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HomeMy WebLinkAbout066-440-002CHARLES SINGLYN , 5 Miwok Ct.; Lot 65, Indian Meadows Sub. #39 Magalia CONTR: Charles Hancock? Paradise Permit 1506-73P, E L � 5 %� (utilities for mob' e home=e c t gas) P. CHARLES SINGLYN 5 Miwok Ct., .Lot 65,,Indian Mad ws sub . #3 �CONTR: Paradise G s,, Mag. /17�y� % . GJ. ` P a'd' se ' Permit 1985-73P (gas piping) - A. P. �59ESaE51 6 6-4F-*- 0 CHARLES SINGLYN 5'Miwok Ct., Lot 65, Ind. Mead.#3, Mag. Permit 1256-74_B,E ,(garage for-MM- AP—C(6- or MM-APC(6- 2� y �Co SINGEL N 5-Miwak :;: Magalia`` r. ,<� PetA rmit# 26L�7-75B screened- porch; deck MH 4cover` ed deck & ) ) o ' r r I it � � � � � -- - - - _ , f _ f" i 1 -PERMIT NO. 256-74B,E P r E M ,MH UTIL. PERMIT NO. PERMIT EXPIRES �'( / ✓ OWNER Charles Singlyn CONTR. Owner LOCATION (A.P. 57-31-51 1 5 Miwok Ct., Lot 65, Ind. Meadows Temp. Power Pole r Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. I Called PG&E 1 JOB FINALED— (Date (Signature) w (� �.`. \\\� �'C t � ` �s �t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bidg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage A (Fdn. Vents Fixtures Footings A 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 O — Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing 1 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 j,-,% DATE REMARKS OR CORRECTIONS r . � e COUNTY OF BUTTE. — QEPARTMENT.OF PUBLIC WORKS 7 County Center Drive - 5 e, California 95965 Telephone: 534-434-45441 APPLICATION AND PERMIT r auuwllcC ICP1CJC11kdL1VCJ of tyle k,ounty or tsuttC to enter upon•tne above-mentioned property for inspection purposes. �t X ` Date Signature of Permitee or Pgent Receipt No. &7 / _2V kJ 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 0 PUBLIC WORKS By Date Building permit expires Dafes Z, ._ BUILDINGtle Owner AJ � SQ. FT. OCC. BUILDING VALUATION O Mai I ing Address O Telephone No. Fireplace Contractor Total Valuation U Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone Na. Permit Fee $ $ Q ' Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 U LL) f Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 in C2 Each gas water heater or vent 1.50 A. P. No.'- 3 E� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sa ( n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration parcel M P 60' R/W Im prove ents Lawn sprinkler system 2.00 Bldg. Pla s c'd Parc pproval PI ns Approval 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 ess (more than 12) rul Single Family Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 /1- 7Y X N/ / SO (o - 7.3 Water Heater or Space Heater 1.00 Light fixtures 20� 2(5 C1 _ Re(2ps., swi hes & fix o lets d 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: Hoon, 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 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 s 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 $ auuwllcC ICP1CJC11kdL1VCJ of tyle k,ounty or tsuttC to enter upon•tne above-mentioned property for inspection purposes. �t X ` Date Signature of Permitee or Pgent Receipt No. &7 / _2V kJ 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 0 PUBLIC WORKS By Date Building permit expires Dafes Z, ._ w �� 'wo Kr T l - ��f I h t - �.�,.1--=•?�. ,� « ( r 1 -f-••.r ., -y- : �--Z ,..j 7.. If ... _� -^-..t I 1 t i •- + r , ? . t , { ice' � . r i ; ;. � � + r r '1 ( i ( , , I_ _. i 1 /10 t � t The' i ld Setbac I!,Ty I l� 9 11+ i } j tn'e sjde`property 'life arid SQ Vit.' frgm { v the centerline of the. roAd,-po(mitting , } a mum r,vm. of.a: ff. ',cave' cv66(h?-,Hg: I r Qm s, ' ' � � 1. ��' I r •{ � � '{, } 1.;' tom_ I 1_y_ I ! 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[U ,. _ t r r , - �I j.. l..+. i. � � +, _}, T '�' � �' �� i { • i � } ..1_ I '� 1 I �; 17 •� + � . S � ' ,� � I 1 � t f i r I I S }; ��_- � -�-' 1 � ( � ! '.i ? ' 1 {l'ji I � � . I .. � � r^ , i t � f t,�� 1 + � i I t 1 _� 4 • J .1 ,_t �a I �j1j � �� t•-, � -t-+'�•�I �-i- i (� C'• � .- , , i--- 1 �+ _1.} _.. � _r _,_/"-�.T.�.._f i _--��r �;tC•�,r.c:.