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HomeMy WebLinkAbout068-150-066A PEARL BARNES (,o8'/S-�o6 4431 Olive Hwy, Oroville y contr : A-1 Masonry, Orov 11 e3% Permit #$412-76B(remove. & replace fireplace -EQ Damage/SF.) 068-15-0-066 93-1235 B BARNES, Audreyy' 4431.011ve Hwy, OrovilleS/jy/9y �(.rer.00f/SF George-Roofing- 068-15-0-066 eorge-Roofing-068-15-0-066 93-1838 B BARNS, AUDREY= . 4431;OLIVE HWY, OROVILLE CONTR: GEORGE ROOFING E REROOF/SF E a 06F 8- rso, o6G �h ;V,}: ». ,M•.;,,•o- e:^�:.i .., Sxao ..t �...;�.rj. y : is §+i"_�• , , __-+•,s,••. t�^stw+t • --., 4;�--=`�"-- -; j, -r �.,�;,. ,_ .j ri"4•�.''7f'ti:;.�y4f -{� f, r � COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovillS California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER D6eQ—/..�►'D—Q ZONING BUILDING PERMIT OW i L7C�„ PHONE SQ. FT. OCC. BUILDING VALUATION OW�jRIS MAILIN DR •y1 C iiTRA TOOR'S NAME , +r TELEPHONE,] CO TR C R'S MAILIN AD RES Vii` Fireplace CONSTRUCTION -DER +' UNKNOWN Total Valuation $ 10 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15,00 Permit Fee $ Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING A - R ss Permit fee $ 3 so �,�� PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or eat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF• -• Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Ed Mobile Home I S FG7W 015.00 TYPE OF WORK V New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Describe work: , Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR SS 200A OR LESS 18.50 CONTRACTORS LICENSE LAW under penalty of perjury (check one): I dWand I am licensed under provisions of Chapt. 9, Div. 3 of the Business Profession Codg nd my license is in full force a 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 Main service 200ATO1000AI 37.50 NEW CONST. ( DWELLING OCCUP.&\ 3.64 sq.ft. OR ADONS. ACC• BLOGS. / NEW CONSTR ULTI.OUT LET /� 5 00 NO N•R ESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. ) 75; Ex. Occup(OUTLETS OR FIXTURES 20 46 FIXED APPLNS.❑ Ex. QCCUp. OUTLETS (RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 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. Contractor MECHANICAL PERMIT FiIingFee 15.00 Heating Cooling g Hood 6.50 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 which may in any way accrue againsaid County in f nsequence of4the granti�ng,,of this permit. X� Date Signature of Applicant — Owner ❑ contractor ❑ A9enr,, An OSHA s 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 S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE HAz I DFEES I IMP I FL66D I CDF PARCEL PD HD ISSUE Lam' This permit is hereby issued under the applicable rovi- P Y PP P sions of the Bt'f3 Couryt� Code and/or resolutions to do work indical d bove for Xhich fees have been paid. ,� ` DI E=R f PUBLIC WORKS ;,+5/ y �" fl _ =�/ r 1� PERWIT RPIRES Date ,• f _ �� ate Receipt No. T M - WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO'A PERMIT NO. 7 County Center Drive - Oroville, California i4965 - Telephone: 916/5M51�� APPLICATION�"AND PERMIT ASSESSOR PARCEL NUMBER '0661-150—,066 ZONING BUILDING PERMIT y OW 10 g TE4 PHONE JC SVj SO. FT. OCC. BUILDING VALUATION .47 OW R'S MAI LIN DRESS Mom `7P Z7 95W4 C TRA TOR'S NAME TELEPH E 23 CO TR C R'S MAILIN AD RE Fireplace CONSTRUCTION L4ENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ sy ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING A R 55 Permit fee $ _ PLUMBING PERMIT Filing Fee' 15.00 `/ v e to Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SR V Duplex❑ Mobilehome❑ Other 1J� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other (jQ Describe work: � �— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I de late under penalty of perjury (check One): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Codg n my license is in full force a 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 contractinSg with licensed contract- ors. (Sec. 7044) `'i ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO to00Al _37.50 NEW CONST. ( DWELLING OCCUP. k\ 3.60 sq.ft. OR ACDNS. ACC. BLDGS. NEW CONSTULTI-OUTLET NO N.R E SID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. OCCUp(OUTLETS OR FIXTURES 20 76Al d FIXED APLNS Ex. Occup. OUTLETS PIRESID.IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 fy� 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 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 Countyot 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 which may in any way accrue agains said County in ns uenceooff the gran of this /permit. J��Date 7 %� Signature of Applicant — Owner ❑ Contractor ❑ Ager t • An OSHA p q 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 S Energy Inspection Fee $ occ Ep CONST TYPE TOTAL FEES HAz 0FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under thy -applicable provi- sions of the B Cou C e and/or resolutions to do j work indica d bo fo hich fees have been paid. DI E PUBLIC WORKS BY ate S' S' l PER IT PIKES Date / 3 Receipt No. M6 i WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .. ` N _ _ .a rv• :.x.