HomeMy WebLinkAbout030-211-046qb
948=eD�'
30=211�Z,46..r JONES,Jerry'& Karen,.,•,1728 FresnoAve, Oroville=(woodstove/sf)
0 1-046 PERMIT#95-0746
JONES, Jerry
! 1728-Fresno Ave., Oroville
i Cont; Jeff George Roofing 9�
Reroof/Sf
030-211046 PERMIT#95-0746
JONES, . Jerry
1728'Fresn6 Ave., Oroville
Cont; Jeff -George': -Roofing
Reroof/Sf4
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COUNTY OF BUTTE -DEPARTMENT OFDiW. ELOPMENTSERVICES-.BUILDINGDIVISIt-074-40 7 County Center Drive - Oroville, California, 95965 - Telephone (916) 538-7541PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 030-211-046
ZONING
BUILDING
RMIT
OWNER JERRY JONES
TELEPHONE
SQ. FT. OCC. Aull DING VALUATION
OWNERS MAILING ADDRESS
1728 FRESNO AVE
25 @ 69
t�
CONTRACTOR'S NAME .v
JEFF GEORGE ROOFING
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UN OWN
Total Valuation Is
Filing Fee
$ 20.00
LENDER'S MAIUNG ADDRESS
Permit Fee
$ 35.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
1728 FRESNO
PERMITFEE
$ 55.00
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF -701, Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: _ 25 COMP
Mobile Home I S I GI W
@20.00
PERMITFEE
g
Contractor
ELECTRICAL PERMIT
Filing Fee 20.'00
Main Service a V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is full force and effect. ��� !
tf-
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:
❑ I, as owner of the property, or my employees with wages astheir 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
NEW CONST. DWELLING OCCUR
OR ACDNS. ( 8 ACC. BLDS. )
SO.
3.5Q FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
( 8 POSINWGELER APPAOURATUS )
TLET CIR.
Ex. Occup. (OUTLET OR FIXTURES)
20 Q 1.00
B4L 50
Ex. Occup. ( OUFIXED TLETS (R S D.�E0.)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
_
Contractor
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�' 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 permit is issued.
My workers'os ion insur nce carr and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
S
Contractor
Policy Number
(The above sections need not be completed if tA permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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' compeation provisions of section 3700 of the Labor Code, I shall
fa hwith comp 1 ith those provisions.
ry�in
Date
JL�"`-� — -- ------
`Slgna ubf -
re Applicant - ❑ Owner Z Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 55,00
HA2.
D. FEES
IMP
I FLOOD
I CDF
PARCEL I PD I HO
ISSU
This permit is hereby issued under the
the Butte County Code and/or
indicated above for which fees ave
B k
l
PERMITEXPIRESON ,
I f
applicable provisions
Resolutions to do work
been paid.
Date
n
( we)
Receipt No. j-% /goo t 1• j 1
WHITE-D.D.S.-B.D.'CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
1_1�
COUNTY OF BUTTE- DEPARTMENT OF DEV,._F„LOPMENT SERVICES - BUILDING DIVISIO
7 .County Center Drive - Oroville,'California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 030-211-046
ZONING
BUILDING RMIT
OWNER JERRY JONES
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
MAILING ADDRESS
1728 FRESNO AVE
25 @ 60
(�OOWNER'S
CONTRACTOR'S NAME
JEFF GEORGE ROOFI14G
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MMUNG ADDRESS
Filing Fee $
20,00
Permit Fee $
35.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
'
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
SUILDINGADDRESS
1728 FRESNO
PERMITFEE $
55.00
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23,00
USEOFSTRUCTURE
SF )ff Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 95 (-:nmp
Mobile Home I S I GI W
@20.00
PERMITFEE g
Contractor
ELECTRICAL PERMIT
Filina Fee 2 0:0 0
Mein Service / eoov OR LEss
2o -A OR -Ess )
23.00
Main Service ( 200A TO I000A )
46.00
LICENSEDCONTRACTOR'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 .e full force and effect. 1(t
Class -- Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
so
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES )
BAL Q I:50
License
Ex. Occup. ouTLEtDrsPa Ns OR
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE $
Contractor
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
of the work for which this permit is issued.
