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HomeMy WebLinkAbout028-210-01428-21-14 r erb Jeffries j f S'epd'of-Darbq Rd.; Bangor Perm i 2439 81P,E(4t31.,MH) ELEC. GASB -28 -SUPPORT STRUCTURE REQ._ COMPACTION TEST'REQ. 2&-Z5 1 % contr: Linccool-n VillagA MH's,Oro 1� Penia t _ 6 -89 1MH3� 1\ � A •. 4 � 2439=81P PERMIT NO. E PERMIT EXPIRES��P OWNER Herb Jeffries CONTR. Owner { Y ASSESSOR PARCEL 28-21-14 { LOCATION S/end of Darby Rd., Bangor E 1 .. 1 rIA., yam. jp , P I P Temp e A Temp � I ' Temp IF s � �r JOB F J=OK 0 = Not OK Not.Applicable MOBILEHOMES * = Not Ready II MISCELLANEOUS - Date MOBILEHOME UTILITIES (P s) OK except N's 1CZafiing Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Is; Special MH Support—Sketch 2. Footings; Size—Depth—Spacing—Connectors wer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails *Wgter; Location—Test—Easement Needed (Sketch) 4• Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing ff tricity; LocatioClearances—Grnd.— Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures Gas; Location—T t—Wrap:/ /"L"fL/ /"Nat. or "L"ft. ;/"LPG 6. Carports; Windows—Doors -r utility Clearance 7. Elec. j C BI Date 7— Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except q's Date _ POOLS (Plans) OK except N's oning Requirements—Setbacks—Easements 1. Setbacks—Easements Fo tings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability G s; MH Test—Demand—Valve—Connector Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI So"Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. W r; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed ater and Sewer Connected—C/0 to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes— Enc losures— Pane lboards—Ins. to Main in Conduit Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B- Date Card -BI Date Card -BI Date Card -BI Date Card B -I/ Date Card -BI Date Card -BI Date Card -BI Date Oa. Q- 0. -Ta /7-3 Xi, 0.27,3- US'fe- ;?-K6 5-,- V = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 50. 51. 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors , 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground I - I 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date ( Card -BI Date Card -BI Date j Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date + FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector- , In Garage; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails I 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date f67. ELECTRICAL Permit OK except q's Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps= - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes- No No; Walks ElYes E] No: Planters El Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection - Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except ept q's - 83. Corrections from Previous Inspections r 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 1 85: Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation .86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing _ 39. 40. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions - 47. --- Garage Fire Protection Framing -- -- ------- (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE , DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY. 'phis mobilehome has been installed in accordance with the requirements of he 'he 6rdministrative Code, Title 25, Chaste 5, under permit nuf�ber - for the following location: �/J f:d, rt,I Owner l' ►Y IL t� !/ /!.f r c Owner's Address Mobilehome Mfg. �� �- � - Model Year r' 7, Insignia No. i� �r f `� / i Z Serial Nom'7': r It is hereby certified for,occupancy at the above described location and may be occupied. i /f i Director o(f'Public'Works / Date U L �� � f�� By ti / r.,_ .e- HI�SCERTIFICATE IS VOID WHEN MOBILEHOME IS;REL�CATED Y White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. a / rip i� /',+ � /P! >"7'`" �•,"'`/ri.^.` i M1Y�Y / i -Inspector,,.- Date 0- F:7�1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPE MI No.�/ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 -� APPLICATION AND PERMIT ASSESSOR PARCEL NUMBERG _� ZON N — BUILDING PERMIT w ER e, lrl FSS e � T LE PHONE SQ. FT. OCC. BUILDING VAL TION - OWNER'S MAI�,ING AD RESS —fa r Vcu CONTRACTOR'S NAME r, es TELEPH NE CONTRACTOR'S MAILING ADDRESS , Fireplace CONSTRUCTION LENDER �^ V r , UNKNOWN Total Valuation Is Filing Fee $� LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ D Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS ' CL PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping161,00 LOT NO. SUBDIVISION NAME P R EL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets ,M 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:- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main seryice 600V OR LESS 100 AMP OR LESS 5.00 '00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.N) OR ADDNS. ACC. BLDGS. % 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 XI, 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 '.OUTLET 2.50 ea NON-RESID. BRANCH CIRC ITS NEW -CONSTR. POWER APPARATUS.&) 6 NON RESID, SINGLE OUTLET CIR ( TS OR FIXTURES Ex. Occup a @� FIOUTLEXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ; Misc. Wiring 7.50 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. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 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 ag ' , said Cou in consequence of the granting of this permit. X�- Date "- J q� Sign Lure of App!.nr owner L onfrac Or❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ ,r OCCUP. GROUP TYPE OF CONST. P. PARCE PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By P EXPIRES Date— the applicable provi- resolutions to do fees have been paid. WORKS Date _ `� "3 Receipt No. J � WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1. Owner's name: 2. Instal:ler's n BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOMEHOME INSTALLATION SHEET 5. What is the mobilehome electrical rating? ----------------------- `% Amps 6. -What is the mobilehome site service rating? --------------------- •.��� Amps 7.. What is the-mobilehome site circuit breaker rating? ------------- Amps 8 I' th th 1 t 1 d t b d b th obilehome sere any o er a ec ric oa o e serve y s m 3. Is the site currently under permit? Yet; (_� No --------------------------------------------------- (If yes, furnish permit number ) OR Is Yes No (Amps) the site an existing site? (If yes, furnish two (2) plot plans.) 9.. 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes — No LPG ( If no, clarify ) 11. What is the gas pipe length from meter or tank to the'e? 5. What is the mobilehome electrical rating? ----------------------- `% Amps 6. -What is the mobilehome site service rating? --------------------- •.��� Amps 7.. What is the-mobilehome site circuit breaker rating? ------------- Amps 8 I' th th 1 t 1 d t b d b th obilehome sere any o er a ec ric oa o e serve y s m siteservice? --------------------------------------------------- YesL—L No T (If yes, identify the.load and size: (Load) (Amps) 9.. What is the mobilehome site gas pipe size? ---------------------- `� (in.) 10. What is the type of gas service? -------------------------P--- Natural / LPG 11. What is the gas pipe length from meter or tank to the'e? t.) 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. 'lam furnish Setup Model No. Year Width• 1 (ft.) Box Length, 4, Tagalong or Expando Size -fit. x (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973,• furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footing$ (check one) t Single ` d ith (ft )(in:) Center support loca ions* (ft.)Kin.) (ft\)(in.) (ft.)j tin.) pressure treated or foundation grade. (in.) (in.) ❑ 2. Other (specify) Cente .support footin sizes Supports (check one) (in. P-1 hcrete block: 2: Other (specify) x <----Tagalong or Expando,' show support details. ( n.) (in.) i - x -- Typical Support '(in.) (in.) Footing Size ,x (in.) ( n•) *If center piers are other than drawn above, -draw in. -locations,.spacing, and dimensions. -- Max. Pier Spacing (ft.)(in.) Max. Overhang (ft.)(in.) 27-3 BUTTE COUNTY BUILDING DEPARTMENT APPROVED ��v June 24, 1981 a TO WHOME IT MAY CONCERN, I Monty J. Justeson do.,here-by-gve full authority to Lessors', Bangor Huntlhg'Club, toldbtain any and all permits required by Butte County -Building Department to r , r install public utilities and to place✓ a mobil home on said land in Bangor, Ca. �t the'end of•Darby'Road, Parcel Number _ Signed Monty J. Justeson F NOTE:—AII Materials & Workmanship Shall B•e in Accordance with Recognized Good Practices and of a• quality prescriber) for the Specified use in the Uniform Building, Plumbing & Machanical Codes -and , the ,National Electrical• •Code. ' A permit will be required for the installation of the mobilehome. • r (DAD nPL II N Utility connections shall be withinq� A f h f b' I h h Z� `` I. o # e mo i e orae, eit er directly behind or within the rear EIrflAF A3J'�C�� half of the roadside (left) of the L� mobilehome. T is set of plans and s ecif ications MUS I �p L A it is un `kep on the lob at...ryn •-�mRejany changes or alterr"'+�oris`on sam©-without _ written permission from the Department of Public. 500'SQ..F.T. MINIMUM Count of.'But e.FFOR-,'MOBILES ' .Marks, �' - Y^. . , ' A setback of 5 ft from the property lines an d a setback of 50ft. from the oad I centerline shall b clear of , structures or equ ment except for a 2 ft. eave o rharig, II N Utility connections shall be withinq� A f h f b' I h h Z� `` I. o # e mo i e orae, eit er directly behind or within the rear EIrflAF A3J'�C�� half of the roadside (left) of the L� mobilehome. T is set of plans and s ecif ications MUS I �p L A it is un `kep on the lob at...ryn •-�mRejany changes or alterr"'+�oris`on sam©-without _ written permission from the Department of Public. 500'SQ..F.T. MINIMUM Count of.'But e.FFOR-,'MOBILES ' .Marks, �' - Y^. . , ' COUNTY OF BUTTE -� PARtMENT OF PUBLIC WORKS PERM T N y - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARC L NUMBE % _ / ZONING146BUILDING PERMIT ' OWNER TELEPHONE SQ. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING DDRESS ONTR CTOR'S AME 1/ Q Lt ��1 TELEPHONE q,277_ O� F �,Q ,`C7�-U /►� SQAI..IV N GJ LVyI CONSTRUCTION LENDER UNKNOWN Fireplace Total ValuationI $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Penalty $ , ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD114G A ib ESS rF �� �, ^� �f S �//L7�\ �!j.'/4✓[ /✓/lT/ PLUMBING PERMIT Filin Fee 3.00 g Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome� Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities Installation Other ❑ Describe work: FOE -4/"/— — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORLESS5.00 7�f (/ (`/J Main service EA. ADD'L 100 AMP . 2.50 NEW CONST. ( DWELLING OCCUP,&) OR ACDNS. ACC, BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare un r penalty of perjury (check one): am licensed under provisions of Chapt. 9; Div. 3 of the Business and Professions Code and y license is in fEl 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 CONSTR.MULTI-OUTLET 2.50 ea NON.RESID BRANCCIRC ITS NEW CONSTR (POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. ExOccup(ouTLETs OR FIXTURES 50 @25C . BAL@1°m FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The perm.t is for $100.00 (valuation) or less. ve 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 Filing Fee 3.00 Heating Cooling Hood 2.00 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. 1 also agree to save, indemnify and keep harmless the County Inst , all liabilities, judgments, costs, and expenses which may i y ay aecu kagl%nstaid County in consequence of the granting of this permit. X ^' Date Ignature of pplicant — Owner ❑ Contractor [Q._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 $ , 0 Land Development Fee $ TOTAL PERMIT FEE $ 4�7Q _06 OCCOP. GROUP TYPE OF CONST. PARCEL PD HD 550 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY PEPVK EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS %_7— 2P-jP: L /—Date Receipt No. 12 3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT