The URL can be used to link to this page

Home My WebLink About066-290-027Carl7sa 1(otti10 Br,t. , lot 47, PPCC#4,'-Nqa1 * Pe=rmit #18-80P,E(util. ,MH) GAS )—;y7 -PA LPG ( 2 ! UPPORT STRUCTURE REQ. /10 COMPACTION TEST REQ. AJy AP 66-29-27 . CO R: Cal Gas Paradise , j Pe it 695-80P (gas line/MH) - 66-29-2 Con r: McMillan MH, Paradise er�r"r' t$k12 71-80MHI�/�l/ Issu d - — 01 6 -29-27 Permit #2905-80B(new open decks/MH) Z&Z�w 4//S'�� 2� i r• + T "�RMIT NO. 2905-80B PERMIT EXPIRES OWNER Charles Pallotti CONTR. owner 66-29-27 LOCATION (A.P. ) 10 Bronx Ct., lot 47, PPCC#4, Mag alfa 5 t . t 1{1 • 1 ' y1 � � f + Temp. Power Pole alled PG&E Te p. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB l J v FINALED (Date;),( 7 t�/L (Signature) i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECT101$" R CURD BUILDING BUILPING (Cont'd) PLUMBING Setback Firewall Soli Piping Forms Parapets 1 t Floor Main Bldg. Restroom Finish 2n Floor Footings Windows 3 rd'V Ioor Stemwall Siding To out Slab Roof Sheathing Water Pi inl Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances: Gas Pip ng & test Temp. Gas Slab _ Final 5 - Sanitation' Patio FIREPLACE Final Footings - 5-0 A4 Footin �' EL CTRICAL Masonry Walls Thr t " Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh kECHANICAL Grd. Fault Prot. Scratch Heatino Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec" Service Elec. Pedestal Water Piping Sewer Gas Piping BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec.'Continuity Water Piping Drainage Gas Piping in 9 DATE REMARKS OR CORRECTIONS a (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS. -• 7 County Center Drive - Oroville, California 95,965 - Telephone 916/534-4541 ` APPLICATION -AND PERMIT ` MIT N0. ASSESS;/PARCEL NUMBER (Q — ZONING BUILDING PERM OWNER / e9771�D�- •OWNER'S T�� j°Ny€y6 ��or(7 O SQ. FT. OC�C/.J BUILDING VAL ATION D W`+ `% �♦ v MAILING ADDRESS j� Ar3— 11,1 /• CONTRA, . NAME TELEPHONE le. - CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LE DER �� E UNKNOWN Fireplace 'Total Valuation $ S aJ (q Q LENDER'S MAILING ADDRESS A4Al F Permit Fee $ C7 O ARCHITECT OR•ENGINEER LICENSE NO. Plan Checking Fee $ U .v Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 0 BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 AQ (26 4 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. �% SUBDIVISION NAME PARCEL MAP. CG Each qaS water he Or Vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other Describe work: ell tl O-V,6115r — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 LEV ORSS Main service i$o AMP 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification R-117 as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTFZ ULT' -OUTLET 2.50 ea NON-RESID. BRANCH CIRCUITS) NEWCONSTR POWER APPARATUS &\ NON -RESID. (SINGLE OUTLET CIR. / Ex. OCcup(OUTLETS OR FIXTURES 5O@� BAL@ICC FIXED APP LHS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure.. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation _+ permit Fee $ Contractor 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 property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses hi ma In y a1haF,tr against d County in c9{�sequence of th��r�h�W v/��ri �, X0 X �e7•t,•,�_l!t%°T Date tG - Signature of Applicant – Owner E] Contractor❑ Agent EE�— An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structuress over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP TYPE OF CONST, PARCEL PD HD ISSUE This 'permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC � By PE I EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS DateZ �� Zi- ZI Receipt No.J .S x_33 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT v . �4. pEfiMIT NO. 18-80P,B 0 PERMIT EXPIRESy OWNER Charles Pallottk LV DLVLIX UL., ioL 4/, rrcuif4, Magalia t . A.. it 3 �t q h a .i .. t 1 I Temp. Power Pole Called PG&/E 1 Two. Elec Serv. ! Called CAE 1 Temp. Ga/s Serv. + NBBALED� 6 l� (Date) (Signature) ` I �- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont' d) Setb ck Fir all No PLUMBING Para is Restro Finish i 1 At Floor 2nd)floor Windows 3rd Nor_ Siding To out Roof SheathNig Water Pi I Roofing Sewer Fdn. Vents Fixtures Garage Vents Insulation Water Htr. Heaters Prov. for physically . handicap ed Conformance of ex. Appliances Gas Piping &Test 2 FIRE SPRINKLEF Test Final MECHANICAL HeaticA Temp. Gas Sanitation Final E Rough Fixtures SUD anel ' Grd. F It Prot. Servi TAO. Pole Wish I Dults nder round 6 O L 1 erlor Lath I Utntilation/Permanent oor Closer anal Inal MOBILEHOME UTILITIES fd - - - - - - - Elec_ Service — /— O,�9 ® h'!O L Elec. Pedestal Water Piping O Sewer O Gas Piping KQ16EWOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continu' y Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS ,dam >. ✓I4ds 41§4) 01/5 Omit/ S� f �iLC G ia... O t/ 7- 6K6,u�r 4ac. �� y,�d Ayz (NOTE: An entiy must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have,required clearances above ground? (Sec.5085) Yes_ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible *variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4.- ,Is the mobilehome level? (Sec. 5088) Yes_ No 5.. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes_ No_ 6. Water A: Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes - No B.' Test -. Does water piping withstand working pressure or 50 lbs. air test? Yes. No C. -Backflow If coach'is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. -Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes- No B. Does it have minimum 'k" per foot slope and is it properly supported? Yes_ No C. Are any leaks -detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe?,.Yes No D. If coach is not State of California approved, does station have required trap and vent? Yes No 8. Gas Piping.and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. 'Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome.with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A. Is service large enough to provide adequate amperage-to.mobilehome (must equal rating of mobilehome with a minimum of.100 amp) and, other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes No B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of.the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the. mobilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing, 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length Width Vehicle Serial No. State Identification No. Additional Information or Comments: ° COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE v" OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner ��i,:.: r- 5 f''� t -- Owner's Address Mobilehome Mfg /''1/ Model f='%f / Year Insignia No. V- 4-2 `? Serial No. It is hereby certified for occupancy at the above described location and may be occupied. I c Director of Public `Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink � D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-'4'2'i1, Ext. 70 '7 County Center Drive, Oroville — Phone 534-4541 Skyway°and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE /0 6a2c� filoC I BUILDING OR PROPERTY ADDRESS A routine Inspection Indicates that the'following violations of County Ordinance exist -at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this .matter, or need additional Iexplanation„please contact this office+immediateiy. Inspector Date IV COUNTY OF BUTTE — bEPA14TMENT OF PUBLIC WORKS 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. X Date�'� _"�f/� � Signature of rmitee or Agent Receipt No. 3 0th a 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 PUBLIC WORKS ey Date B ding permit expires Date BUILDING Owner .S �' SQ. FT. OCC. BUILDING VALUATION Mailing Address D Po Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address lV �� Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 {450 Each Trap 1.50 —0 % '>/`7 Repair drainage or vent piping 1.50 A. P. No. (p r ^� ►Z i^9 & o^^i^g Water piping 1.50 Each gas water heater or vent 1.50 F S®i tion Fire Dept. Fire Zon Use Permit Gas piping system 1 -5 outlets 1.50 EQA Par ng Plans Parcel Declaration Parcel P 60' R/W Improvements_Each additional outlet .30 Building sewer 5.00 CO Bldg. ans Recd Parce A royal Plan oval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ fes$ CC ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100v OR LESS 100 AMP OR LESS 5•00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. AOD'L 100 AMP 1.00 NEW LING X4'1 0Sq ft OR ADDNS// CONST. ACC• BLDGS.CCup- •Z 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 le of: :� NEW.NONRESID,CONSTMULTI-OUTLET ESIBRANCH CIRCUITS 12.50ea NEW CONSTR. POWER APPARATUS 8 