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HomeMy WebLinkAbout068-010-022F NIS TURNERBessie Lane, Oroville mit #973-76E(ser. ch & misc. wiring) SF na I a 17� NEW OWNER _ JOHN FREEMAN 5 Bessie Lane, Orovie Contr: LaGrone H Oroville Permit#7181-7<9E ,M (i st . heat pump SF ^68-01 '22 t ' ".669-90 ' _:, r FREEMAN; John -t ' 25,,Bessie-Lane�,wOr:oville Contry:.rSunshine'Chimney S ep :r(replace type A flue/sf) Y • U I 16 c.�i j oo � O ` .-- 68-01-22 669-90B FREEMAN, °John 251119essie Lane Orovi'`lle Conti: Sunshine Chimney Sweep ('replace type A flue/sf ) .l 68-01-22 669-90B FREEMAN, °John 251119essie Lane Orovi'`lle Conti: Sunshine Chimney Sweep ('replace type A flue/sf ) COUNTY OF BUTTE -DEPARTMENT `OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. G&hfornia 95965 - Telephone: 916/538-7541 ^ APPLICATION AND PERMIT h (nom! �„J ASSESSOR PARCEL NUMBER 6 WX 68-01-22 ZONING AR -1 BUILDING PERMIT O YI*j•fj�� FREMM J�Jj]ji �Cd-1A1� TELEPHONE 5A 771 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS yJVUQ 25 Bessie Lae Orovill CA CONTRACTOR'S NAME w Sunshi aChLING TELEPHONE 534-76 A CONTRACTOR'S MAIDDRESS P.O? Box 1813 95965 Fireplace of 1,w0 CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 17.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2 Bessie v Permit fee $ 27.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑XY&plex❑ Mobilehome❑ Other SPECIFY t Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I 10.00e TYPE OF WORK NAP Addition E] Remodel❑ Utilities❑ Installation❑ Other Describe work: _ g Tun Re$ a— Type e A flap Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR100AMP OR LOR LESS 1 10.00 Main service EA. ADD -L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the. Business/POWER'APPARATUS and Professions gode and my license is in full force and effect. License No. �! Classification, _ �� El 1, 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 CONST. DWELLING oCCUP.& OR AD DNS. ( ACC. BLDGS. 2/2Csgft NEw CONSTR MULTI. OUTLET NON.RESID BRANCH CIRC ITS 2,50 ea \SINGLE OUTLET CIR. a� Ex, Occup(OUTLETS OR FIXTURES 20@50t eAL@30 FIXEEDDAPP LNS. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I 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 o,p#`Consent to Self -Insure. lel' ' 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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. authorize,representatives of the County of Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte againstHAZ, all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date - -' Sign use of Applicant — / Owner ©� Contractor ❑ Agent [] An OSF�A permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST TYPE ' 1' \'TOTAL FEE $ 27.50 PTh's CUA PARK SCHL FLD PAR PD HD ISSUE ermit is nereby issued under f the Butte County Code and/or work indicated above for which legs DIR .r R OF PUALIC / By �� ���'� PERMIT EXPIRES Date - - { the applicable provi- resolutions to do have been paid. A WORKS Date ,� I Receipt No. ri WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovill'e;'Ca'6713rnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. w ASSESSOR PARCEL NUMBER 68NXDX22XX 68-01-22 ZONING AR -1 BUILDING PERMIT DAN FREEMAN TELEPHONE 5 — 71 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS i ... 25 Bessie Lane Orovill CA CONTRACTOR'5NAME Sunshine.3A-763 TELEPHONE CONTRACTORS MAILING ADDRESS P.0% Box 1813 9-9965 Fireplace 1'1011 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 17.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 27.50 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑X) Mplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00e TYPE OF WORK NewWF Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: _ n� �� laci 1 ^Ale Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BODV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar nder penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professio ode and my license is in full force and effect. License No. Classification,�!�— % ❑ I, 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 CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/20sgft NEW CONSTFL MULTI.0UTLET NON-RESID BRANCH CIRC ITS 2.50 ea, POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES B2ALO AL®3030 Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I 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 onsent 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 Filing Fee 10.00 Heating Cooling Hood 3.00 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. 1 also a ree to save, indemnify and keep harmless the County of Butte against all I' bI ities, judgments, osts, and expenses which may in any way accrue agai st aid County in�241s quen a of the granting of this per 't. X Date Sign t re of Applicant — Owner Contractor ❑ Agent An 0 HA permit is required for excavations over 5'0" deep and demolition or construct- io structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 27.50 HAz CUA PARK SCHL FLO PAR PD HD ISSUE This permit is nereby issued under sions of the Butte County Code and/or work ated above for which fe DIR OF PU L P4ERT EXPIRES Date the applicable provi- resolutions to do s have been paid. WORKS Date " �/9/90 Receipt No. �qD� % WNITE•D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT author ze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-C.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 y Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Add-ess Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. ! �� — Zoning $Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. -C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER El Permit Fee $ ELECTRICAL No. @ FEE i PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Fami y 1❑, 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 OR ADDNST ( ACCLBLDGS.LING 0 CCUP. 4\ 22sgft CONTRACTORS LICENSE LAW I am ll:ensed under the provisions of Chapter 9, Div. 3, of the State o! California Business & Professions Code under the name style of: J + - NEW CONSTR. (MULTI -OUTLET ID, (BRANCH CIRCUITS 2.50ea NEW NEW CONST R. (POWER APPARATUS 6 CO NON -RES ID. SINGLE OUTLET CIR. EX. OCCUID(OUTLETS OR FIXTI'RES) BAL:1 Ex. Occup. (0UTLETSP(REsID)REA) 2.00 t Temporary service 10.00 Mobile Home Facilities 15.00 License No. J* Classification - Misc. Wiring 6.25 ❑ I arr. exempt from the Contractors License Laws of the State of California. Permit Fee $ $ , MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am avrare of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Worxmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Wcrkmen's Compensation Insurance. r -1I -ertify 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 lir Ventilation Hood 1 1 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 author ze representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. White-C.