HomeMy WebLinkAbout069-090-022-69--p 9 -2? -AP _ _
CF. TURNER (lot 47)
�_
#4�.tHanging 4Tr C'our't, Oroville
Pe_'mit# 3709-74P,E (util. , MH)
- AP
contr: B&D Enterprises, SAC
Permit# 376- B(awning_&,covere
deck, MH) 14 4 A
contr: B & D Industries,Sacto.
Permit 116 77 S11 --renewal for permit
4376-75 i7T
Contr : B & D Ind, Sacto� �9- ZZ
Permit #1�.21-78B(2nd. renewal/
376-75) Y• kwe TV" Aj Q
2i
i
C"l ` •4. C"l
February 22, 2000
5
Jean and Ron Hill
4 Hanging Tree Ct.
Oroville, CA 95966
Dear Mr. and Mrs. Hill,
BEAUTY
ucrmnimcni yr uGvGGvrmcni 0Gf1rIVGA
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
If a concrete slab and footing is constructed as a foundation for a building or other structure, a
building permit is required. Section 106.2 of the 1997 Uniform Building Code delineates work
exempt from permit, and 106.2, item 7, lists platforms, walks and driveways not more than 30
inches above grade and not over any basement or story below as one of those exempt items. We
have never required building permits for driveways, walks, patio slabs, or any other concrete flat
work.
Should you have further questions, please contact me at the address or phone number above.
Sincerely,
Scott Rutherford
Chief Building Inspector
1
� can & Ron Hill'
4Hangg•�ngTreeCt.
O=
CA 95966-3918
T1��gK6�i.�tR(fi<C-rl\iEfZC-"�� t.b�.5� t?C'> J
���,o lam_ ��- � _N• _
/ A
DIDt���..-'
` FE8 Jean & Ron Hill,
4Han •ng Tree Ct. a
BUTTE COUNTY Orovil e, CA 95966-3918
1 -BUILDING DIVISION
_ _
r
!j
1 - .
BUTTE COUNTY DEVELOPMENT SERVICES
Complainant:
Address:
Phone Number:
Other Comments:
Inspector must draw a plot plan with all building locations:
Additional comments from Inspector:
2
F. TURNER _ lot 47)
#4,,Hanging Tr roville
Pe,,mit# 3709-74P,E (util MH) y
con
tr: B&D Enter rises SAC
Permit# 376- B(awning�& covere
deck, MH)��5
1
. contra B & D Industries, Sacto, x •' .. '
Permit #6&77B( st renewal for permit a
#376-75 f � ��a� /7g7
Contr. B & D Ind, Sacto� �9v2Z ---
Permit #1 21-78B(2nd. renewal/
376-75) 1�: csa,Q '�"� l7 17 '`' + #' (nn
`... � __. f.4.... • -. ...ry.- ..a -ti. _�-.! �........_ �. -� �. _+ r.. _ . . • .-.R � .. rte- ° ..... .• � 4 � • � , - .. i - �I,
h;
F. TURNER _ lot 47)
#4,,Hanging Tr roville
Pe,,mit# 3709-74P,E (util MH) y
con
tr: B&D Enter rises SAC
Permit# 376- B(awning�& covere
deck, MH)��5
1
. contra B & D Industries, Sacto, x •' .. '
Permit #6&77B( st renewal for permit a
#376-75 f � ��a� /7g7
Contr. B & D Ind, Sacto� �9v2Z ---
Permit #1 21-78B(2nd. renewal/
376-75) 1�: csa,Q '�"� l7 17 '`' + #' (nn
`... � __. f.4.... • -. ...ry.- ..a -ti. _�-.! �........_ �. -� �. _+ r.. _ . . • .-.R � .. rte- ° ..... .• � 4 � • � , - .. i - �I,
_ 4f
;PERMIT NO.
P
E
MH UTIL.
PERMIT NO. 3709-74PFE
PERMIT EXPIRES
OWNER Gl y 'TT.Ur.ner
CONTR.
LOCATION (A.P. 34-66-22 )
A
4 Hanging Tree Court,-,Oroville
lot 47 , K.R. Unit #2-A
4
A ee!
fi .
yi
i
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E O�
Temp. Gas Serv.
Called PG&E
s
Y JOB ^�
FINALED ._ 7
(Datfl
(Signatu )
I
COUNTY OF BUTTE — DEPARTM64T 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
Sidina
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
109
le— leo 91-, r
ral COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR
7 County Center Drive — Oroville, California 95965
// Telephone: 534-4541 /
`APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
4mentioned property for inspection purposes.
