HomeMy WebLinkAbout030-101-023m
- ---- ----- ' -- --- -'
BURON
J_740 Gr
1740 Grand Ave., Oroville CORLEY, Buron /0 477E-8
'
-27
_ 161-b23 ERMIT#98i-1476 'I
CORLEY, Louise
1740 Grand Ave., broville n1s 6rand Ave app 2259' E of 18'th S �.j
4- CONTR:- Richard Wood, P67 Pomona, Orovill1le
(new,single family),�
.
t
A lwv-�. TM.7- --S
030-101-023 PERmiT#98-1416'
CORLEY, Louise
1740 Grand.Ave.; Oroville
Reroof/SF, �1�q
COUNTY OF -BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Orovilfe, California 95965 • Telephone (530) 538-75f41� �EgM� No.
(Rev. 12/96) APPLICATION AND PERMIT",��
ASSESSOR PARCEL NUMBER, 610-101-623_
ZONING
AR
BUILDING PERMIT -
OWNER GORLM, LOUISE
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
30
11800.W
.OWNERS MAILING ADDRESS 1740 GRAND AVENUE
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 43,00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
Energy Plan Checking Fee
$
$ rn
PERMIT FEE
S '�'
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RE—ROOF I WWI P
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
800VOR UE
Main Service 200A 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:
161, 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 TO
46.00so
rCU000A
NEW CONST. DWEWNG OCCUP.
W
OR ADDNS. ( a ACC. BLDs.
SO
3.5Q�:
NON-RESIUT' MULTI.OUTLET
O�],5O
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 Q 1.00
BAL @ .50
FlXED APPLNS. OR
Ex. Occup. ounETs RESID. EA
S.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
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
❑ 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.)
�
O 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 comply with those pfovisions.
• �A' - ] raj -, r/-'•
X ,%.G'LC.�� f !ll`1 t.[/ Date
Sign"atur"e of Applicant =M -'Owner O' Contractor ❑ Agent f
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 63.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PO
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
B
By c" , + 4AIIA_
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
�% `�� C��j�'
Da
-Date
/
Date
ReceiptNo. 4�C
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
le�-200F
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION of
7 County Center Drive •,•Oroville, aMaROTM 95965 • Telephone (530) 538-75 29,T NO.
(Rev. 12/96) APPLICATION AND PERMIT 'l
ASSESSOR PARCEL NUMBER 030-101-023
ZONING AR
BUILDING PERMIT , .
OWNER CORLEY, LOUISE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
30
1,800.00
OWNERS MAILING ADDRESS 1740 GRAND AVENUE
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
EFirelacer.7,.
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 2000
Permit Fee
$ ..43.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
_
$
BUILDINGADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
tiv
'
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or hest pump water heater
.23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RE—ROOF COMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
-'.15.00
Mobile Home I S I G I W
.020.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service noon on LE..'
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
Lafor the following reason:
PI, 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.
p 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 200ATO lOooA
46.00
NEW CONST. DWELLINGOCCUP.
EL
OR ADDNS. 6 ACC. BLDS.
SO
3.50Fr.
T.
NON-REOSIIDD. RANCH MULTI -OUTLET
@7.50
PO's APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. oUnET OR FIXTURES
200 1 00
84L@ .50
Ex. Occup. ovnETS R=.l Ea
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
_
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I 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 permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed 0 the permit is for work of a valuation
6/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 rf I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
f?r)tyWith comply with those ovisions.
Z&Z2of
Date �
' atu a of Applicant - ner Contractor ❑ Age
An OSHA permit is required for excavations 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 S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 63.00
HAz.
D FEES IMP
HOOD
I CDF
PARCEL
PO
HD
6SUE
This permit is hereby Issued under
the Butte County Code and/or
indicated above for ich fees have
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
,r�J
ate 11 9
P.ta
ReceiptNo. 244428
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
t COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75Vd %li YEBMIT NO.
(Rev. 12/96) APPLICATION AND PERMITd (�dj�
ASSESSOR PARCEL NUMBER 030-101-023
ZONING AR
BUILDING PERMIT
OWNER CORLEY, LOUISE
LEPH
TEONE
SO. FT. OCC. BUILDING VALUATION
30
1,800.00
. OWNERS MAILING ADDRESS 1740 GRAND AVENUE
CONTRACTOR'S NAME OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 43.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
S ANE
Energy Plan Checking Fee
$
PERMIT FEE
6300$
$ '
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: RE—ROOF / COMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zoOA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
IS. 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.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Lafour the following reason:
DY 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.
p 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.)
6/1 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
fort With comply with those - ovis ions.
/ Date
SicffiatuIfe of Applicant :-Mrobwner 91Contractor ❑ Age
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 L000A
46.00
NEW CONST. DWELLOVG OCCUR so
OR ( 3.50FT.
NEW cod Muircou mEr
NON•RESID. BRANCH CIRCUITS @7.50
APPARATUS
a SINGLE OUTLET CIR.
20 Q 1.00
Ex. Occup. OUTLET OR FIXTURES SAL @ .w
Ex. Occup. .FIXED P
i g RM.JEp
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 FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 63.00
HAZ.
D. FEES
IMP
I FLOOD
I CDF
PARCEL
Po
I HD
I ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for ich fees have
enw
PERMIT EXPIRES ON
I
the applicable provisions
Resolutions to do work
been paid.
ate
z
ate
Receipt No. 244428
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signapm.
Please complete and return this information at your earliest opportunity to avoid unnecessary do*,.
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
j' 1. I personally plan to provide the major labor and materials for construction of the proposed s;
property improvement : YES i/NO 13
/ 2• I HAVE e HAVE NOT E3 signed an application for a building permit for the. ~
p�P� w� a
3. I have contracted with the following person (firm) to provide the proposed constructiNAM E
on:.;
ADDRESS: CITY: -
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coo
zditiate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY: ' , A '
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to pravlde
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY
DATE: .
NOTE. -This Owner -Builder Verification is required by Section I9d3Ia-nW79U—of?Jis
California Health and Safety Code. This verification must be completed Arid
returned to our office before we are permitted to issue the permit.
OVER
_y
I OWNER BUILDER INFOPUNIATION -1
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder ofpm
pecty;:
improvements specified.
For your protection. -you should be aware that as "owner -builder" you are the responsible parry of record on such
a permit. Building permits are.noc required to be signed by property owners unless they are personally performing heir"
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 own work, 'th the exception of various trades that you plan to subcontract, you should '
be aware of the folio ' g information for y ur benefit and protection: 4.
♦ If you empl or otherwise engage any rsons other than your immediate family, and the work (including amara
and other osts ' -S300 or more r the entire project, and_ such persons are not licensed as contractors or
subcontract rs. en yo may employer.
♦ If you ars ane er, you. must register with the State and Federal Governments as an employer and yobve
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contn'butioios
♦ There may be financial risks for you if you do not c out these obligations, and these risks are es ec
y Y Y �Y p racy: senQus
with respect to worker's compensation insurance. '
♦ For more specific information about your obligations urider Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations tinder
State Law, contact the Department of Benefit Payment and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform"ifieir
work personally or through their own employees, without a licensed contractor or subcontractor, only under limned
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner buildee, 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 contrac9rs 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 rely,
Mic el C. Vi iia, C.B.O.
M ger, Building Inspection
NOTE. This Owner-Builder•Informatlon is required by Sectlon 19830 of the California Health and Safety Coda
OVER
4
PERMIT NO. 1-41-4-75B
P
M
MH UTIL.
PERMIT NO.
PERMIT EXPIRES
)OWNER IM Buron Corley
�CONTR.
LOCATION (A.P. 30-101-23-
1740 Grand Ave., Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date
(Signature)
COUNTY OF BUTTE —"DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
n. Vents
Fixtures-
ixtures•Footin
Footings
s
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport "
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling"
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC
7 County Center Drive — Oroville; California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agen
Receipt Nol��O��
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit -is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees'have been paid.
DIRECTOR/QF PUBLIC WORKS
BY Date Ll — 7,j
1- ,Y ?(/,uilding permit expires Date ............................................
BUILDING
Owner
0. FT. OCC. BUILDING VALUATION
Mai I i ng Address Z 7`T V f
ou`
Tele hone Ncq
-
-
Fireplace
Contractor `
Total Valuation , 0
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Tlephone No.
e
Permit Fee
$
Building Address �'
PLUMBING
PLUMBING
No.
@ FEE
"
PERMIT FILING FEE $2.00
Each Trap J 1.50
Repair drainage'or vent piping
1.50 -
Water piping 1.50
Each gas water heater or vent 1.50
A. P. N0. b
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50. '
Each additional outlet .30
Fk
1&!Crna
i a ion
I Fire Dept.
Fire Zone
Use Permit
Building sewer - 5.00
EOA
Parking
Plans
Parcel
Declaration
Pa cel Ma
f P
60' R/W
Im r
p ovements
Lawn sprinkler system 2.00
BIdg.�� J
Permit Fee
$
$
NEW ❑ ADDITION ❑ -UTILITIES ❑ OTHER
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12) '
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures b2U 0 ol 25
Receps., switches.& fix outlets 20 2.5
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F. A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
'
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
r
IsI am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑ I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
21 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 the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@ FEE
,
PERMIT FILING FEE $3.00
Heating
-Cooling
`
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agen
Receipt Nol��O��
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit -is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees'have been paid.
DIRECTOR/QF PUBLIC WORKS
BY Date Ll — 7,j
1- ,Y ?(/,uilding permit expires Date ............................................
/Ar