HomeMy WebLinkAbout066-200-003.. , A: P;.. 66-20-03
CAREAGA, J.E.
25 Lamar Ct., Magalia
CONTR: Jerry Fore n
Permit 4 ' gal'a
2474=73P,E$ Q 73
(utilities for mo-b e home)
A, P. 66-20-800-7
F25�Lamar
eaga�a.
Ct., Lot 204,.-PPCC #3,Magalia
984-73 (covered deck for MH)
A.P. 66-20 � 3 _
J. E. CAREAGA _
25 Lamar Ct., PPCC #3, Lot 204 T M4g'
Permit 3302-73B,E(garage for )
A.P. 66-2 -3
J.E.. Careaga
25 Lamar Ct, , Magalia f
��_'�Permit 1501-74 (covere porfor MH)
M
ai
ct�� tai I C*4
O
PERMIT NUMBER _ B 3302-73%E
f P
E
PERMIT EXPIRES
OWNER J. E. Cargaga
CONTR:. Owner
;LOCATION (A.P. 66-2o-03 )
25 Lamar Ct., Lot 204, PPCC #3; Magalia
f
COUNTY OF BUTTE
s
DepartmentZr;! Public Works
BUILDING INSP CTION CORD
I
'
Zoning
Setback
Forms i C/ 2
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
A Gas Piping & Test
Found. Vents
Framing NP
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary Temporary
Cert. of Occup.
Final �� �5
Final
Final 9�// 95-
DATE` ��. �•�
REMARKS .OR CORRECTIONS
��•%G Go- e�
�,��-�'"�^� ���r�.9�.T-a
s��v���� (��(� Gam.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S�Q
7 County Center Drive , — 10roville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT 4
+uuiu�icc �c��cocntaU vcJ VI U16 %IUUIILY VI DULLU w CIIICI UFJUII IIIC
above-mentioned property for inspection purposes.
X '2
Dat .3 —
$ignatureb ermitee or Age
'Receipt No. / / v
White-D.P.W. — Yellow -Asses or — 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
L-uiiSing permit expires Date—t ��7
BUILdVNGI
Owner �� `Q
SQ. FT. OCC. BUILDI
G VALUATION
D�
Mailing Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
$
$ S
Building Address7 P
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
(i
Each Trap 1.50
ff
C'iLte1 � �
Repair drainage or vent piping
1.50
Water piping 1.50
GL
Each gas water heater or vent 1.50
A. P. No. CI
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
/
Fee
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
m
Improvements—
provements
Lawn sprinkler system
4EOO:
Bldg. Plans Rfcrd— I
Parcel Approval Plans Approval
Permit Fee
$
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
ea
P
Main service incl. 1 meter
Additional meterseach
1.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12)
i
Range, Cook -top or Oven 1.00
`
Al z4_6 e_4zl25
Water Heater or Space Heater
1.00
Light fixtures bal(61n
Rec s., 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
—t►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
n's Compensation Insurance.
��ce�rti�!fythat in the performance of the work for which this
pmis 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 $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
$ i
+uuiu�icc �c��cocntaU vcJ VI U16 %IUUIILY VI DULLU w CIIICI UFJUII IIIC
above-mentioned property for inspection purposes.
X '2
Dat .3 —
$ignatureb ermitee or Age
'Receipt No. / / v
White-D.P.W. — Yellow -Asses or — 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
L-uiiSing permit expires Date—t ��7
PERMIT N0. 1501-74B
P
i
F E
M
MH UTIL.
-PERMIT NO.
i
PERMIT EXPIRES
OWNER J.E..Careaga
,%ONTR. Owner
X66-20-3
• LOCATION (A.P. )
25 Lamar -Ct.,, Magalia (LOT 204, PPCC #3)
.:1
R �
r
M
A
i
�f
\ 9
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
.Called PG&E
Gas Serv.
Called PG&E
/emp.
OB /
FINALED
(D )
(Si�e)11-7
17
,a►
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback ZOIX
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
- Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers ` 7a
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
StemwaII
Slab
Prov. for physically
handicapped
Heaters
A' liances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final l .�i
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
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
j Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC
7 County Center Drive ' - Orovil�e, California 95965
T rephone:0534-4541
APPLICATION AND PERMIT
WORKS ��
l_
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. y
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 J 2-2/• - 7V
ding permit expires Date..................r. ..