Date
of Permiitee or Agent
Receipt No. XZ� s 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 UBLIC WORKS
BY Date � i ice— 7
B ding permit expires Date .................
BUILDING
Owner ,
SQ. FT. OCC. BUILDING VALUATION
Mailing Addressd e
,/
Telephone No.
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
.P
$
Building Address
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
75�;e
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
S (f
p?
Each gas water heater or vent 1.50
A. P. No.
Zon, P iqg,
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
W.
on
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Park' g
PI s
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
ffftg. Plans Recd I
Par pproval
Plons Approval
Permit Fee
$
. 00
NEW ❑ ADDITION ❑ UTILITIES OTHER [:]PERMIT
ELECTRICAL
No.
@
FEE
FILING FEE $3.00
,� 00
.'f s /%f (Zgy
Main service incl. 1 meter
Q
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home X❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures ba_l�di—o
Receps., switches & fix outlets 20�2�
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
D100a'm exempt from the Contractors License Laws of the State of California.
Permit Fee
$
111 QQ
$ 0
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.
certify that in the performance of the work for which this
13 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
d
authorize representatives of the County of Butte to enter upon the
4mentioned property for inspection purposes.
Date
of Permiitee or Agent
Receipt No. XZ� s 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 UBLIC WORKS
BY Date � i ice— 7
B ding permit expires Date .................
'his set of plansMUST be
kept on the job at all jim . es end it is unlawful to
make any changes or alterations,onsame without
written perm isson from the Department of Public
Works, County of Butte.
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BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED H
,r
PERMIT NO. 6- B
�: � �s� � 709—
L
r P
E
4
M
I�MH UTIL.
PERMIT NO.
^„ t PERMIT EXPIRES C>2`� —7 6
`'OWNER Guy Turner
;,oNTR. B & D Enterprises, Sacramento
LOCATION (A.P. 34-66-22 )
K
4 Hanging Tree Court, lot 47, KR#2.A, Oro.
- i
+ - Temp. Power Pole
4 `a Called PG&E
10 Temp. Elea Serv.
L i Called PG&E
E Temp. Gas Serv.
y Called PG&E
JOB
FINALED O� O
(D to
t
(Signature)
COUNTY OF BUTTL — 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
Gara a 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 --7 REMARKS OR CORRECTIONS
,. G
30
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS r��
7 County Center Drive - Oroville, California 95965 %��/
Tel ephone: 534-4541 /
APPLICATION AND PERMIT
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.
lidI 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 to Laws relating to building construction, and hereby
aut ori rep re to •v of County of Butte to enter upon the
abo a -m ntion d p ert f ins n purposes.
X Date ?
Ignature of P''erffmitee orAgent
Receipt No. ':z T
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
Permit Fee $
MECHANICAL No @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE $ /0- ?)
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.
E TOR OF PUBLIC WORKS
BY ' Date -1/7 h
Building permit expires Date -a--6
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
Mailing Address ,
QAA 7:0
Telephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
le o
.�
Permit Fee
Building Address
Plan Checking Fee /or Penalty
Permit Fee
PLUMBING
No.1 @ FEE
PERMIT FILING FEE
$3.00
Each Trap
1.50
Repair drainage or vent piping
1.50
^� v�
A. P. N0. —1� J.._
Zoning &Planning
Water piping
1.50
Each gas water heater or vent
1.50
F
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets
1.50
EOA
Parking
Plans
I Parcel
Declaration
Parcel Map
60' R/W
I Improvements
Each additional outlet
.30
Building sewer
5.00
� JQW Mee+dam
Parcel ApEroyal
Plans Approval
Lawn sprinkler system
2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
permit Fee
$
r-7
ELECTRICAL
No. @ FEE
PERMIT FILING FEE
$3.00
00V OR LE
Main service 100 AMP ORSLESS
5.00
Single Family Duplex Mobil Home ❑ Others ❑
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
NEW CONST DWELING
OR ADDNS. ( ACCL BLDG..0 CUP. `II)
20sq ft
CONTRACTORS LICENSE LAW
1 am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
iNDUS7��J' INC -
ULT
NEW CONSTR RANOOUTLET
NON.R ESID (BRANCH CIRCUITS)
2.50ea
NEW CONSTR. POWER APPARATUS 5
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUO(OUTLETS OR FIXTIIRES
5 L25
FIXED APPLN5. OR
Ex. Occup.(OUTLETS (RESID.) EA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
License No. zG%� Z Classification
Misc. Wiring
6.25
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.
lidI 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 to Laws relating to building construction, and hereby
aut ori rep re to •v of County of Butte to enter upon the
abo a -m ntion d p ert f ins n purposes.
X Date ?
Ignature of P''erffmitee orAgent
Receipt No. ':z T
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
Permit Fee $
MECHANICAL No @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 1 2.00
Permit Fee $ $
Land Development Fee $
TOTAL PERMIT FEE $ /0- ?)
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.
E TOR OF PUBLIC WORKS
BY ' Date -1/7 h
Building permit expires Date -a--6
COUNTY OF BUTTE -- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Uroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above- ntioned property for inspection purposes.
®1104"lDate 7
Signature off P;er tee or Agent
Receipt No. L5 o
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?�f%- �7j -7
wilding permit expires Date /f� �"/ /
BUILDING
Owner Guy F. Turner
SQ. FT. OCC.1 BUILDING VAL ATI
Mailing Address
Telephone No.
Fireplace
Contractor B&D Industries
Total Valuation
Mailing Address 2555 Evergreen St.
Permit Fee
Plan Checking Fge&/or Penalty
Sacramento, CA. 95815
4�Th234Y.
Permit Fee I $
pC
Building Address 4 Hanging Tree Ct. , Oroville
PLtJMBIY4G No.1 @ FEE
PERMIT FILING FEE J$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. 34-66-22
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees I
W. el .
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
Plan -R -52572 --Parcel
Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [jk
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
1st Renewal of B.P. #376-75
Main service 600V OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V100 AMP OR LESS 25.00
Single Family ❑ Duplex ❑ Mobil Home IZ Others ❑
Main service EA. ADD'L 100 AMP 1.00
Awning & Covered Deck
NEW CONST.(DWELLING OCCUP. &
OR ADDNS. ACC. BLDGS. 20sgft
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:
/ /.]
Ex. Occup(OUTLETS OR FIXTURES) BAL@01
Ex. Occup. (OUT FIXED APPLNS. OR
E LETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
a
LicensClassification
Misc. Wiring 6.25
❑ 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.
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
$ Qd
authorize representatives of the County of Butte to enter upon the
above- ntioned property for inspection purposes.
®1104"lDate 7
Signature off P;er tee or Agent
Receipt No. L5 o
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?�f%- �7j -7
wilding permit expires Date /f� �"/ /
a
4,
01,
yJ 4Avo JO o
J
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WOR S cJ� 6�00
�J
7 County Center Drive - Oroville, California 95965 se.
Telephone: 5344541
APPLICATION AND PERMIT
abov '-'ment one°dente County or Butte to enter upon the
Prop einpection purposes.
c
X t )krl Date 1'30
Signatu/re of Permitee or
Agent
Receipt No,/ �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.
DIRECTOR OF PUBLIC WORKS
By ate -6 - ? J—
B ding permit expires Date .................................
BUILDING
Owner �� >/ ^� T� r 2 2`
SQ. FT. OCC. BUILDING VALUATION
510 62I&0000
Mailing Address ) G 7r�4�-7 (1_7--
&1 00
/LL
Telephone No.
Fireplace
Contractor
Total Valuation 2 100
Mailin Addre
g �S5 CVk/4.e�56 % S7-
Permit Fee
Plan Ch$cki ng Fee &/or Penalty
alephone
—r `
No.
7 -ab e//
Permit Fee $
$
Building Address/ l �� T
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
j
02%4
Each Trap 1.50
/�
Q+,C L•LC
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
s
C.
9arrFtativrr Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Pla
Parcel
Declaration
parcel a P
60' R/W
pro
Im ents
Lawn sprinkler system 2.00
Bldg. ns Recd
Par Approval
P1 Approval
Permit Fee $
$
NEW'2 ADDITION ❑ 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 Elk Others ❑
Range, Cook -top or Oven 1.00
U—l oZ y 14 5
Water Heater or Space Heater 1.00
Light fixtures 20
bal kilo
9y �(����
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. 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
Temp. Power Pole 5.00
pp n //
License No. ��l6 Fr� Classification �-C�
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.
lecertify 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 tate Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ 2 00
abov '-'ment one°dente County or Butte to enter upon the
Prop einpection purposes.
c
X t )krl Date 1'30
Signatu/re of Permitee or
Agent
Receipt No,/ �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.
DIRECTOR OF PUBLIC WORKS
By ate -6 - ? J—
B ding permit expires Date .................................
SA
o .,a?