HomeMy WebLinkAbout066-410-03535.
K.C. Brower
F135 Ishi Dr., Lot 27, Indian Meadows
Sub., Magalia
Permit 829-73 (utilities for mobile
home and garage)
KENNETH BROWER
135 Ishi Dr., Lot 27, Indian Meadows i
��2, Magalia
CONTR: Paradise Nugent Gas i
> • Permit--1204=73P
(gas piping for mo it Vie)
K. C. BROWERdC�
135 Ishi Dr., Lot 27, Magalia "
Permit 1573-74B,P,E,M (New SF)
114 /;- 6 AP
Permit# 2382-75B(1st RENEWAL-1573-74)
66-41-35
Permit ##5526-75B,4franklin tove ,
for bldg. permit ##1573-74) 71, + j ,
I
23P�-7S�
PERMIT NO.
P
E
M
'MH UTIL.
-APERMIT NO.
't
PERMIT EXPIRES
;OWNER
K. C. Brower
k Owner
.CONTR.
;i#OCATION (A.P. �.2x2ix 66-41-35.
{
135 Ishi Dr., Lot 27, Magalia
a
r"
4
w
If
r
0
I
A -
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
' Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
DATE REMARKS OR CORRECTIONS
to/i�/T�
COUNTY OF BUTTE — DEPARTMENT OF. PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
4.
44
Firewall
Soil Piping
Forms
Parapets
1st Floor —3—�
Main Bldg.
t.
Restroom,Finish
2nd Floor
Footings
1
Windows
3rd Floor
Stemwall
Sid 11
To out
Slab
Roof Sheathing
ater Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
FixturesZZ 140�z
Footings
,%
Garage Vents
Water. Htr.
StemwaII
Slab
%
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
as Pi p in g & Test
Temp. Gas
Slab
Final 4/.�
Sanitation
Patio
Final
Footings
Footing
, RICAL
Masonry Walls
Throat
Rough
Reinf. Steel
,
Final LiziFixtures
f
Bond Beam
/
/
FIR SP INKLERS
Motors
Framing
Test
Water Htr. do
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault
Scratch
Heating
Service
Brown
- ---
Cooling
Temp. Pofe
Finish
Ducts
Underground
Interior Lath
Ventilati2q 4 4 4,41
1 Permane t 6 444,4
Door Closer_
Final
1 Final ' A
DATE REMARKS OR CORRECTIONS
to/i�/T�
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC Wt���—
7 County Center Drive — Oroville, California 95965 C;)�J
Telephone' 534"4541
APPLICATION AND PERMIT
BUILDING
Owner A111, /4el� fin`
SQ. FT. OCC. BUILDING VALUATION
Mailing Address/?Q XOy 3rr7 J/oval, a.
Telephone No.
a
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address /J51' . 137/i
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
4P C? /
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
AQ V, 2 ? ick n e' -a ;,/0,
Each gas water heater or vent 1.50
A. P. No. ��j if`' Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fire Dept.
Fire Zone Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Bldg. Flons Kec
Parcel Approval
I Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
/, ��j�ll/�-/
Main service incl. 1 meter
7-P `
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
25
Light fixtures bcl d1
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
Misc. wiring
License No. Classification
❑ I 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.
❑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.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
L2.00
Hood
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 relatinq to buildinq construction, and hereby
TOTAL PERMIT FEE
$ 3
OZ
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
ate
Signature of Permitee or Agent
Receipt No. Zy ev Zz
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This.permitis 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 S
Iding permit expires Date
COUNTY OF BUTTE — -DEPARTMENT OF.PUBLIC WO S
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.
°'1 X Date
Signature of Permitee or Agent
Receipt No./ 1 12 <:�_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.
DIRECTOR OF PVVLIC WORKS
By Date 7 5�
Building permit expires Date ........................... ...:.7�
BUILDING
Owner C {jj�
SQ. FT. OCC. BUILDING VALU TION
Mailing Address_ s ,t ��'
��
Oc
Telephone No.411
`
Contractor
W
Fireplac
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
FC
Building Address '—
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
O
—�
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
'
4 42
Each gas water heater or vent 1.50
A. P. No. VZoning
& Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
SE& 'on
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
I Parking
Plans
Parcel
Declaration
part Ma p
60' R/W
Im ts
provemen
Lawn sprinkler system 2.00
Bldg, ns Rec'
Parcel Approval
Plan pprovol
Permit Fee
0.17,,$.
Q �(
al
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
�Jd
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single FamilyDuplex ElMobil Home ❑ Others ElRange,
Cook top or Oven 1.00
Water Heater or Space Heater
1.00
205
Lig t fixtures -- e bal "?o
Reswi ches & fix outlet :1oT�25
Hod, Ex. Fan or F.A. F Molor 1.00
C7
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:
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
$
$
MECHANICAL
No.
@
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.
PERMIT FILING FEE
$3.00
Heating (jig
!y
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 relatinq to buildinq construction, and hereby
TOTAL PERMIT FEE
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
°'1 X Date
Signature of Permitee or Agent
Receipt No./ 1 12 <:�_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.
DIRECTOR OF PVVLIC WORKS
By Date 7 5�
Building permit expires Date ........................... ...:.7�
v-
_
f
PERMIT NO.
P
E
M
5526-'b B
MH UTIL.
PERMIT NO.
PERMIT EXPIRES Zze! o? */�
OWNER K_ C _ RrowR r
CONTR. owner
'',Low TION (A.P. 66-41-35
lfb1;3-5-I�shi Dr . ,lot 27, Macpl.ia =Indian Meadow,
-5-I'sh
i
Temp. Pow/r`Pole
Called/,PG&E _
Temp.lec. Serv..
C 'lied PG&E .
Te . Gas Serv. _
Called PG&E
JOB•
FINALED
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF, PUBLIC WORKS
• BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
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
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
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
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
f
COUNTY OF BUTTE - DEPAATIVIENT OF PUBLIC WORKS _ 7
7 County Center Drive - 1 Foville, California 95965 ..JS�
Telephone: 534-4541 !%�,'
APPLICATION AND PERMIT f//'/�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
bate %D 1-73
Signature of Permitee or Agent
Receipt No. J3 7 0 6 ,/ .
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 PUBLIC WORKS
j� —
By Date
B ding permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
f-7-7
Mai I i ng Address 13 5- 1 J 14 �,Ae
T Iephone No.
Fireplace
Contractor Lug,\( erft
Total Valuation �fJ
Mailing Address
Permit Fee �'-
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee �
Building Address ! 3� S 1.4 f f/ O ? _?7PLUMBING
No. @ FEE
PERMIT FILING FEE $3.00
+off ids F
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
1 ��
A. P. No. 6 lO ` 4/ — 3, ,
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet 30
F&eef
W.
Fire Dept.
FireZone
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
Parcel Approval
Plans Approval
Permit Fee $
$
B y. ans ec
NEW .❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL No. @ FEE
PERMIT FILING FEE J$3.00
i� S�TUUGs . G
Main service incl. 1 meter
/S 7 7,q
Additional meters, each 1.00
Sub -panel (12 or less) .(mo rethan12)
—
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
_Water Heater or Space Heater 1.00
Light fixtures '2o fat
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 $
$
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.
j� 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.
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.
bate %D 1-73
Signature of Permitee or Agent
Receipt No. J3 7 0 6 ,/ .
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 PUBLIC WORKS
j� —
By Date
B ding permit expires Date
PERMIT NUMBER B 829-73 B51P)E
P
E
PERMIT EXPIRES 3
(OWNER
K.C. Brower
CONTR:
owner
;
-57-31-51
�LOCATION (A.P.
135 Ishi Dr., Lot 27, Indian Meadows,Sub.,
j
Magalia
/✓v//
f
COUNTY OF BUTTE
Department of Public Works
BUILDING INSPECTIOiA RECORD
Zoning
Setback !V,.%f—%3 � -
Forms
Foundation
Piers & Girders
Fireplace
Rgh. Plumbing
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents
Framing
Plmg. Topout
Rough Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temp�`�% i
Temporary
Cert. of Occup.
Finalorary 2d ✓% :5 i
Final
Final
DATE REMARKS OR CORRECTIONS
J L,, , ���: •�
W,
May 9, 1974
Butte Co. Public Works
7 County Center Dr.
Orovill.e, Calif. 95965
Dear Sirs:
Re: Application for permit to build house at 135
Ishi Dr. Magalia..
It is my intenion to remove the mobile home that
I am presently living in from the property as soon as
I am able to occupy the house.
Yours tru y ,
Kenneth C. Brower
P.O. Box 357
135 Ishi Dr.
Magalia, Cal. 95954
O .L 13
ROO
a�"n9 J
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 0
7 County Center Drive - .Oroville, California95965 ��—�3
Tel epfione: 534-4541 r
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-ment'oned property for inspection urposes.
44//
X,Xff.,c Date 17123
Signature of Permitee or Agent
Receipt No. M49 rZ —
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.
_,�;i.,OIRECTO5 OF PUBLIC WORKS
By r Date__/ "/%- 7'3
Building permit expires Dafe .1,:3� �,,
BUILDING
. 01/
Owner eJl Y,040 e,V
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contract d.
Total Valuation
Mailing Address .- r>�!I
Permit Fee
Plan an Checking Fee &/or Penalty
JJ c i
T , lephone No.
Permit Fee
$
$
Building Address
PLUMBING
No.
@ FEE
PERMIT FILING FEE $2.00
r
Each Trap 1.50
r
Repair drainage or vent piping
1.50
Water piping 1.50
r
Each gas water heater or vent 1.50
A. P. No. `� `
/
Z &
oning Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
W•
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans I
ParcelLawn
Declaration
Parcel Map
1 60' R/W
I Improvements
sprinkler system 2.00
Bldg. Plans Recd
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW EJADDITION ❑ 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 bol_ 0
Receps., switches & fix outlets 20 225
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State ofC ' ornia Business & Professions Code under the name
style of• 9
w `
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. .2,%61 %99_j4L Classification .r
Misc. wiring
❑ I 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 fres every employer to be insured against liability
for Wor n's Compensation.
17-1-1rhave placed on file with the County of Butte a certificate of
Le Workmen's Compensation Insurance.
F]I certify that in the performance of the work for which this
permi-t 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 $
$
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
$ -
u
authorize representatives of the County of Butte to enter upon the
above-ment'oned property for inspection urposes.
44//
X,Xff.,c Date 17123
Signature of Permitee or Agent
Receipt No. M49 rZ —
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.
_,�;i.,OIRECTO5 OF PUBLIC WORKS
By r Date__/ "/%- 7'3
Building permit expires Dafe .1,:3� �,,
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK /� �_/
7 County Center Drive, ,— •Oroville, California 95965 oC� /
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X!ALe �C)�ir�-r��?/t� Date
Signature of Permittee[or Agent
Receipt No. ��� ' or
�7
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
Building Permit Expires Date 3 --3 %
BUILDING
Owner
SQ. FT. I OCC. BUILDING VALUATION
0 0,
Mai I ing Address)19,0,13k 3-5-2
Fireplace
Contractor
Total Valuation Y44 S/v
Mailing Address
Permit Fee
PI an Checki ng Fee &/or Penalty
Permit Fee
$
$ O d
Building Address3�`
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
Z& r d C
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. �,2 T pf` _ �— ,j
Zo ing T-
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .50
Buildin sewer 5.00
9
- el C)
Fire Zone
Fire Dept.
Sanitation
Planning M�N
Plans L/
1 Fees l/
W. C.
R/W
I Encroachment
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ OTHER ❑
Permit Fee
$
. era
$ Q. O 0
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
00
Main service incl. 1 meter
QU
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
USE OF STRUCTURE . Single Family ❑ Duplex ❑ Others ❑
Range, dryer or water heater 1.00
7 I �ivG
f
Oven, Cook -top or space heater
1.00
Light fixtures/ba III
Zf
Reclfps., switches & fi outlets 20 5QO
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
Misc. wiring
License No. Classification
I 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.
—ElI 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
J$3.00
Heating
Cooling
Ventilation
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
tate Fee for Strpng Motion $0.07/$1000 Evaluation
n5trumentation rogram
$
TOTAL PERMIT FEE
$ %�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X!ALe �C)�ir�-r��?/t� Date
Signature of Permittee[or Agent
Receipt No. ��� ' or
�7
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
Building Permit Expires Date 3 --3 %