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HomeMy WebLinkAbout025-220-059' �� ' / TOM HUFF 2440 Lone Tree Rd. 0 ovill.e ` � |------ ` . |2440 LONETREE,AROON' \CO*NTR. OWNER ` ' �} � ^ ` ` } � Lo '41 6 I f, v 025-22-0-059 "1- �,(. � ►t y 00-2944 KL)AINARK ARGON 2440 LONETREE; OROVILLE CONTR: OWNER y PROPANE TANK ` OFFICE COPY Addres GAS Meter By DayGs —lj�a ELE.CTRIC COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT fid" I JfW ASSESSOR 9,2VB v5g ZONING BUILDING PERMIT V OWNERA ARGON iZLAINARK TELEPHONE ��v-.889 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ll �t O V♦ME 95965 CONTRACTOR'S NAME OWER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 24413 R Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNSIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF El Duplex ❑ Mobilehome ❑ Other -" SPECIFY Each Trap 7.0023.00 Solar or heat um water heater Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherY❑P-Buildin PROPANE TANS; TO GO TO HOUSE WASHER Describe Work: • AND DRYER Gas piping system 1 - 5 outlets 15.00 sewer 15.00 :Mobile Home S G W @20.00 PERMIT FEE $ 3 • ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.S License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: El' 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 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.) .❑ 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 d I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. L X /t r'rr�,} r (, �V'-- Date Signature of Applicant'O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. ` Main Service 200A TO +000A 46.00 NEW CONST DWELLING occUP. 3.5Q SO. OR FT NEW9 °O MU.. NON•RESID. 97.50 PSINGOUTLET COWERLE APPARATUS IR. 20 Ex. Occup. OUTLET OR FDmJRES SAL I . 0 Ex. Occup. .=RD,°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEIE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35,00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD I$$SIE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for � hich fees have been paid. i 1 By �7 , Date f f✓V PERMIT EXPIRES ON Dale 1 Receipt No. ^ WHITE-D.D.S.-B.D. CANARY-ASSESSO _PINK -INSPECTOR GOLDENROD -APPLICANT C COUNTY OF BUTTE BUILDING DIVISION : c` —DEPARTMENT DEPARTMENT OF DEVELOPMENT SERVICES _ 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA'* (530) 53&7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is ,a completed. If you have any questions pertaining to this matter; or -need additional explanation, please contact this office immediately. • r,i LAS Date _ REV 1 Inspector .'r+^.-.'►�.�..r �-»..---••`�-..,w..,--......-Y.---,,..�-...--.ti-..r�:.i.�-�'^.'r-w.r�v-=----.�,rV-.r.v v.-�...�r .-Y....-r- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. _ . -- (Rev. 12/96) APPLICATION AND PERMIT A®—, ASSES,JT9 JRCRNUMBB�59 ZONING BUILDING PERMIT GWNERARROONNLKLAINARK IT41 °"J889 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2440 LONETREE, OROVILLE 95065 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checkin Fee $ BUILDINGADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF R3 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 ❑ OtherAZI Describe Work: PROPANE TANK TO GO TO HOUSE, WASHER AND DRYER Gas piping stem 1 - 5 outlets 15.00 15 oo Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o0A 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. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ,18 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 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 permitis 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.) 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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwth comply with these provisions. X Date SignVar ofAp lic nt - Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO iOOOA 46.00NEW CONST. DWELLING OCCUR SO OR ADDNS. ( a ACC. MDS. 3.5QFT; NON".gESID ' MULTI.OUTLET @7.50 POWER APPARATUS 8 SINGLE OVILET CIR. .00 FIXTURESEX. Occup. OUTLET OR FIXTURES BAL Q I. 0 LNS Ex. Occup. otmEFis RES 6.OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEL: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PO HD S E In This permit is hereby issued under the applicable of the By a Coun Code and/or Resolutions in ate for hich fees have been B Dat PERMIT EXPIRES ON provisions to do paid.. e work 4 l/l Receipt No. / y WHITE-D.D.S.-B.D. CANARY.ASSESSO PINK-INSP�EC OA GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,: 7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. 2/96) APPLICATION AND PERMIT a.oRP ru>ea 6� Z 7 ' ZOM"a BUILDING PERMIT �7 �� s SO. FT. OCC. BUILDING VALUATION m iMW..#* .a4�a 1 n tr, n r)r71l h n "( 7 i� l r, Moors rwu+o �ooR�sa acMrreeT oa a+a►e� acarecr oR Dow FVVS uAuw AooRess u�ono Or NO. tu*ONeIONtKM! USEOFSTRUCTURE iF O Duplex O Mobiiehome O Other TYPE OF WORK New O Addition "model O LMN"�O Q Installation O Other O Describe Work: *PERMIT FEE PAID $ Total Valuation is Fling Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee PERMIT F PLUMBING PERMIT Each Trap Solar or heat pump water heal Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home I S I G IW 20.00 ling Fee 20.00 7.00 23.00 15.00 15.00 15.00 115- 15.00 @20.00 PERMIT FEE _ -� ICAL PERMIT Filing Fee 20.00 rkM%alinrvice °so00o� oORRuss 23.00rvice soon To IOWA 46.00T. / owEui+o occuP. 