Loading...
HomeMy WebLinkAbout065-360-036A.P. ROBERTS, Jean (05-,36-3b 30 Upland Drive, Magalia CONTR: Tom Heenbart; Paradise Permit-810-72�Utilities for a Mobile Home ) 7 -lo-- A.P. /D-- A.P. JEAN ROBERTS low_ -36-36 30 Upland Dr, P.P., Magalia CONTR: Paradise Nugent Gas Permit 19 .1-73P %7-10 � (gas piping for mobi{ e�home) A. P. JEAN D. ROBERTS :3(o -;31P 30 Upland Drive, Magalia Permit 2948-73B (deck) o � � % AP 65-36-3 CONTR: North S ate Alum., Chico Permit# 1568-75B (reinstall awning; MH� PERMIT NO. 1568-75B P r E M MH UTIL. PERMIT NO. s PERMIT EXPIRES OWNER Jean Roberts 'CONTR. Nnrthstate Al=. Chico3 LOCATION (A.P. 65-36-36 Upland Dr., lot 169, Magalia j Temp. Power Pole Calle G& E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E /E./ FINALED 5 G % (Date) Q- (Signa�f'4) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings i3 Windows 3rd Floor. Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage ! Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE 6 17X5__ REMARKS OR CORRECTIONS ��/' Ii COUNTY OF BUTTE — DEPARTMENT OF PUBLICOR 'S 7 County Center Drive — Oro*ille, 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 Signature oofPermitee r Agent Receipt No. //_/6 ,3f 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' 7J B ding permit expires Date ................. ......'f —7 BUILDING Owner SQ. FT. OCC. BUILDIN_Q VALUATION Mailing Address 1(7 r 37 N 3 7 Fireplace Contractor l4/° /� - ���r=' G am: �j - Total Valuation Mailing Address /jam7' % Permit Fee Plan Checking Fee &/or Penalty L'Ule.ne No ��� Permit Fee $ $ p Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 S. Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 A///rr��� ��G G / Each gas water heater or vent 1.50 A. P. o. �� .;�G -� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s 1 056' Fire Dept. FireZone Use Pen -nit Building sewer 5.00 EQQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Impro dements Lawn sprinkler system 2.00 Bl --g. Plans Recd Parc Approval Pla" pproval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 s�. 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 1101Ll�L%Lt�/ r ���/�� Water Heater or Space Heater 1.00 Light fixtures bal alo Receps., switches & fix outlets b. CONTRACTO4 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 off:, 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. GLy Classification r 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 Workme 's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. El I certify that in the performance of the work for which this P ermit 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ��� Date Signature oofPermitee r Agent Receipt No. //_/6 ,3f 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' 7J B ding permit expires Date ................. ......'f —7 9 m PERMIT NUMBER - B 2948-73B P E PERMIT EXPIRES oL S--7q-- OWNER Jean D. Roberts CONTR: Owner LOCATION (A. P. 57-52-36 (30 Upland Dr,, Magalia) Zoning Foundation Rgh. Plumbing Rein. Steel` Framing Wtr. Htr. Firewall ELECTRIC Temporary Final DATE COUNTY OF BUTTE Department of Public Works BUILDING IIa;SPECTION RECORD Setback Forms Piers & Girders Fireplace Bond Beam Lath & Plaster Gas Piping & Test Found. Vents Plmg. Topout Rough Elec. Furnace Kitchen Vent Garage Vents Sanitation & Water GAS -BRELrDftrtG— pEG Temporary Cert. of Occup. Final Final REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Tel ephon: 53412,541 APPLICATION AND PERMIT aut ze representatives of the County of Butte to enter upon the a ve- entioned property for in/uOrposes. X �e Signature of Permitee or Agent Rec ipt No. T6% 2 E I —)— — 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 building permit expires Date BUILDING Owner 4! ' Q13 T SQ. FT. OCC. BUILDING VALUATION G' G Mailing Address Al 4211?, Telephone No. Fireplace Contractor (j �� _ Total Valuation 9 O 6 Mailing Address Permit Fee 51 Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ p $ ,5" Building AddressPLUMBING 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.5- 2Gas �- Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe a on FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Percel Plans Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 BI I s I? Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE 1 $3.00 /JGI 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 pai 6lo 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring 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. 'have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. ,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 $ R aut ze representatives of the County of Butte to enter upon the a ve- entioned property for in/uOrposes. X �e Signature of Permitee or Agent Rec ipt No. T6% 2 E I —)— — 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 building permit expires Date FERMIT: i 171oz-3 46wl-r-5 /F/ 1vwI1E"o 7-/0--7-3 _... - - l h ar 'T I , 7 .i . QPUNT:Y OF BUT 1T.E-" `-`0 DEPARTMENT OF PUBLIC WORKS 7 County Center%D'ri,vw1 — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ❑UIIIUIILC It plt DCIILQLIVCJ UI lllG UUUnLy UI MUM:: LU enlel upUn Ine above-mentioned property for inspection purposes. r pate 1G / a/ 2" _ Signature of Permitee or Agent �r Receipt 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 ,�>r�-t sr /� %�'/.� e Date BUILDING —"" • �: t Owner r %r. �! /� r� 6af'r � 1, ' 1 � % V" SQ. FT. OCC. BUILDING VALUATION Mailing Address �i )�. �•`� �� \1,Telephone•No. Fireplace Contractor f ? y. !, �i1 Total Valuation Mailing Address �lj; �y/gyp Permit Fee Plan Checking, Fee &/or Penalty '�i ���` �''�"''' •� �f� `[Telephone �• `?C(L�7�C�./�1 r -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 r A. P. No.�—�,% �� �y Zoning & Planning Gas piping system -1 : 5 outlets 1.50 / -:5U Each additional outlet .30 Fees W. C. Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcelparcel Declaration Ma P 60' R/W Improvements, p Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $. NEW,[:] ADDITION ❑ FUTILITIES ❑ OTHER❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 1 (/_-?>•) �•��! �f'Yi,•�-c/ Main service incl. 1 meter ' Additional meters, each 1.00 Sub -panel (12 or less) (morethanl2) Single Family ❑ �D'uplex ❑ Mobil Home ®K Others ❑ Range, Cook -top or Oven 1.00 t Water Heater or Space Heater 1.00 Light fixtures' a l (610 \ P,eceps., switches & fix outlets 20075 4a CONTRACiT�eRS LICENSE LAW -1 am licensed under the pfovisions of Chapter 9, Div. 3, of the State�of7California Busines''sl& Professions Code under the name style of: f ? f l 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. -.--9//, /1_ /� ��� ���i` Classification l Misc. wiring ❑ I 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. lecertify 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 $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County OrdinancesTOTAL and State Laws relating -to building construction, and hereby PERMIT FEE $ ❑UIIIUIILC It plt DCIILQLIVCJ UI lllG UUUnLy UI MUM:: LU enlel upUn Ine above-mentioned property for inspection purposes. r pate 1G / a/ 2" _ Signature of Permitee or Agent �r Receipt 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 ,�>r�-t sr /� %�'/.� e Date OYL- Ald 1-9170 6 65-1).,V6 V7 All��12-5 3 L COUNTY OF BUTTE\,,,,-- DEPARTMENT OF PUBLIC WORKS _ 7 County Center Driy��—.<roviIIe, California 95965 ` Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT e� f 11 _ 7 authorize representatives .of -the -County of Butte to enter upon the above-mentioned property'-for�inspection purposes. X_�.� %�- ✓' Date 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, i Date 23 —7 Z- _ Building Permit Expires Date BUILDING Owner ` j] j_ l P d1? =5 !C c d' SO. FT. OCC. BUILDING VALUATION Mai I ing Address Fireplace Contractor T/22ein Q/� y� �Gdb- — Total Valuation Mailing Address Permit Fee PIanCheckingFee&/or Penalty Permit Fee $ $ Building Address 3/4�- j �(*G ��' .- PLUMBING No. @ FEE PERMIT FILING FEE $2.00 �.. Each Trap 1.50 - Repair drainage or vent piping 1.50 Water piping 1.50 / G/ - Each gas water heater or vent 1.50 A. P. No.7' _1 \ Zoning — . Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. j::Sami�t�at•ion--� `�� PlanningU/:_ Building sewer 5.00 l�CJ 9 �•� Plans Fees &-- — I W. C. . R/W Encroachment Lawn sprinkler system j j 2.00 NEW ❑ ADDITION ❑ OTHER Q Permit Fee $ ( 3 v $ D%- .� / lifG�' �4�' �'�' ELECTRICAL No. @ FEE PERMIT FILING`FEE - $3.00 Main service incl. 1 meter j Gam' Additional meters, each 1.00 Sub -panel (12 or less) (inorethen 12)" USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ • Range, dryer or water heater 1.00 �r / `�` �"� �" Oven, Cook -top ors 1.00 pace heater Light fixtures� I bal a Receps., switches & fix outlets 010 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business Prof.e s`ion Code under tete W �s ylYe of.- `C��D �`��� �``��V\ �-� b � � -7-47\ Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap.cooler, gar. disp. orD.W. 1.00 Air conditioner or, heat pump Water. pump t: , ,Misc. wiring, License No._.+'� i/ �� \ � Cl��fi�ati�n ' ❑ i am exempt from the Contractors Li�c�ens�Laws of the State of California: Permit Fee OU $ /� - � �\ WORKMEN'S C'OM'PENSATION INSURANCE I am aware of the p\¢visions ofCection, 73 00 of tffi aIifornia Labor Code which requires'��Per em I'�er'to tie insured Cgainst liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ®-'l 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 1 Cooling Ventilation 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 Inst umentationt`fq ogaonion $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ /9 authorize representatives .of -the -County of Butte to enter upon the above-mentioned property'-for�inspection purposes. X_�.� %�- ✓' Date 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, i Date 23 —7 Z- _ Building Permit Expires Date COUNTY OF BUTTE - — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ., — •uroville, California 95965 Tel eph-,ne: 534-4541 /C 7 APPLICATION AND -PERMIT authorize representatives of the County of Butte to enter upon the above -me Toned property for insp ction purposes. Date rL Signature of Permitee or A ent Receipt No. R 7--1� — 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.' �� IRECTOR OF PUBLIC WORKS �i BY ,,'�/-�✓ i^ 2t>d'� .Date !" Building permit exrres Date ....... BUILDING Owner -// �?�." �� �._ ,✓'T� SQ. FT. OCC. BUILDING VALUATION . Mailing Address e_ _ Telephone No. Fireplace Contractor_ Total Valuation Mailing Address �`% Permit Fee Plan Checking Fee &/or Penalty �;/ �f/ ,lrsLi i� Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00- .L� 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. '�o/ Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation FireDept.' FireZone Use Permit Building sewer 5.00 EQA Parking Plans I ParcelLawn Declaration I Parcel Map 60' R/W Improvements sprinkler system 2.00 Bldg. Plans Recd Parcel Approval PI'ans Approval Permit Fee $ $ NF_ ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter r' 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(625 bail 010. Receps., switches & fix outlets b" CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State California Business & Professions Code under the name 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 � License No., ��_.�.C�� Classification Misc. wiring ❑ I 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 w requires every employer to be insured against liability for W men'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 $ $ 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 -me Toned property for insp ction purposes. Date rL Signature of Permitee or A ent Receipt No. R 7--1� — 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.' �� IRECTOR OF PUBLIC WORKS �i BY ,,'�/-�✓ i^ 2t>d'� .Date !" Building permit exrres Date ....... COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Driv;�i1- ,rJro\./iIIe, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT aunlulizu lefJlebe wtiveb above -mend Dr erV Signature of/Permitee or Agent unty of outte to enter upon the tion purposes. Date Receipt No. No. r/ 9 (0 U 10 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`s'^ Z.3 _7 Z Building Permit Expires Date BUILDING Owner 12 G SQ. FT. OCC. BUILDING VALUATION Mailing Address �L12 Fireplace Contractor Gfj`/ — Total Valuation Mailing Address �' d� ; Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ $ Building Address VjL e _ PLUMBING No. @ FEE PERMIT FILING FEE $2.00 t? Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 S — Each gas water heater or vent 1.50 // A. P. No. _ 3 6 Zoning -Z Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Planning Building sewer 5.00 C9U Plans Fees Y W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER Permit Fee $ $ G ( ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter OG> 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 al a 10 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: 7—S % ,4, - !j'41�2— /?� moo Receps., switches & fix outlets 1b -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 S d 7>Xl� ' License No. >02 !2,;—R Classification 1-41. ❑ i am exempt from the Contractors License Laws of the State of California. Permit Fee $ DV $ 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. —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 InsirumentanionTr��ogarn $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ 5-6 aunlulizu lefJlebe wtiveb above -mend Dr erV Signature of/Permitee or Agent unty of outte to enter upon the tion purposes. Date Receipt No. No. r/ 9 (0 U 10 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`s'^ Z.3 _7 Z Building Permit Expires Date