HomeMy WebLinkAbout030-211-041AP 30-211-41
Mike Sabo -
-,807 Harlan Ave.,,Oroville
vermit-#'264'�z-7*5-E'-"('-c'h-a--n-'g'-e----e"l'-e-ct"r'-'i-c-ay
Iservice.
Contr: George Roofing
Permit#1408-87B(reroof/SF)
30-211-4
Contr: Robert Bell R ^a
PErmit#2480-87B(reroof/SF) *1 allr7-
F2
I
I
Jy)
CLAIMANT:
ADDRESS:
COUW* of Awe
OROVILLE, CALIFORNIA
GENERAL CLAIM
George Roofing
P.O. Box 729
CITY & STATE: Oroville, CA 95965 IMPORTANT:
May 4 1987 SEE INSTRUCTIONS
DATE OF CLAIM: Y, ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner has decided not to do work. (Bldg Permit Appin. #.
Receipt #83324, dated 4/30/87, A.P. #30-211-41). Owner: Mike Sabo
Total permit fees paid------------------- $26.00
Retain filing fee--------=--------------- 10.00
TOTAL REFUND DUE ------------------------- $16.00
16
00
TOTAL
$16.00
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim Is true and correct as stated.
/J �J �� ',Q, / Al
X Dated this ,,,,,,,,W ..................... day of ,�,� 19/ etrz+, Calif.
Signature of Claimant
I, the undersigned, hereby certify that. to the beet of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation ❑ or Specific Board Approval ❑ (Check one) for the same.
Dated this 11th day of .........T!aY .......... 19 87a, Orovill@alir,
1 ..........
e artm nt Heed or Authorized uty�
Dept. Exp.
Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. I PROJ. I SUB. OBJ. I CLAIM NO. I INV. NO. I INV. DATE I ENCUMB. I GROSS AMT.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
r 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT ��NO.
ASf; s72� P-RcVUMBgR'-
�C (
ZONI
BUILDING PERMIT
OWNER
Mike Sabo
TELEPHONE
534-0188
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
807 Harlan Oroville
CONTRACTOR'S NAME
Georcre Roofin
TELEPHONE
533-6393
CONTRACTOR'S MAILING ADDRESS
P.O. Box 729 Oroville
Fireplace
CONSTRUCTION LENDER
VNKNOWN
Total Valuation $
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS .
807 Harlan-
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFRI Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [X
Describe work: Roofing
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
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.
452266 C-39
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-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.0 ,
OR ADDNS. ( ACC. BLDGS. �Z�Sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. I
Ex. OCCUP(OUTLETS OR FIXTURES 20®50t
9AL030
FIXED APLNS.
Ex. OCCUP. OUTLETS IPRESID.)REA.) 2.00
Temporary service 10.00
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
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 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that I ii v tread 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.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sai County in consequence of the granting of this permit.
%� �✓!� Date 4-28-87
Signature of Applicant — Owner ❑ Contractor ❑ Agent ®
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures ove�r.,3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
^_
TOTAL PERMIT FEE
OCCu P.
CONST.TYPIJ
I
JFLOOOJPARCELJ
PD
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IREC F PUB
By
PER IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
1 0RKS
Date
Receipt No. a' ��
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF mUTTe
DEPT. OF PUBLIC WORKS
APR 3 01987
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
, X
7 County Center Drive = Orovi Ile, California 95965
Tel ephone: 534-5541
APPLICATION AND PERMIT'
authorize representatives of the County of Butte to enter upon the
above-mentioned Jp�roperty for inspection purposes.
X / x ^n i �t D -, lAr-T, Date
Signature of Permitee or Agent
Receipt No.
White-D.P.W. — YellowAssessor— 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.
___,.D.IRECTOR OF PUBLIC WORKS
�
By Date /ZC
Build ng• permit expires Date
' BUILDING
Owner I ��� � L.1O
SO. FT, OCC. BUILDING VALUATION
Mailing Address �� f/�� - &J ,FLIP
r )
Telephone No..
f
Fireplace
Contractor -.•,
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
-
Telephone No.
Permit Fee
Building Address �� 7 �� /��iQil� /¢�f
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
'/ j
A. P. No. (} - -- �/ !
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees`
1/C.'
San Itatl'6n
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EOA
Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W Im rovements
P
Lawn sprinkler system 2.00
Bldg..PI-ams-Re,cd I
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES'Q OTHER
No.
ELECTRICAL @ FEE
PERMIT FILING FEE J$3.00 .3 .OU
C�' 1fititsi>� Al EC`'f k) (t/aL _vrP v( (° r,
Main service incl. 1 meter pn
Additional meters, each 1.00
Sub -panel (12 or less) (more thaA 12) 7- i50
Single Family 0 Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures b d2
10
Receps., switches &fix outlets 20125
],., , ni —
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
[S].1 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.
❑ 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 $
$
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
TOTAL PERMIT FEE
$ ('
authorize representatives of the County of Butte to enter upon the
above-mentioned Jp�roperty for inspection purposes.
X / x ^n i �t D -, lAr-T, Date
Signature of Permitee or Agent
Receipt No.
White-D.P.W. — YellowAssessor— 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.
___,.D.IRECTOR OF PUBLIC WORKS
�
By Date /ZC
Build ng• permit expires Date
V
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7(-5
7 County Center Drive — Oroville, California 95965
Tel eph®rlm: 534-4541
APPLICATION AND PERMIT
aln"OFce representatives or the county of Butte to enter upon the
above-mentioned property for inspection purposes.
4 X JICS' Date 3
ignature of Permitee or Agent
Receipt No. I __Z3 7
White-D.P.W. — Yellow -Assessor if — 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 whio fees have been paid.
OR F PUBLIC WORKS
BY Date
.01
permit expires Date/ -7/, -
BUILDING
Owner/lJ� �/� �o
SQ. FT. OCC. BUILDING VALUATION
Mai I i ng Address
�bu ` E
h
Telephone
Fireplace
Contractor
Total Valuation
CJ 611U /LX_1 L101
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address !�Q 7 `-444c,/J AUC
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 3 0
Z
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F44
VJZJ
Sarri'tMMn
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
,Ria„
Parcel Approval I
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 e�Q
I
Tl_ZC/- 4, � I%(
Main service incl. 1 meter ,00
Additional meters, each 1.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (moreth 12) a,SQ
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures '20b a2
10
Receps., switches & fix outlets
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
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ V, Sb
$ C
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.
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.1 @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 1 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
$
aln"OFce representatives or the county of Butte to enter upon the
above-mentioned property for inspection purposes.
4 X JICS' Date 3
ignature of Permitee or Agent
Receipt No. I __Z3 7
White-D.P.W. — Yellow -Assessor if — 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 whio fees have been paid.
OR F PUBLIC WORKS
BY Date
.01
permit expires Date/ -7/, -
x., Permit#2480-87B
Mike Sabo -
807 Harlan Ave, Oroville
f
' i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - OroviII4,'California 95965 - Telephone: 916/538-7541 Y��`..
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
Z 0 NX G
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS
,� // /-,%66 4 /? �,
-. ,
CONTRACTOZ NAME 1 -
• T
TE EPHONE
7
CONTRACTOR'S MAILING ADDRESS,
c,
Fireplace
P
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ /y. 5)
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
.$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS ` e
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other,{
Describe work: Z
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
,I_t,,I
U' 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. ry'�/ L/ 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-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.d+ ,
A h¢sgft
New
CON5TR.( MULTI -OUTLET
OUTLET
NON•RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS D
(SINGLE OUTLET CIR.
/
Ex. OCCUp\OUTLETS OR FIXTURESeALO 30
FIXED \\
Ex. Occup. OUTLETS P(RESID )REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Iyirin 15.00
g
Permit Fee
$
Contractor
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 In urance 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
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
i,s 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 T Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over ft
stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ > �-
occu P.
CONST.TYPC
FLOOD
PARCEL
I PD
I ND
39UE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY `< < • /
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
,
Receipt No. �-�-
WHITE-D.►.W.. YELLOW -ASS E35OK. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 965 - Telephone: 916/538-7541
APPLICATION AN6ERMIT
PERMIT N0.
Q
ASSESSO PARCEL NUMBER
ZON 4 G
BUILDING PERMIT
OWNER
TELEPHONE
,SQ, FT. OCC. BUILDING VALUATION
OWNER'S !/MILIN /GI,P.DOR ESS
r{A\rM/
G
.CONTRACTO '
TEI.EPHONE
CONTRACTOR'S MAILING ADDRESS, ,
!L
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING l DD�RESS
(�j/ v
Permit fee
$ ,
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S FG W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: _
14
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
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I-)<7
'I`Yj• I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS
and Profess io s Code and my license is in full f0 and effect.
License No. Q L1 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./ DWELLING OCCUP.hd
OR ACDNS. ,
( ACC. BLDGS. 2/zQsgft
LET
NEW RE.,.. RANCH C RCC 2,50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS 8\
(SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES ;,° O30
Ex. OCCUp. OUTLETS P(RESID.)FIXED ALNS. REA,) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �Yirin 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
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 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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, dgments, costs, and expenses which may in any way accrue
against sai C t 'n gpnse enc of the granting of this per it.
vj/ L j �
X Date
Signature Of Applicant - Owner ❑ Contractor Agent ❑
An OSHA permit isrequired 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 $
TOTAL PERMIT FEE $
OcCUP,
CONST.TYPEJ
I FLOOD
PARCEL
P11
No
ISSUE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
DIRECTO 0 PUBLIC
o v
By /Z�(.CL/�!Z
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 7
7�
Receipt NO. /r� D (ip�
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROO-APPLICANT