Loading...
HomeMy WebLinkAbout065-520-004A . P . •�8 99 92 EDWZ E/S of " Coutolenc Rd . , ' 3/10 mi,.- N. of, .; Neal Rd. intersection, Magalia G CONI'R: Charles Todd and ise Permit 3603-73B ( si'rle�fa�ii��� ♦" 1 A . P . •�8 99 92 EDWZ E/S of " Coutolenc Rd . , ' 3/10 mi,.- N. of, .; Neal Rd. intersection, Magalia G CONI'R: Charles Todd and ise Permit 3603-73B ( si'rle�fa�ii��� Gfll j LL7 LL7 I N ' � . .^-.--,...k - i••- � h F"' ..� _ .. ..-.....�_ ___ ,. . . �.T Y.r'• i•. P` k�z. ,>:, -dam'"-�+1< '� rs:`P{ •'rry � �. r .. . , 065-0-004841° Bf 4 JIMENEZ- Edward ; !' <99' ,; s #_ .6,155141 Coutolenc- ' rf�reroof�/SF) `'All`Ro`finlat"' r°«' aaod 4 ' ? r t s a i j COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT i ASSESSOR PARCEL NUMBER 0(49S-5:20-009o-voy ZONING BUILDING PERMIT V OWNERTELEPHONE �1 C A \ 101 SO. FT. OCC. BUILDING VALUATION 1 . -: L I . OWNERS MAILING ADDRESS S 5 I LI 4 . r '1 CONTRACTOR'S NAME ! tl CJ TELEPHONE �( OJ s CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 1 L J ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 3 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS L �'1 Energy Plan Checking Fee $ PERMIT FEE $ (� LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPEcWv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ lJblities ❑ Installation ❑l Other ❑ Describe Work: _ t\ `7 l l �� i�.' .,.1_: `'1 l • -, s Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 - Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisionslof Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full-tLor a and effect.POWER License Class -.-5 Lic. No. I% / L/ 14 q 3 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. G7 I am exempt under Sec. Business and Professions Code for this reason Main Service TO ,CCU000A 46.00 NEW CONST. DWELLING OCCUP. W:o OR ADDNS. ( 8 ACC. BLDS. SO 3.50FT. =R.,MULTI.OUTLET 97,50 APPARATUS h SINGLE OUTLET CIS. OUTLET OR FIXTURES Ex. Occup.fi4L 20 @ x'50 @ .so OFUCFEEDITSA R61D OEA a. Occup. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 0 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply,with those provisions. I. X O , & "%, J (_ ( " N A Date 4 1:2 1. > t "1 Signature `of Applicant - ❑-Owner B Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE - TOTAL FEE $ Lj 5 - HAZ. -•--- 0. FEES IMP — - - FLOOD CDF PARCEL PD I HD 'Lam. ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By %- • ^ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ate ReceiptNo. PS `� WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75 Q �1 No. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 0f00y ZONING BUILDINGPERMIT OWNER HONE tv SO. FT. OCC. BUILDING VALUATION �/ . OWNERS MAILING ADDRESSCOS 14 1` M aa � CONTRACTOR'S NAME T ONE CONTRACTORS MAILING ADDRESS O - •1// CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ P86 0 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ cp ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ _ LOT NO. SUBDIVISION'S NA PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CA.A OA 3o I Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 'OOVMain Service O.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is ' full r e and effect. `I License Class Lic. No. 37 q3 '! OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. I am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1-4 1 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 workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply ith ose provisions. /� X Date "1 Signature of Applican - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction��_ of structures over 3 stories in height. Main Service ODA TO I000A 46.00 NEW CONST. DWEwNG OCCUP. SO OR ADDNS. ( a ACC. BLDS. 3.52FT: =lcONID ST. MULTI -OUTLET @7,50 POWER APPARATUS a SINGLE OUTLET CIR. EX. Occup. ounEr OR FUTURES SAL @ 1. 0 Ex. Occup. oFIXED . R6DOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 63 D - FEES IMP FLOOD COF PARCEL �H.AZ. Po HD SUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Z/ C , Date b �'� Def, Receipt No.�N G/ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT } PERMIT NUMBER - B 3603-73B P d� E n 4 PERMIT EXPIRES 2 ';",'OWNER Edward Jimenez CONTR: Charles Tcfdd, Paradise LOCATION (A.P. 58-09-92 N E/S ofCoutolenc Rd., 3/10 mi. N. of Neal Rd. intersection, Mag. , ee4 r1 r 7; b wk k y� i f t DATE REMARKS OR CORRECTIONS r COUNTY OF BUTTE Department of Publie Works " BUILDING INSPECTION RECORD 3 7 Zoning Setback �- ~ `y Forms Foundation i�- Piers & Girders ~� Fireplace Rgh. Plumbing _[�i/ �` Bond Beam Lath & Plaster / Rein. Steel Gas Piping & Tet _ "" Found. Vents Framing Plmg. Topout % Rough Elec. 3 Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING r Temporary. G` Temporary Cert. of Occup. Final ! Final Final !f'-4 - % - 2 y DATE REMARKS OR CORRECTIONS r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 'OroviIle, California 95965 Telephone: 534-4541 - APPLICATION AND PERMIT autnori a representatives of the county of Butte to enter upon the abov m ntioned property for 'nspe do purposes. Date 10-15-73 Sign of Permitee or Agent Receipt / 4A16 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 P BLIC WORKS By e _ -- Building ermit expires Date.......ff ............. BUILDING Owner EDRAM JI Z -SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ART STONE - PLUMBING Total Valuation Mailing Address 615 Pearson Road Permit Fee Plan Checking Fee &/or Penalty Paradise, California Tty%=e�4? Permit Fee $ $ Building Address COutolenC Road PLUMBING No. @ I FEEPERMIT FILING FEE 1 $2.00 2.00 Magalia, California Each Trap 9 1.50 13.50 Repair drainage or vent piping 1.50 Water piping 1 1.50 1.50. Each gas water heater or vent 1.50 ���_ O9 - � A. P. No. Y Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F FireDept. 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 $ • $ • NEWFE] ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ 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) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures baldla 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: ART STONE - PLUMBING 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. 