� rj•C..�a...-vv -j1a . r._... w .. ., x"C'FFP'i^'.`: :7. �. c :F+. ..� -.. _.. r. :a :c...Y,t :�. „y.•� _ .,,� !F t 068-15 0-066 't 93-1838 B'x BARNS, AU 4431 OLIVE'HWY,,OROVILLE CONTR:' GEORGE -ROOFING % q i • f .,, . `f'y"1'iY";.-'f:• . -,.i err: ... _ ' . ,� ;•ti%,! i COUNTY OF -BUTTE - DEPARTMENT OF'.PUBLIC WORKS 7 County Center Drive - Orovilld', Cawwnia 95965 - Telephone: 916%538 7541 - r APPLICATION -AND PERMIT PERMIT NO. �j ASSESSOR PARCEL NUMBER r0 - I6 © %S 6 ZONING (W i t BUILDING PERMIT O ER Afou^ r"1 TELEPHONE V 532-a203 SO. FT. OCC. BUILDING VALUATION U OW E 'S MAI ING ADDRESS ow' �WLIJ*1 &1 4!9 CO TR CTOR'S ,A r - TELEPHONE CONTTRACT R'S MAILING A D E S d DEQ /Fireplace CONSTRUCTIONS ENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $ Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Energy Plan Checking Fee $ Penalty $ BUILD N J ESS - Permit fee $ UiC PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 _ Solar or heat pump water heater 20.00 LOT NO.SUBOI VISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK Ne Addition F-1 Remodel ❑ Utilities ❑ InstallationC 0th Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 115.00 Main service 200AORLESS 18.50 Main service 200A TO t000A, 37.5011 CONTRACTORS LICENSE LAW I de lave under penalty of perjury (check one): 1 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 �' � 7 �- ❑ 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) t ❑ I, as the owner, am exclusivelyy contYae' with licensed contract- ors. (Sec. 7044) r ❑ I am exempt under Sect. �` Busing nd Professions Code for this reason NEW CONST. DWELLING OCCUP.N\ 3.50 sq.ft. OR ADONS. ACC. BLOGS. // NEW CONSTR ULTI-OUTLET IRC ITS @ 5.00 NON.RESID BRANCH CIRCUIT S POWER APPARATUS e %SINGLE OUTLET CIR. EXOccup( 20 75 . p(OUTLETS OR FIXTURES FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIDA EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPEN$ TION IN URANCE I declare under penalty of perjury ((hlcl� The permit is for $100.00 v lua ion I I have placed On file with the County of -Butte Building Department a Certificate of\Wprkmen's Compensation Insurance or a Certificate df-GoIn nt o Seff`1 sure. ,\ ❑ I shell n Toy- y p rson in any manner so as to become subject to.fhe W. C. la of a'f'ia:�( Notice to Applicant: If aft m ki this statement, should you become subject to the W. C. provisions of -the Labo Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor M ECHANICAL;PERMIT Filing Fee 15.00 ..Heating Cooling g Hood 6.50 Ventilation permit Fee $ Contractor I certify that I have read -this application and state that the above information is correct. I agree to compl'7 to all County Ordinances and State Laws relating to building construction, land 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 which may in any way accrue against s id County In c nsequence of the grantin of this permit.. c� )(� Jp,,r � �1 E'er 0 —. "/& 1! �/ . i1'l_ l/./'-,- Date Si nature of Applicant - owner g pp ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stores in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ , HAz DFEES IMP FLooD CDF PA EL PD HD ISSVE ✓ This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicatO above or which fees have been paid. PUBLIC WORKS By � / C �e '� PERMIT EXPIRES Date 3 /4 Receipt No. o WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD•APPLI CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CaI1t,&miat5965 - Telephone: 916/538-7541 APPLICATION AND PERMIT qPERMIT O� ASSESSOR PARCEL NUMBER O�^r aV ZONINGev/ BUILDING PERMIT OW ER NS(�, s A TELEPHONE 58 0 FT. OCC. BUILDING VALU ION OWNS 'SMA LING ADDRESS CO TRACTOR'S NA,N4 E r D TELEPHONE c7 3 —40,31? CONTRAC OR'SMAILING A D SS S (/ �/7f Fireplace CONSTRUCTION ENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ r ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDIN DD�3� 4,Ess Permit fee $ PLUMBING PERMIT Filing Fee 15.00 C1 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME 7— PARCEL MAP Water piping 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SFXDuplex❑ Mobilehome❑ Other /////CCCC` SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK Nei" Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Oth Describe work: I — _ permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I de lave under penalty of perjury (check one): 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. y,����� C_ q 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 Main service 200A TO IOOOAI 37.50 NEW CONST. ( DWELLING OCCUP.N\ 3.6Q sq.ft. OR AODNS. ACC. BLDGS. I/ NEW CONSTR. ULTI.OUTLET NO N•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 75i Ex. Occup. OUTLETS ED PRESID, ILINIS RE A.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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 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. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation permit Fee $ Con�Home 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 Countyot 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 which may in any way accrue against s id County in c nsequence of the grantin of this permit. c� X _7Z.. � _ Date c "/ "/ Signature of Applicant — Owner❑ Contractor ❑ Agent An OSHA ✓ \ I is required for excavations over S'0" deep and demolition or construct- ion of structures over 3 stories in height. Motallation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE S - HAz DFEES IMP FLOOD CDF PARCEL PD FID Iss This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work Indic at ve or which fees have been paid. IR OF PUBLIC WORKS to BY PERMIT EXPIRES Date G 9c Receipt No. WHITE -D. P. W., YELLOW-ASSE630R, PINK•INSPECTOR, GOLDENROD -APPLICANT `y ERMIT N0. 412 —15B r - PERMIT EXPIRES „z el—I el—I/ OWNER Pearl Barnes . CONTR. A-1 Masonry, Oroville LOCATION (A.P. 34-19-" Co 5 2 i 4431 Olive Hwy, Oroville t y 2 Temp. Power 'Pole Called PG E Temp. Elec Serv. Calle PG&E Temp. as Serv. C� led PG&E Jo F ALED T� — 76, >; (Date) (Signal e)- I$ Y n 1 j COUNTY OF BUTTE — DEPARTMENT OF'PU.BLIC WORKS BUILDING INSPECTIOWRECORD 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 Prov. for physically Heaters Slab handicapped Appliances Carport Conformance of ex. Gas Piping & Test Footings structure Temp. Gas Slab Final Sanitation PatioFIREPLACE Final Footings Footing = 't —7 ELECTRICAL ,Masonry Walls Throatl Rou h 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 (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPART.,MENT OF PUBLIC WORKS 7 County Center Drive Orovi1le, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT w mpmsentatIves UI Lite %�.uunty UI butte to enter upon the above Toned p operty for inspection purposes. Date "47e Sign ur of Permlte 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 / z6 T e - Building permit expires Date j / z g/7 7 BUILDING Owner �.� 1125 S Q. FT. OCC. BUILDING VALUATION Mai I Ing Address Telephone No. Fireplace Contractor /T/ 6 Total Valuation Mailing Address �p�(y� �� Permit Fee Plan Checking Fee&/or Penalty Q iz G Telephone No. —!23) Permit Fee Building Address [� PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 3 I © L / LJ E os Each Trap 1.50 �) rr (Y Q6 Q L l Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 11 Q A. P. No. T � Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 a� Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 4E00] Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service soot/ OR LESS 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2,50 Single Family tZ Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER eoov 100 AMP OR LESS 25.00 Main service EA. ADD•L loo AMP 1.00 NEW CONST. DWELLING OCCUP, & OR ADDNS. ACC, BLDGS. ) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESI, (BRANCH CIRCUITS) 2.50ea ' NEW CONSTPOWER APPARATUS & NON.R. R ESID, (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: t^� 1 Ex. Occup(OUTLETS OR FIXTURES)@C BAL@251 Ex. Occu FIXED APPLNS, OR P• ( OUTLETS (RES ID,) EA) 2.00 Temporary service 10.00 1101 Mobile Home Facilities 15.00 LicenNo. ��J � Classification `� Misc. Wiring 6.25se ❑ 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 Wo en'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 em an P employ y person in any manner so as to become subto 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 w mpmsentatIves UI Lite %�.uunty UI butte to enter upon the above Toned p operty for inspection purposes. Date "47e Sign ur of Permlte 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 / z6 T e - Building permit expires Date j / z g/7 7 i . 142 M. E (last name) Address - (first naltie) 'Kelephoaes, 3 -,:5 -Di�ctions K7 I -ST/ IMMS OF n"SnCTION 'Date 2 Z 74' , W-TEY-RIE OF. WDIAGE: e C:Q 14C' /.j e -a .1-1 C-- 4, 61 .0 40 A -71V e - Danger: ". .. � ' " _ t• �. � �, lac. ��. i/ Z / � � .. e 44 4. Actidn: 6 40 gy� 0 Co Inspect-