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Home My WebLink About073-180-128ITP i,i�rYS ";rudith 3406-039-7373BV 3 A '1/4 mi PP � / .' off- n/s-Oro-Forbes town �;Rd: -j _ w. of Woodleaf :Cut-off Rd'. ; !Forbestown �change service.&'.add circuits) install Type "A" flue, nicr, l rl j PERMIT NUMBER _ g .k, 3406-73B P E PERMIT EXPIRES / t ` OWNER Judith. Lewis . 01 Owner w x CONTR: " LOCATION (A.P. 73-1g l(i 17 4 mi. off NIS Oro-Forbestown Rd., W. of *� Woodleaf Cut-off Rd., Forbestown r t f r ,1' ' COUNTY 0'F' BUTTE ' Department4f•-P.u':aic. Works •� BUILDING INSPECTION RECORD ' �. Zoning _! Setback Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster % Rein. Steel Gas Piping & Test Found. Vents Framing 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 r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 0 S 7 County Center Drive . Ordbille, 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 1Lc �c Date 9-- Signature of Pepiniijee/gr g ntL Receipt No. — i White-D.P.W. - Yellow -Ass ssor - 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_ Building permit expiresDate....... ,j„�T� BUILDIN Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address P vele No. ('y Fireplace 5 r ,F`Lou)� Contractor Total Valuation Mailing Address Permit Fee d P I an Checki ng Fee &/or Penalty Telephone No. Permit Fee $ ,'t70 Building Address PLUMBING @ FEE —No.1 PERMIT FILING FEE J$2.00 Each Trap 1.50 A 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 Fes W.C. Fire Dept. Fire Zone 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 Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 I 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(410 Receps., switches & fix outlets 2025 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 @ I FEEPERMIT FILING FEE J$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 $ Q authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 1Lc �c Date 9-- Signature of Pepiniijee/gr g ntL Receipt No. — i White-D.P.W. - Yellow -Ass ssor - 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_ Building permit expiresDate....... ,j„�T