278404 Classification C-36 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 $ $ 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 $ 1? 00 autnori a representatives of the county of Butte to enter upon the abov m ntioned property for 'nspe do purposes. Date 10-15-73 Sign of Permitee or Agent Receipt / 4A16 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 P BLIC WORKS By e _ -- Building ermit expires Date.......ff ............. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S 7 County Center Drive - 'Oroville, California 959650 Telephone: 534-4541 APPLICATION AND PERMIT autnonce representatives or the county or t:sutte to enter upon the above-mentioned property for inspection purposes. U %I X Date Signature of Permitee or Agent Receipt No.// / -7-3,2 52 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 BLIC WORKS BY Date / 2--7 -7 a - Building permit expires Date BUILDING Owner v SQ. FT. -OCC. BUILDING VALUATION 8 Mailing Address 0o OD . Telephone No. DO DAG G O, Fireplace Contractor c.� v Q 5 _7_C9 Total Valuation 19 y v, // / Mailing Address Q Co ©`�/HtUs� Permit Fee Plan Checking Fee&/or Penalty GT ephone No. Permit Fee $ - $ / Building Address Df G i^ "" 3rsGG7iva L PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 GRepair drainage or vent piping 1.50 Water piping 1.50 i Each gas water heater or vent 1.50 �y Q A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sa Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration f�arCel a P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plo ec'd Pa Approval Plans App Permit Fee $ $ NEW EI ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family B' Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturespal_ _� 10 Receps., switches & fix outlets 2U (01(a) 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 tyle /j � 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 r�t Temp. Power Pole 5.00 'f' �7 �` 17 & 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. 10 1 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 @ FEE PERMIT FILING FEE J$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 State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ 7_7and autnonce representatives or the county or t:sutte to enter upon the above-mentioned property for inspection purposes. U %I X Date Signature of Permitee or Agent Receipt No.// / -7-3,2 52 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 BLIC WORKS BY Date / 2--7 -7 a - Building permit expires Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aa� authorize representatives of the County of Butte to enter upon the above-mentioned property for ins ection purposes. X Date/AS_ $ina ure of mitlee 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. ,--5IEIECTOR a ABLIC WORKS'-' By�� i� Date 1_;*- 7 Building permit expires Date��_.!..�._ BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �' ct� Total Valuation Mailing Address ` Permit Fee Plan Checking Fee &/or Penalty eI-JIephonie No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 _n GC Repair drainage or vent piping 1.50 Water piping 1.50 Q CCS Each gas water heater or vent 1.50 A. P. No. ��%9 ��� Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn 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 3--173> • & 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 fixturesbdeo Receps., switches & fix outlets all Zala I 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 stylg OL _ 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_ 4/1 -4 Classificatio _7 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 0for orkmen'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 pIermit 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 f Heating Cooling S Ventilation Hood 2.00 Permit Fee $ r- $ 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 $ % 2 S authorize representatives of the County of Butte to enter upon the above-mentioned property for ins ection purposes. X Date/AS_ $ina ure of mitlee 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. ,--5IEIECTOR a ABLIC WORKS'-' By�� i� Date 1_;*- 7 Building permit expires Date��_.!..�._ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive' — 'OroviIle, Cal ifornia 95965 Telephone: 534-4541 APPLICATION AND PERMIT iIop v. y i !11U vunLy p i P uric W eniei uNun Ine above( entl0ne r0 er for inspection purposes. X Date;_— //^ /Si �57 e or Agent ? Q Receip o. White- .P.W. — Ye — 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. ,,�.-�RFCTO,R OFYUBL)t WORKS AF . Building permit expires Date2./l. BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 47 Telephone No. Fireplace Contractor O Total Valuation Mailing Address 0 7 Permit Fee Plan Checking Fee &/or Penalty e e hone Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 _ ES 3ltD �. 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. 1!5- g ZoningGas &Planning piping system 1 - 5 outlets 1.50 Each additional outlet, .30 F Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Rr ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3,0.0 Main service incl. 1 meter as Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more an 12) Zry 0 Ran Cook -top or Oven 1.00 /,00 Water He er or Space Heater 1.00 /, 00 Light fixtures 0101 5 l015 Oa RRWs., swit & fix Aqts CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professio s Code under the name style of: / G Hoo ; Ex. Fan or F.A. Furn. Mo or 1.00 P .00 Evap. cooler, gar. isp.orD.W. 1.00 2.06 Air conditioner or heat pump2J7&0 11 S"j> Water pump 2 , Mobil Home Facilities 5.00 Temp. Power Pole 5.00 22 License No. 4',/ Classification Misc. wiring, ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ' 0--oo $ OG 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 TOTAL PERMIT FEE $ d( iIop v. y i !11U vunLy p i P uric W eniei uNun Ine above( entl0ne r0 er for inspection purposes. X Date;_— //^ /Si �57 e or Agent ? Q Receip o. White- .P.W. — Ye — 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. ,,�.-�RFCTO,R OFYUBL)t WORKS AF . Building permit expires Date2./l.