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HomeMy WebLinkAbout069-140-056AL HAGBERG /¢- GIG' 546 Silverleaf Dr.,. Lot 66, Oro. Permit 2319-73P, E (utilities for mobi e home) _ AP A.H. - Hagberg y� 546` Silverleaf Dr.', Oroville CONTR: Acro-Lume., Oroville Permit 3180-75B (awning/MH) �_ _ . �- ,_ _ -.�� -._ ..�- �._�. , _ � -s -_ � T-•�_r-_-� ... -._ _ - --. -_._� -ter ___._ -r -. � - _� .��..r = -- ..-� _ ___. __ - _ ..��_ _ � '��� I { I �_ _ . �- ,_ _ -.�� -._ ..�- �._�. , _ � -s -_ � T-•�_r-_-� ... -._ _ - --. -_._� -ter ___._ -r -. � - _� .��..r = -- ..-� _ ___. __ - _ ..��_ _ � '��� I { col, 0 1 IPERMIT NO. 1 P E M k sMH UTIL. `'.:PERMIT NO. 3155-74P,E 0 PERMIT EXPIRES k--46 ✓ TOWNER S .M. Weeks 1CONTR. ILOCATION (A.P. . 34-61-57) P{ 548 Silverleaf Dr., tok Oroville 5� 5 A ' Ch yy� �x 3� Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E t JOB F I N A L E D ✓ `� �i (Date) (Signature) Setback Forms Main Bldg. Footings StemwaI I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE— COUNTY OF BUTTE — DEPARTMENT `dF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cdnt'd) PLUMBING Firewall Soil Pipin Parapets 9 1st Floor Restroom Finish 2nd Floor Windows 3rd Floor Siding To out Roof Sheathing Water Pi in „ Roofing Sewer Fdn. Vents Fixtures Garage Vents Water Htr. Prov. •for physically handicapped Heaters Appliances Conformance of ex. structure Gas Piping & T, Temp. Gas Final Sanitation FIREPLACE Final Footing ELECTRICAL Throat R h Final ou Fixtures FIRE SPRINKLERS Motors Test Water Htr. Final Subpanels MECHANICAL Grd. Fault Prot. Heating Service Cooling Temp. Pole Ducts Underground Ventilation Permanent .� Final Final REMARKS OR CORRECTIONS r ' I _ a e Iw S, �" V ` COUNTY OF BUTTE —iP DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965j�� - �< Telephone: X534-4541 APPLICATION AND PERMIT authorize represen fives of the County of Butte to enter upon the above-mentione roperty for inspection purposes. Date Signature of Permitee or Agent Receipt No. 42 ;? 7 8 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of N the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS euil Datex 16permit expires Date ................ �1 ....�7�. BUILDIN Owner �,�y's' SQ. FT. OCC. BUILDING VALUATION Mailing Addresses jIff� , �/ ���c �,-. Telephone No. Fireplace Contractor 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 .00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 �, s Each gas water heater or vent 1.50 A. P. �5��/.. / — - R; I Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes ire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. PI Recd I Parc proval 1 Pla pproval Permit Fee $ S -?j $ 5- NEW ❑ ADDITION ❑ UTILITIES.®, OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 d ®O Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home K Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 ©O s, Q Er IWAK, FGA .5 . Water Heater or Space Heater 1.00 Light fixturesbald to AW 0-7e L4 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. dsp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 v 0 Temp. Power Pole 5.00 s. LicenNo. Classification Misc. wiring am exempt from the Contractors License Laws of the State of California. Permit Fee $ &o $ 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. rcertify 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 10 TOTAL PERMIT FEE $ authorize represen fives of the County of Butte to enter upon the above-mentione roperty for inspection purposes. Date Signature of Permitee or Agent Receipt No. 42 ;? 7 8 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of N the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF BLIC WORKS euil Datex 16permit expires Date ................ �1 ....�7�. ;1 .s LOT UNIT I F..61'r14 n- _ A.L HAGS3a 2� ' ` . �l nio r To Scsi z VV ��f Q -1 'e 1 Setback shall be .5 ft. from tf,e 'side property fine and 50 ft. from �. B tfYe: centerline of the road, permitting In'aximum of a 2 ft. eave overhang:Q e 00 10 1 t3 M1 /.� • P.,; si:. + t ` G/V i . �,.,� (i! �74— 7 ZFY01 t o i%N+ W ��iir� 1,� b' _ ,�fi •,, 7 , 'tA61 ; u1 bi ty 'connections " a1I be - .E Cf ., T, i! `..i'A---L. co�v�v. ':�oca�e:�,vi th n 4f f.`t. 'outs:ide e rear y } th 1 r,, secfion of the -.mobile Y r on the: f .(r oad) side of,.the mobile L e i A�F•} f �•[, ..._.. - 1. � ' Y. Vr t .i,r 'pt�crsystewn u., A� 4: ��y3Ut'te amount ,r ro be as per�°�' y, Heallth Dept. Re -7.7 .70 9 PERMIT NO. P E-. 