RESID. (POWER NON- ( OUTLET CIR. EX. OCCUq OUTLETS OR FIXTIIRES 50@2s¢ BAL@1 Ex. Occu 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 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation �t20 Hood Permit Fee $ Land Development Fee $ $ :($Z TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date�'� _"�f/� � Signature of rmitee or Agent Receipt No. 3 0th a 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 PUBLIC WORKS ey Date B ding permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telgphorje:, 53-4-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. za Date $ignotur of Permitee or AgAnt Receipt No. -3 /r/ 91;Z 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 f s have been pai CTOR OF P IC WORKS --'nB Date �� permit expires Date -,71 BUILDING Owner T ' SO. FT. OCC. BUILDING VALUATION Mailing Address .. a v >�- L..� Telephone No. Contractor Jt 5,0 �1 Mailing Address a _v Fireplace Total Valuation LF ir��(, Telephone No. Permit Fee Building AddressD Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ,dam Each Trap 1.50 C` Gv % % / " LLQ ,VQ_ Repair drainage or vent piping 1.50 A. P. No. 7 r� ke-T fing & Planning Water piping 1.50 Each gas water heater or vent 1.50 F6, -'s Fire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EOA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements p ovements Each additional outlet .30 Building sewer 5.00 ans ec dParcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES IX OTHER ❑ permit Fee $ 0.$ ( ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR L Main service 1000 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS, \ ACCLBLDGS.CCUP. Y� 22sgft 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: ^ S n / ( �I✓ ✓ NEW CONSTR.BRANCHMULTI-OTLET CIRCU NON-RESID. (BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS B NON.RESID• SINGLE OUTLET CLIR. Ex. OCCUD(OUTLETS OR FIXTURESIg L Ex. Occup ( FIXED APPLNSTS (RES. OR OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 G License No. 1 d Classification Misc. Wiring 6.25 ❑ 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. F -1I 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 Land Development Fee $ TOTAL PERMIT FEE $ I authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. za Date $ignotur of Permitee or AgAnt Receipt No. -3 /r/ 91;Z 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 f s have been pai CTOR OF P IC WORKS --'nB Date �� permit expires Date -,71 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 ' - Tel gphone:. 534-4541 APPLICATION AND PERMIT n authorize representatives or the county of butte to enter upon the above-mentioned property for inspection purposes. X C Date s Signature of Permitteee/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. DIRECTO"F PUBLIC WORKS ByDate-3" 17- rY D �/i �Id i ng permit expires Date 7-17 -OL BUILDING Owner' SQ. FT. OCC. BUILDING 4ALUATION Mailing Address Telephone No. Contractor42- Mailing Address Fireplace Total Valuation Tele hone No. j7j r Permit Fee Building Address O Plan Checking Fee&/or Penalty Permit Fee r PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No �? —2 .,f7 & Plan s Water Water piping 1.50 Each gas water heater or vent 1.50 F W on Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improv ents Each additional outlet .30 Building sewer 5.00 Bldg. Pans Recd Parcel Approval Pla k.*Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS LESS 5•QO 100 AMP ESS Single Family Duplex Mobil Home ❑ y ❑ p ❑ Others -L Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLDGS.LING OCCUP. Y) 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 le of: y r / -OUTLET NEW CONSTR BRANCHCIRCUITS NON.RESID (MULTI BRANCH CIRCUITS 2.50ea NEW CONSTR POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUP(OUTLETS OR FIXTURES) 50@25¢ BAL@1 Ex. Occup. FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. eznf-2 i `� 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. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r-11 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives or the county of butte to enter upon the above-mentioned property for inspection purposes. X C Date s Signature of Permitteee/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. DIRECTO"F PUBLIC WORKS ByDate-3" 17- rY D �/i �Id i ng permit expires Date 7-17 -OL