HomeMy WebLinkAbout028-210-043-� --------------f
A': P'." 28-21 e
ELEANORA ;MILLAM_ (� T
Darby Rd':, 1.1 mi. romMar svi1
LaPorte Rd.
Permit 892-74P,E (util. for MH)
A.P. 28-21- --A13
ELEANORA MILLAM
W/S Darby Rd., 1.1 m�rom Marys.
ville-LaPorte Rd. / �
Permitl.715-74P,E (-til.for 2nd MH
-----�- AP 28-21-. -4S
E.C. PITTER
Dabby Rd., 1.1 mi. S. W21
sville-
LaPorte Rd., Orovillecontr: Acro-Lume, OrovPermit# 991-75B(awningA1contr: Acro-Lume, OrIDville
Permit# 2817-75B(deck,' MH)
02
cwq
FC* 4
. I .
,4PERMIT NO.
't
P
! E
M
MH UTIL. 1715-74P,E
PERMIT NO.
• PERMIT EXPIRES — /
a WNER, Eleanora Millam
CONTR. Owner
A-
ILOCATION (A.P. 28-21—'13'
)
W/S Darby Rd., 1.1 mi, from Marysvill
+ =` LaPorte Rd.
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.mi�
Called PG&E 7
Temp. Gas Serv.
Called PG&E
�V —2/
FINALED �s
(Da e)
(Signal e}
int �
i
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.mi�
Called PG&E 7
Temp. Gas Serv.
Called PG&E
�V —2/
FINALED �s
(Da e)
(Signal e}
int �
l
COUNTY OF BUTTE — DEPARTMENT OF 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
Siding
To out
Slab
Roof Sheathing
Water Pi in '
Piers
Roofing
Sewer d'7 �—
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures ,
Bond Beam
FIRE SPRINKLERS
Motors .
Framinq
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
H eating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground —%
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
4G 0 /` �����c 1(/Z
0
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK
7 County Center Drive — OroviIIe, California 959650/7/
Telephone: 534-4541
APPLICATION AND PERMIT
+e?a 4
BUILDING
Owner P
SQ. FT. OCC. BUILDING VALUATION
Mailing Address `
Tel h ne No.
'-
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone Na.
Permit Fee
$
$
Building Address
PLUMBING
No.
@
FEE
PERMIT FILING FEE $2.00
Each Trap 1.50
ARepair
°'
drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
ni
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F ire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking arcel Ma
Plans p
60' R/W
Im rovements
Lawn sprinkler system 2.00
Bldg ans Recd � F rc pprovaI
ans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
-7.
l/ 7/- O
Main service incl. 1 meter
4 o a ,�� kv,?
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven X1.00
Water Heater or Space Heater
`1.00.
Light fixtures alfa 10
Receps., switches & fix outlets 2�3
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
$
$ Q�
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.
❑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
J
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
$ y
authorize representatives of the county of t3utte to enter upon the
above -mention d property for ins con pu poses.
XX V Dat
Signature of Permitee or Agent
Receipt No. /= 6 -Ze Z _
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 BLIC WORKS
BY Date � Z�'
(ding permit expires Date ..................'... `.?a.
0
Septic system and It"BOONkoCation
Butte CountyHealth D ptper
er
quirements.
All utility connections shaft
In
within 4 ft. outside the rear
third section of the mobile ;home
on the left (road) side of the mobile
home.
The
The Bldg. Setback shall be 5 ft. from
the -side property line .and 50 ft. from
the centerline of the road, permitting
ma ximum of a 2 ft. eave overhang.
0
i
TE:—All Materials & Workmanship Shall Be j
Accordance with Recognized Good Practices anv
of a q ality prescribed for the Specified use i
Unifor Building Code U • nth
the National Electrical,. Code Uniform Plumbing Code, and
r
i his set of plans a
nd
kept on the job at all ti sPec'fica}ions : MUS7 be
mat any, Chan ►nes and: it is unlawful to
wri 9es °r alterations on sante
n .permisson from the p � without
County County of iutte: apartment of- Pubttc
I -
BUILDING -DEPARTMENT
.et
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB jJ y
FINALED (/ /
(DatXI_6.ec,-
(Sign ture) .
Ti-,
,
RERMIT NO
2817-75B _
P
E
,.! M
MH UTIL.
' ,PERMIT NO.
t
PERMIT EXPIRES
!i
OWNER
E. Milla>m
CONTR.
cro—Lumn, Orc)villP
-; LOCATION (A.P.
28-21-13 )
t, w/z Darby
Rd., 1 mi. S. of LaPorte Rd.,
i
`I
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB jJ y
FINALED (/ /
(DatXI_6.ec,-
(Sign ture) .
LUMBING
ELECTRICAL
a
COUNTY OF -BUTTE — DEPARTMENT OF. PUBLIC WORKS
.p
BUILDING INSPECTION'RECORD
BUILDING BUILDING (Cont'd)•
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
D' Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Gara a Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of a
structure
Gas Piping & Ti
Temp. Gas
Slab
Final S
Sanitation
Patio
f FIREPLACE
Final
Footings
Footing '
Masonr .Walls
Throat
Reinf. Steel
Final
-Rough
Fixtures
Bond Beam
FIRE S
�RlNkLERS
Motors
Framinq
Test
Water Htr.
Stucco
Final x
Subpanels
Mesh
MEQfiANICAL
Grd. Fault Prot,
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
e—
LUMBING
ELECTRICAL
J .
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive —• Orovi lie, California 9596
Telephone: 534-4541 /
APPLICATION AND' PERMIT
authorize representatives of the County o 'Butte to enter upon the
above -menti ed pr pert or inspect' u es
X Date 6 1
ignature of Permitee or Agent
Receipt No. /
White-D.P.W. — Yellow -Assess r — 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 0 PUBLIC WORKS
By Date 6— f 7 S^
uilding permit expires Date.................6 _-/�
.� ��
BUILDING
Owner 7LLJ� /vJ.
SQ. FT. OCC. BUILDING VALUATION
ZY— d
Mailing Address )eY 614h
Telephone No.
3
Fireplace
Contractor
Total Valuation
Mailing Address (j L v D
Permit Fee
Plan Checking Fee &/or Penalty
(9 A20ALL ,�
Telephone No.
3 _ yy %
Permit'Fee
Building Address AR
• PLUMBING
No.
@ FEE
•
PERMIT FILING FEE $2.00
51 POAL7E %
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. —)
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F s
io
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im roveme is
P
Lawn sprinkler system 2.00
Bld .Plans Recd
Par Approval
Plans oval
Permit Fee
$
$
NEW J ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE 1 $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home JK Others ❑
Range, Cook -top or Oven 1.00
SEC % 41 _ k / �J ��EN
Water Heater or Space Heater
1.00
Light fixtures bal d10
K
Receps., switches & fix outlets 2U 25
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:
G2� `f'�'��'
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
,/ c[/ Classification ��
License No. 7 7" 6 7
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.
Cj� 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 $
$
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
$ BC
authorize representatives of the County o 'Butte to enter upon the
above -menti ed pr pert or inspect' u es
X Date 6 1
ignature of Permitee or Agent
Receipt No. /
White-D.P.W. — Yellow -Assess r — 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 0 PUBLIC WORKS
By Date 6— f 7 S^
uilding permit expires Date.................6 _-/�
.� ��
k:
PERMIT NO. 991-75B
P AI
E
M
MH UTIL.
PERMIT NO.
S
PERMIT EXPIRES. 7G
i
(OWNER E.C. Pitter
t`CONTR. Acro -Lome, Oroville
'LOCATION (A.P. 28-21-13 )
k.
Darby Rd., 1 mi. S. of Marysville LaPorte Rd.,
Bangor
S
Temp. Power Pole
Called PG&E _
Temp. Elec. Serv..
Called PG&E _
Temp. Gas Serv. _
Called PG&E _
JOB
k FINALED
(Da e)
(Signal e)
Setback
Forms
Main Bldg.
Footings
Stemwal I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Framing
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
DATE
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding,
To out
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents -
Water Htr.
Prov. for physically
handicapped
Heaters
Appliances
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Final
Sanitation
FIREPLACE
Final
Footing --- ELECTRICAL
Throat Rough
Final Fixtures
FIRE SPRINKLERS
Final
MECHANICAL
Heating
Cooling
Ducts
Ventilation
Final
REMARKS OR CORRECTIONS
Subpanels
Grd. Fault Pri
Service
Temp. Pole
Under roum
Permanent
Final
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W
7 County Center Drive -• Orovlllp, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
aut"Of ze (uplescntaii O[ [ e L'ounty of (suite io enter upon the
abovXQzz7D:ateR—!Q0-7J
S.
X
Signature�+of Permit r Agent
L
Receipt No. -2-- -3
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 P LIC WORKS
By to
ilding permit expires Date................�.��f/",'
BUILDING
Owner E,�+
SQ. FT. OCC. BUILDING VALUATION
Mailing Address PO. 6,e *,
� ,Q
"JD'
Telephone No.
Fireplace
ContractorC .0 — 'Opt N'04e ,
Total Valuation
Mailing Address Q L U
Permit Fee
Plan Checking Fee &/or Penalty
e hone No.
Azo U /�,� ����
Permit Fee
$
f ��
$ 6,
Building Address �9M�a,P_ ,
PLUMBING
No.1
@ FEE
PERMIT FILING FEE $2.00
17 A,
/`9 �lA�Ysu icc C /ems i$ -
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. —
Zoning &Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F s
W. . S
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Plans
ParkingRec
Parcel
I
Parcel Map P
60R/W
'
Improv rov ents
Lawn sprinkler system 2.00
Bldg. PJ
Parcel pproval
PI - 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
�-- / N/��r
Water Heater or Space Heater
1.00
Light fixtures bal 1 0
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of Calif nia Business & Professions Code under the name
style of:
Cir--
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 NoA -7 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.
FI have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
lecertify 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
Cal i forni a.
MECHANICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
L2.00
Hood
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
$
aut"Of ze (uplescntaii O[ [ e L'ounty of (suite io enter upon the
abovXQzz7D:ateR—!Q0-7J
S.
X
Signature�+of Permit r Agent
L
Receipt No. -2-- -3
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 P LIC WORKS
By to
ilding permit expires Date................�.��f/",'
PERMIT NO.
P
+ E
0 M
MH UTIL. 892-74P, E
PERMIT NO.
Y yi
PERMIT EXPIRES —/ -Z,'5-
O
WNER Eleanora Millam
CON TR. awn er
LOCATION (A.P. 28-21-13 )
n
Darby Rd., 1.1 mi. from
Marysville -LaPorte Rd.
't
Temp. Power Pole
R' Called PG&E
ti
Temp. Elec. Serv. 'rot.
Called PG&E
Temp. Gas Serv.
P �
t JOB
FINALED
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT'OF54PUBLIC 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
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer —%
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp.' Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service AAV 7!y
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS 4
t76
j i
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965 ��
Tel eV.hone: 534-4541
APPLICATION AND PERMIT
s
authorize representatives or the county of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
Signature of Permitee or Agent
Receipt No. � ? 3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued unde7 the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF/RUBLIC WORKS
L
B;Ur Dateilding permit expires Date ............................................
BUILDING
Owner '
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
el I—
Telephone No.
3 �
Fireplace
Contractor eLJ AJ,
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$
Building Address 7
r
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
-@
A
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. , 3
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F
S& on 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
Plans R c./
Par(4 p oval
P proval
Permit Fee
$
$ a C
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
_ C"
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 1 X10
o f�25
Receps., switches & fix outlets 7—bal 010
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. lisp. or D.W. 1.00
Air conditioner or heat pump
Water pump
(j Q
Mobil Home Facilities 5.00
�0
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
19 1 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 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
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authorize representatives or the county of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
Signature of Permitee or Agent
Receipt No. � ? 3
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued unde7 the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF/RUBLIC WORKS
L
B;Ur Dateilding permit expires Date ............................................
-- � The Setback shall be 5 ft. trorrf Septic system ' the side property line and 50 ft. from i b to be as per
y #lhe centerline of'the road, permitting. Butte County Health Dept;'Re-
.. a .maximum of a 2 ft, eave overhang. quirements.
+ ? Jai//''s. l
00
-A .t !"All utilit
r/ located within 4 ft outside the connections rear.
the
/ third sectign of the mobile home
on, -the left (road) side of the mobile
._ homp.
/L11
A � � I fro N+
. PPA -J/ i3UTTE COUNTY.
�: .,' ��. ,'Z •I / 3 3UILDING DEPARTMENT
`
APPROVED
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