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HomeMy WebLinkAbout065-450-013r r MAR MONS. ........ .. A.P.. ,6 --Al- , -Ws-) 1 .S Cpa Way,. Magalia d' NTR: Hegenbart, Paradise i Permit 305-73P,E'�` (utilities f "MH) _ A • P . �MA.RY KDMONS ' g0 Spar Way; PP 3' 't-194, Magala alfa c CONTR: D.E. LeVasse, Ma g 206-738 E ' ' ' •, Permit 3 > >_arage')�•Kz ., ` �r MARY KIKMONS 90 Spar Way, P.P., _Ma is f , ermit .4230-7.3B...(.de for' ). /o� %7 •. t' fi P. MA KI S- `. + 1? 90 - -- r' Y.~P1d# . 'Lot 1 4 Perm' 605-74B (deck for ex. MH-- <, ' f o be used as walkway) i ` -.1 as LAP . ,y �w-•-«J..+s., r. �.1 ........ w -r.,.'-. �..t�, `--•.,.-.4,-r -... ..,., y+ -s•-- •-.r �r .. - ..-. -T +-- .... . -i.-+- ?• r+...-t'+'!,� J i FCC f ltih PERMIT NUMBER _ B 3206-73B,E i; P E PERMIT EXPIRES �� i I —7 y ' .` OWNER Kimmons R AfcoNTR. D.E. LeVasseur, Magalla. ` LOCATION (A.P. 57-67-413 ) 90 Spar Way, Magalia /%S� `: � r. - COUNTY OF BUTTE Department of Public Works BUILDING INSPECTION RECORD ! �� Zoning-'"' l'�' Setback 3-Z Forms �e [/ Foundation _ Piers & Girders Fireplace Rgh. Plumbing O Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Pimg. Topout Rough Elee. Wtr. Htr. Furnace Kitchen Vent Firewall `l Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary _ Temporary _ Cert. of 0 ccurl. Final �• Final Final 07 DATE REMARKS OR CORRECTIONS 2 .� / (/lam �✓ V yr .� �' C-%�`'�/'� �►✓ `�/ �%� all I C_,�L 906, d- 73 PERMIT NUMBER _ B /.230=73B y P E PERMIT EXPIRES Mary Kimmons OWNER t CONTR: Owner LOCATION (A. P. 57-67-13 � 90 Spar Way,. P.P., Magalia a � r , i DATE REMARKS OR CORRECTIONS C) *I— /z/-- -? � -d' �,4, k , I 1 7 11 A, J n• COUNTY OF BUTTE Department of Public Works BUILDIR INSPECTION RECORD Zoning 1 Setback g'-- `" / Forms f Foundation Piers & Girders Fireplace Rgh. Plumbing �1 Bond Beam Lath & Plaster_ Rein. Steel i Gas Piping & Test Found. Vents Framing G 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 C) *I— /z/-- -? � -d' �,4, k , I 1 7 11 A, J h r PERM T` : 3053-73 P, E . r - KIKKONS, NARY 90 Spar Way Magalia (Utilities for mobile home) ' I 4 i // l i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — ` Orovill(;, California 95965 Tetephone: 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 of Permitee or Agent 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 Date BUILDING Owner i 'SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ;-� ,'�;"., Total Valuation Mailing Address / Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address ,= „"?: d PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1 1.50 Each gas water heater or vent 1.50 A. P. No.' Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation, Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 F� Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ ` $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ 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) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 20 P2 bal a Receps., switches & fix outlets a `Fff' 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 ❑ 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 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-mentioned property for inspection purposes. X Date Signature of Permitee or Agent 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 Date Zoning Foundation�'�� Rgh. Plumbing Rein. Steel Framing ���_ -'") �-•' j% Wtr. Htr. Firewall ELECTRIC _ Temporary _ Final `. DATE COUNTY OF BUTTE Department of Public Works 1 BUILDING INSPECTION RECORD Setback GY/ 3 Forms Am Piers & Girders Fireplace Bond Beam Lath & Plaster Gas Piping & Test Found. Vents Plmg. Topout Rough Elec. J Furnace Kitchen Vent Garage Vents Sanitation & ter GAS BUILDING Tempora r Cert. of Oe P. _ Final -i Final ���" REMARKS OR CORRECTIONS I T' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S 7 County Center Drive — Oroville, California 95965 /. Telephone: 534-4541 �/�j^(//J APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ' Date �Signolu'lof Permitee or Agent Receipt No. Z / r 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 UBLIC WORKS By s Date Bu ding permit expires Date..................1. !�.......... BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telep one No. Fireplace l Contractor Total Valuation s Mailing Address ` Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address, C 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 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W411,Sa tion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans ParcelLawn Declaration I Parcel Map 60' R/W I Improvements sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 c< Main service incl. 1 meter ` �� •' �' _ r c � 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 ' fight fixtures ba 02 _�re; ' ---10 Receps., switches & fix outlets 201M 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 ._, 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 $ tJ 1 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ' Date �Signolu'lof Permitee or Agent Receipt No. Z / r 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 UBLIC WORKS By s Date Bu ding permit expires Date..................1. !�.......... COUNTY OF BUTTE — D,EPARTMENT OF PUBLIC WOR 7 County Center brive — Oroville, California 95965D Telephone: 534-4541 APPLICATION AND PERMIT �vN�cacnaau- tri uic irtrunty u� ouuc tv CIIICI uNun uie above-mentioned property for inspection purposes. X' Date — i nature of Permite osgent Receipt No. �E 3 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 //—/J - ?I-?- Building o2 Building permit expires Date...rt�,.. BUILDING Owner � S -.SQ. FT. OCC. BUILDING VALUATION • UC Mailing Address Telephone No. Fireplace Contractor cCJS r Total Valuation Mai I i ng Address Permit Fee P I an Checking Fee &/or Penalty Telephone No. Permit Fee $ Building AddressPLUMBING No. @ FEE PERMIT FILING FEE $2.00 Q S Q 1-1 Each Trap 1.50 ,44�/ 64% C.• Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. .S %� 6-2— /� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s � ti SX I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plan Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Pans Recd I Pi��l-- PlteKpprovol Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. FEE @ PERMIT FILING FEE $3.00 C 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 bal__ d10 Receps., switches & fix outlets b 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. 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. Classification 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 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 F1 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 $ �vN�cacnaau- tri uic irtrunty u� ouuc tv CIIICI uNun uie above-mentioned property for inspection purposes. X' Date — i nature of Permite osgent Receipt No. �E 3 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 //—/J - ?I-?- Building o2 Building permit expires Date...rt�,.. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: ;a•- i$Wc 534-4541- APPLICATION 34-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection p poses. t X Date Signature of Permitee or Agent eceipt No. Signature; C 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 21—// Building Permit Expires Date —%/— 7 7 BUILDING Owner O S SQ. FT. OCC. BUILDING VALUATION O G Mailing Address 49e B Fireplace Contractor S Total Valuation Mailing AddressPermit d y ��'' Fee Plan Checking Fee &/orPenalty Permit Fee $ $ l Building Address 3 --- T 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. anitation Planning Building sewer 5.00 Plans4,,,--- Fees 4***"' JW. C4"*'R/W Encroachment Lawn sprinkler system 2.00 NEW 5a ADDITION ❑ OTHER ❑ 'Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 700 Main service incl. 1 meter Additional m ers each 1.00 Sub -pane (12 or less) 0 USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Ligh fixtures Re s., swi es & fix 6dtIets 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: : VA .S.SE/�%l e0 11-f 7l co, 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 pum Mi sc. wiring O hi1r 114 A•yD pl? /%9GAL//9 %JZ734 _%/_ _l9 License No..&� IS -16 / Classification 9—z ❑ i am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ (s WORKMEN'S COMPENSATION INSURANCE 1 am aware of the'provi'sions of Section3700 of the California Labor Code which requires every ern per to be insured against liability for Workmen's Compensation. M I have placed on file with the County of Butte a certificate of yam' 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.1 @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee m $ $ ' $ TOTAL PERMIT FEE $77 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection p poses. t X Date Signature of Permitee or Agent eceipt No. Signature; C 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 21—// Building Permit Expires Date —%/— 7 7 COUNTY OF BUTTE — D,EPARTMENT OF PUBLIC WORKS 7 County Center br'lve - Orovi lie, California 95965 0��3— Telephone: 534-4541 -APPLICATION AND PERMIT autnonze rSpFeseniauves or a unty r tt tte to enter upon the above me oned proper t r ' spection urpo es. Date dg:z;�_�3 Signature f Permiteer Agent 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 UBLIC WORKS By Date ;?-J7-0-? Building pertnii• Mires Dafe BUILDING Owner -/V � SQ. FT. OCC. BUILDING VALUATION Mailing Address ' Telephone No. ' Fireplace Contractor /� f Total Valuation Mai I i ng Address el, /® C /RD. Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address / PLUMBING No. @ FEE PERMIT FILING FEE $2.00-2 eo 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.-^ ZO2' Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W. S i atio Fire Dept. Fire Zone 'Use Permit Building sewer 5.00 Qd EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements Lawn sprinkler system 2.00 '' Bldg`011 Recd Parcel Approval Plans Approval Permit Fee $ $ O� NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ I -FEE PERMIT FILING FEE$3.00 do 9 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 20 plc ' Receps., switches & fix outlets Zam '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 : —I / �G�itJ13�9/�T— f/�/aGrt»2 C� l? Zp7— Sl�2AJ/G 45 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 61 Temp. Power Pole 5.00 License No.,,�27/1S`6r' /1 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 ot 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 Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. Iagree .to Comply to all County Ordinances and State Lawes .tobstruction, and hereby TOTAL PERMIT FEE $ r7 autnonze rSpFeseniauves or a unty r tt tte to enter upon the above me oned proper t r ' spection urpo es. Date dg:z;�_�3 Signature f Permiteer Agent 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 UBLIC WORKS By Date ;?-J7-0-? Building pertnii• Mires Dafe COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS, 7 County Centerb6e — Orovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT natu - a Si re of[Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor,— Pink -Inspector — Goldenrod -Applicant ",'-Date ui ding permit expires Date--------------- BUILDING Owner.S 1f%%�O�S SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. C7 — S'77 Fireplace Contractor Gv eV Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address Q �� 4 PLUMBING No. @ FEE PERMIT FILING FEE 2.00Jr ��Od 6•�< �� lox, Each Trap % 1.50 J.Jot7 Repair drainage or vent piping 1.50 Water piping 1 1.50 /,sem Each gas water heater or vent 1.50 �_/ A. P. No. (p Zoning 8 Planning Gas piping system 1 - 5 outlets ` 1.50 Each additional outlet .30 F Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel- Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ^%3 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 20 Bio 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 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 . $ $ 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 propertyfor 'nspection purposes. �%� n c Xll I 9. , i _l , "I? ..1 # -4, o,._rm._ 7 � l -2,�2 � TOTAL PERMIT FEE $ 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 natu - a Si re of[Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor,— Pink -Inspector — Goldenrod -Applicant ",'-Date ui ding permit expires Date---------------