BUILDING
Owner
-,SQ. FT. OCC. BUILDING VALUATION
G�
Mailing Address C
T I hone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$ Q,
Building Address
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
j
!
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. — Q �-0
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
es
W.C.
a ' i ept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
I Parking Parcel
Plan5. Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. 45-<'R e c'd
Parcel Approval
Pla pprovol
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
er ,
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12or'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 bol__ @10
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. 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
1 am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
MECHANICAL
No.
@
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.
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.
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. y
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 J 2-2/• - 7V
ding permit expires Date..................r. ..
`s
PERMIT NUMBER, _ B 2984-73B
1
P
i
E
f
PERMIT EXPIRES A��-�
OWNER J.E. Careaga
CONTR:. owner
? LOCATION (A.P. 66•-20-03
mPFCC 9
25 Lamar Ct,., Maga Iia Lot 204
k
}
h
1,
f
r '
i
1.
y ,
V
N
COUNTY OF DUTTE
Department, of Public Works
BUILDING INSPECTION 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 & W<
GAS
BUILDING
Temporary
Cert. of Occup.
Final . 7
Final /
REMARKS OR CORRECTIONS
COUNTY OF BUTTE — D7EPARTMENT OF PUBLIC WORK
7 County Center Drive. — Oroville, 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.
7,1
;eceipt
DatSignature oermitee or t
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 pai.d.
DIRECTOR OF.RUBLIC WORKS
By Date 3'--;2-7, —7 3
Building permit expires Date�?'����
BUILDING
Owner ,�
SO. FT. OCC. BUILDING VALUATION
Mailing Address �1' Q t1l l
Telephone No.
Fireplace
Contractor �_Ialvel-
Total Valuation
Mailing Address r�j��0
Permit Fee Jl1�cT0
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee /Op
�Z
/�
Building Address �
�Sl��y/�t` JQ if
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. 6e -,C7— C7
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
W
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EOA
Parking
Plans
Parcel
Declaration
parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bldg. Plw�flec'd
Parcel va
Plans gal
Permit Fee $
$
NEW ® ADDITION [:]UTILITI E]S ❑ 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 bal_dio
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
FT—
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.
PI certify that in the performance of the work for which this
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.1 @ FEEPERMIT
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
$ SSD
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
7,1
;eceipt
DatSignature oermitee or t
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 pai.d.
DIRECTOR OF.RUBLIC WORKS
By Date 3'--;2-7, —7 3
Building permit expires Date�?'����
. - .L ,1 oi....1,.
f-Xl.feo XEr—wBl �',
Ei 1 J3, -,S1 �
lUsgil 9111OU xui Q9dfiliju
4
t
PERMIT: 2474-73 PIE
CAREAGA, J.E. a
25 Lamar Court
Magalia
(Utilities for aebil.e home)
07
T Da
��-a�-03
.+ate ,a
t �S. ��PS IIMi�q .7
- q 274-7�:-',z..-- --
t COUNTY OF°BUTTE,�� �JEPARTMENT'OF PU:BLI,C WORKS
7,County Center �,riye�l O�rovi,Lle,,California 9596546
"
Tefephoe.44541A�
:
t1bk;kGet �T
APPLICATIONjAND'PERMIT 2:5 Lamar, C�tzrt
sllsdsNi ��
BUI'L'h a
OWn9��� B11if13 W1 iE 1 U ' ;
. I r86ifC _ �h r� A
S0: FT. OCC. I L I • E
hiller
Mailr,ng Address =�%i,•./.,dam r .5 /
+'Telephoiie<No:"
_
Fireplace - T..
Contractor �1-��C>`r w�� 1„
Total Valuation
Yt_
f drei �..
Mailing Adsst °t
Permit;Fee
Plan Checking Fee &./or Penalty
+'7-
Telephone No r
Permit Fee. `1. $.:
$•
Building Address] :. 1�.j`
PLUMBING No. @ FEE.,
PERMIT¢FIONG FEE =/ $2.00 0
Each'.Trap. a .-1.50
�-j
"
Repair drainage or vent piping. 1.50
Water piping' -1:50
Each gas:.water.heater or vent ,; -1;.50'
A. P No.Loningi&
j
rPlanning i.-.
Gas piping system 1 - 5 outlets 1.50 r U
outlet r:
Each additional 30
Fees
'
�W.:C.
� - NR
)Sanitation,
�Fire•De t
P .