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 y Date Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT � uX Owner Mailing Address ds ,Qe�r j e ��. +G. Contractor A J&ILI 1 Mailing Mailing Address Building Address Z.S AiS-C��a A. P. No. 34— 5q— i No. Telephone No. Zoninq & Plannin Fid I WK,. I SanLt&tion I Fire Dept. I Fire Zone Use Permit EQAI Plans Parking I Declaration p p Parcel Parcel Ma 60' R/W I Improvements Bldg.onPT sTec'd I Parcel AgEroval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER J& Single Family C9 Duplex ❑ Mobil Home ❑ 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: A License No. `j 7'1/ Classification 4 —Z ti ❑ I am exempt from the Contractors License Laws of the State of California. 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. fSYI 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 1 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X ®4Z Date — 9 Signature of ermitee or Agept If Receipt No. �2�7 White-D.P.W. — Yellow -Assessor Pink -Inspector — Goldenrod -Applicant _ BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace $ Total Valuation P Permit Fee @ Plan Checking Fee &/or Penalty Permit Fee $3.00 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ P ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service eoov OR LESS5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER 100 AMPeo0v OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 I NEW CONST. DWELLING OCCUP. V OR ADDNS. ACC. BLDGS. 2�sgft NEW CONSTR. MULTI.OUTL T NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS & NON.RRESID. SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTIIRES I _ BAL@@L2@5'1 FIXED APPLNS. OR OUTLETS (RES EX. OCCUP•I D.) EA� 2•00 ♦ D O Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No @ PERMIT FILING FEE $3.00 Heating _3/.. poo %/I Cooling Ventilation Hood 2.00 Permit Fee $ Q • a Land Development Fee $ TOTAL PERMIT FEE $/910 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. DI ECTOR OF PUBLIC WORKS By--d y ` at / 17 Building per e Q2� O 4:; 6krsa �Iz� iEl"01161914 62611 z ADN w� Shko'ii 0178 eune yo uNnopjds7Q i COUNTY OF BUTTE — DEPARTMENT 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 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 a Date g. i Building permit expires Date BUILDING Owner F, SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address �,, Nf d� Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 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. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I NF Q. Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 Bldg. Plans -Rood- I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 oov OR LESS 5.00 Main service er 100 AMP OR LESS 1 d / Main service EA. ADD'L 100 AMP 2.50OVER Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ V Main service 100 AMPO OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST /DWELLING ACCBDGS•CCUP. &) 20sq ft NEW CONSTR. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. 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: 2SC Ex. Occup(OUTLETS OR FIXTURES)BAL@1 @104 Ex. Occup.(FIXED APLNS. OR OUTLETSP(RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring f 6.25 �'p ,r ❑ 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 $ $ 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 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 a Date g. i Building permit expires Date COUNTY OF BUTTE — DEg jAR ENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT ouuiu„cc �cNic cn wuvca vi lc I�UUnIy UI DUltc N tuliul uf/ull lilt! above -me tione property for ns ec on purposes. X ate igna ure of PermiteeoKAgent _ _- Receipt No. White-D.P.W. — Yellow -Assessor — nk-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. OR PUBLIC WORKS .By F Date 7 g permit expires Date — BUILDING OwnerSQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace JI Contractor C 6?0 - Total Valuation Mailing Address .a -Q Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 © 2.� Each gas water heater or vent 1.50 A. P. No. Yz/_ Sq _ Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Slafa�n FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 B Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 gyp L Main service soov OR LESS , 100 AMP OR LESS 5.00 • VV Main service EA. ADD -L 100 AMP t/ 2.50 t �O Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25•QD Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DWELING ACCLBLDGOCCUP. &) 22sgft l NEW CONSTR (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID, l SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Calif rnia Business & Professions Code under the name stye of: � l rte' ff-^^ tv�►L �G Ex. Occup(OUTLETS OR FIXTURES)@Bc 109 FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 C License No. 2 i7� Classification C ly Misc. Wiring ett- N -LA 6.25 �o ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ -7 $ 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 Wor en's Compensation. 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. @ FEEWORKMEN'S 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 ( correct. I agree to comply to all County Ordinances and States relating t9) building construction, and hereby TOTAL PERMIT FEE Is J ouuiu„cc �cNic cn wuvca vi lc I�UUnIy UI DUltc N tuliul uf/ull lilt! above -me tione property for ns ec on purposes. X ate igna ure of PermiteeoKAgent _ _- Receipt No. White-D.P.W. — Yellow -Assessor — nk-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. OR PUBLIC WORKS .By F Date 7 g permit expires Date —