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Loti. W/S Wyynno�ka`'Way, Vista Meadow `.
Unit #2, oville.- z. ,
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PERMIT N0.
PERMIT EXPIRES
OWNER 'Wynoka Homes Inc.
CONTR. owner
36=194-10 port.
.LOCA.TION (A.P. )
Lot #29, W/S Wynoka Way, Vista Meadows Unit #2,
Oroville /!
p
J Temp. P er Pole Z/ 7 G
Call d PG&E
,g.
Temp. lea Serv.
Ca ed PG&E
a Temp Gas Serv. - — 7
lied PG&E
JO _
FI ALED(D��% ` .✓ 7
{{a
(Sign ure)
e
�1 ,
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
Stucco
PLUMBING
Setback '� - 4,
Firewall b / %
Soil Piping
Forms 'r — Z --'7
Parapets
1st Floor
Z
Main Bldg.
Restroom Finish -
2nd Floor
Footings -
Windows Q- 7 3 7
3rd F=loor
StemwalI
Siding
Topout
Slab -
Roof Sheathing 76
Water Piping
Piers
Roofing - -
Sewer
-74,
Garage
Fdn. Vents
Fixtures
. G - /
Footings
Garage Vents -"'
Water Htr.
- fr
StemwaI I
Insulation �" i 3 '
Heaters ip
f
Slab -
Prov. for physically
Appliances
°
Carport
handicapped
Gas Piping
& Test 6-19-
Conformance of ex.
Footings
structure
Temp. Gas
Slab
Final ,(/ --7
Sanitation
Patio It I.-FIREPLAC Final 0— /
Footings I Footina N, ELECTRICAL
Masonry Walls
Reinf. Steel
rraming m-
Stucco
Mesh
-Scratch
Brown
Finish
Interior Lath
S 7'=G t0G
Door Closer
M-13 - 74
DA TE
Throat
Final
ME
Heating 7-
Coolinq
Ventilation / o- ! 3 ^%
Final 142 -) 3 -
REMARKS OR CORRECTIONS
Rough "' j
Fixtures fQ - 1 3 - '7 �.
Motors
Water Htr.
Subpanels 10 — / 3 - 7
Grd. Fault Prot. / 3
Saruire i3 - 2/ '7 '
Permanent
Final 10-
(NOTE:
0-
(NOTE: An entry must be made on this form each time you visit the job site.)
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLP 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street Lot Number Tract No.
EXTERIOR WALLS7
Manufacture Thickness/Type lZ R Value - /
CEILINGS
Batts: Manyfacturer Thickness R Value
Blown: Manufacturer �� Thickness 31��- No. BagsWt./Bag
Sq. Ft. Covered R Value
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer
Thickness/Type
R Value
Width of Insulation
inrhes
FOUNDATION WALLS ,
Manufacturer
Thickness/Type
R Value
GENERAL
A
e C
LICENSE No.
BY
'
TITLE
— DATE ��D` A `,Z�—
INSULA
N CONTRACTOR:
AWKINS INSULATION CO.
r
LICENSE No. 215-925
BY
TITLE 99' � DATE
e�
I
!' COUNTY OF BUTTE — 'DFPAhTMENT OF PUBLIC WORKS
7 County Center Drive - - Ukville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
OwnerAZZ f &a g4 ,/,G
SQ. FT. OCC. BUILDING VALUATION
_ r
Mailing Address _474
Telephone 7—
Fireplace
Contractor Z__
Total Valuation W7�.
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
��/
Building Address a, G' Gi/ �D�� ��
PLUMBING No. @ FEE
PERMIT FILING FEE J$3.00
Each Trap 1.50
5, ZI
Z/1 !i �y `L
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
j
A. P. No Q/=-
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
W.
S n
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQAA..t�
pCarkn g
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
48 !VATn__R�d
Parcel Approval
PI ns Approval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ I FEE
PERMIT FILING FEE J$3.00
Main service 1000 AMP OR00V OR LESS5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600v
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. &
OR ADDNS. ( ACC. BLDGS. ) 2�syft
NEW CONSTR. MULTI -OUTLET
.NON -REST D. BRANCH CIRCUITS) 2.50ea
_
NEW CONSTR. POWER APPARATUS &
NON-RESID. (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)50 @25c
109
Ex. Occu FIXED APPLNS. OR
P•(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 Califomia.
