HomeMy WebLinkAbout065-400-021a
65-40-21
HENRY STEELE
70 Pinehurst, -Magal.ia_ e_
Permit #$4255=76E (temp pow pol
for lot maintenance
65-40-21. .
H. A. Steele
Permit #5210-46B,P,E,M(new single
family) !!!
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65=40-21
Permit ##50,f93=7�7B(lst. RENEWAL)
5210-76 T zA O
65-40-21
Permit ##5712 78B(2ndren wal/
5093-77)SF�^/,R) aj <3
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Permit; 4255-76E
n� LEq HENRY
70 Pinehursts Magalier
AP: 65-40-21
(temp, power pole for lot maintenance)
I
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COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
� s• 7 Count Center D .— Oroville, California 95965`
f,Tele,..o
:�534-4541
Nl -_O APPLICATION AND!PERMIT -,
(;:r:ratt��r.r�s:.: o_ti �c;`1. .loc; t��torj .o.,� j�"j
BUILDING. '.
Owner
SO. FT. OCC. BUILDING VALUATION
Mai I i ng Address]DO 1 AN it S ?•
_
Telephone No.
Fireplace
Contractor k,,\j V1
Total Valuation
Mai I Ing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address����
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
L J t
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 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees,1�1W-C._
Sapi.Uation
FireDept.
FireZone
Use Permit
Building sewer 5.00
EOA
Parking
Plans
Parcel
Declaration
parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg_P—kan4'Rec d I
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3 —
/N k V) 0 L s F OK
Main service ioo AMP ORSLESS 5.00
/
OT /i /r/7 fil P ,
Main service EA. ADD'L too AMP 2.50
Main service tO OEAMP OR LESS 25.00
Single Family ❑ Duplex ❑ Mobil Home. ❑ Others ❑
Main service EA. ADD'L too AMP 1.00
NEW CONS. DWELING OR ADDNST ( ACCLBLDGS. P. &) 20sgft
NEW CONSTR. MULTI.OUTLET
NON.RESID. ( BRANCH CIRCUITS) 12.50ea
'
NEW CONSTR. POWER APPARATUS &)
NON-RESID. (SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
FIXED APP LNS. OR
EX. OCcup.(OUTLETS (RESID.) EA) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
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.
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
$ a
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X �vu- � J6�e_ Date ,
SignaturFof /Permitee or Agent r
Receipt No. �y -7-
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.
C�D--IRCT-��UBLIC WORKSByi rDate �! %
Bvfld4/rag permit expires Date
COUNTY OF BUTTE — DEP,. OF PUBLIC WORKS
7 County Center Drives r. rile, California 95965
Telephone: 53+-4541
APPLICATION AND PERMIT
yas��
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date �� ��
ignatur op,
fPermitee^or Agent
Receipt No. /c �� <or -f—
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 feees�have been paid.
IRt: T R OF PUBLIC WORKS
By ° Date��4
permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address N CIL, aLtx
!24 A-Clat�i� •
Telephone No.
~~•
Fireplace
Contractor VJ/VbNj
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address�n�� �4�d
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
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. �p�� �^ '2
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
Ssi; taiian
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
ec d
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE $3.00
®K,.
Main service 60000 AMP OROR SLESS 5.00
T
Main service EA. ADD'L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST DWELLING
OR ADDNS. ( ACC. BLDGSCCUP. &) 2¢Sgft.
'
NEW CONSTR. (MULTI -OUTLET
NON-RESID, 1 BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETs OR FIXTURES)50 @250
104
Ex. Occu FIXED APP LNS. OR
P.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
' I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ /3—
$
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
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
TOTALPERMIT FEE
s
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date �� ��
ignatur op,
fPermitee^or Agent
Receipt No. /c �� <or -f—
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 feees�have been paid.
IRt: T R OF PUBLIC WORKS
By ° Date��4
permit expires Date
U' PERMIT NO. -
�
- PERMIT EXPIRES
I
d OWNER H.A. Steele 1
CONTR. owner
65-40-21
f LOCATION (A.P. )
70 Pinehurst Way, lot 136, PP#3, Magalia
3
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fi
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"( Temp. Power Pole 16
Called PG&E
Temp. Ele Serv.!V2�/775a
t. Called PG&E
Temp Gas Serv.
C/fled PG&E !
,,//
• � FTNALED
=re)
• 1
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS -HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT ����� AIE�#ullrt-'-LI,I i M,d A -Lt r eA""
(location)
BU ILD ING PERMIT NO. 5-#Z/ U 7 6
A P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge.
Fdn. Wal
Floors _
Walls
Ceiling/Roof,/
Ducts
Circulating Pipes
APPROVED HEATER
APPROVED WTR.HT
GLAZING:
Single Glazed y
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DICES NA
CERT. APPLIANCES
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
Signature of (please print)
Insulation Applicator
State -Contractors
License No.
G ��_ or/Owner Name CCN (av(�C.
(pl 9 print)
Signature of
General Contractor/own_ r Date 2 ZZ_ G v
State Contractor
License No.
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.
it
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
Setback
Forms
Main Bldg.
Footings/Q
Stemwal I
Piers�Qtf�
Garage .,
Footings
Stemwa l l
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel 91
Bond Beam lyk
i Framing
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
BUILDING'(Cont'd)'
Firewall
Restroom Finish
Windows
Roof Sheathing '
:Roofing
Fdn. Vents
Garage Vents
Insulation , Z$ T,O
Prov. for ph sically
handica ed
Conformance of ex.
structure
Final
FIREPLACE
Temp. Gas
Sanitation
Final
Footing /
ELECTRICAL/
Throat l
PLUMBING
Soil Piping
--
list Floor
Motors
2nd Floora---I3
"256
3rd Floor
Subpanels
To out
�� 3
WaterPl
Service
Sewer
Temp. Pole Q Z (o ic.
Fixtures
underground `
Water. Htr.
Permanent
Heaters
Final
Aaaliances
N
Temp. Gas
Sanitation
Final
Footing /
ELECTRICAL/
Throat l
Rou h Q —1
Final 2 —
Fixtures
FIRE SPRINKLERS
Motors
Test
Water Htr.
Final
Subpanels
MECHANICAL
Grd. Fault Prot. '
Heating
Service
Cooling
Temp. Pole Q Z (o ic.
Ducts Ist 2 —
underground `
Ventilation
Permanent
Final P— —
Final
DATE REMARKS OR CORRECTIONS
169-/? -76
en
9/1 (�
(NOTE: An entry must be made on this form each time you visit the job site.)
1c
&I,
COUNTY OF BUTTE - * DEPARTMENT OF PUBLIC WORKS
7 County Center Drive C'roville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above -men oned property for i 'pection purposes.
7Date 7/2 J
Signature f Permitee r gent
Receipt No. T�e" 7 ,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont
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 pai
DIRECS.OR OF PALIC WORKS
Building permit expires Date
BUILDING
Owner L E'
SQ. FT. OCC. BUILDING VAL ATION
Mailing Address v •- C
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address �N4j
Plan Checking Fe &/or Penalty
Permit Fee
j
Go -- 64 03.
PLUMBING No.1 @ FEE
`
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. 40 a1
Zoning &Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fid
d6e"4a4ien
Fire Dept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
BidgrBJeR,-f?etd
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES [:]—OTHER �,
Permit Fee $
$
Z Nd' C,t/ —,Q y� �stQ Q -77-
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR 100 AMP ORLESS5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V'
100 AMP OOR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST %ACC. BLOGS.CCUP. B) 2¢Sgft
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 %r le of:
NEW RESID, BRANCH CIR T
NON.CONS ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS.a,
NON-RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES 1 5 250
L�
x. ccu FIXED APPLNS. OR
EO p•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities#6.25
License No. Classification
Misc. Wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
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. @ FEEWORKMEN'S
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
E2.00
Hood
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
$ 6- -
authorize representatives of the County of Butte to enter upon the
above -men oned property for i 'pection purposes.
7Date 7/2 J
Signature f Permitee r gent
Receipt No. T�e" 7 ,
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont
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 pai
DIRECS.OR OF PALIC WORKS
Building permit expires Date
" COUNTY OF 3UTTF — DEPARTMENT OF PUBLIC WORKS
3 County Center Drive — Oroville, California 95965
l'el ephone: 534-4541
APPLICATION AND PERMIT
7 7
v
Date17-7
ignoture f Permi ee or Agent
Receipt No. �1 7 d �A3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 PUBLIC WORKS
By Dat/c,
Building permit expires Date `..f' — X 2 -7
BUILDING
Owner 4, -T el&
SQ. FT.OCC. BUILDING VALUATION
Mailing Address /4 L4 2 S 7—
v
T le ho e_Noo.ynL
7
Fireplace
Contractor W tt--
Total Valuation
Mai I i ng Address
Permit Fee Foe XZ
Plan Checking Fee &/or Penal ty
Telephone No.
Permit Fee
Building Address 7 !jl7�/`V Li OL.
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
/'
O� `3 � n� �
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. N . ^'—Vo —2-- IGas
Zoning & Planning
piping system.1 - 5 outlets 1.50
Each additional outlet .30
F s W.C. I
S
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
arkinEQA PPlans Declaration
I Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
BldaEI^ne-Rec'd
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION UTILITIES ❑ OTHER
ELECTRICAL No. @ FEEPERMIT
FILING FEE $3.00
/d �7
Mann service 10000 AMP OROR L SLESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER eooV 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW LING O
OR ADDNST ( ACCLBLDGS,CCUP. &) 20sgft
NEW CONST - MULTI.OUTLET
NON-RESID. BRANCH CIRCUITS)2.50ea
•
NEWCONSTR. POWER APPARATUS &
NON -RESID. (SINGLE OUTLET CIR.
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:x.
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
09
E Occup. FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities .15.00
License No.Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of Cal ifomia.
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.1 @ I FEEPERMIT
FILING FEE J$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
resentatives of the County of Butte to enter upon the
authorizer�u .,
ahnva-manlAnnari nrnnortt„rno.,o...l,,...
TOTAL PERMIT FEE
$ �'
This permit is hereby issued under the applicable provisions
of
Date17-7
ignoture f Permi ee or Agent
Receipt No. �1 7 d �A3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 PUBLIC WORKS
By Dat/c,
Building permit expires Date `..f' — X 2 -7
J
COUNTY OF BUTTE DEPAR4TMEN7 OF PUBLIC WORKS
_ 7 County Center Drive Oroville, California 95965
felephone: 534-4541
APPLICATION AND PERMIT
5�0�=
aun
urvrrce rei)reserauves or the County of Butte to enter upon the
above mentioned property for inspection purposes.
,&. �vim- Date 6 '
f"F-SignatuA of Permifee or Agent
Receipt No. I) -_2/3o%
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 w Date 'Z G
Building permit expires Datey�/x,-�%
BUILDING
Owner f tf-:LE
SQ. FT. OCC. BUILDING VALUATION
0 J
`�
Mai ling Address �® ���t /V UAtz,%T t), JIn
telephon No.
lA73 Oy9 Z'
/
Fireplace ,s o
Contractor tN ��
Total Valuation '-
Mailing Address
Permit Fee ^-
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $ O�
Building Address P,,UtK_� UJ
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 l
13 �0 P �,
Each Trap 1,50 rZZ —
0."
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. ��_ �/ a
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
W. .
i FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
ParcelLawn
Declaration
Parcel Map
60' R/W
I Impro ements
sprinkler system 2.00
Bldg. ns Recd
Parc Approval
Plan Approval
ee
Permit F _
�
c
� -.
NEW
ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service io00V OR o AMP ORLESS5.00
Main service EA. ADD•L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
OVER 600V
Main service 1100 AMP OR LESS 25.00
Main service EA. ADD•L too AMP 1.00
NEW CONST. I DWELLING O
OR ADDNS. ACC. BLDGS. P& -) 20s ft. _
NEW CONSTR. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR.POWER APPARATUS
/&
NON-RESID• ( SING LE OUTLET CIR.
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:
Y
250
Ex. OCCUp(OUTLETS OR FIXTURES)@L@1
BAL�1
FIXED APPLNS, OR
Ex. Occup. ( OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
R3 I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ QZ
$ 4/017
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.1 @ FEEPERMIT
FILING FEE J$3.00
Heating )0Cj w
Cooling T_ y
. Ventilation 2
Hood 2.001,9, -
Permit Fee $ —
$777-
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
aun
urvrrce rei)reserauves or the County of Butte to enter upon the
above mentioned property for inspection purposes.
,&. �vim- Date 6 '
f"F-SignatuA of Permifee or Agent
Receipt No. I) -_2/3o%
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 w Date 'Z G
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