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HomeMy WebLinkAbout030-212-03930-212-39 TERRY A. O'CONNELL 882 Harlan Ave., Oroville Permi #1321-76P(bldg. sew.inst) 030-212-039 02=0744 ALBERSON, KENT 882 HARLAND AVE.; OROVILLE RE -ROOF � -- I 1�13 JOHNSON, Jack 5595B 882 Harlan Ave., Oroville CONTR: Aluminum Builders, P.O.'Box 845, (alum. siding) Marysville ' .3-1 -� - � � r t a 1 -- s I oll 02-0744 ALBERSON, KENT 882 HARLAND, AVE., OROVILLE RE-ROOF r Ct6 //- :-- - 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 02-41744 ASSESSOR PARCEL NUMBER 030-212-039 ZONING AR BUILDING PERMIT OWNER KENT ALBERSON TELEPHONE 534-1725 SO. FT. OCC. BUILDING VALUATION 780.00 OWNERS MAILING ADDRESS 882 HARWD AVE 01MI= 95965 CONTRACTOR'S NAME 0" F3 TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 780.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 21.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 882 HA DAVE,OR V $ Energy Plan Checking Fee $ $ PERMIT FEE $ 41.00 LOT NO. SUBDIVISIONS NAME - PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 9 Each Trap 7.0023.00 USEOFSTRUCTURE SF Q Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other [; Describe Work: RERDOF W/CW Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 I'00VOR LE Main Service 20.A 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 fob�-the following reason: Z; 1, 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 I 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 Main Service zooA To ,IIIA 46.00 NEW CONST. DWELLNJG OCCUP. OR ADDNS. DWT.L SO 3.50 FT. IN Z.C.OID, MULTI -OUTLET 1H CIRCUITS @7.50 PowER APPARATUS d SINGLE OUTLET CIA. Ex. Occu OUTLET OR FIXTURES 20 @ 150 SAL . Ex. Occup. DEDTSR� .D� T 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 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.) –E -'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 provisions. X r �` / I % i/ —" Date Signature of Applicant -V%OWner ❑ 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 $ occ CONST. TYPE TOTAL FEE $ 41.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD I HD I ISIUE This permit is hereby issued under of the Butte County Code and/or indicated ab for which fees have By _ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . , 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 02-0744 ASSESSOR PARCEL NUMBER 030-212-039 ZONING AR BUILDING PERMIT OWNER KENT ALBERSON TELEPHONE, 534-1725 SO. FT. OCC. BUILDING VALUATION 780.00 13 S . OWNERS MAILING ADDRESS 882 HARLAND, AVE OROVILLE 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ 780.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 21.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 882 HAR AND AVE OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE S 41.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 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 EX Describe Work: REROOF W/COMP Gas piping system 1 - 5 outlets 15.001 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 LE 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 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 foythe following reason: 4Er' 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. ❑ 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' 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.) 'l -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 ose provisions. 4 B X Date �T Z� Sigfiaturerof Applicant - wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. ( d ACC. BUDS. 3.5¢FT: NON.CONST. SI.MULTI.OUTLET UITS @7.50 APPARATUS 8SIPOWERNGLE OUTLET CIR. Ex. Occup. °UTLEr OR FrocruRS zo @ 1.00BAL @ .50 FIXEDLNS Ex. Occup. ..APP Urrs AEs1o.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 41.00 HAZ. D. FEES IMP FLOOD CDF pgRCEI pD HD IS E X This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated ab a for which fees have been paid. Date T rPERVM1EXPIRE�J 4' 0, I Date ReceiptNo. UU WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Y- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 I,Rev.12/96) APPLICATION AND PERMIT i►a A'SES^ORPARC N EL UMBERV ✓ y - ) ,1 ZONING V I U BUILDING PERMIT -OWNERP� OCC. BUILDING VALUATION OWNER'S MJAIUDIO67 SS CONTRACTOR'S NAME n)� h Ll CONTRACTORS MAILING ADDRESS CONS TRUCTION LENDER LENDER'S MAILING ADDRESS ARCHrTECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS r- , /, r\ 1 LOT NO. I SUBONISION'S NAME S LICENSE NO. MAP USEOFSTRUCTURE SF j Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition ❑ Rem ❑ Utilities fl I Ilationn 0 er Describe Work: ` '' "PE.RAUT FEE PAlb SRI • • SHERIFF OTHER AA bVW RECE1Wb s "REICH n NV&%M ...�4-Z2i " TO a SVT mw toiM vm ReceiptNo. WHITE •O.O.S.•S.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I9 --TC'i/ice — 1,10. Fireplace PERMIT FEE S Total Valuation Is Filing Fee' 20.00 —� Filing Fee $ 20.00 Permit Fee $ NEW CONST. OR ADDNS. Plan Checking Fee $ NEW CONS- NON-RESID. Energy Plan Checking Fee $ POWER APPARATUS dSINGLE OUTLET CIR. I _— EX. OCCU.50 PERMIT FEE $ EX. OCCU PLUMBING PERMIT I 5.00 Filing Fee 20.00 Each Trap Mobile Home Facilities 7.001 Solar or heat pump water heater4 23.00 Water piping 15.00 Each gas water heater or vent 1 5.00 Gas piping system 1- 5 outlets 15.00 Building sewer 15.00: ��— Mobile Home I S G �W I @20.00! PERMIT FEE $ MECHANICAL PERMIT Filing Fee 1 20.0_0_ Heating Cooling Hood 6.50 I Ventilation PERMIT FEE 1 $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I COF IPARCEL PD 1 HD 165LE 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. By Date PERMIT EXPIRES ON PERMIT FEE S ELECTRICAL PERMIT Filing Fee' 20.00 Main Service eaov oR ss 200AOR:ESS — 23.00; Main Service 200A TO 1000A I 46.001 NEW CONST. OR ADDNS. DWELLING OCCUP. ( 8 C.S. 3.5CF7,SO. NEW CONS- NON-RESID. MULTI -OUTLET I 1 @7.5DI POWER APPARATUS dSINGLE OUTLET CIR. I _— EX. OCCU.50 OUTLET OR FDCTURES 20 I'o0 SAL 20 . EX. OCCU FIXED APPLNS. OR ( OUTLETS RESID. EA I 5.00 Temporary Service 1 23.00 Mobile Home Facilities 1 20.00 Misc. Wiring 1 23.00; PERMIT FEE $ MECHANICAL PERMIT Filing Fee 1 20.0_0_ Heating Cooling Hood 6.50 I Ventilation PERMIT FEE 1 $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I COF IPARCEL PD 1 HD 165LE 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. By Date PERMIT EXPIRES ON OWNER -BUILDER VERIFICATION 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 May in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO O 2. I HAVES—HAVE NOT 0 signed an application for a building permit for the proposed WO& 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 person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: ¢ CONTRACTOR'S LICENSE NO. 5. I w411 provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL S, ECURITY NUMBER: J DATE: `� — 2 & 2—_ 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 OVER 64 OWNER BUILDER INFOXNIATION 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 parry of record on such a permit. Building permits are not required to be sighed 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: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is S300 or more for the entire project, and such persons are not licensed as contractors or subcontractors. then you may be an employer. ♦ If you are an emplover, 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. ♦ 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. ♦ 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. A frequent practice of unlicensed persons professing to be contactors is to secure an "owner builder" 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 1030 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+N1ge'rC,BVuii1d'Znz i� C.B.O. Inspection NOTE: This Owner -Builder Information is required by Section 198.14 of ilie California Health and Safety Code- OVER oda OVER a Fa RMIT NO, 1321-76P PERMIT EXPIRES 14 3/22/77 OWNER TERRY A. O' CONMLL CONTR. owner LOCATION (A.P. 30-212-39 882 Harlan Ave., Oroville 1 P i +' Temp. Power Pole Called PG&E ' Temp. ec. Serv. C Ied PG&E /Tep. Gas Serv. alled PG&E FINALED -76 (Date) r ( i nature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION, RECORD BUILDING I BUILDING (Cont'd) PLUMBING Setback Firewall Forms Parapets Main Bldg. Restroom Finish Footings Windows . Stemwal I Siding Slab Roof Sheathing Piers Roofing Garage Fdn. Vents Footings Gara a Vents Stemwall Slab Prov. for physically handicapped Carport . Footings Conformance of ex. structure Slab Final Patio FIREPLACE Footings Footing Masonry Walls Throat Reinf. Steel Final Bond Beam FIRE SPRINKLERS Framing Test Stucco Final Mesh MECHANICAL Scratch Heating Brown Cooling Finish Ducts Interior Lath Ventilation Door Closer Final DATE REMARKS OR CORRECTIONS_ Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final ELECTRICAL Rough Fixtures Grd. Fault Pri Service Temp. Pole Undergrouni Permanent Final (NOTE: An entry must be made on this form each time you visit the job site.) THERMALITO IRRIGATION DISTRICT .289 410 GRAND AVENUE + OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: $8a `��o� G' n _jj Owner's Name:'f-_",,-.�aw Date: '4,14,A 17t, Address: yr.I&W Acct. No: /,;/0 ��1�9� 9s- 9G Sr A.P. No.: -30 - -,?/,�2 '39 Phone: No. Units: Applicant/Agent: / Agents Proof: Aj /,4 Address: Fees: Phone: Application $ ' / ���/`�G Arrearage Preliminary Review By: ��-x-aL�..Cl' Date: . CSA 26 Remarks: SC -OR 1st mo. S.C. Other Total Fees /t1 nti� Collected By: Date: Field Review By: -rit Date: 3 Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes .first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction",,after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TIO COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive — Uroville, California 95965 �y Telephone: 534-4541 131 APPLICATION AND PERMIT .+uuwi iVPIV0VIILaLIves UI Ule County of Butte to enter upon the above-mentioned pr perty for inspection purposes. X — Date -76 Signature Signature of Permitee or Agent Receipt No. /Y r— z 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 OF PUBLIC WORKS By � b %�^''° Date 3,-2 L— 7 (� Bq permit expires Date 3 -- '2—z '-7 % BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. ' a 66 Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan hecki g'Fee&/or Penalty Telephone No. PermiVWe Building Address Fg PLUMBING No. @ FEE PERMIT FILING FEE $3.00 pv ` 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. 2 f 7. — 3 9Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W 400,i""n Fire Dept. Fire Zone Use Permit Building sewer b.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 B d Parcel Approval Plans Approval Permit Fee $ 00 $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER EL ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 12 ' Main service 600 AMP OR LESS OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADG'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 2¢sgft NEW CONSTR. MULTI -OUTLET NON•RESID. BRANCH CIRCUITS) 12.50ea NEW CONSTR. /POWER APPARATUS & NON.RESID. (SINGLE OUTLET CIR. 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: Ex. Occup(OUTLETS OR FIXTURES)@2511 BAL M Ex. Occup. ( OUT ETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 I 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.1 @ I 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 $ QF .+uuwi iVPIV0VIILaLIves UI Ule County of Butte to enter upon the above-mentioned pr perty for inspection purposes. X — Date -76 Signature Signature of Permitee or Agent Receipt No. /Y r— z 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 OF PUBLIC WORKS By � b %�^''° Date 3,-2 L— 7 (� Bq permit expires Date 3 -- '2—z '-7 %