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
t2.00
Hood
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
authorize representatives of the County of Butte to enter upon the
above -mention ' property for 1 pection purposes.
X Date -'•J ' 47-
Sig ature of Permitee or Ag t
Receipt No. �Y-�lo�/
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL PERMIT FEE Is
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 0 UBLIC WORKS
By Dated= 20-�(.,
ilding permit expires Date —�j —711
FILE MEMO
OWNER to Vfu 01ZA , gomo,-,*5 `/(J c ~ .`
AP NO. AD
At time of permit application, the applicant was advised the following data or information
must be submitted prior to permit processing and/or issuance:
All items have been. submitted. 1—o7..
Plot plans in duplicate/triplicate. OL /'
Complete plans in duplicate/ riplic. e. Cf
Complete engineered plans and ca cs.2 ��% �
Fees of $
Letter of signature authorization.
Sanitation approval. M4.57 A
Planning approval
Workmen's Compensation Insurance Certificate.
Contractors license information.
Parcel declaration.
Access declaration.
Aunt Minnie information.
Deed of access.
Deed of parcel creation.
Parcel map.
Pre -inspection request for
Other
By/I' `— Date./,>
Bldg. Inspector
maamaaamamoommmmaaoosm=mmDasa====amammaamnomomaaammmamso=maDam=mommamommmoamm�mmmomaammmmmmmmmmm=
When permit is issued, process as follows:
1.
2.
3.
5.
Mail to owner.
Mail to contractor.
Deliver with inspection.
Telephone J 3 a,')_3 and hold
Other
for pickup.
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During plan checking process, the following data or information must be submitted prior to
permit issuance:
l�
1.
Index permit for
2.
2.
Applicant advised
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
All items have been. submitted. 1—o7..
Plot plans in duplicate/triplicate. OL /'
Complete plans in duplicate/ riplic. e. Cf
Complete engineered plans and ca cs.2 ��% �
Fees of $
Letter of signature authorization.
Sanitation approval. M4.57 A
Planning approval
Workmen's Compensation Insurance Certificate.
Contractors license information.
Parcel declaration.
Access declaration.
Aunt Minnie information.
Deed of access.
Deed of parcel creation.
Parcel map.
Pre -inspection request for
Other
By/I' `— Date./,>
Bldg. Inspector
maamaaamamoommmmaaoosm=mmDasa====amammaamnomomaaammmamso=maDam=mommamommmoamm�mmmomaammmmmmmmmmm=
When permit is issued, process as follows:
1.
2.
3.
5.
Mail to owner.
Mail to contractor.
Deliver with inspection.
Telephone J 3 a,')_3 and hold
Other
for pickup.
o= an =no= a man on= a a am man a am a a am a a am man man a a a a mama a======= cc am a cc a am am am man am man am======= a
During plan checking process, the following data or information must be submitted prior to
permit issuance:
l�
1.
Index permit for
items numbered above.
2.
Applicant advised
by telephone we need
3. Send letter to applicant. We need
4. Pre -inspection for- NOT verified. (Index)
5. Other
• v
`-6. Plans ch and/or approved byDateed
i
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Additional Processing or Notes G
— • COUNTY OF BUTTE — DE-PARTMENT OF PUBLIC WORKS
7 County Center Drive ' -• Uroville, California 95965 //11
•• Telephone: 534-4541
APPLICATION AND PERMIT�-
Dat&z _ kn -...-- -.. -. ___... ..-....
Signature of Permi tee or Agent % ..� s
Date
5/ / (� 3i By 5 b - dZ c1 ,6
Receipt No. __ '` 4� ) r
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 't ul-114 ng permit expires Date S(fe (D 3 a^y1�1i�
BUILDING vff—
Owner WVM,0KAN/t
l• s
SQ. FT. OCC. BUILDING'VALUATION
Mailing Address �
®� iii ^
e l l V-4
Telephone No;
2 3
Fireplace
Contractor - ? I- u ' t N G`
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
�
d,,
Teleph one No.
Permit Fee
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
4
Each Trap_,I 1.50 &0
`
l S b S !
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
Q
A. P. No. (��` y- 3 " lq "' o
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.5U
Each additional outlet 30
Fees
t�
W.C. Sar�ta�iel►
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00 , dD
EQA
PPlans rkin
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
Parcel Approval
Plans Approval
Permit Fee $ QQo
$ O(
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
(�
Main service 1000 AMP OR00V OR LESS5.00
�?
Main service EA. ADD•L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
OVER 600V
Main service 1100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW ( DLBLDGS.CCUP. &\
OR ADDNS. ACC / 2¢sq ft
NEW CONSTR. (MULTI -OUTLET
NON-RESID. 1 BRANCH CIRCUITS) '2.50ea
NEW CON5TR. POWER APPARATUS &)
NON_RES,(SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Pro ssions Code under the name
style O r.- -7�^—
Ex. Occup(OUTLETS OR FIXTURES) BAL'S
104
Ex. Occup. ( OUTLETS ((RESID.)FIXED APPLNS. REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No3% ClassificationC
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 Workm Ws Compensation.
ave 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 @ 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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
TOTAL PERMIT FEE
$ �L
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.
Dat&z _ kn -...-- -.. -. ___... ..-....
Signature of Permi tee or Agent % ..� s
Date
5/ / (� 3i By 5 b - dZ c1 ,6
Receipt No. __ '` 4� ) r
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant 't ul-114 ng permit expires Date S(fe (D 3 a^y1�1i�
3
FILE MEMO
OWNER W V$,) C>K A
To C AP
N0. B (D ` Ig `i' —
At time of permit application, the applicant was advised the following
must be submitted prior to permit processing and/or issuance:
�dat3aoinformation.,
All items have been 1,o 7' S
n
A? ' J �� 3
l•
submitted.
2.
Plot plans in duplicate/triplicate..
3.
Complete plans in duplicate/triplicate.14
Z 3 �
�J �""
4..
Complete engineered plans and calcs.
l
5.
Fees of $
6.
Letter of signature authorization.
7..
Sanitation approval.
8.
Planning approval
9.
Workmen's Compensation Insurance Certificate.
10.
Contractors license information.
11.
Parcel declaration.
12.
Access declaration.
13.
Aunt Minnie information.
14.
Deed of access.
15.
Deed of parcel creation.
16.
Parcel map.
17.
Pre -inspection request for
18.
Other
Date/2,a&�TJ
Bldg. Inspector
mmamaaamammmmmmaaamaommamomaammmommammaamaamamaaooaomoaaommoaaammmmooma000ammmoamomaaommmmmmmmmmm
When permit is issued, process as follows:
1.
3.
4.
5.
Mail to owner.
Mail to contractor.
Deliver with inspection.
Telephone and hold for pickup.
Other
omnoozamaammzaaaa==s=Mazza=a=Mazza=a===M==a=zMaMa==M=Mazza=za==a=M=Mama=aaaaaaazazMa==aaaamaaMMm:
During plan checking process, the following data or information must be submitted prior to
permit issuance:
1. Index permit for items numbered above.
2. Applicant advised by telephone we need
3. Send letter to applicant. We need .
4. Pre -inspection for NOT verified. (Index)
5. Other
6. Plans checked and/or approved by Date
az.===.eMea===eMee=====M===a=aeeMe=aaaaaaaaaasaaaaaaamaaaaaaamaaaaaaaammaammammmmomoammmmmoaammm
Additional Processing or Notes:
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive -- Oroville, California
Telephone: 534-4541 �O �-76
W11 APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for iF—Date
n purposes.
X (�
ignature of a ' 'tee A an u /� ,
Receipt No. I % % 3 Oma/
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.
IOR OF PUBLIC WORKS
By Date
Building permit expires Date 2— Z '��
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractorj( L ��-�7"�2� G
Total Valuation
Mailing Address 2�Zy `j-� (�
Permit Fee
Plan Checking Fee&/or Penalty
O L
LLs
Telephone No.
S- -•2i�D
Permit Fee $
Building Address/_09^ i"�2 6VI5 (,/ ",k- f Mly.
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
G�/�'�C✓>LLC �Q
Each Trap 1.50
Repair drainage or vent piping 1.50
�5Gyt,r-rZ
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.�G^ G�—�Q Z�of?T' Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fele/
Wize.,
Sanitation•
FireDept.
FireZone Use Permit
Building sewer 5.00
EQA
Parking
Plans
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
131dg—Flewe-Reo-d I
Parcel Approval
I Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 -j0
C.'42-- EZR—4; %
Main service io°o AMOR P LESSOR 5.00
Main service EA. ADD'L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service R 600V
1OOOEAMP OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW CONST.(DWELLING OCCUP. ^�
OR ADDNS. ACC. BLDGS. ) 22sgft '�/
NEW CONSTR. MULTI.OUT LET
NON•RESID, ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON•R ESID. (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:
gxge l7� c, /We" t
Ex. Occup(OUTLETS OR FIXTURES)BA@L @1 2
09
Ex. Occu FIXED APPLNS. OR
p•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification (2—/0
Misc. Wiring 6.25
❑ 1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $ ?-_vjr
$ _30-7-05
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
c7
$ 3 ,j
authorize representatives of the County of Butte to enter upon the
above-mentioned property for iF—Date
n purposes.
X (�
ignature of a ' 'tee A an u /� ,
Receipt No. I % % 3 Oma/
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.
IOR OF PUBLIC WORKS
By Date
Building permit expires Date 2— Z '��
V/
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
- 7 County Center Drive '— Uroville, California 95965
Telephone: 534-4541/7 J
APPLICATION AND PERMIT
.+cIJ,cOGnla IVa UI UIG laUUIILY UI DUtLU LU Clltef uNUn the
aboveZeioned property for inspe tion purposes.
Date
Signature of Permitee`or Agent
Receipt No. ` - ,57 S -G s✓
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 Date
Building permit expires Date
BUILDING
Owner�OKA O VA FS
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor `7af�Li` e eT Y yAL Uit<S
Total Valuation
Mailing Address o Be* 3 [ rL l Ega, J 41
Fee
Permit it Feeeck
Planng Fee&/or Penalty
f LC)
Telephone No.
Permit Fee $
Building Address Lo_r tAJI1VI
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
\W9JOKA
VJ 'Z' 0 I Z
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.Gas
—1 (Fq lJlrr
I Zoning & Planning
piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fes
V. 3am-tnti'on
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im provements
Lawn sprinkler system 2.00
&Hv—Wmrs-Reca
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®,
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3,00
_
%z C %��/� �,T —
Main service 100 AMP LESS
RSLESS 5.00
Main service EA. ADD'L- 100 AMP 2.50
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service 1100EAMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST ( DACCLBLGLING OCCUP, &) 20 sq ft
NEW CONST R. MULTI -OUTLET
NON•RESID, BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON -R ESID. (SINGLE OUTLET CIR,
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of C di'fornia Businesp & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) 'BA @L
FIXED APPLNS. OR
Ex. Occu
Occup.(OUTLETS OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
c s
Mobile Home Facilities 15.00
�, _
License No.1d -3 ClassoIcation ir� J C- 20
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.
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 personin any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @FEE
PERMIT FILING FEE $3.00 �'U
Heating C) %
Cooling Ojj
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
$ cb
.+cIJ,cOGnla IVa UI UIG laUUIILY UI DUtLU LU Clltef uNUn the
aboveZeioned property for inspe tion purposes.
Date
Signature of Permitee`or Agent
Receipt No. ` - ,57 S -G s✓
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 Date
Building permit expires Date
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The Bldg. Setback shall be 5 ft. from
the side property line and 50 ft. from
the centerline of the road, permitting
a maximum of a 2 ft. eave overhang.
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