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Home My WebLink About021-100-024-I0-24 - M D Henry- HENRY C, MOODY r 2I _ ary f` 1 2-67B 244.Little Avenue, Gridley 1-67P Contr: Gr ._ .. -6` iffin Roofing 27E � _ _ 1` Permit#2018-84B(reroof n/srL-ittle Ave /SF) '�'�61--at Losser Ave.,_ (remodel) Gri ey r. s 21 10-V4 '' 2055-91E MOODY' y y p Avp""'Gridle "` •�"!,I � `(elec.,service%sf)_ r \ , rN 4 ti �c. 4 L=j �� + � -� !� _ �_.�._ __a... Pte. '! ... rsr.�r :... :� . t ` . �. � �. « . � y ..YC� 1.�7�r'. w'�:fi;a.� . yFcyd*•r ;.�� , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 -. Telephone: 916/538-7541 APPLICATION AND PERMIT E S R 2PARCEL NUMBER �Y46 4 ZONING jr SRI BUILDING PERMIT AM MDODY ! - TELEPHONE 84b -31b9 SQ. FT. OCC. BUILDING VALUATION QVj r U-Wff Av R E SS GRIDLEY 95948 MCTOR'S NAME TELEPHONE -+a' CONTRACTOR'S MAILING ADDRESS Fireplace {.�61}$7RUCTION LENDER jLj UNKNOWN Total Valuation $ EjN1�DPPER's MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ 24+4+ C �'R BE GRIDLEY Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL« MAP f Water piping 5,00 Each clas water heater or vent 5.00 USE OF STRUCTURE SF.lM Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities)PQ Installation ❑ Other ❑ Describe work: REPLACE MAIN SERVICE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LE100AMP ORLSS ESS 1 10.00 • CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneS$ and Professions Code and my license is in full force and effect. License No. Classification. 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) ❑ 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 Main service EA. ADD'L 100 AMP 2.50 • NEW CONST. DWELLING OCCUP.y+ OR ADONIS. ACC. BLDGS. ) , /20sgft NEW CONSTR ULTI-OUTLET NO N."ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occu Occup(OUTLETS OR FIXTURES 20e50e eALO 30 FIXED APLNS.I, Ex. Occup. OUTLETS PRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 MIN Permit Fee $ 2.5.00 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•lnsurance 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this applieation,,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 againstsaid County in consequence of the ranting of this p rmi . �� DateLip a� 9/ Signature oApplicant — OwnerContract ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.Receipt Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 25.00 HA2 CUA PARK SCHL FLD coF PAR PD I Ho. Issu This permit is hereby issued unoer the applicable provi- sions of the Butte County.Code and/or resolutions to do work indicated above for which lees have been paid. IDAC WORKS Date (RMIT EXPIRES Date No. 94153 WHITE-D.P.W., YELLOW-ASeES30R, PINK -INSPECTOR, GOLD ENROa-APPLICANT ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, qriaIPfornia 95965 - Telephone:, 916/538-7541 APPLICATION AND PERMIT YfESSOR PARCEL NUMBER —10-24 ZONING SJR_1: - BUILDING PERMIT OWNER MIME MOODY TELEPHONE 846-3169 SQ. FT. OCC, BUILDING VALUATION O ER'S MAILING ADDRESS 2�+�+ LITTLE AVE GRIDLEY 95948 C ONTRACTOR'S NAME OWNER TELEPHONE • CONTRACTOR'S MAILING ADDRESS Fireplace hQ[yi RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ 2 4 DLITTLE AVE GRIDLEY Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping - 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFj[J Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W O.00ea TYPE OF WORK New ❑ Addition ❑ • Remodel ❑ Utilities3❑X Installation❑ Other ❑ Describe work: REPLACE MAIN SERVICE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penaltyof perjury p I y (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) ❑ 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 CONST. / DWELLING OCCUP..) OR ADDNS, l ACC. BLDGS. yzlCsgft NEW CONSTR. MULTI -OUTLET NON•RESID BRANCH CIRCUITS) 2.50ea POWER APPARATUS &) SINGLE OUTLET CIR. D Ex. Occup(OUTLETS OR FIXTURES zo®aoe AL@30 FIXED APPLNS. OR Ex. Occup. OUTLETS IRE SID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 MI Permit Fee $ 29-00 Contractor 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. MECHANICAL PERMIT FiIingFee 10.00 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 County of 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 against said Co ty in c sequence of the ranting of this p rmi . X �%'Date �� / Signature Applicant — Owner Contrac'm ❑ 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 $ Energy Inspection Fee $ occ CONST TYPE - TOTAL FEE '$ 2 00 1 HAz. I CUA PARK I SCHL I FLD I CDF I PAR PD I HD. Issu . This permit is hereby issued unaer the applicable provi- sions of the Butte County. Code and/or resolutions to do work 'cated above for which fees have been paid. DI R OF P C WORKS &ohl- YDate P RMIT EXPIRES Date Receipt No. 94153 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - D§PARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PFRMIT n»t»UN rAH CCEL NUMBER �% Q�l -160-oay OWNER /J� /�%J//�f /�[ � /l�lDO ZONINGS SRS TCLC _ , _my� BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION OWNER'S MAI ING ADDRESS t, CONTRACTOR'50NAME �� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER J /V`<- UNKNOWN Total Valuation Cj LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 10.00 Permit Fee Plan Checking Fee ." $ ARCHITECT OR ENGINEER'S MAILING ADORESS BUILDING ADDRESS y L� /e le �I ° l ,�- Energy Plan Checking Fee $ Penalty Permit tee $ $ S PLUMBING PERMIT Filing Fee 10.00 LOT NO. SUBDIVISION NAME P4RCEL MAP Each Trap 2.00 Solar or heat pump water heater Water piping 20.00 5.00 Each pas water heater or vent 5,00 USE OF STRUCTURE SFZ Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home ISIG W 0.00ea TYPE -OF WORK. ,� New ❑ Addition oo❑ Remodel ❑ Utilities ❑� Installation❑ Othl Describe work: n�� /y% A/ r'(/!C t° !— Penult Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;000 AMP ORV OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 S'Ole COmpen- 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 Main service EA. ADD'L too AMP NEW CONST. DWELLING Occ UP.a OR ADDNS. ACC. BLOCS. 2.50 s� , /20sgft NEW CONS' MULTI LET NoaRESID BRANCH clRc ITs 2.SOea POWER APPARATUS a SINGLE OUTLET cIR. EX. OCCUp(OUTLETs OR FIXTURES 20050c eALO 30 EX. Occup. F. OR P• OIXED APPLNSUTLETS IRESI D.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 I R• —5o Permit Fee $ p 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. me subject Notice to Applicant: If after making this statement, should you becowith such to the W. C. provisions of the Labor Code, you must forthwith comply Provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 15. 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 County of Butte to enter upon the above-mentioned property for inspection purposes..O 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 said County in consequence of the granting of this permit. X DateThis Signature of Applicant — 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 1' $ Energy Inspection Fee $ occ CONST TYPE V TOTAL FEES Q S MAZ. CUA PARK SCHL FLD I CDF PAR PD I HD. ISSUE permit is hereby issued unser the applicable provi- sions 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 PERMIT EXPIRFS n-ta I Receipt No. "IlII5-3-,?5—o WHITE-O.P.W., YELLOW-ASDESSoR. PINK-INSPECTON. GOLOENNOO-♦PPI,Ir.1NT COUNTY OF BUTTE Department of Public Works 7 County Center Drive, Orovi;ile, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature.. Please complete and return this information at your earliest opportunity to avoid unnecessary delay.in processing and issuing your building permit. No building permit will be issued until this verification is received. 1._ I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no). 2. I (have/have not zJ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. m 4. I plan•to provide portions of this work, but I have hired the following .person to coordinate, supervise, and provide the major work: Name - - - - -- Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: of Property Owner Social Security Numb 4.1 Date o7 0 Q NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.. COUNTY OF BUTTE - DEPARTIVfNT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER I ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILIn ADDRESS CONTRACTORS NAMEy TELEPHONE 3 CONTRACTOR'S MAILING ADDRESS 1 /, •,.� ! .w _ y_� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ , y BUILDING ADDRESS r PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 'I Water piping 5.00 LOT NO. SUBDIVISION NAME J PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF EI Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G JW I 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Instal lation ❑ Other Z Describe work: 1�. ' - ' �'' ' / — i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service soOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty Of perjury p y p i y (Check one): ❑. 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business7 and Professions Code and my license is in full force and effect. License No. 2 f -7 7 -, ! Classification r` 1 "' ❑ 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) ❑ 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 MULTI -OUTLET 2,50 ea NON-RES,..BRANCH CIRC ITS NEW CONSTR POWER APPARATUS ' NON-RESID, (& SINGLE OUTLET CIR. z0050C Ex. Occup(o OR FIXTURES .20 ALO 300 FIXED AX OR ED A PP LHS Ex. OCCUp. OUTLETS (RESI.D.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mise. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. a,'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 $ 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[ against said County in consequence of the granting of this permit. ,� K / �?',ff/ Date • / ,i /' t 7 I� Signature of Applicant �� lC ner ❑ Contractor Agent [ i 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 $ OCCUP. GROUP I TYPE OF CONST. -I PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date [ 7 Receipt No. 1' �/ ! - WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,a COUNTY OF BUTTE - DF:P.QRTjVIENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPL16AT10N AND PERMIT PERMIT NO. V Q V1 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNERG PH AV(lL b7 SQ. FT. OCC. BUILDING VALUATION 1600.1 OWNER' MAI NG ADDRESS CONTRACTOR• NA E - /1 TELEPHONPF' CONTRACTOR'SMA N AD RES Q( 36 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is FIIIng Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 1-15,60 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 35, 00 BUILDING ADDRESS /1� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 - Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME I. 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 5.00 Mobile Home S I G I W. 10.00 e TYPE OF WORK New ❑ Addition Remodel ❑ Utilities [:1Insta lation❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT FifingFee 10.00 Main service 600V 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. / 1 2h2sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Yl am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. %� License No. 2 Classification �'r� 9 ❑ 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) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR, ULTI.OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS. NEW CONSTR.POWER APPARATUS &'\ NON-RESID. SINGLE OUTLET CIR, / Ex. Occu 20@50e P�o OR FIXTURES SAL®30 FIXED FIXED APPLN S, OR A Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 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): ❑ T e 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 $ 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 ay accrue aga=dC conseq of the granting of this permit. X ate / Signature of Applicant — ner ❑ 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 $ 3S, OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD' SSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do WOfk indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By. Q e xmi�� PERMIT EXPIRES Da e i � Z Receipt No. / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT