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HomeMy WebLinkAbout024-110-05924-11-59 ARTHUR SCHELL Nb Nielson Rd, 6ridley Qmotr: P Q & Lae Ela, Oro �ua AC)SF = 'xj . ' 24 -ll -59 �Coptr: . pe�s� Roofing. . 024-11-0-059 SCHELL, ARTHURCONTR: 91-3433 OWNER366 NIELSON AVE., GRIDLEYNEW GAS PIPING/SFWATER ` H`EATER/SF ~..` / ~^ ` ` ~..` 1 5A- ;i1Q,f�P `'R'•'tn''t!p^""qt"'Rr'p"�4r41GS"•T'"'QF.*"p.4':. .r. .. .. - - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION MW PERMIT ASSESSOR PARCEL NUMBER 24410-459 ZONING' A 5 BUILDING PERMIT OWNER _ AUTfiOR 9GHELI. TELEPHONE SO. FT. OCC. BUILDING VALUATION / OWNER'S MAILING ADDRESS 366 NIELSON AVE GRIDLEY CONTRACTOR'S NAME DD -4--U TELEPHONE 529-3837 CONTRACTOR'S MAILING ADDRESS P.O. BOX 1010 RED BLUFF 96080 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 366 NIELWN AVE GRIDLEY 95948 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 J;� 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 ❑ Utilities ❑ Installation❑ Other ® Describe work: NEW WATER HEATER Permit Fee $ 22.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AA 00OR LESS 18.50 2OR LESS Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW I declare nder 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, fgrce and effect. .Y License ,Jo.��' 7,;V,,( Classification _�-�' i - �r1 ❑ 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.&\ 3.64 sq.ft. OR ADDNS. 1 ACC. BLDGS. // NEW CONSTR ULTI.OUTLET @ 5 00 NON•RESID BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET R. Ex. OccU OUTLETS OR FIXTURES 20 76 p5AL. 46 Ex. Occup. OUTLETS II REST D.)R'A.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00Misc. Wiring g 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. 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 1 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 Cooling 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, anct expenses which may in any way accrue against said County in consequent lelof the granting of this permit. `- X._�o _ �t ?mate �L' ��- /� g pp ❑ Contractor ❑ Agent �'^� Si nature of Applicant - OWngr An 'OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.QIRE Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 22.00 HAz I DFEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby Issued under the applicable rovi- P Y � PP � P sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. O,RR ()FPP.U, LIC WORKS By i'e PER IVES / Date /L' DaG�Z Receipt No. 101414 WHITE-D.P.W., YELLOW -ASSESSOR, PINK- NsPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovlller California 95965 - Telephone: 916/538.7541 APPLICA.TIGN AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 24-110-059 Z5)N I -NG A 5 BUILDING PERMIT OWNER AUTHOR SCHELL TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 366 NIELSON AVE GRIDLEY CONTRACTORS NAME DO -4–U TELEPHONE 529-3837 CONTRACTOR'S MAILING ADDRESS P.O. BOX 1010 RED BLUFF 96080 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 366 NIELSON AVE GRIDLEY 95948 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 7.00 USE OF STRUCTURE SFP Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G IW @ 15.00 TYPE OF WORK New [_1 Addition❑ Remodel❑ Utilities❑ Installation❑ Other] Describe work:__ NEW WATER HEATER _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service R LESS 200AORLESS 18.50 Main service 200ATO1000A) 37.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$POWER and Professi ns Code and my license is in f rce 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.OR ADDNS. ( ACC. BLDGS. DWELLING OCCUP.6I � 3.6Q sq.ft. NEW CONST" ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 APPARATUS (SINGLE OUTLET CIR.f1 Ex. Occup(OUTLETS OR FIXTURES 20 76 Ex. Occup. OUTLETS FIXED P(RESID.)REA.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. 2if' Tiave 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 11 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 Cooling 9 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 ia15 judgments, costs, an xpenses which may in any way accrue against said C my in consequenc of he granting of this permit. ate ! %Uf— Si atur Applicant — Owner pp ❑ 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 FEE $ HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated abAve for which fees have been paid. OR F LIC WORKS By Date /C,) PE IRE Date Receipt No. 101414 WNITE•D.P.W., YELLOW -ASSES NSL 3C – Z -9 /--6l16lZq — //0 COUNTY OF BUTTE - DEPARTM NT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ✓ 2Z/- MQ` (9 5-9 2PNING� BUILDING PERMIT OWNER r-�hvf e` TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS / ,3(,(- Nr' 1 6 A V P -Id _TR _FO NAC TO SNAME 0— - v TELEPHONE 5'21-383 CONTRACTOR'S MAILING ADDRESS G Efs /D /6 e 6 r✓F�' 960�o 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 3 AJI Me ErJle Permit fee $ PLUMBING PERMIT Filing Fee 15.00 e Each Trap 1 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 , USE OF STRUCTURE SFM 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 ElRemodel ❑ Utilities ❑ Installation❑ Other Describe work: MQJ (A/dre-� t,/riz Permit Fee $ 22 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 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. 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 Main service 200A TO IOOOAI 37.50 NEW CONST.( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. // 3.60 sq.tt. NEw CONSTR ULT' -OUTLET NO N.RESID BRANCH CIRC 'ITS /� ` 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20@76d A EX. Occup. OUTLETS FIXED PIRESID IREA.1 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 Cooling 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 $ Energy Inspection Fee $ occ ICONST TYPE TOTAL FEE $ 2o2' d HAz 1 0FEES I IMP f FLODD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By EXPIRES Date applicable provi- resolutions to do have been paid. WORKS DatePERMIT Receipt No. / WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROO-APPLICANT 1tiIb .. ILr* 1 OFFICE COPY Address GAS` Meter By Dat ELECTRIC \ Meter By to T1 • r y i OFFICE COPY Address GAS` Meter By Dat ELECTRIC \ Meter By to T1 • r y i ti COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER A Z ONIN BUILDING PERMIT ARTHUR R�� SCHELL T' L PHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 366 Nielson Ave, Gridley 95948 CONTRACTOR'S NAME V- TELEPHONE CONT OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 t 365 Nielson Ave, Gridley 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 ❑nDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 5.00 Building sewer15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities ❑ InstallationC OtherW Describe work: new gas piping minimum KOO Permit Fee $ 25.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 , Main service 20LESS 0A OR LESS 18.50 Main service 200A TO 1000A1 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. Icense No. Classification60 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.E OR ADONS. ( ACC. BLDGS. 3.60 sq.ft. NEW CONSTR ULTI.OUTLET NON.RESIO. BRANCH CIRC ITS @ 5.00 (POWER APPARATUS a) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 A FIXED APPLNS. OR EX. Occup. OUTLETS (RESI D.1 EA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 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 I have placed on file with the County of Butte Building Department u 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 subjectpermit 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 Cooling g Hood 6.50 Ventilation 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. ,r -x—). " Date' �' x"✓E]❑ Signature of Applicant — OContractor Agent An OSHA permit is required forr a 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 CON ST TYPE TOTAL FEE $ 25.00 HAz I DFEES I IMP I FLOOD CDF I PARCEL PD HD ISSUE This per it is ereby ssued under the applicable provi- Bions t e utte C unJode and/or resolutions to do wor in I ted ab fob which fees have been paid. PUBLIC WORKS By Date9/25/91 PER EXPIRES Date 9 5 92 n Receipt No. a`d 14n WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER _ ZONING BUILDING PERMIT DW ARTHUR SCHELL L PHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 366 Nielson Ave, Gridley 95948 CONTRACTOR'S NAME TELEPHONE CO OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 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 366 Nielson Ave, Gridley 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 1 7.00 USE OF STRUCTURE SF ❑XXDuplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 @ 15.00 TYPE OF WORK Newl 1 Addition❑ Remodel❑ Utilities❑ Installation❑ Other By Describe work: new gas piping _ mi 5,00 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 20CATO 1000AI 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. (cense .Jo. Classification f 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.B� OR ADONS, l ACC. BLDGS. 3.6a sq.ft. NEW CONSTR ULT' -OUTLET NON -RES D• BRANCH CIRC ITS ` 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup( OR FIXTURES 20 761 A FIXED APPLES. OR EX. DCCUp. OUTLETS (RESI D.) EA,) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 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 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling 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 — Own e Contractor ❑ Agent ❑ An OSHA permit i5 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 FEE 25.00 HAz 1 DFEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This per it is ereby ssued under the sions t e utte C ode and/or Wor in c ted ab fo which fees PUBLIC By PER EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date0125/91 Receipt No. WHITE-D.P.W.. YELLOW -ASSESS - NSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE. -Department of Public Works 7 County Center Drive, Oroville, 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. N 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. 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)�r% 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. 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 Sign �� &-44U. Property Qw� ac' ecurity Number Date 9-Z 5-- 9I 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 - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER - -0,5 ZONING -5 BUILDING PERMIT OWNER u SCh' I TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 114-1 IvIlel.50111LAM 59111F 1 CONTRACTOR'S NAME ti (11Vp ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE ND. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS j G / ,p N `� • l ^ C Permit fee $ PLUMBING PERMIT Filing Fee 15.00 .57C/of Each Trap 1 5.001 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 SFJ�/Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Y,UV Building sewer 1 15.00 Mobile Home S i G 1W @ 15.00 TYPE OF WORK New;—. Addition ` Remodel L_' Utilities ❑ Installation[ Other Describe work: 14-V 61+5 rAJ Permit Fee $ �5 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service soov OR LESS 200A OR LESS Main service 20CA TO 1000A1 —�-1 8.50 I 37.501 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 .Jo. 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 I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.&\ OR ACDNS, ACC. BLDGS. 77 3.5Csq.ft. Ew CONSTK 'AULT1.OUTL"' N ON.P ESI D�. eR aNCH CIRC 'ITs 1@ 5.00 POWER APPARATUS a SINGLE OUTLET CIR. ) EX. OCCUp OUTLETS OR FIXTURES RAO,a 76a Ex. Occup. OUTLD TS (R,ESIO.IPEA.) 1 3.00 Temporary service 1 15.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ;` 1 The permit is for 5100.00 (valuation) or less. <1 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. 71 1 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 Cooling Hood 6.50 Ventilation Fee ee _ $it 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 — OwnerContractor G Agent 17 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 $ aS� IriAZ 0FEES IMP FLOOD I COF i I PARCEL PO 11. ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. e / �� .`/NITC-O.P.W., •EL LO VI -♦S SC930 R, PINK -INSPECTOR, GOLD ENROO-APPLI CANr � �9 9 o i ► ' �� b� �� � � )� 19� � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER / i,,/ / TELEPHONE SO. FT. OCC. BUILDING VALUATION ,� OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS r 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 $ , BUILDING ADDRESS PLUMBING PERMITng Fili Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 WaterP�P 9 I in 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I GJWJ 10.00e TYPE OF WORK New ❑ Addition Remodel❑ Utilities ❑ Installation❑ Other ❑ Describe work: f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1Doo AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLOGS. 2t/20sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUS Ines$ and Professions Code and my license is in full force and effect. License No. 1 _ 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) ❑ 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.ULTI.OUTLET 2,50 ea NO N.RES ID BRANCH CIRCUITS) NEw CONSTR. ( POWER APPARATUS &') NON -R ESID. SINGLE OUTLET CIR. / Ex. OCCUp(OUTLETS OR FIXTURES BA 030 FIXED APPLN5. OR 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): ❑ 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 $ 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. 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.J Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 1 ^PD OCCOP. GROUP I TYPE OF CONST. PARCEL I No ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By � ♦r ' PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date . J '. r� j r� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT f M E Y E R S 860 ONSTOTT ROAD YUBA CITY, CALIFORNIA 95991 ROOFING SERVICE TELEPHONES: YUBA CITY: (916) 673.1266 -/� COLUSA TOLL FREE 1917 GRASS VALLEY ASK OPERATOR NEVADA CITY FOR ENTERPRISE OROVILLE No. 14060 PARADISE i SACRAMENTO Date. May 26, 1987 , We request an inspection of the completed Arthur Schell project which was completed on Maj 20 19 87 Permit No. 1344-87B located at 366 Neilson Ave id X+ CA - at your convenience. Sincerely, 46. Y - t- V f Emtatn obim to chww, , okbetat notice. Quoudam Emimd to films dere • Na B" lar faibme to puEatm owd 'by or&*&. tire, or o Wdm" bay oed our cmaol. s COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANQ PERMIT PERMIT O. ASSE S PA EL NU BER ZONING BUILDING PERMIT OW TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1 O �R' I N DD S Atd/ CO AC OR' A E HONE r/ ON CTO MAILE CI D R Fireplace CONS RUCT DER IJUNKNOWN Total Valuation Is 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 $ BUILDING ADDRESS PLUMBING PERMIT FiIingFee 10.00 • Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 � / USE OF STRUCTURE SF I`_T Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New❑ Addition Remodel❑ Utilities[] Installation❑ Other❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 10ov 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. 2/20Sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Dam licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and my license is in full rce 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 NE_NON.RESID `L BRANCH CIRLF CUITS 2.50 ea NEw CONSTR POWER APPARATUS NON.RESID. ( &SINGLE OUTLET CIR. 20®50a Occup(o Ex. uTLETs OR FIXTURES 6AL®ao FIXED APPLNS. OR EX. Occup. OUTLETS IRESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Eq.�F 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. ❑ 1 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 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 Countyot Butte to enter upon the above-mentioned'property for inspection purposes. 1 als agree to save, indemnify and keep harmless the County of Butte against all bilities, judgments, osts, and expenses which may in any way accrue aga' t said County in c quence of the granting of this per it. Date 4?� ig ature of Applicant — ner ❑ Contractor �/gent ❑ OSHA permit is requi a or excavations over 5'0" deep and demolition or construct- on of structures over 3 st I.In'�height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCOP. GROUP TYPE OF CONST. PARCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IREC PUB BY _ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. ORKS Date Receipt NO. 9c30(2 F_ 1 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT • r {`.. ,y .�. Y .phi .v..'. -x. � :4._ ,,�. L `„ ,,�\�. .r .� �:� •.F � • 1 `� fa\" ,�'� .;__��\.. ••tel..; i_>..`. �.i. • �...✓` `Y,t'•,. .\ t '�•4•ti '.-•, ,'` .r `! _ •i> `` ; COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California,95965 - Telephone 916/534-4541 APPLICATION- AND PERMIT PERMIT NO. /Y'!�- ASSESSOR PARCEL NUMBERy \ 1j`7 ZONING A BUILDING PERMIT OWAR jS� 14ri- iP�uA TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME QCT, G TELEPH ONE SfiC� /Z4- CONTRACTOR'S MAILING ADDRESS �)r,� /U i C , TIE- v �� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGIN ER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING A.Q�DRE(// SS �� r7 �,� •/ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 4 -PARCEL Water piping LOT NO. SUBDIVISION NAME MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE -, / SF L`� Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system em 5.00 TYPE OF WORK New❑ Addition❑ Remodel[] Utilities,[] Installation[] Other Describe work: C- �dii/ rte. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service V OR LE 100 AMP ORSLESS Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.61\ OR ADDNS. ACC. BLDGS. 26 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 Professions Code �, /and my license is in full force and effect. r. Classification � �/a License No. �4ft0 T ❑ 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 CONSTR I_ u LET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CON'STR // POWER APPARATUS h NON.RESID, %SIN'GLE OUTLET CIR. 5o'ae Ex. Occup OUTLETS OR FIXTURES BAL@1 Ex. Occup.( OUTLETS P(RESID )LNS REA.) 2.00 U Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 U Permit Fee $ 1. U 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 PM 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 -% 4'60 Hood 3.00 Ventilation permit Fee S OO Contractor , ;k oA/p}.IV 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. Ialso agree to save, indemnify and keep harmless the County of Butte against atI liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X . r�l1_ G'A Date �-� Signature of Applicant - Owner ElContractor ElAgent Elwork permit is required for excavations over 5'0" deep and demolition or construct- An OSHA/ ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ,-';C OCCUP. GROUP I TYPE OF CONST, I PARCEL PD I HD I ISSUE This.permit is hereby issued under sions of the Butte County Code and/or i dicated. above for which ?DIRECTOR OF PUBLIC By �✓ PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / r Date `- D / Receipt No. &9�8 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 'P7ERMIT NO. 7 County Center Drive - Orovill �, Calif(rrnia 95965 - Telephone 916/534-4 1 /',c �/—" APPLICATION AND PERMIT A / Cy D ASSESSOR PAR ELMB --/�.�j •+ -BUILDING ZONING PERMIT O WR TELEPHONE SQ. FT. OCC. BUILDING VALUATION MAILING ADDRESS C NTRACTO R'S NAME 6 •(ELE-I..I/NF ` Z'/T/ C T O R•SILID�E2 �(/� �JCjjj[ggjj'7! /�C/ Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILINVA13DRESS Permit Fee $ ARCHITECT OR ENG ER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR EN EER'S MAILING ADDRESS Permit fee $ BUILDING AD RESPl� o , / C® /V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 �D Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition Remodel[:] Utilities Installation❑ Other Describe work: ��T4 /,0!; 1—h&L— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 800v OR LESS co 100 AMP OR LESS r Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. OR ADDNS. �ACCLBLDGS.LING CCUP.M1 22 sq It CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business Professions Code and my license is in full force and effect. License No. �g✓.��j�l' �Classification __ G° t ❑ 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 CO ID R BRANCH CIRCUITS) Ts 2.50 ea NEw CONSTR. f POWER APPARATUS &� NON RES,D. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES_ 2t BAL and 00 EOccup Ex. OCCU FIXED PLNS (RESID )REA. 2.00 .(OUTLETS (OUTLETS p0 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 �v Permit Fee $ 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. ZZ 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 7— Hood 3.00 Ventilation Permit Fee S Contractor g5i5yrzg 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 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 Ad Coun in consequence of the granting of this permit. / %� Date b /-197z- Signature of Applicant - Owner g pp ❑ 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 $ ,,50 OCCUP. GROUP TYPE OF CONST. PARCEL PO HD ssuE This rmit is hereby issued under the applicable provi- sio of the Butte County Code and/or resolutions to do wo i icated. above for which fees have been aid. P I CTOR OF PUBLIC WORKS By Date /y PERMIT EXPIRES Date Receipt No. &D �O WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPE CTOR, GOLDENROD -APPLICANT