FireZonet%,
1, ...
use
Use Permit
Building,sewer 5".00 �, ��
EQA Parking
Plans =:
P reel y "�gi
Declaratrc .,P..,argel M;ap
>3
60K,R/W
Improvements
Lawn s in
p ` tiler system 2.00
+/':Bldg:.Plons Recd
Parcel App o.vat Plans,Approval ',
4Permit Fee= $ ,/ ci ay
$',
NEW Q w;ADDI,TLON 0 UTILITIES'"'OTHER (:
'� ,ELECTRICAL No. @.. FEE
PERMIT'FILIN,G FEE $3.00.iJf>,
Main. service incl. 1 meter.
Addmeters, each 1.00 '
z
Single Family Duplex, Q MobiItHome ��", Others ❑,
-
Sub -panel (12`.rless) (morethonl2) '
Range, Cook -top or Oven 1.00
'
s
Water Heater or Space Heater, 1.00'
Light fixtures bal__ 10
. ' • -
Receps, switches & fix outlets 11oLL "
CONTRACTORS LICENSE •LAW ;
I am, licensed finder the .provisions of"Chapter 9; Div. 3,"of._;the'
State of California Business &, Professions' Code under the name _.
�style of:
C_'
?"c\k� -tam %�`�•
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
m License No.Classification' 14
Misc. wiring
l=ain exem .t from'the Contractors"License Laws of the,Stafe of California.
Q P
Permit' Fee
WORKMEN'S COMPENSATION` INSURANCE -
` :,.
f am aware of the. provisions of Section ofthe California LaboY'
Code which requires every. employer to be insured against liability
:`. fof,Workmen's-Cbmpensation. :
0 1', have placed on file with.;the County of `Butte a;cer.tificate "of
--Workmen's Compensation Insurance.
certify that in the; performance of the, work for whichthis
,/ '
permit i,s issued I.shall ,.not employ any, person in any manner,
so as' to become subject to ahe Workmen's Compensation Laws of
Cal iforriia :.. ..
MECHANICAL No.1 '@ .' FEE
PERMIT FILING FEE -$3:00. ;
Heating, -
"
Cooling.
Venti=lation ,
`Hood ,' ? 2,00
Permit Fee
f certify -that f:have read this application 'and,state'that the above
informationlis,correct'. 1, agree to comply=to all Codnty Ordinances.
and'. State. Laws 'relating to building construction, and ";hereby: •
TOTAL PERMIT FEE,
M
""""`y"`�' "!� This permit is hereby issued under: the applicable provisions of .
abope,mentioned property for inspection purposes'•.
the Butte County Code and/or resolutions to do work indicated
above for which fees have been'.paid;,
�„1CtEi, J3� cJ- "� DIRECTOROF PUBLIC WORKS
v !" Date �1�' 1 I '
f' P 4
t $ignoturef Permitee or Agent By q r�W yr
t at*s Date
ReceiptrNo J / p
White D_P.W Yellow Assessor = Pink -Inspector =' Goldenrod-Applicant�t/i'
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive 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 �ti a « 7
3
5 gnat re f Permitee or
Agent
I
Receipt No. e Fe
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:
DIRECT OF PUBLIC WORKS
By Date
Building permit expires a%��/�y,G '
BUILDING
Owner –,
SQ. FT. OCC. BUILDING VALUATION
Mailing Address _
Telephone No.
Fireplace
Contractor d�
Total Valuation
Mailing qssPermit
Fee
Plan Checking Fee &/or Penalty
Telephone No.
c,360'
Permit Fee
Building Address
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
0
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 B — ®3
i g
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
s
nit i n ire Dept.
Fire Zone
Use Permit
Building sewer 5.00
eq o
EQA Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg. Plans Recd
Parcel tp—pr—oval
PlansAp�l
Permit Fee
$
0X00
$
NEW ❑ ADDITION ❑ UTILITIES
OTHER ❑
ELECTRICAL
No.1
@
I 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 1�201_ d10
Receps., switches & fix outlets 2�(a25
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:
6J,C.l�t/�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. ` 9 !9q5: � Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
//, O d
$ 774
4
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.
Ve placed on file with the County of Butte a certificate of
men's Compensation Insurance.
rtify that in the performance of the work for which this
permt 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
$ OG
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
x Date �ti a « 7
3
5 gnat re f Permitee or
Agent
I
Receipt No. e Fe
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:
DIRECT OF PUBLIC WORKS
By Date
Building permit expires a%��/�y,G '