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Home My WebLink About069-140-041ORO RIDGE PROPERTIES 69-14-41 535 Silverleaf Dr.., lot 181., 0 ro. permit# 3935-75P,E(uti wl ELEC. GA' COMPACTION TEST REQ. NM��j AP —C071NTR-: �Carneros M�JT-r nsp,. - T, .'Napa -4- Permit# 42P Y�A Issued W&Permi VjLje?9?75 8 C3 Contr: B & D�Jndtrbtries, ?&cto- 0 contr -7 If B & �ustries, Sacto Permit #903-78B(lst. & 2nd. ren- ewals #4839-15) o 1�1 � .� -r � ICJ � i� �. o. A MH Util. ,PERMIT NO. 393575P,E M P E y M 'r MH UTIL. PERMIT NO. PERMIT EXPIRES OWNER Oro Ridge Properties ICONTR. 1 'LOCATION (A.P. 34-61-41 ) 535 Silverleaf Dr., lot 181, Oroville R i ( Y t, .h 1 ,l i, a Temp. Power Pole Called PG&E . Elec. Serv. % Called PG&E Temp. Gas Serv. Called -PG&E % y 1 JOB FINALED (Date) (Signatu ).-- % COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback / - Firewall Soil Piping Forms 7 Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor, Footings Windows 3rd Floor Stemwall Siding To out . Slab Roof Sheathing Water Piping(? _ 2-0--76— Piers Roofing Sewer 0-7 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 - �Lo •- Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough - ZO"i Reinf. Steel Final Fixtures Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE FIRE SPRINKLERS MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent Final J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W/i`/ P /� 7 County Center Drive - Oroville, California 95965 `T Tel ephpne: 534-4541 K FO .1' APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. - - D - X-4 /A X Date Signature of Permite or Agent Receipt No. 341 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 PUBLIC WORKS r By�� Date Building permit expires Date BUILDING Owner 01,0t� SQ. FT. OCC. BUILDING VALUATION Mailing Address Sog Si Iver•ea L/ it / O / i S Telephone No. 971/p 33- Fireplace Contractor 'Total Valuation Mailing Address 1,4,90- �54 L Permit Fee Plan Checking Fee &/or Penalty I^ 11Orl-V Telephone No. �Qr% _ S( Permit Fee Building Address ��, PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Q /` e Each Trap 1,50 ` 67' _ 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 Fee's W -C S .',' Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration parcel Ma P 60' R/W Im r p ove ents Lawn sprinkler system 2.00 Bldg. PI(ns 'd Parcel Appi al PlansApproval Permit Fee $ $ NEW 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 ® Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures b 2 Receps„switches & fix outlets20 t2 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��,,f: liarrJPi"oS /"/QC7l�P_ TansQoi"� 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. �[o9�s 8 Classification _ Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of Cali fomia. 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 L2.00 Hood 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 buildinq construction, and hereby Mobile HO M P, _T/ls2W/a:726 TOTAL PERMIT FEE $ 3D — authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. - - D - X-4 /A X Date Signature of Permite or Agent Receipt No. 341 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 PUBLIC WORKS r By�� Date Building permit expires Date COUNTY OF BUTTE — 'DEPA-RTMENT OF PUBLIC WORK il 7 County Center Drive - Oroville, California 95965 Telephone: 5344541 . APPLICATION AND PERMIT &/ ,q,,57_ 75— N BUILDING Owner / (J ✓ 0, r'. e / -&,s SQ. FT. OCC. BUILDING VALUATION Mailing Address S�Plarelrsax Telephone No. Fireplace Contractor Total Valuation Mailing Address . Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 c��6y:7 �'� ��.°�UE'.r�r�/i- ►,% i .