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HomeMy WebLinkAbout030-410-018,i 1 •. zv ::} �C t•� : f.@ .�-:.t..: �. ;....Y.` Y.".i , '.'y� f ' N-: .:••: $.� L•".ti... '.: f ,Y.:. 'i .... ..ten `:.:.: r T .s< • �. S. . x� .a. YY.: `F!. a'si :.°P,. �-�S.' a.f.'.r �':��: ntiys�+: ..I 'iYT.J �'• p ' '.�. X.. Y:;:. .. tf���„bre ,�'y� W,a. `:;0.;•1••.: !n .1,�`�•�� � `�: • ri.-� :iL” �'�;ix^•.`�•. �: '.xi ai`@[.; .';A,' .X i. � i,�P'.�r: f'; .. O ii1 ti:' •: ;w va j,. 030-410-018. PERMIT#94-1779 f EULISS, E.L. 1450 KELLEY ST., OROVILLE CONT : GEORGE ROOFING REROOF/SF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES ` BUILDING DIVISION 7 County Center Drive - OrovilleiCaldornia 95965 -.Telephone. (9,1!.6)'538-7.541,,, & PERMIT 0., 7 `7;F - APPLICATION AUD� PERMIT �: f ", ASSESSOR PARCEL NUMBER C) _:�)Cy . L4 ZONINGAiq BUILDING PERMIT OWNE: All TELEPHONE 543 SQ., FT. OCC. BUILDING VALUATION 07MG ADD E;,/ &fez C TELEPHONE LING APDRESS Co 17/19 Fireplace CONSTRUCTION LENDER .1' UNKNOWN Total Valuation $ 1/, _5z�o•CID Filing Fee $ 20.00 LENDER'S MAILING ADDRESS _17��NO_ Permit Fee $ ARCHITECT OR,,ENGINEER ARCHITECT OR'.-ENGINEEFrS MAILING'AD'DRESS < e Plan Checking Fee Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap J-7.00 Solar or!heat'rpuriip'Water ha aiar': 23.00 Water piping 15.00 LOT NO. SUBDIVISI PARCEL MAP Each gas water heater or vent 15.00 USE 4,STRUCTURE SF>D-(- u-ple. 0 Moliilelli�me 13 Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 T_F_T_ Mobile Home GW20.00 � @ TYPE OF WORK New C) Addition 1:1 Remodel Cl Utilities Q Installation'P Other bescribeWork: PERMIT FEE $ Contractor PERMIT. 20.00 ELECTRICAL Filindl`w /4" R III Main .SerY, ce( ZppA 0 LESS -.00, Main :'SerVice-f :c290AT9'1000A' Y1. 6..00 NEW CONST. DWELLING OCCUP. OR ADDNS. a ACC. BLDS. CONTRACTORS LICENSE LAW I la re rider penalty of perjury (check one) 11 an, a licensed under provisions of Chapter 9 Division 3 of the Business and Professions Code and my license is in full fore and effect. License No. Classification 9 ❑ 1, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) Q I am exempt under See. Business and Professions Code forthis reason NEW CONST. MULTFOUTLIT*@7 50 -NON _RESID. .. RANCH CIRCUITS POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES 20 0 1.00 BAL. 60 Ex. Occup'-^ ( O OUTLETS FIXED (RESIMFEA. 5 Temporary Servie 23:00 Mobile Home Facilities q 20bO Misc. Wiring ',, 23.&,: WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check;pne),-,.'_ Q❑This ', - perm-Wis­fo-r-s 1 66B (�,6juZdtibiwi)­' rd" -I- n or ss. NQ have pi;aced.on file with -the County of Butte Depf. of Development Services, Building Division a. Certificate of Work an's Compensation Insurance ora m' Certificate of Consent to Self -insure. Q I shall not employ any person in any manner so as f6,become subject to the Worker's Compensation laws of California.' Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be -revoked. PERMIT FEE $ Contractor Cti MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling41 , Hood 6' t 6 Ventilation -A. PERMIT FEE $ Contractor Icertify that l have read -this application and -state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws.relating to building construction, and hereby authorize, , representatives of the County of Butte to anter upon the above mentioned., p rbpertV for inspection• purposes., I also 'agree to save, indemnify harmless harmless the County of Butte against all liabilities, judgments, costs, and expenses, which may in any way accrue against said 9 County in consequence of, the -granting of this'perm i t. —, — ?-�/ , X Date _20? . Signature of Applicant - Q Owner Q Contractor R:Agent An OSHA permit is required :for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. construction Mobile Home Installation Fee $ Energy Inspection Fee, OCC CO NST.TYPE TOTAL FEES 00 ,5 I I HAZ, J.D: FEES I IMP I FLOOD OF I': P EL PD HD t Ve' This permit is hereby issued under the applicable provisio-ris . of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. WORKS By Date PERMIT EXPIRES ON Receipt No. cr- WHIT E-D.D.S�-B.b. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Califo'Cnia 95965 - Telephone 1916) 538-7541PERMIT o. APPLICATION AND PERMIT _�7:7 'ASSESSOR PARCEL NUMBER�r7 © 0 �(\ �'} YV ZONINGA)e BUILDING PERMIT owNER + , �/ TELEPHONE 5 33 2 SQ. FT. OCC. BUILDING/ VALUATION OWNE S L1N0 ADD �� i7Gee Z D CON ACTO R'S NAME ! TELEPHONE ^-393 CON T R'S MG DRESS `' �� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ (00,00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ CP ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 7,00 PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFX Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W � 20'00 TYPE OF WORK New ❑ Addition 13 Remodel ❑ Utilities ❑ Installation Other Describe Work: G /C�Y�� li l[,C�j��'h S✓ d) PERMIT FEE g Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 600V OR LESS ) 23.00 200A OR LESS Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. SO, OR ADDNS. ( !, ACC. BLDS. ) 3.50 FT, CONTRACTORS LICENSE LAW d tare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and rofessions Code and my li ense is in full force and effect. License No. Classification !!� X39 ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) B L. .500 Ex. Occu FIXED APPINS. OR Occup. 1 OUTLETS (RESID.) EA- ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 28.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): P,This permit is for $100.00 (valuation) or less. I,1[ 1_ have placed on file with the County of Butte Dept. of Development Services, '" `I3uilding Division a Certificate of Workmen's Compensation Insurance or a Crtificate of Consent to Self -insure. LIis hall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 said County in consequenceo the ranting of this permit. p X Date Signature of Applicant ❑Owner ❑Contractor gent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ dcc CONST. TYPE TOTAL FEE $ 57�;00 HAZ. I D. FEES IMP I FLOOD I CDF I PARCEL I PD HD I 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. DIR LIC WORKS �y ByloeDate PERMIT EXPIRES ON /Dere Receipt No. WHITE-D.D.S.-B.b. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT NO. 1822-81B PERMIT EXPIRES 5/19/82 OWNER E.L. EULISS CONTR. Dori czrge, Oroville ASSESSOR PARCEL 30-41-18 LOCATION 1450 Kelly St. Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINAL ED (Date) ' � J v { .Signature J OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 3. Sewer; Location—Test—Fail-C/0—Concrete 2. Footings; Size—Depth—Spacing—Connectors 3. Decks; Girders and/or Joists—Decking—Bracing-Stairs-Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams-Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. 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 MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except #'s 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2, Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. EIec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7, Water and Sewer Connected—C/0 to Grade—HD Approval 7, EIec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. EIec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes— Enc losures— Pane Iboards— Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9, Health Department Approval 10, Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -i Date Card -BI Date Card -BI Date Card -BI Date 'OK = Not OK = Not Applicable RESIDENTIAL'(Sing�le and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'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 50. Stairs; Width-Headroom=Rise-Run- Land ing-Fire Protection 4.. Ftg., -Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel- Blockouts-Wrapped-Slab 52. 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' 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Dat _ and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL Plans OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air . 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nall 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 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. 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 ❑ Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or A[ -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75.Following instld.: Drive ElYes E]No; Walks ElYes ❑ No; Planters ❑Yes 1-1 No 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 Opn s. 79. 80. 81. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Card B -I Date Card -BI Date Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32_ 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86, Energy Compliance Certificate -Other Certificates 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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except p'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, Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. pZ_1Cing. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Joist-Rftr._T_ies-Purlin-Roof Brac.-Truss-Shthng.-Rf$, . 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: Anentrymust be made each time you visit jobsite) ,COINTY OF BUTTE--''DEPA'RTMENT OFr:PUBLIC WO S•'' r ERMIT NO 7 C4. ounty Center -Drive - Oroville, California 95965 °Telephone•91 534-4541 � APPLICATION_AND-`PERMI,T� ASS ESSO'PARCEL MBER- -K. -. - , _ ZONING ,,.� k- •,BULLDING ,PERMIT; OWNE '" ; T _+�'..., � / - - ,'? - - TELE.P:H NE .'SO FT. OCC , BUILDING VALUATION - .OWNER'S MA LING"ADDIR �Cph 'ACTOR'S N -->. TELEPHO rQq .CON 'AC.TO.R' 'MAILING DRES ... ^ t: Fireplace � �r 'C 0 NST.RIJ CTION ;LENDER, -_, UNKN_ o�lr,r.; LENDER'S MAILING ADDRESS - t - d Tofal'.Valuatlon - : - $ •-: " Filing'Fee �� $ 1o.00 _ _ Perm i.t, F ee $ ARCHITECT OR ENGINEER' �" +', LICENSE No.. - R -Ian Checkin' Fee.. .- g $'. Penalty �,ARCHI.TECT OR, ENGINEERS MAILING ADDRESS f.: r _ :Permit fee $ ;• BUILDING ADDRESS - - ` . .. - - - PLUMBING• PERMIT >' F.i I i ng Fee: ` 10.00 -Each Trap -'2:00'` ti Repair drainage.or. vent pi pi ng -, .5.00 • . Water piping ;L•OT NO. SUBDI VISI.ON NAME- PARCEL. MAP - -Each`gas <Water'heater or vent 5.00 - • 4.Gas piping system 1 - 5 _outlets a ;w USE'OF STRUCTURE Building sewer Lawn sprinklers 'stem 5 00' SF LIQ Duplex ❑ :Mobi lehome f Other - �•y _ ._ - �SPECI FYI -TYPE OF WORK NeAddfiiop.0 Remodel • Utl I ies ❑ .Insta ti n ❑: Ot er Permit Fee Contractor ' ELECTRICALPERM.IT ..., Filing Fee 1000';- Describe work: ` � + �p 1z _ �,. Main serV,eoov OR CE95 100 ice 100 AMP •OR LESS' 5 _ - - F •, - .:. .:, y '"Mahn service' EA.�ADD'.L•100 AMP .' 2.50 -DWELLING NEW'CONST. I OCCUP: d\ OR:ADDNS. X ACC: BLDGS, / 2c'M ft .;: ?CONTRACTORS LICENSE LAW ,� ••I declare -under penal ty"'of'perj ury:.(ch'eck one);., ` ' 'e •• , ., I am licensed under provisions of''Chapt. 9, Div. 3.- of Elie• Business and Prof essions• y ,; Code and. m license is..in full force` and effect " License No. 7,7% Classification` " ❑ � I, as the ,owner, or my -employees with wages .as thelr',sole compen }' : sation, .will do tbe;work,and th'e- structure is not';intended or, NEW•C0NSTR .Ou L T 2.50 ea; NON -REST D' BRANCH.CRC S NEW CONSTR.,/POWER APPARATUS S1 NON-RESID, . SINGLE OUTLET CIR. / - so a¢ ~' • BAL@1 Ex: Qccup(ouTLETs,oR FIXTURES 00 +r IXED. APPLNS, OR- '- Ex, Occup.( OU TLETS ARESID.) E-A. - 2.00 'Temporaryservice' 10 00, '`•Mobile'Home Facilities for. sal e."(Sec.'7044),.misc. ❑ I, as 'the owner, am exclusively' contractingwith licensed contract ors (Sec.7044)'a .. , •; �. :;' ; '• ❑. I' am'exempt under Sec. ;Business and Professions Code,Permit Wi'r.ing 7.50' Fee. a - $. ' Contractor'; fo�'this reason MECHANICAL PERMIT Fi1ingFee 1000 WORKMEN'S COMPENSATION -INSURANCE Heating declare under penal.ty of'perjury (check one):. Q The permit is for $,100:00 (Valuation) or.less: '-Cooling I have -placed ;on -file with the County of:ButteiBui.ldmg Department I. :,a- Certificate of"Workmen's Compensation Insurance or .a Certificate r: °'of Consent.to Self -Insure. becom-subject k I shall not employ, any.person In any manner so as{ -to e torthe W. C: la1.ws of California Hood.; .:Ventilation :, Notice to.Applicant: If after making this statement; should you become. subject, to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this. permit shall. be'deemed revoked ` " .: _ Permit'Fe' S w' Contractor oC4 A certify that I have readthis application and state that the above information; [§`correct. I agree to comply -to all' CountyOrdinances,and-State Laws r$lating t:, to building• construction, and hereby'authorise.representatives of_the�.Countyot Butte to enter upon the above-mentioned property for. inspection"purposes., .'Mobile,Home Igstallation Fee $ -• TOTAL. PERMIT FEE $ ;1 also agree to save,• indemnify'and keep:harmless'tlie.County of Butte ;against.' all li'abilities,.judgments, costs;'and expenses which :may in any way, .accrue OCCUP.,GROUP, - TYPE OF CONST.I' PARCEL', PD HD; ,- ISSUE' agalnsf:said. my in con quence of the•granting of this permit.. OV-X Date 4 '.This permit is•hereby'issued under the, appiicable provi- = sions 'the Butte, County Code and /or''resofutions'to do r. $Igilctuie of A' 'cant — Ownei ❑ 'Contractor ❑ Agent A� OSHA,per it"i`s required for ezcavatlonsFovert5'0 deep and demolition or,construct r.,ion of.structures over 3 stories in,Keight,V" .of work: indicated above for .which fees 'have been -paid. , 4 S' iRE TOR OF'PUBLIC WORKS :1 - By, Date � 1 PERMIT EXPIRE$.. Date r� 1 ' �/ r F , r t `;Receipt Nom � t 1 'WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INSPECTOR,-•GOLD[NROD-APPLICANT ,' _l. t _ -i' t ;� :+y p.4 t�bH�:.r[ lFr3y%, 1 s y fi+i r°t rt3 ly' ,^,� _ ".� .i�. ter ,_1-, i. Fi r4r, d i i, V' ,�;, -47r s-, ._ 1�+�osF 4z -i moi. r $4` ,, n.�} 1;" .- 'ai ' .f. 1°.�s 4 * y "� c' S" ' � } ., T ! > r` ° . a t Yom: Y+ ;i PM. r0. � t : i -S. , aw- . L. "Yr -}'k � .i ,` 5 h Y. t a , IE'lj, t'n .t F- a" t4 Q. 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