1 3.5Qo: SRA $ SHERIFF OTHER $ WP I F1.000 I COO: I PARCEL Po I MO $ AMOUNT RECEIVED i ZT7�D �._ * UMBER RECEIPT N * TO BE PUT INTO COMPUTER Ex. OCCU . Ovrty oR FomJREs FMO APPLM. OR n Ex. Occup. OuErs Es10. EA Temporary Service Mobile Home Facilities Misc. Wiring PERMIT FEE _ MECHANICAL PERMIT Heating Ventilation Mobile Home Installation Fee 1 $ 5.00 23.00 20.00 23.00 6.50 20.00 0C° , CONST.TYPE TOTAL FEE $ - K#Z o. FEES WP I F1.000 I COO: I PARCEL Po I MO I ssuE This permit Is hereby issued under the applicable provisions of the Butte County Code and/or Resolution* to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 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. r� 1 personally plan to provide the major labor and materials for construction of the �- roposed pr erty improvement: YES[v f NO[ ]. 2. HAVE HAVE NOT[ ] 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: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following peisoh- to coordinate, supervise, and provide the major work: NAME: >. { ADDRESS: CITY: - PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following. fersons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK' SIGNS PROPER OWN R. DATE: w�-•-� % a —�1 � - NOTE: This owner -Builder Verification is required by Section 19831 and •19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may. protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks'for'you if you do not carry out these obligations,"and.these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. ' ` If the structure is intended for sale, property owners who are not licensed contractors -are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. R A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm. that you are aware of these matters. The building permit will not be issued until the verification is returned. i 4Vifira, M c telC.B.O. ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. Permit#3428-8 T Huff 61 Fa �0 �/ 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 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS + CONTRACTOR'S NAME r)y Y TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER1 /�/ ' Y' LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ /) r� BUILDING ADDRESS _ + PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 } I 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 SFE]' Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other Q' Describe work: t t 1 > �'_� r ►� Il ?'�)� s' V V Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 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 ADONS. ACC. BLOGS. II 2'h¢SQft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessEx. 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 CONSTR (MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. // POWER APPARATUS &' NON-RESID. 1SINGLE OUTLET CIR. Occup(ou TLETS OR FIXTURES BA 030Q FIXED APPLNS. 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 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 $ 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 $ TOTAL PERMIT FEE $ � Ir J c1 OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which /DIRECTrOR OF PUBLIC � " ' By A- "'y �_� PERMIT EXPIRES Date / f` the applicable provi- resolutions to do fees have been paid. WORKS Date /17 ". f ' Receipt No. ' ? WHITE-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 APPLICATIONAND PERMIT PERMIT 0. 'ASSESSOR PARCEL NUMBE ZONING BUILDING PERMIT O WNE TELEPHONE 3e(-' SQ.FT. OCC, BUILDING VALUATION OWN R' MAILING ADDRESS O CONT ACTOR'S NAME +� 0-7 ELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNK o Total Valuation $ 1 0" Filing Fee $ 10.00 LENDER'S MAILING ADDRESS - Permit Fee $ ^ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADEFRESS Permit fee $ $;'10 BUILDING ADDRESS `49, PLUMBING' PERMIT Filing Fee 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 Duplex❑ Mobilehome❑ 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: �.19ay,cl bury,ty.0 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 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. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perj Ury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the BusinessEx and Professions Code and my license is in full force and effect. icense No. Classification P 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 coNsrR U TI -OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS. NEW CONSTR. POWER APPARATUS &' NON-RESID. SINGLE OUTLET CIR. . Occu i0®s0C p�OUTLETS OR FIXTURES 6AL®30 FIXED APPLNS. OR Ex. OUTLETS (RESID.) EA. 2.00 -Occup. 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 3;JoyCt to Self -Insure. m�f shallall 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. 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 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 liabili ies, judgments, costs, and expenses which may in any way accrue a ainst sCounty in con eque a of t e granting of this p rmit. X Date Signature of Applicant — Owner C ntractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ r^J OCCUP. GROUP I TYPE OF CONST, I PARCEL PD 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. C ' OF PUBLIC WORKS �43eipt BY r14 ��te "�E-D.P.W., PERMIT EXPIRES Ilate Lio.n,Cof No.oC YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT