HomeMy WebLinkAbout007-260-065Cyril Williams WALKER, T . E . ``- M
E/side Hickamore Ln, app 1/10 mi. S of 97-71B } '
x 7� 387-71P
- - - -- - Eatom Rd, Chico �a 331-71E _r
Permit # 1578-82B(new, det ��i�/�pr dor/ - - �
r
gar) �� n/s Hackamore Lane 625' e, of Eaton Rd.,►
contra Dave's Additi� d N. Vo'm* es, new single family)
'Corning
:26-1 44-47-65 -
Permit # 2341;82B(woodstovelfor 1578-82)
i
f
4
op f:7r, -, I � �3-
JOB FI ED (bate)
Signature
Temp. Power Pole_
i2
2
B-
7
HERMIT No.
JOB FI ED (bate)
Signature
Temp. Power Pole_
Called PG&E
B-
HERMIT No.
1516 -82B
Called PG&E—
Temp. Gas Service
PERMIT EXPIRES
Called PG/&E—
OWNER CYRIL WILLIAMS
CONTR. Daves
Addit & New Homes,,
Corning
ASSESSOR PARCEL
44-47-65
A
LOCATION VS
Hackamore Ln,.1/10
mi S EatonRd
4
yRr
JOB FI ED (bate)
Signature
Temp. Power Pole_
Called PG&E
Temp. Elec. Service
Called PG&E—
Temp. Gas Service
Called PG/&E—
JOB FI ED (bate)
Signature
I/ ,OK. ..
0 = Not OK
- = Not Applicable MOBILEHOMES
= Not Ready
MISCELL-ANEO"c
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning -Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) Oi. axcept N'
1. Zoning Requirements -Setbacks -Easements _
w
2. Soils; Special MH Support -Sketch
3. Sewer;, Location -Test -Fall -C/0 -Concrete
2. Footings; Size -Depth -Spacing -Connectors _
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails AY
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.;•Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.--Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ •,/"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec. -
Card -Bl
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date
Date Card -BI Date %
MOBILEHOME INSTALLATION (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability '
3. Gas; MH Test= Dema nd-Valve-Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining _
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.'
Boxes -Enclosures -Panel boards -Ins. to'Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
Card -BI
10. Plumb; Cir. Test -Water Supply Test
Date Card -BI Date
Card B -I Date Card -BI -Date
Card B -I
Date Card -BI Date - --
Card -BI
Date Card -BI Date
r
u
•
f).
w
� `t
U
B
V = OK,
0 = Not'OK
- = f!ot Applicable
= Not Ready
RESIDENTIAV(Single and Duplex)
Date
UNDE OOR Plans OK except #'s
Date FRAMING (Continued)
Zi_%*%
oning requirements -Setbacks -Easements
s
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
xt. Doors -0p -Che arage-3rd-&Hwy-i-e -
g., Garage; S%LL�&t' / /" Ftg. Depth
adroom-R i se -Run- Land i ng -F ire Protection
4.
Ftg., Porches & Decks; Soils -Steel- Ftg. Depth
54 --Plywood on Roof Overhang- AtticGLerr[g'--Rafteet Dtitriggers
5. Ste ails, Main; Steel-Blockouts-Wrapped-Slab
i I' `dER1sLr
temwalls, Garage; -Blockouts-
5 s
SteelAeGlazing
Area -Glass Protection-Skylights--Wa"ie
Its
-Test-2 way C/O -Sewer Test
9.
Gee -Pipe, ors
1
rs-Regulator-Service Test
11.
earance-Material-Support-Ins.
1
ts-Vents-Cripples
Card -BI AQ Date Card -BI Date
�� f �n
Card -BI Date Card -BI Date
-"V
Card -BI Date Card -BI Date
Card I ,?rZ3
Date — Card -BI Date
Date FINA lans) OK except q's
r -BI Dat _"Ti Card -BI Date
Date
PLUMBING
(Permit) except q's
_ . Ext. Steps-Ddur a, SloeTrgnt ro s
973 1795Mtector
14.
Water Ht.; Ven Access -Combustion Air
dB--Pottracv-Vents-Clearance-Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
15. Water Pipe; TeN & Anchors -Nail Protection
16.
D.W.V.; Test-FtbNys & Anchors Nail Protection
Exiting
17.
Shower Pan; Tes First Floor -Tub Access
'B"dth Fixtures & Tub Access
18.
Test Tub & Sh er, 2nd Floor -Tub Access
63.-Elv Frim & Subpanel; Breaker Sizes -Labels
62.--6teir&-&- aiIs
19. Gas Pipe; SizeL& Anchors
�S -
fi+r-E4er-6atR?is at Wood Panel; Int. & Ext.
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
e-9"-irei+.P4*4v-8r►Appliance; Grnd.-Air Gap -Cooking Clearance
fir Receptacles at Kit. Counter
ff. 90fage-F-he wing -Landing -Closer
Date
ELECTRICAL
Permit exce t q's
rage -Damper
20.
Fixture & Trans!mer Clearance -Ins. Protection
-'�-Clearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
21.
Elec. Recepta es Spacing -Lights &Switches at Doors
7 ec. Mech. Equip. Listed for Location
22.
Size Boxes & N6,,of Conductors -Stapled
7 1. es in Garage; (G. F.I.)-Romex Protec.
7 - -Looked in Attic ❑Yes
23. Romex Installed Cfhe to Edge of Studs & C.J.
24.
Equip. Ground made uj w/Mech. Fast and Gas & Water
7ft-& Deck Construction -Post Caps
25.
2 Appliance Circuits n Ki d S Size
ents &Crawl Hole Door -Drainage &Wood -Earth Clearance
Looked under Floor ❑ Yes
_ 26. Subfeed Wire Size / / Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. /ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutr I ❑Yes El No
7 ❑ Yes ❑ No; Walks [I Yes E] No;
Planters ❑Yes ❑No
28.
Service -Riser onductors & Ground -Main Disconnect
sh
29.
Equip. Clearan s; Panels-Motors-Mech. Equip.
7 nnect-Clrnces-Brkr. &Cod Size -115V Outlet
30.
Clothes Closet ight-Shower Light
7 o r� r,
7g,- pl.-Cleacau^-Opngs.
nett, Electrical, Plumbing
80e-Exierier-E'1EC-Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81_-Ve"HvHur-frroughout House
Card B -I
Date Card -BI Date
82.._GJase-Protection
Date
MECHANICAL (Perini OK except H's
_
83-6erreetrons from Previous Inspections
ers Tagged; Gas -Electric
31.
A.C.. Ducts; lnsuIN4qn & Support
Sewer netted -C/O to Grade -HD Approval
_
32.
Vent Fan; Exhaust ove Insulationomp
iance Certificate -Other Certificates
_ ___33-
Overflow; Size & Grade
Condensate DraC!,
34.
Furnace-Vent;ss-Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & 2atform if Furnace in Attic
Card -BI
Card -BI
—
_
__---
Date - _ Card -BI Date
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRA
Plans) OK except q's
Comments-at-Final:--
ommentsatFinal:Material
Material& Anchors �_
_ _ alts; Studs -Nailing, SpacingAe racing-Pis-Sow+d—
__ in s over Girders & Floor Nailing _
aft Stop in Walls (rat proof) -
4
'Bs -Stairs -Chases -Tub
4
ader & Beam -Size & earing
�s--aaehers�ConnectorssjFlEeptar�U-Ttct
ist- --Roac.-T sn .-R or yp Flu Fireplare.Ftrr at
ze & Rom_ex Protection -Draft Stop -Ins. Baffles
4T�i9ervge-F.kb
in ows or Exiling Doors -Sill Hgl. & Dimensions
Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
10 COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
y 196 Memorial Way, Chico — Phone: 891-27,51
7 County Center. Drive, Orovi I le — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
macer, need additional explanation, please contact this office immediately.
lax
A—�- z.- , riL 'A " //a:�
Inspector zg Date _ Z
COUNTY OF BUTTE - C1EPi4RTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville,-California 95965 - Telephone 916/534- 41
APPLICATION AND PERMIT
ASSES PARCEL NUMBER -
—�! .` v✓ ' �'
ZONING
�
LJ
BUILDING PERMIT(—. -00'0'
OWN R
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
Q
OWNER'S AILING ADDRESS
CO RACTOR•S A •
TELEPHONE
CONTRACTOR' MAILING ADDRESS
ad -;Z
N
Fireplace
CONSTRUCTION LENDER
UN
/
Total Valuation Is
QD O
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ Q
ARCHITECT OR ENGINEER
0OC/E
LICENSE NO.
Plan Checking Fee
,$ S
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
'Permit fee
$
BUILDIN� ESS
� ��
PLUMBING PERMIT
Filing Fee 10.00
.� , � � G.�c1
Each Trap .
2.00
Repair drainage or vent piping
5.00
<'
Water piping
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each Qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUC9!9�w
SF ❑ Duplex❑ Mobilehome❑ Other !< ri!%�
I F Y
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
NewAddition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:.GLt ��
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service DOOV OR LESS
100 AMP OR LESS
5.00
_
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. / DWELLING OCCUP.E11
OR ADDNS. \ ACC. BLDGS.
r 20 sq ft
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 Proles ons Code and license is in f rce and effect.
License No� Classificatio
❑ I, as the owner, or my employees with wage as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, 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 I -OUTLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR POWER APPARATUS &\
NON.R ESID. (SINGLE OUTLET CIR. /
50@21%
Ex. OCCUp OUTLETS OR FIXTURES BAL@1
Ex. Occup.(OUTLETS IXED P(RESID )INIS REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
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, acid 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 gainst
all Iia • 'ties, judgments, costs, and expenses which may in y wa accrue
again id Coun y i co sequence of the granting of this per t.
DatIV e
I n ure of A licant — Owner
g pp ❑ Contractor Agent
An OSHA permit is required for excavations over 0" ep and demolit on or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CON T.
v /v
17
PARCEL
(_//
PD HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
D1 TOR O UBLIC
/ s
BY � 4
PERMIT EXPCRES Date
the applicable provi-
resolutions to do
fees have been aid.
P
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPAFi TMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
` APPLICATION AND PERMIT
PERMIT NQ.
4
ASS ES�S Spp PARCEL NUMBER
�Y—f
ZONING
"BUILD'ING PERMIT
OWNE
/�� ! �� f _�y�-3J'/�,
,06
TELEPHONE
SO. FT. OCC. BIJILDING VALUATION
OWN MAILING ADD ESS '
CONTRACTOR'S NA TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace 744Jr 4,� GliL1, Q CU
CONSTRUCTION LENDER
W.V£
UNKNOWN
Total Vald Ion $ U o
FilingFee
$ 10.W
LENDER'S MAILING ADDRESS
Permit Fee $ 0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee N $
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee $ -5
BUILDI�4DDR SS
� AA rZ�l Z" ' /C
PLUMBING PERMIT Filing Fee 10.00
( {k /
Each Trap 2.00
Repair drainage or vent piping 5.00
41
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent 5.00
Gas piping system 1 - 5 outlets
USE OF STRUC%TJURE./
SF [IDuplex ❑ Mobilehome❑ Othe�i ,i/!lam /;G.l.
SPECIFY
Building sewer
Lawn sprinkler system 5.00
TYPE OF WORK
New❑ Addition [1 Remodel❑ Utilities ❑I Installation❑ other 14-
Describe work: f
_
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100 AMP OR001 OR LESS5.00
Main service EA. ADD'L•100 AMP 2.50
NEW CONST. DWELLING OCCUP.51) 2Q sq ft
OR ADDNS. ACC. BLDGS. _
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)
12�1, 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 CONSTR. BRANCH CIRCUITS 2.50 ea
NEw CONST R. / POWER APPARATUS S\
NON.RESID, (SINGLE OUTLET CIR. /
50 @ 25¢
Ex. OccupOUTLETS OR FIXTURES BAL@1
IXED APPLNS. OR
Ex. Occup.�OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Mise. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I 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.
�f 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 3.00
Ventilation
permit Fee S
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.
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
against,'s'aid Cc nfty,_i�consequence of the granting of this permit.
��
f ,� c , ,�/1 „
X Date ��
Signatu of Applicant - Owner Contractor ❑ Agent ❑
An 0�5 A 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 $ J Up
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
Pb
1 ND
1 ISSUE
Thi s permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
_DIRECTO OF PUBLIC WORKS
By. - Date �j�
PERMIT EX -D -at _ - - /1
Receipt No. Zz o
WRITE-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
�PE.RMIT NQ.
/ 1 (Jy
ASSESSQ PARCEL NUMBER _
lf,�AsIleBUILDING
ZONING/i/
P MIT
owNETELEPHONE
y.2--,5/
SQ. FT. OCC.1 P61LDING VALUATION
OWN'S MAILING ADD ESS
CONTRACTOR'S NAPrE TELEPHONE
,
'
CONTRACTOR'S MAILING ADDRESS
Fireplace /: � I Z,000., Q p
CONSTRUCTION LENDER
WAI
UNKNOWN
Total Val Ion $ W . 00
Filing Fee. $ 10.00
LENDER'S M ILING ADDRESS
Permit Fee $ , QD
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Penalty $
ARCH19TEINTEOR ENGINEER'S MAILING ADDRESS
Permit fee $—��
BUILDIN DR S
G �L
PLUMBING PERMIT FilingFee 10.00
s `
°
Each Trap 2.00
Repair drainage or vent piping 5.00
C� ..
Water piping
LOT NO.
•
SUBDIVISION NAME
PARCEL MAP
I
Each qas water heater or vent 5.00
Gas piping system 1 - 5 outlets
USE OF STRUC RE
SF [I Duplex❑ Mobilehome❑ Othe
SPECIFY
Building sewer
Lawn sprinkler system 5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑_.Vtilities� �Instal ther
Describe work: r
Permit Fee $
Contractor
ELECTRICAL PERMIT FilingFee 10.00
Main service 1S5•�0
00 AMP OR LESS
Main service EA. ADD'L 100 AMP 2:50
NEW CONST. /DWELLING OCCUP.y) 2�sgft
OR ADDNS. `ACC. BLDGS.
CONTRACTORS LICENSE LAW
1 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
❑ 1, 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) `
L►� 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 -OU LET 2,50 ea
NON-RESID BRANCH CIRCUITS)
NEW -CONSTR ( POWER APPARATUS 6
NON RESID, SINGLE OUTLET CIR. /
EX. QCCUp OUTLETS OR FIXTURES 2ft
IXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
.MECHANICAL PERMIT FilingFee 10.00
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.
R-rsshall 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
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 liabilities, judgments, costs, and expenses which may in any way accrue
agains id Co ' co equence of the granting of this permit.
X Date
Si 3 at of A plicant — Owner Contractor ❑ Agent ❑
An A permit is required for excavations over 5'0" deepand demol'tion or construct-
ion structures over 3 stories in height. `
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ dp
Occup. GROUP
TYPE OF CONST.
PARCEL
Pb
I ND I ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
CJOF3 OF PUBLIC WORKS
By • Date — `�JPL
PERMIT E e
Receipt No. � bSC/
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT