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ORGE` COGERa / ##21 Rcgcnt Loop, Orovillc Contr: Waibel AC, Oro Permit##2794-79M(install cooler)SF Contr: P T. Rocffng, Broderick- — 4 1 Permit#2241-83B(reroof/SF) 1 I8P fi •. ?t Permit#2241-83 PeoiW Coger Otao s p� clpapt-j N. 9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541n�L1.:_ VC7�' r APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER i (-?E0e-UC 006- E, TELEPHONE S0. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 1 (1) CON RACTOR!S NA?MEi,,j % TELEPHONE CT0 MAILING �V ADDRESS / - �� v� LIC-�[.��... V I / !(!N� Fireplace / CONSTRUCTION LENDER / i� '%` UNKNOWN Total Valuation $ ISL/ 5�• Filing Fee 1 $ 10.00 LENDER'S MAILING ADDRESS Permit Fee I $ 7y -OU ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee I $ Penalty 1 $ 5o, C -U ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ < BUILDING ADDRESS rZ LCA17' Col–, PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater j 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 -;5 outlets 5.00 USE OF STRUCTURE / SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 1 5.00 Mobile Home SI GW 10.00e 1 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other P-' Describe work: 12-r' L20F UJI (7,6/WI-9 — S�V IA L -r l_ CS Permit Fee 1 $ Contractor 1 ELECTRICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 Main service EA, ADD L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&` OR ADDNS. ACC. BLDGS. I 21/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 01 ❑✓ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. ['fir_ y License No. �T C lassi f i cation` Q I, as the owner, or my employees with wages as their sole compen- Jr / 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. MULTI -OUT LET 2,50 ea N0N.RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS &'1 NON.RESID, SINGLE OUTLET CIR. / Ex. OCCu ZAL@30 P.OUTLDTS OR FIXTURES BALeaoQ FIXED APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA,) 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc.6Viring 1 15.00 Permit Fee 1 $ Contractor 1 MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ T,he permit is for $100.00 (valuation) or less. ©/'Ihave 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. Heating 1 I Cooling 1 Hood 1 3.00 Ventilation 1 I. Permit Fee 1 $ 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 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 accrueJJ against said County in consequence of the granting of this permit. X `►-+5�` ! 1 +.%�/f.a % ' L, Date / _ , SignatureroftAppIicant `- Owner LJ Contractor ❑ 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 $ 1 TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work I indicated jabove Ifor which DIRECTOR OF PUBLIC % �_ �ByyV/tiC.f/l PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ��_ /-�'.�Receipt 7— /- d No. 011q? WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. - d E ASSESSOR PARCELN BER VT ZONING BUILDING PERMI OWN 60 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CO,t5EL[_CT TELEPHONE CO TRACTOFr �S MAILING/A DWS 0 ue � S/. B Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation $ Oe Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $00 ARCHITECT OR ENGINE R LICENSE NO. Plan Checking Fee ,$ Penalty $ Q.0.O ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Lp b BUIL;V ADD ss :I T &Oop GLV PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Ins allation❑ Other Describe work: — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main'service 10ov OR LESS 100 AMP OR LESS 10.00 r Main service EA. ADD'L 100 AMP 2'.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. - 2/20sgit CONTRACTORS LICENSE LAW I declare nder penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professi s Code and my license is in VIII f ce and effect. icense No. Classification (! as the owner, or my employees with wages as their sole compen- 011-lation,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 NON.RESID R. BRANCH TLCIRETlrs. 2.50 ea NEW CONSTR POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. 20®50e OR FIXTURES BAL0300 Ex. Occup(OIXED FIXED APP LHS. OR A Ex.•Occup. OUTLETS (RESID,) EA. 2.00 Temporary service10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): n Tire 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. E] 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 shal I be deemed revoked. 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 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 bilities, judgments, costs, and expenses which may in any way accrue again t sa' oun consequfdce of the granting of this permit. X Date � � Si n ure f pplicant — Owner ❑ Contractor ❑ 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 $ TOTAL PERMIT FEE $ o 0 OCCUP. GROUP I TYPE OF CONST. PARCEL PO ND I ISSUE This permit is hereby issued under Siof the Butte County Code and/or w rk indi - ted bove for which DI EC_tOR OF PUBLIC By ✓�tG�� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �� 3 7_ �� � Receipt No. Q 117 7_ WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Roofinq 1214 2�xzw--Sf%zzt Bwdtick, Ca. 956o5 jl-Dfionz g16-372-3311 1`7 1/ lop I N Licensed .23ondzd 0 -qniutzd 46 ME�� SE TO M OF DAOEJTIME PHONE O ' phoned •❑ Please Call Returned Call❑ Was In ❑ Will Call Again ❑ Wants to See You ❑ Information Note and El ❑ Reply ❑ Re-route ❑ Signature ❑ Investigate ❑ Return ❑ Approval ❑ Contact Me ❑ File ❑ Forwarded Per Request MESSAGE: .. , ': sop_� fi, &/'odr &-#e 80., D Db pq -�p✓ �oec��iT Gyli/<d Gteed /,,�l[/� C DN y lG-Z �N�8�YOld Will Mattly, District Attorney Department of Public Works unlicensed Contractor October 15, 1982 One of our field building inspectors noticed hew roofing on October 13, 1982 at the George Coger residence, #21 Regent Loop, Oroville, and informed Mr. Coger that permits were required. The owner, Mr. Coger, produced copies of the bid, a business card, and an advertisement of Jeff Hutton Roofing. Contact with. the Contractor's State License Board in Redding revealed z that Mr. Sutton's license was revoked'February 4, 1982. Mr. Sutton's mailing address iss' Jeff Hutton Rt 1, Box 273 A-1 Oroville, CA 95965 Would you please send him the usual correspondence about contracting without a license. JFG/aj Attachments cc: Tony Yankee Contractor's State License Board 429 Red Cliff Dr. Redding, CA 96001 AP# 36-58-29 4 Very truly yours, Clay Castleberry Director of Public Works Pian{ signed by, J. F. Glander J.F. Glander Chief Building Inspector Jeff Hutton .ROOFING'�" Licensed.. Borided. 323757 . '; AlIlly with Roofing Paced. th, wofkinqmon -TT-M 534-3205 .1.,' 16 yrs. experience I ad p aum JEFF HUTT®iV ROOFING ., Lic. #323757 1085 Elliott Road PARADISE, CALIFORNIA 95969 Paradise 872-3387 OroviDe 534.3205 f PRO AL SUBMITTED TO 1- PHONE_ DATE 9 ST T t JOB NAME CITY, STATE AND ZIP C E JOB LOCATION � ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: - .. _.._ .... ................. ....... ................. ....... _.... �,/ 7 ................ _-. ILC v �%ZtC�...��G. .-C -� --C •� �f-... _...................._ _..__._.. _...__............_....... .... . -✓ C ....� -iz��C��.......'........_C��Y�3�_...................................... ..... ....................... ..�V .... .... .... ._... ......................._...... ................._................ .... ............... ............... ....... _............ ..._......_ .. .., .... �.�.� ...C':Gt�.1�y ....�-.e� ......... ........... ..... ............... ....._..._......j' ............./ ....... _...........................__............ _......... ........ / r� :...•.:..SSS G ................................ ..........._..............._.. ..... .. ... .................. ........ ... .... _... .._......... ........... . .__................_... G%i� _ .......... .... ............'_.................. ..... ..........................._ _.......... ..... ..... ......... ........... ......... _....... ..... _....... _........... ........ .......... _........ ..........I .................. ._..........................._......... .................. ............... ..... ...... .......... _.,................... .................................................. _. .... ................._ .._.�� G!f , ... �C.%,fir, "" ��� ...0%�-�✓.�1�wC—... C-.. " % iCaG�C ............................................ .................. _... ................................. ..................... .............. .............. ........... ............... ................ :.......... ................... ....... ....... .................. ........... ........................................................... ............ . -..'..°... �G........G�..........il�.�...........C'...........cr�2�................_...........__........ A .....,............. o�........................ .._ ................. .... ............... .................... ......... ......... ......... ... ........ ..................... ................................ .. .. .. .... . _ ........................ ................. _ P V OV08P hereby to furnish material and labor — complete in accordance with above speclfi tions, for the sum of: �!do2flars-�'1$7 $ Payment tobe made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike /Y manner according to standard practices. Any alteration or deviation from above specifica- Authorized tions involving extra costs will be executed only upon written orders• and will become an Signature extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. No e: This prop "al may be Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days. .C1t1tpta11 re of ropood —The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized Signature to do the work as specified. Payment will be made as outlined above. Date of Acceotance'2'=sm dZ-xt'"71` .d ( " /T" LX ` FORM 11b COPYRIGHT 1960 - NEW ENGLAND BUSINESS SERVICE. INC. GROrON, MASS. 01450 Owner: 'Address:• BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT A.P. V�'--J'd!' Date of Insve • Q 110 `_ i -97Z'. Inspec Building Location: , Type of Inspection requested: i =:-T% 1.' Housing . 2. Financing fes, 3. Change of Occupancy to 4.' - Other ( specify) ' O A4e 'Present dwi� use, of buildin A. 'Sanitation (Housing .1. Water closet: 2. Lavatory: ` 3. Bathtub or shower: 4.: Kitchen sink: 1_ 5. Hot and cold water to fixtures: f 4 .-.60 Heating' facilities: ` 11,94 Me'l6 r;,? County of Butte � 7' %. Natural light and ventilation: uJQ DEPARTMENT OF PUBLIC WORKSF9/— 8. Room and space requirements: ! .% ., Chico -949 4211i, Ext. n- . 9.. Bedroom window or door for second exit: I 7 County Center Dr., Oroville — 534-4541 .- 10. Infestation of 'insects, vermin, or rodents: l Skyway and Elliott Rd., Paradise — VTT=3435 ' I '.11.Connectior.•to sewage disposal: f f19�-d 9L/eytS' ! 1,_ CORRECTION NOTICE 12. Connection to water -.supply: 13. Rubbish and garbage facilities: 14. C ' '4-� �...... ��.: A I ..Comments: � .1 013't%crtp ...... Building Aproperty Address A routine inspection indicates that the following violations of County Ordinance exist at the above B. Structural' address and should be corrected. Please notify this 1. Piers and footings.• office when correction of work is completed. If you 2. Floor construction: have any question pertaining to this matter, or need I Wall construction: -I additional. explanation, please contact this offi�: e I " .. .4. Ceiling and :roof construction: M °Iw immediately. 5. Fireplaces:' 6. . Comments: /S - r ,4:'...... .:.� ............................. 1- ...... ..... ....... ':�.c..... ' .�:...:. ..i'-µ .................. I- '`."!..�....�:. . / �l�i � . .-! U/ i C. Electrical .._ . ...................... r, U 1.. Service and ground. . 2. Receptac. es: ' . 3. Fusing: N .........................................................:' /............................................... 4. Comment: s :f/i ...................... D. Plumbing ...............+............ Datp `.......I �.�?� Inspectpr�:..e1 , t....... ` 1. Futures connected and vented: Do Not Remove This Tag 2. Gas water heater: I (400-4) I. 3. Gas heating vents: r 4... Comments E. Other 1., Maintenance and repair: 2.' Fire -hazards: 3. Safety hazards: Weatt?er protection: ; 5. Underfloor and attic ventilation: Cormsents: F.` Cmwercial Buildings 1. Roof covering: 2- `Disrance' to property lines: 3. Physically handicapped:` 4 ares�:?Mi floors acid walls:, 5. Exits: 7. Zoning:_ 8. Comment G. F`ield Problems or Viclatiorrs P ohlem o_ `viol on (give complete. description) : —_ 1. What.action K.11 gig z omplete .i.escriptiozi) : 3. What action recommended: %% A. 'Info-nation only - fil.s. /,�Bliold for tcn (10) days, hien wri'u letter. • % / CWrite letter. � ... 77D. Other: I .31 4 Y .� COUNTY OF BUTTE - — DEPARTMENTQF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING OwnerSO. FT. OCC. BUILDING VALUATION - Y Mailing Address v Telephone No. 39� ContractorU��� Mailing Address QJ V .�rEn '�j� I Fireplace Total Valuation Telephone No. Permit Fee Building Address �. )�, ��`� - tTi� Plan Checking Fee &/or Penalty Permit Fee $ :. PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. {{Q� Ar"Zoni'ng & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W,01, Sapi:Yation FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking EOA Plans Parcel. Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 �� B10'e tans Rec'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER© Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Mair service 600V OR LESS 100 AMP OR LESS 5.00 Single Family [0 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLLING BLDGS.CCUP. S) 22sgft 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 le of: style •� (''� t �l Ji�l�.�i _r&' 0,1-& Q,F-,n, ` aU,1, 0 .rrlll". TLET NEW RESID,CO N BRANCHMULTI.OCIRCUITS) NON-RESID � BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occuo{OUTLETS OR FIXTURES g L 250 ,@ Ex. Occu FIXED APP LNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service.. .10.00 I Mobile Home Facilities 15.00 License No. 77 V3 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 againstliability for Workmen's Compensation. t [2/1 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 OD Heating Cooling Ventilation 30© 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �1(�rC�,).t3ti��1 Date Sh-5 '% Signature of Permitee or Agent r Receipt No. .,3 -� �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 C By /.%rJ Date Building permit expires Date�/.5 .1ai� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auuwllcc IcNlcacn wu vc0 VI tl lc VVU11ty UI DUMC lV CIIICI Uf/V11 111! above-mentioned property for inspection purposes. Ctb 11, X Q_hDj OV"�& - ,&� _ Date _56�tl 9 Signature of Perrmm�itee or Agent 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 PUBLIC WORKS Building permit expires Date .5-"/3- AQ b BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 1Telephone No. .533 - 39R Contractor Mailing Address 1 70O Fireplace Total Valuation 0 1523- Telephone No. a& Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. 13(p _ ZIk la Doing & Planning Water piping 1.50 Each gas water heater or vent 1.50 Ftp -fl Vel S�ation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BlJeOfol.n. Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service so0v OR LESS 100 AMP LESS 5.00 SinSingle Family Duplex Mobil Home 9 Y P ❑ ❑ Others ❑ -L Main service EA. ADD100 AMP 2.50 OVER 600V Main service 100 AMP OR LESS. 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST.( OR ADDNS. ACCLBL GS.CCUP. S) 2¢sgft 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: (J�a kA'Z�C t -\ U-� >�I a NEW CONSTRES'.. -OUTLET NON-RESID, BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. EX. Occup f OUTLETS OR FIXTIIRES) 50@ 250 iN Ex. Occu FIXED APPLES, OR Occup.( FIXEDUTLETS (RESID.) EA% 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 o� L' License No. 2607 73 Classification C ab Misc. Wiring 6.25 ❑ 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. ,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. @ FEEPERMIT FILING FEE $3.00 3•�O Heating Cooling Ventilation 3.00 Hood 2.00 Permit Fee $ $ BC 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 Land Development Fee $ TOTAL PERMIT FEE $ 610Z auuwllcc IcNlcacn wu vc0 VI tl lc VVU11ty UI DUMC lV CIIICI Uf/V11 111! above-mentioned property for inspection purposes. Ctb 11, X Q_hDj OV"�& - ,&� _ Date _56�tl 9 Signature of Perrmm�itee or Agent 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 PUBLIC WORKS Building permit expires Date .5-"/3- AQ b