��a- � r1-�� t; t--�)I ���r; ��1/t��� ..i r' Q>- { + 1 4 {• �...J.. .i. .,, 1_. .r.-.va.•e •v,. •.3—.:�:' +.�, +�— s -^•tree .'.';•j .t .. art .. + x,... �; ..w•v. ". .-�; .as ,r .: � ..-.,.. _ , • PERMIT: 1506-73 P; E • -� /!SINGtYN CHARLES ... 5 ' Miwok Ct.' -Lot 65 Indian Meadows.Sub #3 Magalia - - (Utilities for mobile except gas) ` -;,J-7J�— _ a y a- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT null... IC i.I1COCI1taUVCJ ui ule k uunty ul butte to enter upun me above mentioned property for inspection purposes. X Date 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 Signature of PermIitee or Agent BY Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUILDING Owner 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 ` _ PLUMBING No.1 @ 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.Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. ,Sanitation" FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans ParcelParcel Declaration Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ 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 12 Light fixtures @- 10 33 Receps., switches & fix outlets 2h.11 F In 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: i<�. • 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 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.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 -77 $ null... IC i.I1COCI1taUVCJ ui ule k uunty ul butte to enter upun me above mentioned property for inspection purposes. X Date 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 Signature of PermIitee or Agent BY Date Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive- — Oroville, California 95965 (p 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 J �' Signature of Perr;i't4e or Agent Receipt No. 2 , � �S ? a 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 fees have been paid. Q DIRECTOR OF BLIC WORKS By Date Building permit expires Date.? BUILDING Owner1N IV SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor CD r Total Valuation Mailing Address Q Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building AddressG C �) /� —� PLUMBING No. @ FEE PERMIT FILING FEE $2.00 r/(/ l2 -01a 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. ,/f ®F 3/_- Zoni"/ SPIP Gas piping system'l - 5 outlets 1.50 Each additional outlet .30 %,e_T W2' Sanitat on EQA Parking I Parcel Plans Declaration Fire Dept. Fire Zone Use Permit Building sewer 5.00 f Parcel Ma P 60' R/W Im rovements p Lawn sprinkler system 2.00 `atd-9-PIdnTRec'd I ParceF-A rovaI Plan'r-*pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 . 4f0 Main service incl. 1 meter G� 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 bal_ dl Receps., switches & fix outlets �2�0T(�d22b5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & ProfessiqRs 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 QQ Temp. Power Pole 5.00 _4146/9&2 � License No. A Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ C $ 11 a°C 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. r�ccertify 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 @ I 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date J �' Signature of Perr;i't4e or Agent Receipt No. 2 , � �S ? a 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 fees have been paid. Q DIRECTOR OF BLIC WORKS By Date Building permit expires Date.? COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �fb -- 7- r�� auinunce representatives of the county or butte to enter upon the above -men 'oned property for inspection purposes. X4 r Date v Signature of Perm7itee or Agent / Receipt No. le ;)".2- Sm 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. IREC 0 OF P BLIC WORKS By ' , Date Building permit expires Date e'l-6-73 BUILDING Owner / /!i t SQ. FT. OCC. BUILDING VALUATION Mailing Address �� /r #� N/� wO Telephone No. Fireplace Contractor c .S 2 tow Csl4J Total Valuation Mailing Address 7 d �1 G449 4 Permit Fee Plan Checking Fee &/or Penal ty h Aj f S e ( Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 pB / 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 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 5, Each additional outlet 30 s S ion 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 aELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional imeters, 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 ball _L10 Receps., switches & fix outlets �2000��2�5 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. 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 men's Compensation. ve placed on file with the County of Butte a certificate of ;�,!��rkmen's oCompensation 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 @ I 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 $ auinunce representatives of the county or butte to enter upon the above -men 'oned property for inspection purposes. X4 r Date v Signature of Perm7itee or Agent / Receipt No. le ;)".2- Sm 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. IREC 0 OF P BLIC WORKS By ' , Date Building permit expires Date e'l-6-73 CHARLES E. HANCOCK 7020 SKYWAY PAR!'D19 E; CALIF. 93969 �._ t,.e_-:�rtr....r� �-,.,.-.. f �•..l.;..:-+.v.-�..-.-.,e�--m-'r`-n---.rp...,�+:»sr•r+,•+-_.--,:--..--+,.v. ;,.,..�.--.T.-�,--.-. � -v v - I S2ptcc system arm �utie Count to be as per 31 y Health Dept. Re- quirernents. o I I o i ' )T a 0 mss E CHARLES E. HANCOCK 7020 SKYWAY PAR!'D19 E; CALIF. 93969 �._ t,.e_-:�rtr....r� �-,.,.-.. f �•..l.;..:-+.v.-�..-.-.,e�--m-'r`-n---.rp...,�+:»sr•r+,•+-_.--,:--..--+,.v. ;,.,..�.--.T.-�,--.-. � -v v - I S2ptcc system arm �utie Count to be as per 31 y Health Dept. Re- quirernents. o I I o i v L c, �Mo� a 0 mss E _C 4- `^ v o c+ E o 0 U00 -o u s 4— Q Q fQ lJ Q Q t' ' V Q 0 _ I N - U C Q I I � \ Q BUTT= COUNTY [his set of plans and specifications MUST be kept on the job at all times and it is unlawful to BU jLDING DEPARTMENT make any changes or alterations on same without.: n o written permisson from the Department of Public VEU Works, County of Butte. PERMIT NO. 2647-75B �. P E M MH UTIL. '?ERMIT NO. �PERMIT EXPIRES 'OWNER C. Singelyn :-CONTR. LOCATION (A.P. 66-44=O2 ) �s 5 MXk Miwak Ct. , lot 6S, Magalia ' s.t �i x f� i� Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback Soil Piping le!Firewall Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing 61--913-7-5 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 Owner 0— S� h Mailing Address�'� Contractor ©wy1 rim Mailing Address 17e�a�� Building Address COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center give• ., Oroville, California 95965 Telephone: 534541 APPLICATION AND PERMIT Telephone No. 77!� ?� k Telephone No. At - A. P. No. — % % �© Y Zoning $Planning Fees Soon I Fire Dept. Fire Zone Use Permit EQA Parking Parcel Parcel Ma 60' R/W Im r /Plans Declaration P p ov ments Bldg .`Mons Rec'd Pcrc1J4`p`op roval Plans Approval NEW ® ADDITION. UTILITIES ❑ OTHER ❑ Sinqle Familv n — e�'o 7/' Duplex ❑ Mobil Home 2- Others ❑ 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: License N Classification SQ. FT. I OCC � avirrd I,/ BUILDING X BUILDING VALUATION 7Ts� 'e t7 ov Fireplace Total Valuation Permit Fee Plan Checking Fee&/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Ranqe, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps„ switches & fix outlets Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W! Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wirinq I am exempt from the Contractors License Laws of the State of Califomia. Permit Fee MECHANICAL WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating 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. 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 f the County of Butte to enter upon the above -me Toned property r inspection purposes. Date Signature of Permitee or Ag(pt Receipt No. Z,257[a 2 41 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Cooling Ventilation Hood Permit Fee U $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 FEE $3.00 2.00 FEE TOTAL PERMIT FEE I $ zO 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 By Date �� uilding permit expires Date