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HomeMy WebLinkAbout078-230-0200 Eyd AP— . HOMES 12I3f%J% s Way,IMt6� Oroville -75B(new SF) N C)�g,_'1-30-�-0a-DAP r . 36=56=zzi- Plbg• •moo Permit# 3110- for 88-75) CONTR: Huggi t Ele.c .., vine.. Permit# 3833-75E(for 24 CONTR: Sweemis ACS Oioville - Perit# x.056-75M(for 2488-75))113 New O arr2r�e Richeynolds 35 Las Plumas W lot 60, Oroville Permit # 6574-76 (fireplace/SF) Eyd AM OW& I ■ A t ^i �\ C= cq..� I PERMIT NO. 6574-76B • PERMIT EXPIRES �� O OWNER Richard Reynolds CONTR. owner LOCATION (A.P. 36-56-20 ) 36 Las Plumas Way, lot 60, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Te P. Gas Serv. Called PG&E ° JOB FINALED — ZAMY fg— XDa ature) COUNTY OF BUTTE — DEPARTMENT;JF 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 Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab handicar physically e Conformance of ex. structure Final Appliances Gas Piping& Test Temp. Gas Sanitation Patio FIREPLACE Final Footings Footing ' _ O y'7 1,6 ELECTRICAL Masonry Walls Throat J uli�YI Rou h Reinf. Steel Final ;e —41 - I 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 J 1- 7 Sy 0/4, FfX ZP4/1Crk— cv!!�— REMARKS OR CORRECTIONS F,TG— CX r,&V6 �" RE X0^/0 FiNiSl4 ? Clell'+� �J-�1�GvzJ� i1 (NOTE: An entry must be made on this form each time you visit the job site.) ' I A0 COUNTY OF BUTTE —-,DEPARTMENT OF PUBLIC WORKS 7 County Center Drive ­' otovi I I e, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT dutnurize representatives or the County of tsutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permi a or Agent / Receipt No. �J 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 PUBLIC WORKS By�.�.��. 1- �-�� Date a 7� Building permit expires Date_?,'%77_ BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address A U4 S CC ��� — T e hone Ng, 3 -5 Fireplace � 6-0 Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ v-0 Building Address 10/42" 4? S ljov/ PLUMBING No. @ FEE ERMT FILING FEE $3.00 r 1 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 C3 6 Each gas water heater or vent 1.50 / l A. P. No. J� (o "J 6 ^0�� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Feksf C. --Sv=tatron I FireDept. FireZone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 G GC Main service 61$$VAMP ORSLEss 5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER Main service OVER 25.00 AMPP OR LESS O Main service EA. ADD'L too AMP 1.00 NEW OR ADDNST /DWELLING DACCBDGSO.CCUP, &) 2¢sgft NEW CONSTR, (MULTI -OUT LET NON.RESI D, BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON -REST 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) BAL -1 FIXED APP LNS. OR Ex. Occup. ( OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 -� 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. r-1 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 $ $ 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 is dutnurize representatives or the County of tsutte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permi a or Agent / Receipt No. �J 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 PUBLIC WORKS By�.�.��. 1- �-�� Date a 7� Building permit expires Date_?,'%77_ M 'MH UTIL. ,,PERMIT NO. PERMIT EXPIRES—� 'OWNER Wynoka Homes / ;CON TR. ,LOCATION (A.P. 356-20 % 35 Las Plumas Way, lot 6, Or5 r Temp. Power Pole Called PG&E Temp. Elec. Serv. _ C Iled PG&E �/d 3/ 7,(— Te p. Gas Serv. Called PG&E J 0 B / 7 FINALED FINA (Date) (Sign re) , THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: i'pr 5 Pl v nt'<1 a_"� � �. )_� A6141.10'5 Street I Lot Number Tract No. EXTERIOR WALLS / 4 Manufacture ' Thickness/Type /Z R Value j CEILINGS Batts: Manufacturer Thickness R Valu,- Blown: alueBlown: Manufacturer i! Thickness C�=—�� No. Bags Wt./Bag Sq. Ft. Covered Z17CR Value Z FLOORS Manufacturer Thickness/Type R Valu,- SLAB alue SLAB ON GRADE Manufacturer Thickness/Type R Valu,- Width alueWidth of Insulation inches FOUNDATION WALLS Manufacturer SThickness/Type R Value ;�'lfi�vw3�n�r�4�f6+o GENERAL NTRA s LICENSE No. BY p 0. Box 1 0 DATE �• Z3� 76 INSULAT ON CON ACT :,.,,�I4�1� W" TION CO. LICENSE No. 215-925 BY TITLE ate— - DATE i gR 6� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall %- 7,5—Soil Piping Forms Parapets - 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Z' 76 Windows 7-. 3rd Floor Stemwall Sidinq To out .S Slab Roof Sheathing ' IS 7--4Water Piping Piers Roofing Sewer Garage Fdn. Vents ✓ Fixtures f1- -2) %•- •7 -i-- Footings Garage Vents j Water Htr. ;Q StemwaII Prov. for physically Heaters _ Slab Q' j' "? handicapped Appliances Carport Conformance of ex. Gas Piping & Test k ?:Zq -:7 Footings structure Temp. Gas 16 - 25J i Slab Final % Sanitation Patio FIREPLACE Final 41 1 - 7� Footings Footing ELECTRICAL MasonryWalls Throat Rough -L Reinf. Steel Final Fixtures o 71 Bond Beam FIRE SPRINKLERS Motors Framing = 7j— Test Water Htr. Stucco Final Subpanels Mesh - - % MECHANICAL Grd. Fault Prot. Scratch 17 Heatin Pi /.)-- 7/—� Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation 1 Permanent Door Closer - ' Final Final 3 7� DATE REMARKS OR CORRECTIONS Al S a ���e-r/cc 0 �'g 1 17 &,o � di ar ,y �lv = Z/ `rcf mss- � a � ©�C 6c�%�d y c` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, — Oraville, California 95965 ✓ C�/ Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. f A Date ignature of Per 79ee /or Agent Receipt No. I Z' bU 1 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. DIIRwECT,O)R OF PUBLIC WORK Rv 0' (�nDate o 3 46- K Q l't 4 permit expires Date BUILDING Owner 0 KA TJ! --S SQ. FT. OCC. BUILDING VALUATION Mailing Addr ss Telephone No. Fireplace Contractor 5w e� IF/./, /S C• Total Valuation Mailing Address &(o 0 C,1n Vo/V Permit Fee Plan Checking Fee &/or Penalty �� r �C( T le hone No. Tg5� ^ , No, Permit Fee Building Address ` (5� L VN S ba kJPLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 �r ' S b _ A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F� l-3(**" 3 VV "C. San Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 81rP1ans Recd I Parcel Approval Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER,'Eij ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 L? Me t4 C im ( O 2 y cf g %�� Main service incl. 1 meter Additional meters, each 1.00 Sub -panel 02 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 b @6 Light fixtures 25 01 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. 3 �' Classification /'� Zy Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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 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 •r - Heating /{ -- 4 �v`ti` ' Cooling 4000CFt-N cc , Ventilation Hood K f"Cc4 2.001 2 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 $ f authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. f A Date ignature of Per 79ee /or Agent Receipt No. I Z' bU 1 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. DIIRwECT,O)R OF PUBLIC WORK Rv 0' (�nDate o 3 46- K Q l't 4 permit expires Date COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS �/33 — 7 County Center Drive,- - 'Oroville, California 95965 U Telephone: 534-4541 APPLICATION AND PERMIT t" authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X�-� Date Signature of Permitee or Agent Receipt No. S7 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 PUBLIC WORKS ^7 By v Date / Wig -permit expires Date 2'�AT—ZS_ BUILDING Owner (,� V !(� d h'1 es e . SQ. FT. OCC. BUILDING VALUATION Mailing Address ' Telephone No. Fireplace Contractor VQ�� h! j�JYi) C-L&CT, Total Valuation Mailing Address ! S— U� 7-C)07 L -A-1 Permit Fee Plan Checking Fee&/or Penalty Telephone No. 2� L �� %S �. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 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.Zonin g & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F"<W S Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel -- p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Rec'd I Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ZI OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3 t1 LCL/ . yr Ji" `b C Main service incl. 1 meter �T -4 _ 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 j °-- Water Heater or Space Heater 1.00 Light fixtures bal a .2 -74 Receps„switches & fix outlets M g"9 -- 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 -Water / '% 1 / /irc� �i �/��7�� Hood, Ex. Fan or F.A. Furn. Motor 1.00 �= Evap, cooler, gar, disp. or D.W. 1.00 / 4� Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. 7�O�d Classification /_/D Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ' $ a;Z 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 Wen'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. 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 $ 'S .2Z authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X�-� Date Signature of Permitee or Agent Receipt No. S7 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 PUBLIC WORKS ^7 By v Date / Wig -permit expires Date 2'�AT—ZS_ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS��%/) 7 County Center Drive — - OtoviIle, California 95965 / v Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection urposes. X ' ' Date ` Z _>5 Z / Signature of Permitee-oor Agent Receipt No. %337.GTnt 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. TOR UBLIC WORKS By Date 2 �� - -1 Building permit expirea-Date BUILDING Owner Q! "G i SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractorkcir',D)EV ,AJ Total Valuation Mailing Address A �� ST Permit Fee Plan Checking Fee &/or Penalty C_ 1949 0—r_ Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 4A S P20VAS U/A- Each Trap 1.50 Z p p Repair drainage or vent piping 1.50 Water piping j 1.50 % Q Each gas ter heater or vent 1.50 A. P. No. j `— Zoning & Planning Gas piping system 1 - 5 outlets 1.50 d Each additional outlet .30 F WECy Saa+tatian FireDept. FireZone Use Permit Building sewer 5.00 S.040 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 B'ds. RaTs—l%c'd Parcel Approval Plans Approval Permit Fee $ 2$� NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER � ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 `T -7� Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family J2 Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 2U1 m Receps., switches & fix outlets bal 1@10 CONTRACTORS LICENSE LAW 1 am licensed under the provisions Chapter 9, Div. 3, of the State of California BusineV&Pr sions Code under the name style o 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 No2 _ Classifications — et!i 2.i�.� Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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 Wor en'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. 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 IsZ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection urposes. X ' ' Date ` Z _>5 Z / Signature of Permitee-oor Agent Receipt No. %337.GTnt 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. TOR UBLIC WORKS By Date 2 �� - -1 Building permit expirea-Date FA COUNTY OF BUTTE — DEPAF3TMENT 6F 7/01-" UBL� WO S 7 County Center Drive — Oroville, California 95965 / Telephone: 534-4541 APPLICATION AND PERMIT V au u, ze represtlnlaU VeS UI the Cuunly ui BuCie to enter upon the above mentione pr on purposes. operty for ins i X Date ��-�'7'�J• $igndyfre of P� it� o© ent Receipt No. 1 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. DIRECT�OFUBLIC WORKS 0..uild�ing Date -7 .� permit expires Date ............. 7.4.. —..... BUILDING Owner J, C. SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address .4 PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 - 7 Each gas water heater or vent 1.50 A. P. No. ,,00ff� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. *r)ka'ti n FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovem nts Lawn sprinkler system 2.00 ec'� e Parcel proval //P Plan4-Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ 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 bol(d10 Receps., switches & fix outlets ± b. 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: .v� /���� jj�G�s �iy 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 i License No. Classification Misc. wiring__ ❑ I am exempt from the Contractors License Laws of the State of California. Permit 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. f� I have placed on file with the County of Butte a certificate of I[� 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2,00 Permit Fee $ $ TOTAL PERMIT FEE $ au u, ze represtlnlaU VeS UI the Cuunly ui BuCie to enter upon the above mentione pr on purposes. operty for ins i X Date ��-�'7'�J• $igndyfre of P� it� o© ent Receipt No. 1 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. DIRECT�OFUBLIC WORKS 0..uild�ing Date -7 .� permit expires Date ............. 7.4.. —.....