ct/in _ Permit Fee $ Contractor ELECTRICAL PERMITi! Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L. 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Bus'i'hess and Professions Code and my license is in full force and effect. 9/ License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING o UP.6i OR ACDNS. ACC. BLDGS ) , h¢sgft NEW U ET NON•RESID, BRANCHC ITS 2,50 ea /POWER PARATUS h� ISINGL UTLET CIR. Ex. Occu p OUT TS OR FIXTURES 20e50c aALO 30 Ex. Occup. of TLETS PIRESID.)REA.) 2.00 Temporary ervice 10.00 Mobile Ome Facilities 15.00 Misc. irin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under'penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. © I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilat' n Pe Fee $ Ceftractor 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in nsequence of the granting of this permit. X -� ��� _- �',–� RIA Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA perm itois required for excavations over 5'0" deep and demolition or construct- ion of structures ver 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE -50 TOTAL FEE $ E HA2 CUA PARK SCHL PAR PD HD Issu This permit is hereby issued under sions of the Butte County Code and/or work indicat abov for which fees I E QF" UBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date? /7 'Z` y ��✓ ' `�"' Receipt No. G 5 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEOARTI ENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT �PR T O. ASSESr ,QARCEL NUMBER ^ ({/JSS ZPNING BUILDING PERMIT ow // !/e/` a h -e / TELEP N �c� SQ. FT. OCC. BUILDING VA ATION OWNER'S YAILING ADDRESS 3 rr"a. f (C0 CONTRACTOR'S NAME t� �Y TELEPHONE CONTRACTOR' AILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ 8 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Pr -c in S $ S '-- BUILDING A DRESS d^QI1 � c'2 Permit fee $ 3 PLUMBING PERMIT ilingFee 10.00 Each Trap 2.00 Solar or heat pump water eater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas waterjdater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping s tem 1 - 5 outlets 5.00 Buildin ewer 5.00 Mobil Home S I GW 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe work: _02Yr►1 sr. -e- sl.wdln as h Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification V I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. / DWELLING o & OR ADDNS. C ACC. BLDGS uP.) , /20sgft NEW CONSTR. MULT I -OU LET NO N.R ESID BRANCH IRC ITS 2.50 ea PARATUS e) \SINGL OUTLET CIR. Ex. Occu o p( UT TS OR FIXTURES zo®sot eAL®30 Ex. Occup. oI ,6TTS P(RESID.)REA.) 2.00 Temporary ervice 10.00 Mobile me Facilities 15.00 Misc iring 15.00 - d Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. VL� I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Vent iIat' n. Pe Fee $ CeZhtractor 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in/c nnsequence of.the granting of this permit. X�i 1 1�•, l.�L`i v9-77- 1 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories 'n height. Mobile Home Installation Fee $ Energy Inspection Fee $ 0i occ CONST TYPE AL TOTAL FEE $ HAz CUA PARK FLD PAR PD HD Issu This permit is hereby issued under sions sions of the Butte County. Code and/or work indicat abov for which fees IEiE O O UBLIC By PERMIT XPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date `7, '-2_ Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ..-i�� f�'�°�'�V^T•�'•F+�'•+L _.P �'��'�'�f���a 7�}. '��- ,Wyt,�?...'.i:.r, �.S+e."k��h�i. COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIF9,51NIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA-�SHEIT y Permit No. OWNER r --j A. P. No. Proposed Building Use:! E Building Inspector Date 9—A At time of permit application, I was advised the following data must be submitted prior to perm- it`processing and/or issuance: ` DATE RECEIVED APPROVED ]x� 1. All items have been submitted. ... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer of plans .. 4. Complete engineered plans and calcs, with wet signature on plans . . t 5. Hazardous Material Form ........................ .............. . 6. Energy Design Compliance and supporting documentation ......... r 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... ' 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid ................................................. 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (,B) Parking: 18. Improvements may be required. Contact Land Development Section DPW j19. Driveway permit (construction approval required prior to occupancy) 0. Pre -Inspection for �ilk, �,� required' .. , Pre-Inspec. request to Building Inspector (Date) . 2 . Contractor's license information (No., Name Style, Classifications ... 22. 23. Certificate of Workmans Compensation Insur ce ........... :...... Owner -Builder Verification (Given to owner Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: M�iyto.owner. Mail to contractor. Telephone 9 7Z- '�and hold for pickup a ►^r office. Deliver w/inspector. Other Applicant Datetl Copy,of plans sent Health Dept., Fire Dept., ' Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone Contractor, designer, owner, was advised of above required data by—phone Plans checked by Date Plans Sets of plans on hold Copy–DPW in File cabinet' .,.—AP folder' ail counter by ..date all counter by date Date PAGE 1 2/8/89 PARADISE L WORKMANS COMP NAME ------------------------------------------------------------------------------------------------------------------------------------------------------------- ADDRESS CITY ZIP AUTHORIZED SIGNATURES LIC. # DATE A H L CONSTRUCTION, INC. P.O. BOX 3888 TUSTIN,CA 92681 PERRY JOHNSON,DAVID WIEGENSTEIN NO W/C A VIKING PLUMBING P.O. BOX 273 PARADISE 95969 DEBBIE SELBERG 367214 NO W/C ACME WILEY CORP. OF CA 9359 FERON BLVD. RANCHO CUCAMONGA 91730 DIANA MURPHY NO W/C ACRO-LUME 1737 WYANDOTTE AVE. OROVILLE 95965 (RICHARD SHIFFLET)TIM SHIFFLET,MICHAEL SHIFFLET,WYNNONA ACRO-LUME 1737 WYANDOTTE AVE. OROVILLE 95965 BROWN,KENNETH BROWN 274847 10/22/89 ADONIS POOLS & SPAS ' 956 C KOVAK CT. CHICO 95926 (LEN STACHELEK) 02/01/90 AGRI-ELECTRIC 11011 MIDWAY CHICO 95928 DAVE RUDOLPH,ANDREA CORCHERO,JOHN N. THORPE 443455 10/01/89 AIR -ART HTG & A.C.' 1407 ALMOND ST. CHICO 95926 (CHARLES & BEVERLY PUGH) 335203 10/01/89 AL'S TOWING SERVICE 2191 KIRK WAY SACRAMENTO 95822 (DARIO & TAMI COLTRI) 03/04/89 ALTMAN, JOHN H. P.O. BOX 4983 f CHICO 95927 01/01/90 ALTON, W.V., INC. P.O. BOX 129 MARYSVILLE 95901 07/01/89 AMERICAN TRADITION HOMES 3014 OLIVE HWY OROVILLE 95965 (JOHN STERLING JOHNSON) 04/01/89 AMRE ENTERPRISES, INC. 4949 ROYAL LN. IRVING,TX 85063 DON BALLANTYNE,CHARLES RUFF,JOE PHARRIS,ROBERT BLAIR,MARTY AMRE ENTERPRISES, INC. 4949 ROYAL LN. IRVING,TX 85063 FAIRLESS,FRED BRATCHER,ERIC LINDSTROM,RAYMUNDO LUJAN,BILL AMRE ENTERPRISES, INC. 4949 ROYAL LN. IRVING,TX 85063 WATSON,RON CLAY,DAVID WILLIAMS,MARK WIKEL,MICHAEL SHAW, AMRE ENTERPRISES, INC. 4949 ROYAL LN. IRVING,TX 85063 LARRY BYRD,DAVE RICE,MIKE HOLT,LESLIE LADUE,HAROLD BRITTON, AMRE ENTERPRISES, INC. 4949 ROYAL LN. IRVING,TX 85063 10/01/89 ANDERSON BROTHERS CORP. 14830 EAGLE RIDGE RD. FOREST RANCH 95942 (MARVIN ANDERSON) 07/01/89 ANDERSON CONSTRUCTION, CORKY P.O. BOX 1308 CHICO 95927 (RUSSELL J. & FRANCES ANDERSON) 02/01/90 ANDERSON CONSTRUCTION, GARD M. 3537 BAY AVE. CHICO 95926 07/01/89 ARK ENTERPRISES SEE FEDORKO, BILL ARMSTONG, ROBERT 577 ORD RANCH RD. GRIDLEY 95948 ARVELLA ARMSTRONG NO W/C ARROW SIGN COMPANY 1051 46TH AVE. OAKLAND 94601 SHIRLEY SIMPSON-JOHNSON 314794 01/01/90 ARTIC AIRE OF CHICO,INC. 2838 HWY 32 CHICO 95926 BART BLAIR,ROBERT BLAIR,ROYAL HAWKLEY,GILBERT BOWLES,MARK ARTIC AIRE OF CHICO,INC. 2838 HWY 32 CHICO 95926 ATHERSTONE,RICK LOTTI,JOHN WARNER,PAM HEATON 234913 10/01/89 A-1 MOBILEHOME SERVICE 167 LIDO CIRCLE SACRAMENTO 95826 (DAN & TERRI BARNEWOLT) 06/01/89 B L D REMODELING INC. 1260 SAN LUIS OBISPO AVE. HAYWARD 94544 KEN NEUDOERFFER,JEFF HILTON,RICK JAMES,VICTOR MARTINEZ B L D REMODELING INC. 1260 SAN LUIS OBISPO,AVE. HAYWARD 94544 DON SANDERS,RICHARD SCHLEETER 473042 NO W/C BAILEY CONSTRUCTION CO.,INC.,BUD P.O. BOX 11838 SALT LAKE CITY,UT 84147 04/01/89 BAKER, JOSEPH B. 1435 W. 5TH ST. CHICO 95928 (CHICO WOODCRAFT,J.B. CONSTRUCTION) 10/01/89 BALDEZ, RAYMOND M. & CAROLYN 1845 OSWALD RD. YUBA CITY 95991 (R M B CONSTRUCTION) 02/01/90 BALDWIN CONTRACTING CO., INC. 1764 SKYWAY CHICO 95928 07/01/89 BALDWIN CONTRACTING CO., INC. P.O. BOX 311 MARYSVILLE 95901 07/01/89 BARTHOLOMEW CONSTRUCTION 1575 LEE ST. OROVILLE 95965 (JOHN M. & SONJA M. BARTHOLOMEW) 05/01/89 BASSETT CONSTRUCTION, INC. 7730 GREENRIDGE WAY FAIR OAKS 95628 STEVEN SCHAMAUN 394896 07/01/89 BAY AREA MH(SHAMROCK MH) P.O. BOX 232 MAGALIA 95954 JIM FIELDS,FRANK DONALDSON,LYLE LINSE,AL HERNANDEZ BAY AREA MH(SHAMROCK MH) P.O. BOX 232 MAGALIA 95954 L.P. BOWMAN 261265 06/11/89 BECKER, BOB I. 6231 BECKER WAY PARADISE 95969 02/01/90 BECKER, NICHOLAS & MARION 4613 MEADOWSONG DR. PARADISE 95969 311750 06/08/89 BEL AIRE CONTRACTORS 3018.ESPLANADE CHICO 95926 (JACK SCHMIDTKE)ROBERT BIRKEDAL,MARK MAYBEE,JIM CORNERS, BEL AIRE CONTRACTORS 3018 ESPLANADE CHICO 95926 KELLI SCHMIDTKE 392317 10/01/89 BELL CONSTRUCTION, ROBERT 0. 1445 ELLIOTT RD. PARADISE 95969 (ROBERT & CYNTHIA BELL) 01/01/90 BELLE CREEK RANCH 576 BELLE CREEK LN. PARADISE 95969 (JAMES PAUL & THELMA LEE BOWMAN) 11/01/89 BENDA CONSTRUCTION,LEE 1377 KELLER PARADISE 95969 386983 08/30/89 BERNIE'S MOBILEHOME SERVICE 6550 DAPHNE LN. PARADISE 95969 (BERNARD HOFFMAN)FRED BOX,CRAIG WILSON,RUTH HOFFMAN NO W/C BESSER, GARY L. SHANNA BESSER NO W/C BEST LINE BUILDERS 1361 FEATHER RIVER BLVD. OROVILLE 95965 11/01/89 BETTER BUILDERS CONSTRUCTION 6186 BECKWOURTH WAY OROVILLE 95966 (JOHNATHAN STARR)BELINDA STARR,CASEY CROSS,HOWARD INGRAM JR. BETTER BUILDERS CONSTRUCTION 6186 BECKWOURTH WAY OROVILLE 95966 323225 09/01/89 BETTY CONSTRUCTION,MONTY 1485 OAKRIDGE DR. CHICO 95928 (MONTY & KATHLEEN BETTY)W.D. BETTY 308895 03/01/89 BIG VALLEY ROOFING CO., INC. 6565 DANTONI RD. MARYSVILLE 95901 BOB ADAMS, DON CURT 05/01/89 BIGGERS PLBG & HEATING 551 COUNTRY DRIVE CHICO 95926 DAVE FORSMAN,LEROY BIGGERS 114186 10/01/89 BIPPUS ROOFING CO. P.O. BOX 236 ORLAND 95963 (SAMUEL BIPPUS)GORDON BIPPUS,WALLY LANG 188086 01/01/90 2/8/89 PARADISE i COUNTY OF BUTTE - Department of Public Works i 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER=BUILDER VERIFICATION Attention Property Owner: ;t An 'owner -builder" building permit has been applied for in your name and bearing your signature. i Please complete and return this information at your earliest opportunity to -avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and ma;e is for construction of the proposed property improvement (yes or no) I 2. I (have/have not) _2signed an appl cation for a building permit for the proposed work. I have contracted with the following person..(firm)..to provide .the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work,.but I have hired the following person to coordinate, supervise, and provide the major work. Name Ad •ress City hone Contractors License No. 5.1 will provide some of the work but I have contracted (hired);the following persons to provide the work indicated: Name Address Phone Type of Work Signed : Property Owner Social Security Number Date NOTE: This Owner -Builder Verification.is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 1 .0 4 L K PERMIT NUMBER - B 1307-71 E 7 PERMIT EXPIRES wNER Edward Conners 1 CONTR: Franks Refrig., Paradise �, .,LOCA'TI'aN,(A.P. 57-17-25 384 Elmwood, Magalia • 19 COUNTY OF BUTTE. Department of Public. Works BUILDING ll;PECT,ION RECORD Zoning Setback Forms Foundation Piers & Girders t 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 T COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive— Orovglle, California 95965 Phone: 533-1230, Ext. 259 APPLICATION AND BUILDING PERMIT Permittee Owner A. P. No. Mailing Address Fire Zone Zoning Contractor 'Sanitation ` Planning Mailing Address BLDG. Address�-4 Plans Fees W.C. R W Encroachment ' •c NEW D ADDITION REPAIRS OTHER Others �. ' " r=� �.� Single Multi USE OF STRUCTURE Family M' Duplex Ej Dwelling 0 Others F O U N D A T I O N fin) - MATERIAL EXTERIOR o PMRSh Width at Top (; Width at Bottom r\ a•� Depth in Ground a O L �� SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE p� SP 'SIN SPAN Girders r0 Q joists - 1st Floor O� •�O Joists - 2nd Floor �O� �O oa Fireplace �J Qi joists -Ceiling (� Total Valuation ,— �, r) Exterior Studs Q' O Permit Fee +'I c7 f . Interior Studs 4c;' +a �� •\Z? Plan Checking Fee &/ or PenaltyRoof Rafters C. Total Permit Fee J , Bearing Walls UUM 1 MAliTORJ LICENSE LAW r� A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed _under the provisions of Chapter. 9, Div. 3, of the State of California Business & Professions Code under the name styleof........ ? ............... ................ ..............................................................................fl................................................................................................... , + License No. ,`; ;,;;, fir...... Classification ......`..... & ; and certify that the aforesaid license is in -full force and effect. S. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors, ( Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis,. if any, for other statutory exemption ..............................•• ................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 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. X.............................................................................. Date ....................:........... SIGNATURE OF PERMITTEE OR AGENT f � () ReceiptNo......................................................................................................... This BUILDING PERMIT is hereby issued under the appli= cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By............................................................................... Date ................................ Permit Expires Date,,,, ,,,,,,,.,,,,,,,•••,