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HomeMy WebLinkAbout068-350-051...... ............ EDWIN HULSE $- S- l HOUSER` Charles 1035.13 l0 3 S 1! t . Lel Pinedale;.r:!Oroville � � 26 Permit 3920-73B (new storage ,building) Pinedale. a rox 200' _ from _Ed ewood,. Orov�1 P g J�Ves?rE . Edwards , .". `hermit #2749-77E (ele ser ch) SF ntor. 6otrac,John Voorhees,- P. 0. Box 1206; Oroville P rmit.35 CONTR:'-Butte County Refrig. ,OrovilleJl (heating &=cooling/sQ J t , I • 1 t • b r • F r , _7 7-2 W, /444,J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 r Telephone: 534-4541 APPLICAi-10N 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 1 - / - _ Date i Building permit expires Date . I ' BUILDING Owner -, ,' /, f SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �, • ' r r /%.f, -"el, T' Total Valuation MailingAddress % ' �����r' "��' Permit Fee Plan Checking Fee&/or Penalty Telephone Na. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 /� ' �• iy �;�� /y' /Y Each Trap 1.50 ' ' �' �`'� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 --f A. P. No. l : - .� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. �PIans•Rec'd, I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 / fl• r 9 • 'I + :Lj Main service soot/ OR LESS 100 AMP ORLESS 5,00 �; Dp Main service EA. ADD'L 100 AMP 2.50 _- , S(j OVER Main service OVER soot/ 100 AMP OR LESS 25.00 Single Family ." Duplex ❑ Mobil Horne ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 - NEW CONST. DWEL IN OR ADDNS. ( ACCLBLAS05CUP. 9 22 sq 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: y Ex. Occup(OUTLETS OR FIXTURES) BqL@j Ex. Occup. FIXED APPLNS. OR \ 2.00 p•(OUTLETS (RESID.) EA/ 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 $ /n, u /D , 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. ❑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 relatina 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 1 - / - _ Date i Building permit expires Date . I ' A COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephope: 53451541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �fQ•eti'r11�'�� Date 44 Signature of Permitee or Agent Receipt No.�Cz/��J 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 BLIC WORKS By Date & B ding permit expires Date ��� 2 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor �� ��s Total Valuation Mailing Address/,?/1 �r Permit Fee Plan Checking Fee &/or Penalty elephon No Permit Fee $ Building Address Or PLUMBING No. @ FEE PERMIT FILING FEE $3.00 AVnla /27 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 y.— ZoningGas $ Planning piping system 1 - 5 outlets 1.5U Each additional outlet .30 F C. I Sarlrtat= 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 l31dr.ZJ,n2=ffiMbJ I Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �% O •/110V OR LESS Main service 100 AMP OR LESS 5.00 Q Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00NEW ^ OR ADDNST ( ACCLBLDGLING OCCUP. &) 2¢sgft 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 St I f: y r @y51 Ex. Occup(OUTLETS OR FIXTURES) BA@I.! EX. OCCU FIXED APPLNS. OR P• OUTLETS (RESID.) EA) /Loo Temporary service 10.00 Mobile Home Facilities 15.00 License No. ���/. (m!.6 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ m, SQ $ s 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. 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 $ $ 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �fQ•eti'r11�'�� Date 44 Signature of Permitee or Agent Receipt No.�Cz/��J 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 BLIC WORKS By Date & B ding permit expires Date ��� 2 __ .. _ _ .. �t ��f��'7� � - � �{-�� �S �� �/ �/�E����� ��r��- �..�a ��,e,� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ep'ione: 5c,�4-4541 APPLICATION AND PERMIT autnonze representatives OT the county OT butte to enter upon ine above-mentioned property for inspection purposes. X�� • . i�� r �� �..- , ' 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 Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address ` Telephone No. Fireplace Contractor Total Valuation Mailing Address - i_ •. Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address PLUMING No. @ 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 W.C.' Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Imp rovements p Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 main service 100 AMP V OR ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 OVER 600V Main service 100 AMP OR LESS 25•00 Single Family`❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. &) 2¢sgft 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 7 �' - style of: f �- Ex. Occup(OUTLETS OR FIXTURES) BAL@1 FIXED AP PLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2•00 Temporary service 10.00 t, • r � C �;,� ��� L-�(� Mobile Home Facilities (15.00 - - y L , License No.-��% -42`�% � Classification -'K_1_.. • .�n �i Misc. Wiring •6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ t $ 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 1 $3.00 Heating _ , ,� . ,. •, Cooling Ventilation Hood 2.00 Permit Fee $ / • J $ 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 autnonze representatives OT the county OT butte to enter upon ine above-mentioned property for inspection purposes. X�� • . i�� r �� �..- , ' 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 Date Building permit expires Date E '' In compliance with the rules a Section 96.21 (E) the Manpower will be contacting you to arra agency's CETA Title II program records. The Manpower Specialist will a CETA Title II participants for their reaction to the program. The information obtained from be used to compile program sta problems be identified, you wi outlining the action to be tak Enclosed for your information form. Your cooperation in thi JR/pl1 Enclosure COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 7 Telephong: 53.4-4541 APPLICATION AND PERMIT IS 6 -31411-77 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date J , Signature/off F.rrmmiiteeee or Ag Receipt No. �,L(�Tol �J 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 P LIC WORKS BY Date 7—(,?- 7 7 Bwlding permit expires Date 7-- T -7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address G� Permit Fee Plan Checking Fee&/or Penalty Telephone No. e. -!o Permit Fee $ Building Address PLUMBING No. - @ 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 j 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.5U Each additional outlet .30 Fees I W SerwoM n I 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 'd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service 6011 OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER Main service 100 6001 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBLOGS.LING CCUP. &) 22 sq ft - NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 12.50ea 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 st le • i Y _)99_44Z� 06; 01Temporary Ex. Occup(OUTLETS OR FIXTURES) BALA Ex. OCCu FXED APPLES. OR P•(IEDOUTLETS (RESID.) EA) 2•00 service 10.00 • Mobile Home Facilities 15.00 ��J J License No��L,�,� Classificatio c a� 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. *_41'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 Permitis 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 @ FEE PERMIT FILING FEE i $3.00 r,,r6 Heating Qp Gc Cooling •3 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 $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date J , Signature/off F.rrmmiiteeee or Ag Receipt No. �,L(�Tol �J 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 P LIC WORKS BY Date 7—(,?- 7 7 Bwlding permit expires Date 7-- T -7 P E' PERMIT EXPIRES io-oLro"% OWNER Edwin Hulse CONTR: Owner LOCATION (A.P. 34-53-51 41 Pinedale, Oroville 4 y�Y V DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE Deportment. of Public Works BUILDING INSPECTION' RECORD Zoning Setback 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 Temporary Temporary Cert. of Occup. Final Final Final 11—.20 7 DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W 0. r 7 County Center Drive — Oroville, California 95965 Tel ephond: 534-4541 j APPLICATION AND PERMIT authorize representatives of the/County of Butte to enter upon the above-mentioned property for i pection purposes. X� Date/D �o Signature of Permia or Agent Receipt No. %0-0 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"OFF BLIC WORKS BY Date /c, 7,G — 7--t— E3uilc;irg perrnif expires Dafe BUILDING Owner '� SO. FT. OCC. BUILDING VALUATION Mailing Address Pd Telephone No. Fireplace Contractor C,-, G,— Total Valuation Mailing Address Permit Fee G Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ ov $ Z Building Address 1 PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 vo v t Lte 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. 3y S� — Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F VCl Sa o I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EGA IParkingarcel Plan Declaration Parcel Ma P 60' R/W' Im rovements P Lawn sprinkler system 2.00 Bldg. Plo s Rec'd Parcel Ap vol Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 t i Main service incl. 1 meter Additional meters, each 1.00 �— Single Family ❑ Duplex ❑ Mobil Home E] Others [3y Sub-panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 / S ''c `' Water Heater or Space Heater 1.00 Light fixtures b20 al_�j25 p Receps., switches &—ti.x outlets ZU !) CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div: 3, of the State of California Business & ProfessionsCode 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 91 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. OR 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 $ $ 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 I TOTAL PERMIT FEE $ authorize representatives of the/County of Butte to enter upon the above-mentioned property for i pection purposes. X� Date/D �o Signature of Permia or Agent Receipt No. %0-0 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"OFF BLIC WORKS BY Date /c, 7,G — 7--t— E3uilc;irg perrnif expires Dafe COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4641 APPLICATION AND PERMIT aUMor Ize represenfativus of m county of Butte to enter upon the above-mentioned property for i spection purposes. I % X UDatX- tX7 e/� Signature of PermilU 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. DIPEC R OF PUBLIC WORKS By C Date ��-3U —2,3. uuauing permit expires Date ..��..� BUILDING Owner u Z-(,-- SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 1 e�g( T,e e h o�eNo . �� Fireplace Contractor z Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 ® 4 LLl fir• Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �/� s 3, _ / A. P. No. Y Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s FireDept. Fire Zone 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 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE 1 $3.00 GG , -7 or -Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others rte- Sub -panel (12*�te—ss) (more than 12) 4 zi_c7 Range, Cook -top or Oven 1.00 l� Water Heater or Space Heater 1.00 Light fixtures20025 . J R ps., s itches &fix tlets, 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 $ $ �J 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. XI 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 quilding construction, and hereby TOTALPERMIT FEE $ �J aUMor Ize represenfativus of m county of Butte to enter upon the above-mentioned property for i spection purposes. I % X UDatX- tX7 e/� Signature of PermilU 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. DIPEC R OF PUBLIC WORKS By C Date ��-3U —2,3. uuauing permit expires Date ..��..