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Home My WebLink About078-160-013. PAUL LONSBERRY O?q• �l3 I fob 2453 Monte Vista, Oroville Contr: Ronald A. Martinez, Oro ser re Permit#1072-8 E( ) SF €1,'/ 9 6 9-1_35 odd-tC0o-M Permit 2106-80B(reroof SF _ ,•moi 65-19 PAUL LONSBERRY 62453 Monte Vista, ORoville _ PErmit#2627-87B(reroof/SF) 100 i i I! ` 1 I r _, t ,,.- Hrmit#2627-87B Paul Lonsberry .2453.Monte Vista; Oro COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. AC ASSESSOR PARCEL NUMBER 3 - - 13 ZONING - BUILDING PERMIT OWNE - ` LEPHONE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING 1./C %rA CONTRACTOR'S NAME ( TELEPHONE tJ � r CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ p Filing Fee $ 10.00 LENDER'S MAILING ADDRESS • Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / ��,' ;}!� <P /%i; Fri c. �✓t� U /% / Permit fee ry $ PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFMI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00ea TYPE OF WORK New ❑ Addition ❑ 'Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: �i�l� ' G _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check -one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. License No. Classification a I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.Ed) r/Z�sgft OR ADDNS. 1 ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS APPARATUS h1 (SINGLE OUTLET CIR. Ex. OCCUp\OUTLETS OR FIXTURES 20®!300 / eALeao FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ' ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. QI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor f 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments,) costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X [!7 (.i► - f` Je'�i� - a a'7?-�`/--' Date Signature of Applicant Owner ❑ "ntractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3ns�tori.s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCuP, CONST.T7 I I FLOOD PARCEL PD I HD IseuE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By ~/+. ' .ice �� PERMIT EXPIRES Date - the applicable provi- resolutions to do fees have been paid. WORKS Date t r '1/' in Receipt No. 7� `7 / / WHITE-D.P.W.. YELLOW-ASSE3S01R, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT 0. j ASSESSOR PARCEL NUMBERy 1 ZO ING BUILDING PERMIT O WNE TELEPHONE S0. FT. OCC. BUILDINGALU ION OWN TR'S MAI LIN�i AD RESS /.(/ 5�•Jj �L L7 t& CONTRACTORS NAME TELEPHONE CONTRACTOR'S AILING ADDRESS I Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 0. 'ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1 Penalty $ BUILDING AD RESS �? 3 Gree sovoel W/4 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 5.00 Mobile Home Is G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel [1I Uti lities ❑ Installation[--] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification y IF(1l I, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.&) OR ADDNS. ACC. BLDGS. yz2sgft NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS tk (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 8AL93t wLm 30 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID,) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments costs, and expenses which may in any way accrue agai aid C my 'n sequence of the granting of this permit. XDate Signature of Applicant — Owner ❑ ractor ❑ Agent ❑ An OSHA permit is required for excavatio s over 5'0" deep and demolition or construct- ion of structures over 3nnstt-ories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ O v TOTAL PERMIT FEE $ Occup. CO"ST,TYP1J I I FLOOD PARCEL PD ND ssuE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which fees DIRECTC^dF PUBLIC ,c/f ByIP PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS (y Oate O � Z Receipt No. X 9 WNITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County CenterpU ive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will.be issued until this verification is received. '1. I personally plan to provide the major labor and -materials for construction of the proposed property improvement (yes or no) (' S -2. I (have/have not) e signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner C.",4 Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. ,PERMIT NO. 2106-80B 1072-80E PERMIT EXPIRES 4/25/81 OWNER PAUL LONSSERRY CONTR. owner LOCATION (A.P. 36-65-13 2453 monte Vista, Oroville ; i ? I • Temp. Power Pole N CalleAPG&E Temp. Elec. Serv. Called PG&E Tem Gas Serv. �3ailed PG&E JOBB ZD FINALED J a ur) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTIONAECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing -2-.2 Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam FI SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh ECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - --- - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M�1 EHOME INSTALLATION --------------- Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS Y 1 (NOTE: An entry must be made on this form each time, you vislt the job site.). COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. CLIO— ASSESSOR V _ IU�QBER (� 5 ONINP- BUILDING PERMIT Ow R POS �OOSSEe Y P TELHONE E �3 -o SQ. FT. OCC. BUILDING VALUATION 5 50 C) OWNER'S MAILING ADDRESS Z+'5 3 MDIJTE VISTA AQ E. OF -o V I LLE C 4 9 X% CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ 1550.0o LENDER'S MAILING ADDRESS Permit Fee $ (o , 0o ARCHITECT OR GINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT'QR ENGINEER'S MAILING ADDRESS Permit fee $ .. O O BUILDING AjOD,R�E_ 3 I OAJ7 �� ' FO`J (-L`�^/ '/tVf/ PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilit'es ❑ Installation❑ Other Describe work: C-DkAP I fJ LES _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service j00 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP,&� 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON.RESID, BRANCH CIRCUITS NEW CONSTR I/ POWER APPARATUS & NON.RESID, %SINGLE OUTLET CIR. Ex. Occup(ourLErs OR FIXTURES 50@� BAL@10¢ FIXED APPLNS. OR Ex. (OUTLETS (RESIDJ EA.) 2.00 -Occup. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1pl I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabi 'ties, judgments, osts, and expenses which may in any way accrue agaiUsd Coun in co equence of the granting of this permit. X Date y-a�� Signature of Applicant — Owner Can actor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ (0,00 OCcUP. GROUP TYPE of CONST. PARCEL PD I HD I ISSUE This mit is hereby issued under the applicable provi- si s of the Butte County Code and/or resolutions to do rk i dica d a ve for which fees have been paid. `T OF PUBLIC WORKS y, 2� O v Date � PERMIT EXPIRES Date — �/ Receipt No. s 5 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive — OroviI ie, California 95965 Tel ephpne:53�4,--4541 ` APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the 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. / C DIRECTOR OF -PUBLIC WORKS r X Date i Signature of Permitee or Agent r \� 1 / Uri By -- �--., Date Receipt No. Z -7- F White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date BUILDING PJ�} / Owner / (%G.. �, (%�(%j�f/� ;� SQ . FTT. OCC. BUILDING VALUATION Mailing Address Telephone No. ContractorG�{/l-�L Mailing Address f rf �/e (/G�� Fireplace Total Valuation C'•�- �J(/lC- L. t C. -f �5 �� pw -eve Permit Fee Building Address All 4,A)TE V f Y? Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 2 A. P. No.✓ & - (o 5 ,-3j n Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees.' Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Each additional outlet .30 Building sewer 5.00 Bldg-Plans'Rec'dParcel A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Q_ Permit Fee $ $ kiC f''C fl C[ 6 KI5T. -v::e � , ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 j, 00 Main service 100 AMP ORV OR LESS5.00 5 0 Single Family 0� Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 v, V Main service OVER soov 25.00 100 AMP OR LESS Main service(EA. ADD'L 100 AMP 1.00 NEW WELING OR ADDNST t ACCLBLDGS.Ccup- Y) 20sgft 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: f • % .•. • ` NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 8) NON-RESID. SINGLE OUTLET CIR. EX. OCCUp OUTLETS OR FIXTURES $a¢ ) 100 FIXED ALNS EX. Occup. ( OUT ETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 7;1 Classification - / �% Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ %G. 7S $ It, 174- 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. [J I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E]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 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 Land Development Fee $ TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the 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. / C DIRECTOR OF -PUBLIC WORKS r X Date i Signature of Permitee or Agent r \� 1 / Uri By -- �--., Date Receipt No. Z -7- F White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant Building permit expires Date ~` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 TelephoNe:534-1541 APPLICATION AND PERMIT .. i authorize representatives vof, the Countyy of Butte to enter upon the above-mentioned pr erty for inspection purposes. X to Si ature o erMit a or gent Receipt No. 5 ,-�%2', 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 UBLIC WORKS By Date '3,7- RQ Buillrnng permit expires Date 3- 7-88 BUILDING PAUL / �,� I p Pio Owner C -V/V !J I SQ. FT. OCC. BUILDING UATION Mailing Address Telephone No. Contractor f,0A1,4 -,D A . Mailing Address � L-0L-0610Q6 Fireplace Total Valuation _ /� /�/ C4 VEZ?60 ;'� / �le 7�e!/j/b Permit Fee Building Address V1 Y 75 Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 (Fj'�lui Repair drainage or vent piping 1.50 �j j A. P. No.✓�� / Zonilanning Water piping 1.50 Each gas water heater or vent 1.50 F SMflW1707n I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Im rovements p Each additional outlet 30 Building sewer 5.00 8 1 d ec'd I Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER E Permit Fee $ $ eC PL4W1_6 6i'f5r'�e_j1Gr,_ . ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 .00 Main service 100v 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 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1 1.00 NEW CONST. ( DWELLING OCCUP. Y) 20sq ft OR ADDNS. ACC. BLDGS. 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: NEW CONSTR. (MULTI -OUTLET NON-RESID `BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS fi NON-RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES) g L 1FIXED APLNSN Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 . ZS y 7 J License No. // Classification =/0 — E] I am exempt from the Contractors License Laws of the State of California. Permit Fee $ .7�;__ 17� MECHANICAL No. @ FEE 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. ❑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 ermit 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 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 relatino to building construction, and herebv Land Development Fee $ TOTAL PERMIT FEE $ 76 75 authorize representatives vof, the Countyy of Butte to enter upon the above-mentioned pr erty for inspection purposes. X to Si ature o erMit a or gent Receipt No. 5 ,-�%2', 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 UBLIC WORKS By Date '3,7- RQ Buillrnng permit expires Date 3- 7-88