have and will maintain workers' compensation insurance, as required by Section
700 of the Labor Code, for the performance of work for which this permit is issued.
y workers' o"ens ion insur nce carrier and policy number are:
arrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
rerformance
olicy Number •—
The above sections need not be completed if t permit is for work of a valuation
f one hundred dollars ($100) or less.)
certify that in the performance of the work for which this permit is issued, I shall
ot 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' compe ation provisions of section 3700 of the Labor Code, I shall
fort hwith comp) with those provisions.
n_ __ Date
Ign u r e f pli
pcant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 55.00
HA2.
1 D. FEES
I IMP
I FLOOD
I COF PARCEL I Po HD
ISSU
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees ave been
B6L
PERMITEXPIRESONf-7/
(
provisions
to do work
paid.
Da e �� /19�_
ate)
Receipt No. l
WHITE-D.D.S.-B.D. -CANARY-ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
30-211-46 948-91B
JONES, Jerry & Karen
1728 Fresno Ave, Oroville
(woodstove/sf)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OrovI4, Calljornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PE MIT NO.
q tc - (
ASSESSOR PARCEL NUMBER
30-211-46
ZONING
AR
BUILDING PERMIT
OWNER
Jerry & Karen Jones
TELEPHONE
534-9940
SO. FT. OCC. BUILDING VALUATION
est 1000
OWNER'S MAILING ADDRESS r
1728 Fresno Ave. Oroville 95965
CONTRACTOR'S NAME
Un calm a
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDERUNKNOWN
None
C
Total Valuation $
FilingFee
$ IO.00
LENDER'S MAILING ADDRESS
Permit Fee $ 17.50
ARCHITECT OR EV ZINEER
None
LICENSE NO.
Plan Checking Fee $
Ener Plan Checking Fee $
Energy g
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
1728 Fresno Ave. Oroville
Permit fee $ 27.50
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 gas water heater or vent 5.00
USE OF STRUCTURE
SFX® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S G W 10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel -fl Utilities ❑ Installation❑ Other
Describe work: Woodstove _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service BOOV OR LESS 10.00
100 AMP OR LESS
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.
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. / DWELLING OCCUP.e
OR ADDNS. C ACC. BLDGS. , /20sgft
NEW CONSTR.MULTI-OUTLET 2.50 ea,
NON•RESID BRANCH CIRC ITS
POWER APPARATUS e
SINGLE OUTLET CIR.
EX. OCCUp(OUTLETS OR FIXTURES r SAL@AL03030
Ex. OCCup. OUTLETS PFIXED APLNS. R
(RESID,)EAJ 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.
❑ 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.
MECHANICAL PERMIT FiIingFee 10.00
Heating
Cooling
g
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 County of
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 said Count in consequ nce of the granting of this permit.
X Date /1
Signa ure o Applicant OwnJJX 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
CONST TYPE
-
TOTAL FEE $ 27.50
HAz.
I CUA
PARK
I SCHL
I FLD
I CDF
I PAR
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 above for which fees have been paid.
DIRM O OF PU . Ld WORKS
By Date 9
PERMIT EXPIRES Date �}'
Receipt No. 88292
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, - .alifdfiia 95965 - Telephone: 916/538-7541
APPLICATION.AND PERMIT
PE IT NO.
ASSESSOR PARCEL NUMBER
30-211-46
ZONING
AR
BUILDING PERMIT
OWNER
Jerry & Karen Jones
TELEPHONE
534-9940
SO. FT. OCC. BUILDING VALUATION
est 1,006
OWNER'S MAILING ADDRESS
1728 Fresno Ave. Oroville 95965
' CONTRACTOR'S NAME
Unknown
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING .ADDRESS
_
Permit Fee
$ 17.50
ARCHITECT OR EN ;INEEP.
