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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
(Rev. 12/96) APPLICATION AND PERMIT C �3
ASSESSORPARCELN Br '13^—
S
ZONIN G
BUILDING PERMIT
OWNER \
T4ENE 1Q 1
4E
I
SO. FT. OCC. BUILDING VALUATION
O .
OWNERS I AD.DF� uE S f ;1 � . f
jt�(��rtJ �/� 1{r,�(/,�i�i, AA
` .
CONTRA RS NAME//~\ n
Y fL//
ilrca
�� > O E
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flirt Fee $ 20.00
Permit Fee $ �.
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SFT Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ff,
Describe Work: `� R u�0 SSS•.
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
800VOR LESS
Main Service 20.A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. UU ^/�
License Class Lic. No. 7 / '"A �•'
OWN R -BUILDER DECLARATION
hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A To 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADONS. ( a ACC. S.3.5¢T:
Px)µREOSIDT' MULTI.OUTLET g7.50
POWER APPARATUS
a SINGLE ouTLET CIR.
.00
Ex. Occup. OUTLET OR FIXTURES BAL @x..50
FIXI
Ex. Occup. OUTLETS(R.,6joE, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation . .
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
'1' 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith ,comply with those provisions.
.. � �'`
X Date
Signature of Applicant.''❑"Owner Contractor ❑ Agent
An OSHA permit i required is for excavation over 5'0" deep and demolition or construction
of structures over 3 stories in height. w�
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
�.
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES 4MP
FLOOD
I COF
PARCEL
PD
HD ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat -above for which fees have been paid.
�A r
By a� Vy Date :I t�
PERMIT EXPIRES ON a - a Uy
Date
ReceiptNo. %7ri S,� 5
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Eli
. � COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 8-7541 ��,
(Rev. 12/96) APPLICATION AND PERMIT C'_ - [�
ASSESSORPARCELN Bi -'e 133_ O ''
On
ZONING
BUILDING PERMIT
OWNER r
EIIDHONE
�I(o- 3l9
SO. FT. OCC. BUILDING VALUATION
® ' 03
.OWNERS I ^
S �/ `
�fE
CONTRA R'S ME � I
NE
qMir
CONTRACTORS MAILING ADDRES
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $31-0
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
SUILDINGADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SFA Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
-
Solar or heat um water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑pp Utilities ❑ Installation ❑ Other
Describe Work: `� f� �� Sf.
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
800V LE
Main Service Za.A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.'7J--EPOWER
l
License Class LIC. NO. WN R -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DI=NG OCCUP. sD
OR ADDNS. ( 6 ACC. BLDS. 3.5¢FT_
==,r MULTI.Ma.@7,50
APPARATUS
S SINOIE OUTLET CIR.
1 0
Ex, Occup. OUTLET OR FDCrUREs BAL O 50
FDI
Ex. Occup. OUTLETTAPP
P°R 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
'Ql' 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith omply with those provisions.
X Date 2 r- ��
Signature of Ap wnerContractor 13 Agent
An OSHA 1. Is required for excava Ion over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
R,1
CONST.^TrPE
TOTAL FEE $
HAZ.
D. FEES
FLOOD
COF
PARCEL
PD
HD SSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicat bove for which fees have been paid.
tl
By Date
PERMIT EXPIRES ON 'D -ay Oy
Date
ReceiptNo. %q 5
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
BUTTE COUNTY DEVELOVINMIV
Complainant:
Address:
Phone dumber:
Other Comments:
Inspector must draw a plot plan with all building locations:
Additional Comments from Inspector:
2
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
21--133-001
ZONING
A r, „
BUILDING PERMIT
OWNEDri
J. •
TBD
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
441 LITTLE AVE GRIDLEY
CONTRACTOR'S NAME
JOWSON AIR
TELE.p I-lOg3
Q4JJ``//►►CCJJ''��/VAV� 55
CONTRACTOR'S MAILINGADDRESS
5390 E• PINE FRESNO 93727
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 15.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
441 A LITTLE AVE GRIDLEY
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑.�epiAd�1 [�„Utj&s ❑ Installation ❑ Other
Describe work: iVIvN► WALK t'1J1t11A(:
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600VORLESS 18.50
200A OR LESS
Main service 200ATO1o00AI 37.50
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. %Q �� S_J Classification �y 1s'
El 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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUPM 3.64 sq.ft.
OR ACDNS. 1 ACC. B /
OUT
NEW CONSTRESiD, BRANCH@ 5.00
NO N•R ESID BRANCH CIRC ITS
POWER APPARATUS
SINGLE OUTLET _IR.
( e
Ex. Occup( OUTLETS OR FIXTURES 20 76
Ex. Occup. OUTLETS PFIXED APLNS. R
(RESID )E I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. byirin 15.00
9
Permit Fee $
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
5g 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.
Contractor
MECHANICAL PERMIT FiIingFee 15.00
Heating
WAU FIMMCE 9.00
Cooling
Hood 6.50
Ventilation
Permit Fee $ 24. Ou
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 sai County in conse uen of the granting of this permit.
X %� -/+� /' Date V—sci 'Tim
$i�p8ture of Applicant – Owner ❑ Contractor ❑ Agenr�
SiAn 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 S
Ener Inspection Fee $
Energy p
occ
CONST TYPE
TOTAL FEES 24.00
HAz
I DFEES I
IMP
I FLOOD
CDF
PARCEL
I PD
I HD
17E
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,feejs'have been paid.
DIRECT OF, PUBLIC WORKS
BY I(/
1 t,c-:" !J' i.(i• /f�,t" Date
PERMIT EXPIRES Date j
Receipt No. 115812
WHITE-D.P.W.. YELLOW-A33E330R. PINK -INSPECTOR, GOLDEN ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSPSSOR PARCEL NUMBER
21-133-001
ZONIµ
p
/ BUILDING PERMIT
OWNERTELEPHON
J.C. VIERRA
. 6
846-289
S0. FT. OCC. BUILDING VALUATION%
OWNER'S MAILING ADDRESS
441 LITTLE AVE GRIDLEY
CONTRACTOR'S NAME
JOHNSON AIR
TELEPHONE
345-0353
CONTRACTOR'S MAILING ADDRESS
5390 E. PINE FRESNO 93727
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING 441 ADORE
LITTLE AVE GRIDLEY
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF [� Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel o Utilities ❑ Installation[--] Other
Describe work: NEW WALL FURNACE
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200A OR LESS
18.50
Main service 200ATO1000A1
37.50
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. rgs1 �y Classification C-22�Z
ElI, 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)
ElI, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
OCCUP.&)
NEW CONST. DWELLING OR ADDNS. ACC. BLOGS. /
3.6Qsq.ft.
NEW CONSTR ULTI.OUTLET
NO N."ES'D BRANCH CIRCUITS
@ 5.00
POWER APPARATUS &)
SINGLE OUTLET CIR. )
EX. Occup( OUTLETS OR FIXTURES
20 76
FIXED
Ex. Occup. OU LETS P(RESID,)REA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
-15.00
Permit Fee
$
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 becomesubject
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 15.00
Heating
WALL FURNACE
9.00
Cooling
g
Hood
6.50
Ventilation
permit Fee
$ 24.00
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 sat County in cons . Lien of the granting of this permit.
X 7 Date 3y 'iZ
Si Lire 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 S
Ener Inspection Fee $
Energy P
OCC
CONST TYPE
TOTAL FEE $ 24.00
HAz
0FEES
IMP
FLOOD
CDP
PARCEL
PD
HD
Is E
This permit is hereby issued under the
sions of the Butte County Code and/or
Work i ated ab r whic a
D I R OF PU C
By
PER I EXPIRES Date
applicable provi-
resolutions to do
have been paid.
ORKS _
Date �
Receipt No. 115812
WHITE-D.P.W., YELLOW-^SSFSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541
APPLICATION AND P,RMIT
ASSESSOR PARCEL NUMBER
'Z„l – 1 3 --� (
ZON."G
` A-
BUILDING PERMIT
OWNERa
w
�t(�
TTELEPH'*yNE
oY62a6e
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ,ADD SS '�
1v/lf L _�r��' „
CONTRACTOR'S NAM
k _T%
TQEUL E�PHONE
J ,�/ -6-353
CONTRACTOR IL G ADDRESS
53 U i%V 3 2.7
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 15.00
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 $
BUILDING ADDRESS l
�
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF'5� Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home S G W @ 15.00
TYPE OF WORK
New❑ Addition U' Remod/eIE! Utilities❑ InstallationE Othe�
Describe work: _ 1U�W1W,i-// t Ui/✓%t� _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 18.50
200A OR LESS
Main service 200ATO1000AI 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUPM 3.5
OR ADONS. ( ACC. BLOCS. Q sq.f[.
NEW CONSTR.MULTI-OUTLET @ 5 00
NON.RESI BRANCH CIRC ITS
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES 20 760
FIXED APPLNS. \
Ex. DCCUp. OUTLETS IIRESID.IREA.) 1 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
—
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.
Contractor
MECHANICAL PERMIT Filing Fee 15.00
Heating ( , 0c7
Coolin g
Hood 6.50
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.
X Date
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 S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEES .O(�
HAz
1 0FEES
IMP
I FLOOD
CDF
I PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
cions 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 EXPIRES Date
i I S 4j1 �
Receipt No. 1 a
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT