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073-150-011
N Wm. C. Elkins e/ binson Mill Rd. app. 1.3 mi. below Forbe own Permit 4 71B (new single family) A. P. ELKINS , William �.-/5-=// e/s Robinson Mill app. -J.3 it below Forbestown Permit-464-72B(RENEVJ LIAM C. ELKI f Robinso ill Rd. app. 1.3 mi. kbbelowFo stown mi 000=73B.. ------ RENEWAL ) ----- A -.-P-: - WM. C. ELKINS E/S Robinson Mill Rd., 1.3 mi. below F own Permit 1459-74B o 4 - Permit# 1573- B(4th RENEWAL) 73-15-11 Permit 06-769'(5th --renewal for permit 4#491 ) 1 N 1� M � LM PERMIT NUMBER _ B 491-71 is P 465-71 E 423-71 r . PERMIT EXPIRES /L% — % owNER Wm. Elkins owner CONTR: LOCATION (A.P. 37-37-3V e/s Robinson Mill Rd. app. 1.3 mi. below Forbe stown �p lel rr r j /� 7 COUNTY OF BUTTE Department of PublJc Works BUILDING INSPECTION RECORD Zoning Setback '5' // Forms Foundation Z 7/ Piers & Girders Fireplace Rgh. PlumbingE9--�RX-'-:-'%3 Bond Beam �5 Lath & Plaster p Rein. Steel Gas Piping & Test Found. Vents� Framing �_�'"%� Plmg. Topout ��� � 'mac Rough Elec. �/> —c�*>,? % Wtr. Htr.// =7 Furnace Kitchen Vent 6-,-/f — Firewall Garage Vents` Sanitation & Water ELECTRIC GAS BUILDING Temporary TemporaryCert. of Occup. p Final Final Final At? -C6' 74. -- DATE REMARKS OR CORRECTIONS xCO � C5' s��r.u�-e Nsvrc��c%iS JB1/( / t Csl4Y�G/QfrC��%/ lye, 7 l` c cl Illa-6-1`���Ok Ode 9�.,f �Mol Me"ll -i"; liffilam'. �w `COUNTY OF BUTTE T—D� aEPr RTNENT OF PUBLIC WORKS 7 County Center. Drive - Oroville, California 95965 Telephone: 534-4541 !� APPLICATION AND PERMIT authorize representatives of the County of butte to enter upon the above-mentioned property,,jior inspection purposes. x� Date d lo Signature off P��� 'r Agent Receipt No./ J, d 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 'd. DIRECTOR OF U LIC WORKS BY Date _,�_i Z—% wilding permit expires Date -5 is/77 BUILDING Owner L-14 I SQ. FT. OCC. BUILDING VA UATION Mailing Address 2 F R, Off, ^ (� Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee , Building Address Q (— t2j PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ?j 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 F W. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 gl'1^ PI...,- D""'a Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .�t t71 • (' # Main service 100 AMP ORS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service 1100EAMR OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.OCCUP. &) 20Sgft NEW CONSTR. MULTI -OUTLET NON.RESID, BRANCH CIRCUITS) 2.50ea • NEW CONSTR. POWER APPARATUS & NON.RESI D. (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)BALt�?LL.1 1 Ex. Occu FIXED APP LNS. OR P•(OUTLETS IRESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 [Misc. License No. Classification Wiring 6.25 r I am exempt from the Contractors License Laws of the State of Cal ifomia. 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. Elhave 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 r 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 �7 authorize representatives of the County of butte to enter upon the above-mentioned property,,jior inspection purposes. x� Date d lo Signature off P��� 'r Agent Receipt No./ J, d 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 'd. DIRECTOR OF U LIC WORKS BY Date _,�_i Z—% wilding permit expires Date -5 is/77 COUNTY OF BUTTE DEPT. OF PUBLIC WORKS MAY 101976 -� AM PM 7j8i9i10i11i12j'&i2i3j4j5j6 • � i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO '7 County Center. Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT s- 7 9- 7� authorize representatives of the County of Butte to enter upon the above-mentioned property � inspection purposes. , r X Date Signature of Permitee or Agent J Receipt No. / 419 � T� 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 fr PUBLIC WORKS C Bye v Date --/.—Z- zj Building permit expires Date .S�/D —7 % BUILDING Owner EL SQ. FT. OCC. BUILDING VALIDATION Mailing Address 14-97_6 8 4 uio T T 107 &w* Sf+N 1_,fAt,D G S Telephone No. Fireplace Contractor W Total Valuation Mai I i ng Address Permit Fee P I an Checking Fee &/or Penal ty Telephone No. Permit Fee Building Address µj PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 i orS E uJ $E<&7&_0AJ 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. N - - Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 es Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. Plans Rec'd 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 fixturesba p2 Recaps., 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 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 $ $ t� 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 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 TOTAL PERMIT FEE $ Z a authorize representatives of the County of Butte to enter upon the above-mentioned property � inspection purposes. , r X Date Signature of Permitee or Agent J Receipt No. / 419 � T� 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 fr PUBLIC WORKS C Bye v Date --/.—Z- zj Building permit expires Date .S�/D —7 % COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO KS 3 7 County Center' Drive. Or6viIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner Wm. C. Elkins SQ.FT. OCC. BUILDING VALUATION Mailing Address 14926 Farnsworth St. San Leandro, CA. 94579 Telephone No. Contractor owner Mai I i ng Address Telephone No. Building Address e/s Robinson Mill Rd. app. 1.3 mi. below Forbestown A. P. No. 37-37-30 Zoning & Planning I dc Samoe#err Fire Dept. Fire Zone Use Permit EQA Parking Parcel parcel Ma 60' R/W Im rovements Plans Declaration p p B I d I Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 3RD RENEWAL OF B.P. 491-71B Single Family © Duplex ❑ Mobil Home ❑ Others ❑ 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: License No. Classification 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. 1:1 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 i= 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 propert er inspection purposes. �i X Date `� / Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant .ira renewal of 4YL—/Ib Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee (1/2 fee) $ 28.00 $ 28 00 PLUMBING No.1 @ I 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 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee ELECTRICAL PERMIT FILING FEE Main service incl. 1 meter Additional meters, each Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven Water Heater or Space Heater Light fixtures Receps., switches & fix outlets Hood, Ex. FanorF.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump Water pump Mobil Home Facilities Temp. Power Pole Misc. wirinq Permit Fee MECHANICAL PERMIT FILING FEE Heating Coo I i Ventilation Hood Permit Fee $3.00 NM FEE TOTAL PERMIT FEE $ 28100 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 PUBLIC WORKS By Date uilding permit expires Date .......... .,'Zz. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO 7 County Center Drive -- Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of they County of Butte to enter upon the above-mentioned property for spection purposes. U,'v ez Date Signature of Permitte e or Agent r7 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 P BLIC WORKS By Date S s 7 lding eermit expires Date "5" m BUILDING Owner William C. Elkins SQ. FT. OCC. BUILDING VALUATION Mailing Address 14926 Farnsworth St. RENEWAL qan Tanandro, CA_ 94579 Telephone No. Fireplace Contractor owner Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee 2 fee $ 28.00 Building Address e/s Robinson Mill Rd. app. 1.3 mi. PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 below Forbestown 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. 37-37-30 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s WOe.1 garr tton I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements' provements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER © ELECTRICAL- No. @ FEE PERMIT FILING FEE $3.00 RENEWAL OF B.P. 491-71B Main service incl. 1 meter 1 ' Additional meters, each..,1W11 1.00 Single Family ❑X 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 ` bal Flo 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 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. @ 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 $ 28 00 authorize representatives of they County of Butte to enter upon the above-mentioned property for spection purposes. U,'v ez Date Signature of Permitte e or Agent r7 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 P BLIC WORKS By Date S s 7 lding eermit expires Date "5" m COUNTY OF BUTTE DEPARTMENT OF PU$LIC WORKS 7 County Center Drive - Oroville, California 95965 / Phone: 533-1230, Ext. 259 APPLICATION AND BUILOIN.O PERMIT Permittee Owner - A. P. No.— 3 d Mailing Address .i' Fire Zone Zoning Contractor Sanitation Planning Mailing Address Plans Fees C.� BLDG. Address R/W I Encroachment NEW 0 ADDITION EJ REPAIRS O OTHER El MATERIAL Other Single Multi Width at Top USE OF STRUCTURE Family Duplex 0 Dwelling Q Others Width at Bottom Depth in Ground SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) Girders Joists - 1st Floor Joists- 2nd Floor Fireplace Joists -Ceiling Total Valuation Exterior Stdds Permit Fee Interior Studs Plan Checking Fee &/or Penalty I I Roof Rafters FOUNDATION EXTERIOR PIERS SIZE I SPACING I SPAN Total Permit Fee eOle I Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of................................................................................................................................................................................................................................................ . License No. Classification ............................................... and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0 I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). Basis, if any, for other statutory exemption.................................................................................................................................................................. .................................................................................................................................................................................................................................................................... WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 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 ente�j upon the abov en�[iyoned property for inspection purpo ,'� n A . / f AX% X/.... �.. ate ................................ SIGNATURE OF PERMITTEE OR AGENT Receipt No. ........ 7-�,,—w00_T....���............................................................... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS By... ........................................................ Date Permit Expires Date,,,,,, /�cl/,% "• COUNTY OF BUTTE DEPARTMENT 07•PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533-1230, Ext. 259 APP LICATION AND BUILDING PERMIT Permittee Owner �� �� /� • M f • 1 iC ,,,._ C .ur.: te ii _ 7 ran 'A. P. No. Mailing Address *�� '? 1- •� / i C _ . / . _ Fire Zone -V' Zoning Contractor +J u I . I,- ., • Sanitation I Planning Mailing Address Plans l/*- Fees C-' 'W.C, i BLDG. Address S ��• + r - i%l. // p%r-! 1. rte, _,,r /, i _ . �., r R/W Encroachment NEW El- ADDITION ED REPAIRS 0 OTHER El F 0 U N D A T 10 N Others MATERIAL EXTERIOR PIERS Single / Multi Width at Top \, USE OF STRUCTURE Family � Duplex Q Dwelling Others Width at Bottom • f t(x Depth in Ground .- SQ. FT. OCC. BUILDING VALUATION R.W. PLATE (Sill) SIZE SPACING SPAN Girders Joists - 1st Floor Joists - 2nd Floor Fireplace Q r.. Joists -'Ceiling •] X (� ?tr jam` t w Total Valuation ��. � V %� Exterior Stdds Permit Fee� a Interior Studs Plan Checking Fee &/or Penalty Roof Rafters 7 �/ ( f • J r '{ Total Permit Fee U� Bearing Walls CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: _ I am licensed under the provisions of Chapter, 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................ License No. Classification ............................ and certify that the aforesaid license is in -full force and effect. B. OWNER -BUILDER fl, OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): 0I I. am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. ( Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). 0 Basis, if any, for other statutory exemption,,,,,„,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ...................................................................:................................. WORKMEN'S COMPENSATION INSURANCE I am_ aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 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. �t R ..:..................................................... ...... Dace ................................ SIGNATURE OF PERMITTEE,OR AGENT % Receipt No . ........................ ...�..`1..-/Y.�.... This BUILDING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS ” .1, By................................................................................ Date ...:...:....:................... Permit Expires Date„ COUNTY,. 0'F BUTTE DEPARTMENT 'OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Phone: 533.1230, Ext.,259 APPLICATION AND PLUMBING P E R M I T Permittee Owner L.Ci, /���, ,� �/ IGt,� .t A.P. No. 3%— Mailing Address / �� i ✓✓V.V w u,. (n S /� rn .. a /.r Contractor n nr/ -1P Mailing Address BLDG. Address 0/c /S.., 41, - fr...._ %'Y1i//4 %jtj /t—i4P ax �d DESCRIPTION OF WORK No. @ Fee 62.00 NEW F;�,/ ADDITION REPAIRS PERMIT FILING FEE OTHERS: Each fixture or trap or set of fixtures on one trap 'C/ 1.50 Repair or alteration drainage or vent piping 1.50 Remarks: Installation or repair water piping 1.50 _ Each gas water heater or USE OF STRUCTURE gas heater vent 1.50 Gas piping system 1 - 5 outlets 1.50 Single Multi RESIDENTIAL Family [g-` Duplex 0 Dwelling ED Gas piping 6 or more - Each .30 House Sewer 5.00 Lawn Sprinkler system 2.00 OTHERS: Remarks: I TOTAL FEE I $ J �, CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof................................................................................................................................................................................................................................................. License No. Classification ................ and certify that the aforesaid license is in full force and effect. B. OWNER -BUILDER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one): Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, for other statutory exemption................................................................................................................................................................., .............................................................................................................. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. I have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. 1 certify that I have read this application and state that the above information is correct. I agree to comply with 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. XDate .. ................................................ SIGNATURE OF PERMITTEE OR AGENT Receipt No ........................ ... % ................................... This PLUMBING PERMIT is hereby issued under the appli- cable provisions of County resolutions and/or ordinances. DIRECTOR OF PUBLIC WORKS �,r ; - BY..........� t , .r.�� 4 .. Dats r - Judge Gerald P. Co"itt M ��p.1 Go—t San Leandro, G.Uorma wS.0,0 �,.�.^�,;-.j .`'�..`�+Rs.�.r..�' tea-, "'yv-r'ti I`+'✓'"�..•.1►`..v is=i✓'tii �'.✓ r COUNTY OF BUTTE DEPARTMENT OF ,PUBLIC WORKS 7 County Center DPive - Oroville, California 95%5 40cam/ PHONE: 533-1230, Ext. 259 APPLICATION AND ELECTRICAL PERMIT Permittee Owner �.%J I /�r et .... C. j1=6— A. P. No. 27— 3 •%" -3 a Mailing Address �Y Cj L r;P At9 W O v Ift'IL__ Y1 -.Contractor 0 O A,4 bO— Mailing Address r BLDG. Address IM/t l�l �A+. w e.�..� I'1�f� �� I'l el � --.YAk a X Z.3 A,A1.J 'Wr DESCRIPTION OF WORK NEW D�ADDITION 0 METER SERVICE - OTHERS: Remarks: PERMIT FILING FEE No. Fee $2.00 Supplementary Filing Fee 1.00 Main Service /o'e A r -t> (12 or (more than Sub -anal P less) 12)..✓��" Each , Range. P-0-01 , Dryer or ater .2 Each L00 p--� Ove�Cook-Top or Space Heater Each :_.50 I S� Light Fixtures g First 2D 20 Each Additional 10 _ USE OF STRUCTURE Single Multi Family Q� Duplex Q Dwelling Q OTHERS: - Remarks: % 6 Race tacle_s., Switches & Fixture Outlets 37 First :20 Each A Additional . 10 S'.p J • Hood, Exhaust Fan or F.A. Furor Motor /�e Each .50 ..� 0 Evap. Cooler, Gar. Disp. or Dishwasher Each .50 Air Conditioner or Heat Pum S Water Pum Misc. Wiring { C) TOTAL FEE CONTRACTORS LICENSE LAW A. LICENSED CONTRACTORS COMPLETE THE FOLLOWING: I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name styleof.......................................................................................................................................................................................---..............................................._.. . License No. ***"** ... * ................. , Classification,,,,,,,,,,,,.,, , and certify that the aforesaid license is in full force and effect. B. OWNER-BUILER & OTHERS COMPLETE THE FOLLOWING: I am exempt from the Contractors License Laws of the State of California under Sec. 7031.5 because (check one} Q I am the owner of the above property and I will contract to have all of the above work performed by licensed contractors. (Sec. 7044). I am the owner of the above property and do not intend to offer it for sale for one year from the date of completion of the improvements. (Sec. 7044). QBasis, if any, fosother statutory exemption .................................................. .................................................. ... ................. _...._... . .._ .. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section 3700 of the California Labor Code which requires every employer to be insured against liabil- ity for Workmen's Compensation. .1 have placed on file with the County of Butte a certificate of compliance or proof of exemption pursuant to Section 3800. I certify that I have read this application and state that the above in- formation is correct. I agree to comply with all County ordinances and State Laws relating to building construction, and hereby authorize repre- This ELECTRICAL PERMIT is hereby issued under the appli- sentatives of -the Countyoof Butte to enter upon the above mentioned cable provisions of County resolutions and/or ordinances. ' .prope_rty, fo/%i spection purposeNQ DIRECTOR OF PUBLIC WORKS X ....,.. /i VV!/ / !�/J/ Date ........................................ .......................................................................... // i(SIGNATURE'OF.PERMIT,T/EE OR`AGENTj/L 0- / �+ By.....................................:.................................... Dote ....../`.................... Receipt No..................................................................... .