None
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS Ave.,Oroville
1
Permit fee
$ 27.50
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 gas water heater or vent
5.00
USE OF STRUCTURE
SF.)M Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK'
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other
Describe work: woodstove
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 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.SINGLE
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. DWELLING OCCUP.a+ GS
A
NEW
, h¢sgft
CONSTR.� MULTI -OUT LET
NON-RESID BRANCH CIRC ITS
1,2.50 ea
POWER APPARATUS &)
OUTLET CIR.
EX. Occup( OUTLETS OR FIXTURES
20030C
eAL03o
FIXED APPLNS.
Ex. Occup. OUTLETS (RESID )REA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. lyirin 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 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.
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 saidCount in consequ nce of the granting of this permit.
%� - Date ��
Sign ure o Applicant OwnJoCj.Contractor 11 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 $
[IHAZ.
CONST TYPE
TOTAL FEE $ 27.50
E
cuA PARK
SCHL
FLD
PAR
PD
I HD.
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.
DIR O OF PU LI WORKS
By.(1Date
PERMIT EXPIRES Date '
Receipt No. 88292
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville.,'i:a'llfornia 95965 - Telephone: 916/538.7541
APPLICATION KND PERMIT
A97 ESSOR PARCEL NUM
ZONING
BUILDING PERMIT
OWNERPH
'
,/
53 ��jETi�
S0. FT. OCC. BUILDING VALUATION
OWNER MAI LING`IA RESSr �L`XJ�C�� Dk ����y71
flz
C N CT R' /{ME �
TELEPHONE
CONT/✓R/ACTO/R'SS M//AAI//LIINN/G ADDRESS
Fireplace
'
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ ;0.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR •LA ;IIJEEP.
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS / -
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
SF9 Duplex❑ Mobilehome❑ Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00 ea
TYPE OF WORK
New ❑ ^ Addition ❑ Remodel ❑ Utilities ❑ Installation[ Other
Describe work: �C(2f
Permit Fee $
Contractor `
ELECTRICAL PERMIT Filing Fee 10.00
- - - - -
Main service eoov OR LESS
100 AMP OR LESS
10.00
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) -
❑ 1, as the owner, am exclusively contracting with licensed contract=
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADD'L 100 AMP
2.50
GOCCUP.N�
oR ADDNST ( DWEACCLLING
I
Ih2sgft
NEW RESIO. BRAN CH
NON.RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
209701
eAL930
FIXED
Ex. OCCUp. P
OUTLETSIRESID IREA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00Misc.
Wiring
9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): ,••, _
❑ The permit is for $100.00 (valuation) or less.
- ❑ I"'fiave'placed `ori'fife-with'-"CFie County o1'Btitfe Bu li "ding Department
a Certificate of Workmen's Compensation Insurance or a Certificate
—_- -- of Consent to Self -insure.-—-----_ --- - --
❑ I shall not employ any person in any manner so as to become subject
• --•. ; ._ to the W. C. laws of California.. . •---— --- - - ..-- -
Notice to Applicant: If after making this statement, should you become subject
to -the W. -C. -provisions -of the Labor -Code, -you must forthwith -comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT Filing Fee 10.00
Heating
Cooling
g - -
Hood 3.00
- _
Ventilation :---' - -.:" . ' - -
erm.
pitFee-..— - - =-$= --
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
building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes. . I
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 inconsequence 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 3 stories in height.
-Mobile Home Installation Fee $
Y `~
Energy -inspect ion-Feeto
occ
FONSTTYPE
--_
--
'' Zy
TOTAL FEE $ •- — •-•- _
--
-
HAZ.1.
-CUA.:
PARK
T_
$CHL
,_.
FAD
___
CDF _
__ _
AR
_P.
—_ _
.PD7'
- -
__ -
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.
__ _DIRECTOR OF PUBLIC WORKS
Date
PERMIT EXPIRES Date '
over
Receipt No. n mq ;)-By
WHITE-D.P.W.. YELLOW-A,eC»aR. PIN -INSPECTOR. GOLDENROD -APPLICANT