} '�, Each Trap 1.50 Y" U W`4, /d Repair drainage or vent piping 1.50 Water piping 1.50 Q` OV Each gas water heater or vent 1.50 A �P _ �/ �-- • / l� RTO; TO;-� g P Gas piping system 1 - 5 outlets 1.50 00 Each additional outlet .30 es FireDept. FireZone Use Permit Building sewer 5.00 , Q EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Plans Rec'd Parcel Approval PI Approval an Permit Fee 33 �� NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00�Od Main service incl. 1 meter 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 fixtures r2_0 bgld2 jp 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. 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 5100 Q Temp. Power Pole 5.00 License No. Classification Misc. wiring 21'am exempt from the Contractors License Laws of the State of California. Permit Fee $ O -Z/.06 $ 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. 2certify 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 w 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 relatina to building construction, and hereby TOTAL PERMIT FEE $, authorize representatives of the County of Butte to enter upon the above-mentioned property for ins ection purposes. ,per � Date Signature o Permitee or Agent Receipt No. 4-5f.1/1 61,y 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. DIRECTORAOF PUBLIC WORKS - By Dated �- 7 B'ding permit expires Date rt U` IL, CLEARED �• DATE .2-0 + r A -,P. 140.. ELEC.iGA �U p"0RT SINU I X' 1-1U1._YtS.�_ C-O',k FACTION EST PE vli -iz-' A A< 4'. 11 Fi. ---- - --� BUTTE COUNTY LOT 1S1 BUILDING DEPARTMENT UNIT ') w:Zo-4WPPQVPD tro Setback shall b® it.. from LOQ !_tv6--. — the line and 50 fhe side property erm ir.. 3 0 of the. road•;• p the ce-Iter.{inof a 2 it eave overhar.. may urnPm 20 AdIt °1((1be ONO - S,a11 rear �t qn ae the re , i V\ v �� •a� utility n 4•{c;.0uts °bile h°m► ;� ` w�thn °{ is Leh 5ectio al \ th;r he Ot �rOa Q \ , ons. / \ br Zt_C;� !/ 17& -C / f 3 SEJ !3_C..lT- L .U.. DT2A%N EA -Au 77' Nis seg of Plmns aced W�cificatiOfis MUST be kept on the job at - all tinges and it is ure etwfirl to �,.;e any changes or alterations artAr►enm of Pv �c- Men permissori from Aeut flee p Works, County of Butte. . - -' /��t3_�G E=. ii Qa.E'IJ_- 8•-3._75 T1_ v�-:-�. ry-r�," COOK ASSOCIATES /' ENGINEERING CONSULTANTS i 2060 PARK AVENUE OROVILLE. CALIFORNIA 95965 OCS ta,�_�VY PHONE (916) _ 599.8457 OOqyam''' CALIFORNIA P. E. NEVADA P. E, OREGON P. E. August 20, 1975 James Glander Department of Public Works 7 County Center Drive Oroville, California Re: 75258 Dear Jim: Compaction test results are enclosed for mobile home site preparation at Kelly Ridge Estates for: English K.R.E.-Unit 1 Lot 158'r�_�3��% Oro Ridge Properties Unit 1 Lot 180 i Oro Ridge Properties Unit 1 Lot 181 Representative tests indicate that the 90% relative compaction requirement has been satisfied. A location map is attached. Very truly yours, COOK ASSOCIATES Alan,G. Brown Civil Engineer AGB/cap Enclosures DR. LLOYD M. COOK ED, D. JOE E. COOK M. E. DAN J. COOK C. E. 5L �. j �,� I ° •1�.14 Project Oro Ridge #1 - 181_ Coo"-SSOCIATES Job Number 75258 ENGINEERING CONSULTANTS Nuclear In -Place J. Gillispie Taken By 2060 PARK AVENUE OROVILLE CALIFORNIA 95965 -Moisture Density Test August, 1975 , Date. (91 6) 533-6457 TEST NUMBER 1 2 3 4 5 6 7 a 9 10 TIME 8-1 8-5 8-12 8-12 8-19 SW istlift 2nd lift 2nd lift Final TEST Cor. W Cor nw Cor N Cor, lift. LOCATION N Cor. Retest. - MODE 8 DEPTH 8" DT 6" DT 8" DT 8" DT 811 -DT MOISTURE COUNT 1268 943 1068 1037 1175 MOISTURE COUNT RATIO .906 .665 .760 .738 .827 MOISTURE PCF 23.75 16.2 5 _ 19.25 18.5 21.25 . DENSITY COUNT 227 435 199 259. 211 DENSITY COUNT RATIO .823 1.588 .721 - .938 .767 WET DENSITY PCF 138.5 135.0 144.0 133.0 141.5 DRY DENSITY PCF 114.7 118.75 124.75 114.5 120.25 MOISTURE 20.7% 13.6 15.4 16.2 17.6 OPTIMUM DENSITY PCF 132 132 .132 132 132 % OPTIMUM MOISTURE 10 10 10 10 10 RELATIVE COI APACTION 86.9 90 95 87 91 J """""nv VVun I COMMENT: MOISTURE DENSITY 1400 27 8-1 1418 275 8-5- 1405 -5 1405 276 8-12- 1420 275 8-19 •- a 4 I o zo'-TIPW TEsT LoC,is-[' t O tJ 0 .�Z. T =- ��. �Co� K? -.EF - LoT 191 hurt. i —�. O LINE SEE SHT. Z9 ' PAS � �.. ui G'1P 0. S. C kx Ij P' A.C.P. WAT R I � �iZ•33LT. r • Q -- �_ � . _ i I \ R • 10 4 L ol --" DIRGE lid 04' .CoUc-. ..tc: _. 10 r..0 408,'gSTALL CMP W%F.H.E.S: r3AKFILL T:J A tq�,' t GOt-,lbLE. 105- FAL a:_ E 3*� Cz1►r., p�i-LN dip o.JR.�.1ti1 !. (iozDUT E cam) I 7 County Center Drive, Or•oville, California ` PHONE: 534-4541 a Lot Facilities I:enQth = MOBILEHOME INSTALLATION INFORMATION Mobilehome Data 1. Length Width� Manufacturer%pUi?1�ii7 fit �lP�i Vehicle Serial No. 7� � Insignia Control No-. - .2'. .Feeder assembly' ampacity //)p Conduit size - Power supply cod (amps) -¢ -- 3: Gas inlet size w Mobilehome connector size Capacity - .4. Drain connector: describe.on reverse side 5. Water connector: describe orcreverse side 6. Designed loads: - Roof live_ load psf. Wind load /S psf . (only for nobilehome.s manufactured after October 7, 10173),,_ -7. Manufacturer's-installution instrur_tioris? • Yes �C No 8. Will the mobile home be insta11ec1 on a separate support structure? Yes No_X 1. Plot plan dimensioned, location of mobile and utility connections? Yes X No ' 2. Electrical -service equipment ampacity inn Circuit breaker ampacity /nQ Permanent Wiring Connection Ampacity 1i)0 Receptacle.. - AmpacityI-Ir"CIT7—� 3. Gas: Natural. — LPG y, Gas riser size 4. Drain inlet size 3" 5- Water ris`r size 6. Are utility connections located outside the reat 1/3 of the mobileF:ome.within 4 feet of the left -wall? Yeses_ 10 If not,. show dimensions:abov_e'._„_, _ 7, Is the mobilehome clear of septic tank, leach fields and located outside public utility easements? Yes � No 8. Do you propose to do other _work on the property other than the mobilehome installation which will require.a permit! Yes No X If so,. specify --For plans and specifications of support system, see other side. H mw$e irts ADDITIONAL. C011,11\17 'N'TS Drain Connector, Describe-- �7e_0� 102 /7 Water Connector, Describe' LOAD BEt-IZING SUPPORT AND 2OOTING INFORMATION Pier Spacing Used An 1� Maximum Pier Load'te- r) Maximum Column Load (multi -units only) f0i20 xx Soil Bearing Capacity Footing Dinit'ension Usod__ TYPE OF PIER USED Steel Concrete Concrete Block Other TYPE OF FOOTING MATERIAL USED, Pressure Treated Wood _1< Concrete Redwood (Grade) Other Approved Type�__ LOAD BEARING SUPPORTS BUTTE CO NT gUitnING DEPARTMENT APPROVED a;W, PERMIT NO. 4$.39-75.B . E ' m ' M `.fs,H UTIL. " PERMIT NO. i PERMIT EXPIRES c Oro -Ridge Properties +s-CONTR. B&D Industries, Sacramento • ''"�`34-61-41 OCATION (A.P. ) �� 535 Silverleaf Dr., Oroville "j jk a;W, PERMIT NO. 4$.39-75.B . E ' m ' M `.fs,H UTIL. " PERMIT NO. i PERMIT EXPIRES "OWNER Oro -Ridge Properties +s-CONTR. B&D Industries, Sacramento • ''"�`34-61-41 OCATION (A.P. ) �� 535 Silverleaf Dr., Oroville "j jk :t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E B —� FINALED 0 ' r (Signature) ii S . I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback j ' Firewall Sol •I Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab l�lc7 ersl Roof Siieathing 7 Roofing Water Piping Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. 13-j v — 7 structure Gas Piping & Test Temp. Gas Slab - 3 O - 7 G 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 � r Sj .` 1.7J/. �/� tP'�1- p el t A _ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Dove —. Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 9a��cl au ori e r pr en ve 3he County of Butte to enter upon the ab ve- ent one p op yection purposes. X Date- U Signature of Permitee or It Receipt No. White-D.P.W. - Yellow -Assessor I 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 r which fees have been paid. OR OF BLIC WORKS I - Date Building permit expires Date � BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor 0 Mailing Address a��S Fireplace Total Valuation I Telephone No. 0 77 Permit Fee Building Address J IPA JP nh Plan Checking Fee &/or Penalty - Permit Fee a' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 1 I 4,yj.A- • Repair drainage or vent piping 1.50 �6 ✓ , /- A. P. No. `( Zonin 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fqbs4 &ed SaffRa4ieA- Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel Aperoval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® permit Fee $ .: $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNST % ACCLBLOGS.CCUP. Y) 2OSgft 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 Styl V IS�e--, �U� . NEW CONSTR BRANCH CIR T NON•RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS B, NON•RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRFS g L@2t¢ . OCCUFIXED APPLNS. OR EXp( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 // License No. �`�%u , Classification/_ Misc. Wiring 6.25 ❑ 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 orkmen'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 info, ation is correct. I agree to comply to all County Ordinances and ate Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE ' au ori e r pr en ve 3he County of Butte to enter upon the ab ve- ent one p op yection purposes. X Date- U Signature of Permitee or It Receipt No. White-D.P.W. - Yellow -Assessor I 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 r which fees have been paid. OR OF BLIC WORKS I - Date Building permit expires Date � COUNTY OF BUTTE — DEPARTMENT OF -PUBLIC WORKS .� 7 County Cefiter Drive — • Oroville, California 95965 Telephone: 634-4541 APPLICATION AND PERMIT I Q.0 BUILDING Owner e&Ly 1)ILZ.5 SQ. FT. OCC. BUILDING VALUATION Mailing Address — Tele i rept ace Contractor Total Total Valuation Mailing Addres 6-" i7z Permit Fee Plan Checking Fee &/or Penalty SACRO I ;0 V C / V l Permit Fee ''11.21 1 Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 l LLC CJ Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �,� Z Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Sa4i.taUon I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W lmr p ovements Lawn sprinkler system 2.00 Bldg. fl'o-ns Recd Parcel proval 040$ Pla pproval Permit Fee NEW,X ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ 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 t Others ❑ Range, Cook -top or Oven 1.00 /� Acute t "'� Water Heater or Space Heater 1.00 Light fixtures 'b20%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 sty T �� j ( Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 1-1 /, � License No. �Ti c� Classification —6 Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee is 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. MI 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 ate Laws relati to building construction, and hereby ent 'v s f t County of Butte to enter upon the au ori a refle ab ve'm ntipopty fjr inspection purposes. / / — TOTAL PERMIT FEE $ 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. X L4,11S, �—% V Date Signature of Permit a or Agent Receipt No. 1 Z White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant DIRECTOVO PUBLIC WORKS By / Date -7,3-- wilding permit expires Date