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HomeMy WebLinkAbout069-140-016- _, A.P. 6 h,:�Ct� C. L. NICHOLS /0 9- 14 - /4 .i 45 Greenbrier Dr., Lot 244., Kelly ?; Riage Estates #1, Oroville - Permit 768-73P" -� (water piping, gas piping & sewer connectionfor mobile home)' A.P. LOT 1 BLOCK SUBDIV.�{;..�+ L. NICHOLS { 1 _ TYPE OF 45 Greenbrier Dr., Lot 244, Kelly Ridg PERMIT NO. PLAN NO. DATE 15- I PERMIT Estates, Oroville REMARKS Permit 1381-73B V�J 7/2-5175 (deck for mobile ome) A.P C. L. NICHOLS 6f- /-5f-Z,6 El #45 Greenbrier Dr., Lot 244, Kelly Ridge Estates, Oroville CONrR:' Acro -Lune Oroville Permit..1951-73B. u;jjj.7/, 5%73. ( awnings (2) fo mobile home) I i !IIPERMIT DESIGNATION: I, DEPARTMENT OF FF BUILDING AND SAFETY tea. B—BUILDING I E—ELECTRICAL U—USE PERMIT 'P—PLUMBING TV—RADIO-TV ANTENNA V—VARIANCE T—TRAILER S/W—SIDEWALK NOTICE S — SIGN PERMIT HM—HOUSE MOVING EP—ENCROACHMENT D — DEMOLITION 600.1 L+!h ic" J, -j INSPECTION --RECORD BUILDING APPROVALS ' I ~ W Wj IL z z O_ Ooi- aKD UOz JO LL o LL z _ UJIt III LLF m y � z Q LL I O= WFQ ' z 0'= , W~ ! OW r Wy a OW 1 I Wy FXa to W a , W , UO , Z U P3 , r'0 r a'3 a� D W tUt a W LL J z a SIG. DATE SIG. DATE SIG. DATE SIG. 1 ' DATE ' SIG. DATE SIG. DATE SIG. DATE SIG. . DAVE - SIG. DATE a. r, SIG. DATE SIG. r DATE SIG. DATE PLUMBING APPROVALS PERMIT NUMSERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE 81G. DATE ROUGH -IN GAS PRESSURE TEST WATER PIPING SEWER LINE APPLIANCES & VENTS FINAL ELECTRICAL APPROVALS PERMIT NUMBERt SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE ROUGH -IN FIXTURES & APPLIANCES METERS FINAL MISCELLANEOUS APPROVALS PERMIT NUMBERt 1 DESIGNATION SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE j PERMIT NUMBER - B 1957-73B P I E i PERMIT EXPIRES OWNER C. L. Nichols CONTR: Acro -Lome, Oroville LOCATION (A.P. 34-61-16 45 Greenbrier Dr., Lot 244, Kelly Ridge Estates 1 s ;I COUNTY OF BUTTE t Department of Public Works E; BUILDING INSPECTION RECORD Zoning Setback Forms 'Foundation Piers & Girders Fireplace ,Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found: Vents Framing ,�C_ —.-9, ��— 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 DATE REMARKS OR CORRECTIONS i, r, f! i` r I R A ' COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Wive 6 Orovi Ile, California 95965 Telephone: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection pup oses. 44AZ '41, - ' , - X Si azure of Permitee or Age 6 Receipt No. O — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 BLIC WORKS BY (� - Date Building Permit Expires Date / t — Z 7 /BUILDING Owner ® /(//O ©�C S SO. FT. OCC. B ILDING VALUATION 6-8 U f-7 6 Mailing Address 'AIJ —� Fireplace Contractor AC,z p —�qoye-Total Valuation Mailing AddressPermit G Q go v Fee Plan Checking Fee&/or,Penalty PC Q ILC 04(_1)'• Permit Fee $ $ $t00 Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Q 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.3 — I Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 'Plans Fees W. C. �I R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION Ej OTHER ❑ Permit Fee $ $ / — S 1-4 U A ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Akuo)Y46 Pk L5 — P Main service incl. 1 meter N f-) _ Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE . Single Family V1Duplex. ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures 2 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: ) �/7/ e 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 Misc. wiring License No. _1)-7 ZS y-% Classification e— ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE n 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 LPI 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 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 $tate Fee for Strpng Motion $0.07/$1000 Evaluation Iln st rumen,otion Yrogrom $ TOTAL PERMIT FEE $ o a , dD authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection pup oses. 44AZ '41, - ' , - X Si azure of Permitee or Age 6 Receipt No. O — White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 BLIC WORKS BY (� - Date Building Permit Expires Date / t — Z 7 a COUNTY`OF'BUTTE =-DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ., Oroville, California 95965 VTelephone: 534-4541 t• 4 APPLICATION AND PERMIT avUIVIILC IUPICJCIILCMVeS ul IIIe Uuunly ul outte to enter upun Ine above-mentioned property foe inspection purposes. Date/: -may-/ Signature of Permitee or A ent 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 �.