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Home My WebLink About071-450-007a Lee Roy Coffman s/s Ponderosa Way app. 12 mi. east of Quincy Rd. Permit 1116-72 P,E (utilities for mobile home) 41 v T�� r• n ••'ir"�'H-' w.t.a.«. �. ��: •*+.� .. awri'-i',e.....t-iJt.7 ,cttlty�4.�r1� i)M.-+M►r^'Y� ��+�.� .. • '�� w- . � 1. • Z �_ s _ \i Owner /'X-, V - Mailing Address COUNTY OF BUTTE — ME OF PUBLIC WORKS 7 County Center Drive, — Oi ille, California 95965 Telephone:33-123 , Ext. 259 APPLICATION AND PERMIT BUILDING SQ. FT. OCC. BUILDING VALUATION License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. El 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X'� /S'- 7 y 1D`�fte v Signature of errnitee or Agents Receipt No. c -- r White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant Coo I i Ventilation @ FEE $3.00 V_ L Permit Fee $ $ Stotr Fee for S rg Motionrisrom $0.07/$1000 Evaluation $ tote Fee for n n gMot TOTAL PERMIT FEE $ Z/ 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�o �/ Building Permit Expires Date 'L Z. --73 Fireplace Contractor ✓4ef G, 'Total Valuation Mailing Address �../`t-� Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE — $2.00 `'_ Each Trap 1.50 A Repair drainage or vent piping 1.50 Water piping L 1.50 /f r Each gas water heater or vent 1.50 s A. P. No. O % Zoning/q"'2. Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone a Fire Dept. - Sanitation (DC_ Planningm1 -Building sewer 5.00 f vv 7�7 'Plans Fees ✓ W. C. "` R/W . Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ /p /ep 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) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 �J Oven, Cook -top or space heater 1.00 Light fixtures Ir 1010 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 Misc. wiring .-- License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. El 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X'� /S'- 7 y 1D`�fte v Signature of errnitee or Agents Receipt No. c -- r White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant Coo I i Ventilation @ FEE $3.00 V_ L Permit Fee $ $ Stotr Fee for S rg Motionrisrom $0.07/$1000 Evaluation $ tote Fee for n n gMot TOTAL PERMIT FEE $ Z/ 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�o �/ Building Permit Expires Date 'L Z. --73 COUNTY OF BUTTE — 3v1ENT OF PUBLIC WORKS 7 County Center DriJ, = "Onwille, California 95965 Telephone: 533-12330, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above -men ' ned property for inspection purposes. X Signature ofermit or Agent Receipt No. 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 PUBLIC WORKS By Date6_Z-1__ i Z Building Permit Expires Date G !ZZ _-Z3 BUILDING Owner l SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address oe Fireplace Contractor G,—Total Valuation Mailing Address ' Permit Fee Plan Checking Fee &/or Penalty ` G Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 .L �L 00, Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 /.f -a Each gas water heater or vent 1.50 A. P. No. . Q Zoning -2, Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitati n wili Planning -Building sewer 5.00 'Ions ' Fees W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ a $ a ELECTRICAL No.1 @ I FEE PERMIT FILING FEE $3.00 "L Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures Receps., switches & fix outlets �ffi 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 Misc. wiring License No. Classification 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. •�l 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. @ I FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation 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 $$Permit Instrurnentotio�trfgi a om1On $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above -men ' ned property for inspection purposes. X Signature ofermit or Agent Receipt No. 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 PUBLIC WORKS By Date6_Z-1__ i Z Building Permit Expires Date G !ZZ _-Z3