4885-74B M MH UTIL. PERMIT NO. PERMIT EXPIRES /Z -q — 7S f. OWNER SHIRL M. WEEKS CONTR. ACRO-LUME, Oroville LOCATION (A.P. 34-61-57 i 548 Silverleaf Dr.p Oroville 1 f r i . n F I w is E F Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB ` FINALED / 50 Date)' i (Signature) r COUNTY OF BUTTE — 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 Garage Vents Water Htr, c Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footing Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final —;7L-5— Sanitation Patio 'FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat 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 „�• COUNTY OF BUTTE s DEPARTMENT OF PUBLIC WORKS 7 County Center Drive T Orobilie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the Coun Y of Butte to enter upon the above-mentioned property for insp h pu oses. X / Date — �7 ignature offPermite oor Ag 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 BLIC WORKS BY Date/ -X-5 � � y uilding permit expires Date .............. �..'.f'.� . BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address 5e_ ariz ,d,y/-- "Ac, ©D 0 v'LL Z, I Telephone No. Fireplace Contractor O _ N — Total Valuation %� y Mailing Address �i'� ` © %1j�% �. L/ /) Permit Fee j , e 0 Plan Checking Fee&/or Penalty �l� U /LL Ki Telephone No. 3 -C y/ Permit Fee $13, 0 v $ Building Addressj /L t/t.t'w �'' PLUMBING No. @ FEE PERMIT FILING FEE J$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 �- ` _ r7 A. P. No. ! Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fke's- ani Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA PPlan 9 Declaration Parcel Map 60' R/W Improve nts Lawn sprinkler system 2.00 Bldg.4' ans Recd Parce pproval Plans pproval Permit Fee $ $ NEW ❑ ADDITION � UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEEPERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 f ” �' f 1 w ifi/�G ®� . Water Heater or Space Heater 1.00 Light fixtures bal aio /r 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: C; 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 �c License Na 7519V 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. have NI have placed on file with the.County of Butte a certificate of 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 State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling ` Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE authorize representatives of the Coun Y of Butte to enter upon the above-mentioned property for insp h pu oses. X / Date — �7 ignature offPermite oor Ag 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 BLIC WORKS BY Date/ -X-5 � � y uilding permit expires Date .............. �..'.f'.� . R • - COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS ; 7 County Center Drive `— O'roville, California 95965 Tel ephdhe: 534;4541 APPLICATION AP') PERMIT lu �N ��� �a��v�� t� C �.uwity 111 Duue to enter uNun the I This permit is hereby issued under the applicable provisions of above mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date `. �. DIRECTOR OF PUBLIC WORKS Signature of Permitee or Agent. s By f Date r '• Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address t:,-- Telephone No. Fireplace Contractor ,'t Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty • — Telephone No. Permit Fee Building Address _ ''. . /_ -=/,,� PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. - i" 'Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. I Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee ,$ % NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 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 bal to Receps., switches & fix outlets 1dbAIJ?J0 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 �� �' •', �/ ^ 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.1 @ FEEPERMIT 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 lu �N ��� �a��v�� t� C �.uwity 111 Duue to enter uNun the I This permit is hereby issued under the applicable provisions of above mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. X Date `. �. DIRECTOR OF PUBLIC WORKS Signature of Permitee or Agent. s By f Date r '• Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant COUNTY OFBUTTE — DEPARTMENT OF PUBLIC UC WORKS 7 County Center Drive — Oroville, California 95959 65 [ / Telephone: 536-4541 APPLICATION.AN J PERMIT au t orize representatives of the County of Butte to enter upon the above-mentioned property for inspectio purposes. $ 7 X Ami e a Signature ofPermiteg.gr Agenf� , Receipt No. (/s�p/Lv�f White-D.P.W. — Yel ow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of f the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS B.. Date %'.3—%,7 �y lowilaing permit expires Date -7Y__ BUILDING Owner '� � SQ. FT. OCC. BUILDING VALUATION Mailing Address (� - Telephone No. r — � Fireplace Contractor 5' P�7 Total Valuation Mailing Address Permit Fee -- Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Adess Jr�� ,���%j ��j�f� PLUMBING No @ FEE PERMIT FILING FEE $2.00 , l0 �O Each Trap 1.50 ,• Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1 1.50 / A. P. N j ®b���i� n /c Lonin Gas piping system 1 - 5 outlets Vr 1.50 Each additional outlet .30 F WC Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. Plans Rec'd r. Parcel Approval Plans Approval Permit Fee $ A01 Q NEWELECTRICAL ❑ ADDITION ❑ UTILITIES OTHER ❑ No. @ FEE PERMIT FILING FEE 3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2 baI(n11p Receps., switches &fix outlets 20(�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: 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.Misc. Classification wiring 211 -am exempt from the Contractors License Laws of the State of California. Permit Fee $Aov% 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 W rkmen'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.1 @ FEEPERMIT FILING FEE J$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 h ; TOTAL PERMIT FEE % L au t orize representatives of the County of Butte to enter upon the above-mentioned property for inspectio purposes. $ 7 X Ami e a Signature ofPermiteg.gr Agenf� , Receipt No. (/s�p/Lv�f White-D.P.W. — Yel ow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of f the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS B.. Date %'.3—%,7 �y lowilaing permit expires Date -7Y__ PERMIT NO. .3180,v75B P E M. MH UTIL. PERMIT NO.. ' PERMIT EXPIRES 17 WNER A.H. Hallberg ,`CONTR. Acro-Lume, Oroville LOCATION (A.P. 34-61-56 ) 546 Silverleaf Dr., Oroville r R' rj ' Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FIINALED Z q! ' 7 (Date) (Signa Ln i •: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback _ Firewall Soil Piping Forms Parapets 1st Floor Mairi Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab j 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 Pi ing & 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 Framina ���^ — Test Wntor Fltr Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Pro Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTXENT OF PUBLIC W^ 1 fj- 7s- Telephone: 7 County Center Drive — Oroville, California 95965 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned pro erty for inspection purposes. X—Date(, 1�2 7, /ir ign ure of rmitee or Agent Receipt No. Zs White-D.P.W. — Yellcw-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 ByDate /Icring' B permit expires Date ................ .-. :'.. BUILDMG Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address r Telephone No. ) 3 — � 3 Fireplace Contractor A Total Valuation (R l/ Ll Mailing Address v _RLPlan Permit Fee a- C.) Checking Fee &/or Penalty (! ILL elephone No. f Permit Fee $ < 6 v $ ai Building Address ;6-4 L, 97;L u cle DcPERMIT PLUMBING No.1 @ FEE FILING FEE J$2.00 p U I LL 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. c1f( Zoning & Planning Gas piping system 1 ,- 5 outlets 1.50 Each additional outlet .30 Fe Ss+� Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking _,Plans Parcel Declaration parcel Ma P 60' R/W Improvements P-4 Lawn sprinkler system 2.00 Bldg. Plans Rec'd I Parc.proval I Plans Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I 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 _ w 7- X? Water Heater or Space Heater 1.00 Light fixtures ,S-212,9 Receps., switches & fix outlets []j�12j5 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Califor is Business & Professions Code under the name style of: CIZC� U 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 $ $ 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. 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. @ , FEEPERMIT 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. 1' agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ CrG authorize representatives of the County of Butte to enter upon the above-mentioned pro erty for inspection purposes. X—Date(, 1�2 7, /ir ign ure of rmitee or Agent Receipt No. Zs White-D.P.W. — Yellcw-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 ByDate /Icring' B permit expires Date ................ .-. :'..