--/ f'1..�l Date A� uild{ng permit c=ftea DatQ - 3 '��! BUILDING Owner-,- `� / I SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address �vl Telephone No. Fireplace Contractor nom. �� �r +mak Total Valuation ` Mailing Address 7 /,/ � /y Permit Fee PI an Checki ng Fee &/or Penalty r � � �\ 1 \ Telephone No. :�. •, Permit Fee $ $ Building Addressf e-',,- PLUMBING No. @ FEE PERMIT FILING FEE $2.00 _)OU l/ti: lf� • CQ ,. /YFi�' C < I -r /i''� Each Trap �` 1.50 r - Repair drainage or vent piping 1.50 / � 7 Water -Piping % �i / .41J.50 dd: SU a \ -� Eachrga§ water heater or vent —1;50. — A. P. No. f ;t ' "A, ning Gas piping system 1-.15`iiutlets` /_, 1.50 ,- Ea&,addltibnal"outlet v '' '"!30 Fees W. C. 'Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W m Improvements- provements $ Lawn sprinkler system 2.00 Bldg. Bldg. Plans Recd ~ParceltApp\val Plans Approval I Permit Fee �' $ %/).Gyl $ NEW ❑ ADDITION ❑ �UTILNTIESQ OTHER❑ ELECTRICAL - No. . @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter. 4 i Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) ! - Single Family ❑ Z�D'uple_x � Nl6bil�.`Home Others ❑ Range, Cook top or Oven 1.00 r Water Heater or Space Heater - 1.00 * r I Light fixtures , „ bal d25110. -� Receps., switches & fix outlets ba 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 t. !'" �- i; A\ k fi ��� 1 ,A a.A 7_,11, Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. diso. or D.W. '1.00 Air conditioner or heat pump ' Water pump Mobil Home'Facilities x5.00 �- Temp. P wer Pole 5.00 r. License No. �� -- Classification � ;0-AyA7,<,r 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. '@ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 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 r$7-0-706 avUIVIILC IUPICJCIILCMVeS ul IIIe Uuunly ul outte to enter upun Ine above-mentioned property foe inspection purposes. Date/: -may-/ Signature of Permitee or A ent 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 �.--/ f'1..�l Date A� uild{ng permit c=ftea DatQ - 3 '��! COUNTY OF BUTTE — .DEPARTMENT OF PUBLIC WORKS �\ 7 County Center Drive - O;pville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner ��� �� ' SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor i% �;/ yGr„- 'e jGr. Total Valuation Mailing Address 9 '� ! r .�Ir Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address - /r"" PLUMBING No. @ FEE PERMIT FILING FEE $2.00 i Each Trap 1.50 G 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 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 Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter ''! 1 .` .-� 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 Light fixtures66l �Sc Receps., switches & fix outlets Z��25 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: '-�-�- G✓. ' �e%I 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 6-6,) Temp. Power Pole 5.00 License No.c " y �G Classification -y BILI Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $'% i% 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. lyhave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F -1I 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 $ 77 77°' autnonze representatives or the uounty or butte to enter upon the above-mentioned property for inspection purposes. ,® 7 Date Y� Signature of Pefmitee'orAgeht`/ 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``l ��, 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive .— Orpvi lie, 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. ate -7-3 ignature of aerrrmmitee or A en%t Receipt No. v` - 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 -7-3 0 wilding permit expires DateJ-30 7 BUILDING Owner -SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor ' ` Total Valuation Mai I ing Address(:It ` Permit Fee Plan Checking Fee &/or Penalty Wl e N 1 3L Per mit Fee $ $ Building Address -� P PLUMBING No. @ FEE PERMIT FILING FEE $2.00 G a J� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.5040 f Each gas water heater or vent 1.50 A. P. No. —% , Zoning in Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sa itatio' FireDept. Fire Zone Use Permit Building sewer 5.00 S EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ r $ QE NEW ❑ ADDITION ❑ UTILITIES OTHER EJELECTRICAL 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 El Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal(dz5 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 �— I 1/'�` �� �H /1 1f / 14 VA /i/!/� Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. di so. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 -4-A Temp. Power Pole 5.00 '�r. License No._�!� �L_ Classification XGA i%4/I isc. 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. 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 $ 0 06 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ate -7-3 ignature of aerrrmmitee or A en%t Receipt No. v` - 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 -7-3 0 wilding permit expires DateJ-30 7 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ; Orcyille, 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 -,*r -_? `7,;-;, Signature of Ifs itee or A t 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. (1 DIRECTOR OF PUBLIC WORKS BY ate T/ :7� Building permil expires Date ....... _..... BUILDING Owner -SQ. FT. OCC. -BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty G ~ Telephone No. Permit Fee $ $ Building Address r PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 C 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 Improvements provements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES F1 OTHER ® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 CO A,7— Main service incl. 1 meter DC7 Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home 19 Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesbai�ao Receps., switches & fix outlets bal 01 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 Hood, Ex. FanorF.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 Bd Temp. Power Pole 5.00 C/'l License No. Classification C.7 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ BD $ 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 men's Compensation. ve placed on file with the County of Butte a certificate of i�?,?r, orkmen's Compensation Insurance. EJI 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. @ FEEPERMIT PILING 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 Date -,*r -_? `7,;-;, Signature of Ifs itee or A t 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. (1 DIRECTOR OF PUBLIC WORKS BY ate T/ :7� Building permil expires Date ....... _..... y PERMIT NUMBER _ B 1381-73B P E PERMIT EXPIRES OWNER C. L. Nichols CONTR: owner LOCATION (A.P. 34-61-16 45 Greenbrier Dr., Oroville E. (Lot 244, Kelly Ridge Estates) COUNTY OF BUTTE Department'' of Publi'r Works BUILDING J;�SPECTION RECORD Zoning Setback Forms Foundation . Piers & Girders Fireplace ,,Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found: Vents Framing —,-ZS Plmg. Topout Rough Elec. Wtr. Htr. ' Furnace Kitchen Vent ` firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final 1 Final Final -DATE REMARKS OR CORRECTIONS + { + r r e I 1+ t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ��,�/ 7 County Center Drive — Oroville, California 95965 U ` Telephone: 534-4541 APPLICATION AND"PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. d XDate Signature of Permiteeeor/Agent Receipt No./ D 7 v� 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 a — i 3— ,i- "7 �C . f3uiiding permit expires Date ....... BUILDING Owner tG� 5 SQ. FT. OCC. BUILDING VALUATION G� coe Mailing.Address e 6 Q/, ` Tel hone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ UC Building Address ` 4�9--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. — l fc Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s C. Sanit n Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking PI s Parcel Declaration Parcel Ma P 60' R/W Im rovem s 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 �% / / !✓ �2iGc� G Gji � Main service incl. 1 meter SP2— 761✓' % 3� �,[ �tU'�.3 r 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 1.00 Water Heater or Space Heater 1.00 Light fixturesb�alLdl�o Receps., switches & fix outlets zo�23 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 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 .__ permit is issued I shall not employ any person in any manner o 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 $ % OG authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. d XDate Signature of Permiteeeor/Agent Receipt No./ D 7 v� 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 a — i 3— ,i- "7 �C . f3uiiding permit expires Date .......