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030-430-035
. ....... . . . ------ mm 0% TRA w lon in ims "Y" 1100i Q,, V&5. 41 IS hill FRI tow . . . . . . . . . . . . . . TIC BUILDING USAGE: TENNANT: OCCUPIED HAS ELECTRIC. F]HAS GAS [::]HAS SANITATION FACILITIES PEATED-COOLED PERSON CONTACTED.,� OTHER COMMENTS: 47 OTHER: DATE /�z BY OWNER: DATE LOCATION: cl A.P., CONTRACTOR: ---------- ZONING ---------- ......... PR4��� FOR:' ---- ----------------- DATE TO INSPECT09 19 PERMIT HISTORY: NONE AS FOLLOWS: TYPE OF OCCUPANCY FIELD - INFORMATION BUILDING USAGE: TENNANT: OCCUPIED HAS ELECTRIC. F]HAS GAS [::]HAS SANITATION FACILITIES PEATED-COOLED PERSON CONTACTED.,� OTHER COMMENTS: 47 OTHER: DATE /�z BY All IT 14 0 OF:,�� YAGL' V CDF v 16trUb-AILY INCIDENT LO&, 0 :`bAWbAft tb bl'3'0&�, Rom 080&%_ J� L --P *44 *4 1,1 *,*4 4 4 k.4 4,4" " vf �P4, 'P I kE: WY) 16, IN A WE, kt TIME' 'a CONTR STA;, 2s, ti , fi� jQ il Alt'd 6A BCF E GI ES 0 N bP 0 Co# CA FFICEAi H . ...... -,so al,bW 'A wt. AT- EkEOUIP:.d,.---.. Rt 'ACq&lOE �__.TOTAL' LAW'UsE.-`- m QWNE gNANT,,�� 0,T, misc.*. T. C m -FiRE* TYPE A AT M �,TIME CONTROL TIME k; STA BAT. LNGINE8.,l 0)� PU,?-�-OCPD _:',COO I AW rp� Z" & 0 _Fy A�A/TYP 10TAL AAO' ��WRA NOOENANT, 61, a _41 _!M M A,! e, .Rn! MI 4411:4 4 i i 414 1 lf,*4 *4 kr -;,,,,TYPE kc#_,�'lq !R NAME 7�� kO ONTR ME OiM, STA C AT e)b 11:0. A'. 7 A 'J;j 4, ��; �,, 8AL �'�4',V OOICEA' D02,f. C -AA- `LAT'�4',:�� DA WT.,�'j REW HC OtHLA Ll, - MEDICS LAND AC_ ToTAL'r 0 NtkaENA kA V/ P, "'i `4 W 4 4 *.,;k 4 4 *4 4,,* *4 14; 44 *4 lk, i,.* A, i k 4t 41 Ar NAME TYPE C 0'. z,-q6l-; At TIME, STAilf -timt - �ONTRQL.TIMt StA: 01) BAT." OFPICEk: ENGINES Co# 'L'.',AA' AT, OAMAW CREW I= J��777 R OTHER WUIPi�4 MEDICS' 'k"' SAVED', At TOTAL,.. OWNER/TENAW-, a LOCA ICE SAAO:`_! ADI /Iryp 3p� -ENANT---- OWNEW 4 WkA k., P PA V W r, - "d -%k? 3;`,k. T B"j" mist V OK 0 Not OK Not Applicable =Not Raady MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Card B-1 1. Zoning Requirements -Setbacks -Easements Card B-1 2. Soils; Special MH Support Sketch Card B-1 3. Sewer; Location -Test -Fall -C , /0 Concrete 4� Water; Location -Test- Ease men t (Sketch) -Needed 5. Electricity:. Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L -ft. P'Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-,1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s, 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line & Gas: MH Test -Demand -Valve -Connector Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 L MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easement s I 2. Footings; Soils-Size-Depth-.Spacing-(�onnectors-SteeI 3. Decks; Griders and/or Joists-Decking-Biacing-Stairs-Rails 4. Wood Awn.; Posts- Bea ms- Rft is. -Coh nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Ancho rs-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps- Doors- Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining -4.-Elec.; Receptacles and Lighting, Distances-GF1 Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures-Panelboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J OK 0 Not 01K Not Applicable Not Ready RESIDENTIAL,(f, Date UNDERFLOOR (Plans) OK except #'s' 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage: Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Sternwalls, Main; Steel -Bloc kouts-Wra piped 6. Sternwalls, Garage; Steel-Blockouts-Wrapped 5a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall - Fitti ri Way C/0 -Sewer Test 10, UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe. Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts: Clea rance- Mate ria I -Su ppo rt- Ins. 14. Girders -Sills -Anchor Bolts-Joi sts-Ven ts-C ripples 15. Access & Ventilation 16, Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMPING (Permit) OK except #'s �,Ie, Htr.. Vent -Access -Combustion Air -Baffle 5ati5-rPipe, Test & Anchor -Nail Protection 4e.D.W.V.� Test -Fittings & Ahchor-Nail Protection -------------- 19. -Shower Pan: Test, First Floo-r-Tub Access -------- Test Tub -&-Shower, Second Floor -Tub Access - ------ - ---------- 21. Gas Pipe. Size & Anchors -- -------- -- -------- ----------- -------------------------- --------------------------------------- - Date Card B-1 Date Card B-1 --------- - --- ---------- - ------------- Date Card B-1 Date Card B-1 Date ELEC_IJOCAL (Permit) OK except l,;'s Ze-F i xt -& Transformer Clearance -Ins. Protection -- - ------ ------- ----- - ------- ------------------ a c les Spacing -Lights & Switches at Doors Z;Siz!e� s`& No. of Cond uctors-Sta pled -- ------------ - ---- -- - - - ---------------------------------- A�stallecl Close to Edge of Studs & C J ome Ground made up w/Mech. Fastners-Bond Gas & Water -------------- 22Appliance'Circuts in Kitchen & Conductor Size/GFI - - -------------- I-----,----- Subfeed Wire Size ga. Cu or Al -A.0 Wire Size ga. Cu or At ------------------------------------------------ --- ------------------------------- 29. Range Circ. ! 1 ga. Cu or Al -Oven Ctrc. / / ga. Cu or Al. Insulated Neutral El Yes 0 No --------------------------------------------------- - ---------------------------- .............. 330._Servic Riser Conductors & Ground -Main Disconnect 3 i �_u�P_C ----------------- ---------- 1 quip. Clearances Pane I s- Motors- Mech. Equip. -------------- ------------------------------------- -- ---- --------------- _3 _-< Closet Light -Shower Light -Spa Light R �es aa,ef�i-61<e Detector ------------ - ------------------------------------------------------------------- - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - -1 - - - - - - - - - � - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Date --------- ---- Card - B -1- -.--.----Date ------------- Card -B-1 - ---------- Date Card B-1 Date Card B-1 Date MECUWCAL (Permit) Ok except O's -,!�r`A. .. ln�ulation & Support ------------- S-D-cl ----------------- -------------------- ------------- �.ent Fan: Exhaust above insulation ----------- - -------------------- -- - - 36. Condensate Drain & Overflow, Size & Grade ------------------------- 37. Furnance-Venti Access -Comb. Air -Return Air Vent -I 15 outlet ----------------- --------------------- 38. Attic Access & Platform if Furnance in Attic ---------- m ------ ---------- ------ q---- ---- - - - - - - - - - - - - Date Card B -I Date Card B-1 ------------- Date Card B-1 Date Card B-1 Date FRAM1_Nj:-(Plans) OK except #s .3�slj��ojp er Material & Anchors --------------------------- iling, Spacing & Bracing -Plates -Sound ��S_t u d s -_� a ............................................... -K`B e a r W 'll G de & Floor Nailing over r rs --------------------------------------------------------- ��6pm Walls (rat proof) ------------------------------------------ ------------- 4--RL�-�T)s: FLir-red.Ceilings-Stairs-Chases-Tub ---------------------- O<-Headers & Beam -Size & Bearing ,Ingle & Duplex) Date FRAMING (Continued) , Z45.4 s' Post Caps -Anchors -Connectors .�" -roof Brac-Truss-Shthng.-Rfng. 4 �ClnJoist-Rftr. ties-Purlin 4-�`�acF-ries or Type A Flue -Fireplace Throat clearance 4K.-Attj�_�c6ss, Size & Romex Protection- Draft Stop -Ins. Baffles 4 .. dr --ihdows or Exiting Doors -Sill Hgt. & Dimensions 5.0� r��Flj , re Protection Framing 'ro2gj*y-"Lme Firewall & Openings xt. D irs - One 3' -Check Garage -3rd Story, 2 Exits -------------- 5 ta ��Width -Headroom -Ri se -Run -Land i ng - Fire Protection 5At--p-ly��9,Dcl on Roof Overhang -Attic Vents -Rafter Outriggers I 5 iding-Nailing Veneer ,�.-M-Tucco-Mesh-Drip Screed -Fd. Vents-Underflr. Access 50 i��r-ea- Glass Protection -Skylights -Plastic 5�_ ea,, - 11�-Naling-Bolts InSLIlation-Walls-ceilings 60. Infiltration -Walls -Windows -------------- - ------------------- - ------ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAI,-(Plans) OK except #'s 4E)`�F_�-Steps-Door & Sidelight Protection -Land i ng s -Detector - -------------- &-ilu-r-na-c-e:-V-e-nts--Cl-e-ar-ance-Comb. Air -Connector- ------------- iR-6arage: Above Floor-Ducts-Mech. Protection �4roorn Exiting .,eE e �d --------- 2:<-� �.I. Rath Fixtures & Tub Access -Spa ------------ 4rE-I-e-S-_-.T--r-r-m---&-Subpanel, Breaker Sizes & Labels -.60,'-5tairs & Rails Hearth Ae-E-1eS_,&otIets at Wood Panel, Int. & Ext. - ---- -------- �i't.Fi-�Ze;Appliiance� -Gr-n-d-A-ir-G-a-p--Co—oking—Clearance ..-L.Outlets-& Receptacles at Kit. Counter Garage Fire Door, Swing -Landing -Closer - �ct in -'Garage -Damper Al� -�tr Htr Vents -Clearance -Comb, Air-Connector-P.R.V. �ln a --------------- -- Above Floor-Mech. Protection P PI & Mech. Equip. Listed for Location 7 C,,r-11 We-1-Te-ceptacles in Garage (G.F.I.)-Romex Protection 74,'-1 nsu lation-Foam- Looked in Attic 0 Yes - ------- ----- --------------- 7a� �udrRails Deck - aons-t r-u-c-t-ic-n -Post Caps 7*-rdn. Vents & Crawl Hole Door -Drainage & Wood -Earth CtTance Looked under Floor 0 Yes ................ ........ 8* Following instld. ' Drive El Yes 0 No: Walks El Yes El No: Planters 11 Yes El No L� C� 0. Brown -Finish -------------- �ACQ nit, Disconnect, Electrical, Plumbing V r'� I PI bg. Vents Ahnve Roof -Appliance-Fireplace.-Clearance to ----0 -----ngs----- - ------------ Well, Disconnect, Electrical, Plumbing ----- -------- ----------- E�,�ior Elec. Trim G.F.I. Receptacle -Underground ---- 1�-�n o r ?n __roughout House 1�1-�Protection rG I decorrec I r. P VIC, tions ----------- - - I - -- - -------- - ------------ - - e r agg s -Electric ater & Sewer Connected -C/O to Grade -HD Approval ------ ----------------- -------- E nergy C o m p liance Certificate -Other Certificates ----------- r�i' r -o B Date Card B-1 Date Card B -"Y 1 Date Card B-1 -------------------------------- Date Card B-1 Date Card B-1 Comments at Final: -------------------------------- - ------- COUNTY OF BUTTE -,DEPARTMEfQT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION -AND PERMIT P ASSESSOR PARCEL NUMISER 030-430-035 ZONING BUILDING PERMIT OWNER ALICE ANDERSON TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNEWS MAILING ADDRESS 1689 16TH ST OROVILLE --FTELEPH"' CONS R11(T_ 42,500-00 CONTRACTOR'S NAME GRAVISON RICKETTS CONSTRUCTTN CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER N Total Valuation $ LENDER'S MAILING ADDRESS — Filing Fee $ 20.00 Permit Fee $ EV) ARCHITECT OR ENGINEER LIC ENSE NO. Plan Checking Fee $ - �3_5_60_ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1689 16TH ST PERMIT FEE $ 618. 10 OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL AP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF CJDbuplex Q Mo bilehome 0 Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home G I W @20.00 TYPE OF WORK New 0 Addition Q Remodel Q Utilities EI Installation LI OtherXI DescribeWork: REPLACE BURNED ROOF STRUCTURE PERMIT FEE $ Contractor ELECTRICAL PERMIT -Filing Fee 20.00 Main Service IV 11 LISS 200A OR LESS 23.00 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCC Up' OR ADDNS. & ACC. BLDS. 3.5, s,,Q. CONTRACTORS LICENSE. LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force ,,and effect. LicenseNo,5�_:3 Z�= Classification 1, as the owner, cFr my erfiployees with wage -s as their sole compensation, will To 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) 0 1 am exemptu'nd6r Secr— Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. BRANCH CIRCUITS @7.50 Qt), 0 6 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 8200 1.00 .50 OFIXED APPLNS. OR Ex. Occup. UTLETS (RESID.) EA —AL.@ 5.00 Temporary Service 3.00 -23,06 Mobile Home Facilities 20.00 Misc. Wiring 23.00 2 3. 00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): CI This permit is for $ 100.00 (valuation) or less. 04 1 have placed on file with the County of Butte Dept. of Development Service . s, Building Division .6 ' Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. 0 Ishall not employ any person in any manner so asto 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 $ OPP! Contractor MECHANICAL PERMIT. Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certifythat I have read this application and state thatthe 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 entet 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. Date L X damag 'a 1__9� I/ Zt 1?!!� Sid—natu-re- of A—pp&bnt - CI Owner ULContractor J Agent 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 0 Vc-7 c'VP" I TOTAL FEE $ -66+wisilir ":��I:EES I IMP I FJ-G�pj Crf _ PARCEL 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. By Date 1,ZX �d PERMIT EXPIRES ON Qateo ReceiptNo. 1 -710 -31 - WHIT E-O.D.S.-B.D. CAffARY-ASSESS PINK -INSPECTOR GOLD ENRO D-APPLI CANT I A COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT BUILDING �DIVISIOW. "',PERMIT..NO. 7'County Center Drive- Oroville, California 95965 - Telephone (916).--538'7541:. APPLICATION -AND. PERMIT ASSESSOR PARCEL NUMKR ZONING BUILDING PERMIT" OVINER TELEPHONE SQ. FT. OCC. BUILDING VALUATION: 0 AJ!ZPGTEsS 0 QO r DO CON 0 S NAME� -NE C15NTRACTOWS MAILING ADDRESS Fireplace CONSTRUCTIO N LENDER UNMOWN Total Valuation s UMDEWS MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LIC ENSE NO. Plan Checking Fee $ 12 40 0 Energy Plan Checking—Fee ARCHITECT OR ENGNEERS MAILING ADDRESS Penalty $ BUI . LD ING ADDRESS PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00, Each Trap 7.00 Solar or heat pump water heater 231.00 LOT NO. SUBDIVlSION'S NAME A . P Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF)�I, Duplex 0 Mbbilehome Q, Other SPECIFY Gas piping system 1 - 5 outlets'- 15.00 Building sewer 15.00 Mobile Home S G W @20..00 TYPE OF -WORK New 0 Addition El Remodel El Utilities 0 Installation er 4 A A- c) Describe 'Work: OJO .4 fflr�p Sy,&4,CrhXA � - PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 6001 OR Ss Main Service R LE 200A 0 LESS 23.00� V Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OC"'- OR ADONS. a ACC. OLDS. 3.,, so - FT� CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. nse No. 'Lice' Classification 0 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) El I am'exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET N BRANCH CIRCUITS @7.50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL. @ .50 Ex. Occup. FIXED APPLNS. OR OUTLETS (RESID.) EA. 1 5.00 Temporary Service — 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 0 This permit is for,$ 100.00 (valuation) or less. 0 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate. of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. C) Ishall not employ any person in any manner so asto 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, yq6must 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 entei upon theabove me.ntioned 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 0 a granting of this permit. X Date .Signature of Applicant - 0 Owner Ll Contractor CJ Agent An OSHA permit is requirer, for excavations over 5"0" deep and demolition or construction of structures ovei 3 stories in heigh Mobile Home Installation Fee s Energy Inspection Fee s C CONSI. IYPE I TOTAL FEE $ H�EES I IMP I FLOOD HD ISSUE 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. y —Date— PERMIT EXPIRES ON Corel Receipt NO WHITE-D.D.�.-B.07 ANAR/-ASSESSOR r.OLDENROD-APPLICANT COUNTYOFBUTTE - DEPARTMENT OF DEVELO.PMENTiSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE,CACIFORNIA95965 -TELEPHONE (916)538-7541 PERMIT APPLICATION DATA SHEET OWNER P No. 30 /3 c) Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECENED BY 1 All items have been submitted ......................................... 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. - 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ................. -7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 75, 8. Engineered truss details and layout I in.duplicate (required prior to plan check). 9. Mobilehome data and manufacturers stal!lption instructions, 2 sets . ........... 10. Feesof$ ................................. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees ......................... 13. Flood elevation letter (100 year flood) by California Engineer ................... 14. Sanitation and plot plan approval . Health Department . ............ 15. City Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley . ............ 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage . ........... 19. Driveway permit (construction approval required prior to occupancy). . . r;�ui�� L) 20. Pre -inspection for required. - - to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner-Builde'r Verification (Given to owner I Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. - 25. Letter of signature authorization . .......................................... - 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use .......... * ............................... 28. Mobilehome utility clearance ............................................ 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... Ian check St. ..... .................. When u issue the p( it, rocess as follows: MajLto owLr. Mail to contractor. ��P,Telephone 51 and hold for pkickup at OKa T 0 - office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date-/0/9�1 Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date Copy of plans sent Health Dept. _ Fire Dept. Other Date By Th6 following data must be submitted p i t rmit issuance: (Circle new item not checked above). 1. Index permit for above items No. rw "I 2. Additional items required:_ (Colft;ado designer, owner, was advised of above required data by mail Counter by/<I�Date (Z ntract , designer, wner, was advised of above required data by ��pho�ne mail Countsr4y'VVV-ate -1 Plans checked by Date Plans approved by Date C -o pSets of plans on hold in /,�File cabinet AP folder y- 'Department of Public Works 12-- ( 9 ln!§u-lation Certificate BUILDING OWNER: C AA 10 A BUIIDING PfflaffT BUILDING IDCATION: lb �5 Description of Installation ROOF Mater , ial b "-I Brand Name 14a �cc Thickness (inches) 9 4��Q "I Tbennal Resistance (R -Value) CEILING Batt or Blanket' Type / L-1 411, Brand Name Thickness (inches) Thennal Resistance (R -Value). Loose Fill Type Brand Narne Contractor's minimurn installed weight/ lb Minimum thickness inches Manufacturer's installed weightper square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material Ff 404--)' C 4r- C, Brand Name Thickness (inches) nerrnal Resistance (R -Value) /lr—/" 12 RAISED FLOOR Material ;-17 Thickness (inches) L/ SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Brand Name '9 /* Thennal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Themial Resistance (R -Value) Declaration I hereby certify that the above insulation *'as install6d in the buildingat the above location in conformance with the current Building Energy Efficiency S 6ndar.ds f6r new -residential buildings contained in Title 24 of the California Administrative Code. 4z q 5 �i�' ce, umber t DaL.e Ucense Number Date THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING'DEPARTMENT.PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING., JANUARY 1993 DATE: PERMIT ASSESSORS PARCEL OWNER'S NAME: FEES: Amount and Purpose .REVISED PLAN CHECX: BALANCE OF FEES: ADDITIONAL FEES: REINSPEMON FEE: SHERIFF FEE: CHICO URBAN AREA FEE: THERMALIM/NO. ORO TRAFFIC: OROVILLE AREA TRAFFIC: COPIES: $ IF BALANCE OF FEES OR ADD ITI ONAL VALUATION: VALUATION: -Z S—O'd AD DITIONAL VALUATION: (check one) COUNTY: CITY OF BIGGS:. CITY OF GRIDLEY: (Check one) RESIDENTIAL:,— COMMERCIAL: RECEIPT NUMBER: /7/0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ,,"PERMIT NO 7 County Center Drive - Oroville,,Califdrnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL. NUMBER ZONING I I .- BUILDING PERMIT OWNER <�TF_) f 10 �,-_ pa K) R<,r) NN TELEPHONE 5_3+_1111 SQ.FT. OCC. BUILDING VALUATION OWNER'S -MAILING ADDRESS t �Mq I G r 4 1 ben�ius. CONTRACTOR'S NAME SIC R 0 A YVJ Am il�A- P_ ITELEPHONE -71 4; r7 6 CONTRACTOR'S MAILING ADDRESS JQtbii_L_iA,AAe,rao,Qr,,- usi Fireplace CONSTRUCTION LENDER A&jF, UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S_MAI LING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER I fl& A/Ir LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS AJr) A I L-_ Permit fee $ BUILDING ADDRESS I" Ct 6-r 44 PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Sola er r Water Heat 20.00 20 L Water piping 5.00 LOT NO. SU BDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SIF R' Duple,F� Mobilehomen Other - SPECIFY Building sewer 5.00. __FW7 Mobile Home 7S7 G 10-00ea TYPE OF WORK New M AdditionEl R emode I El Uti I iiies [:1 InstallationE Other Z" Descri be work: 19EA'd A W AM) L 50 LJ I �-A 5%4151CM5 I KI C_ A 0- ( ),3 A T 1- 1, Permit Fee $ 10 e>c- Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&) OR ADONS. ACC,BLDGS. V20Sqft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the 0 ness u's I and Professions Code and my license is in full force and effec License No. —Classification 3G F-1 f, 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) F-1 I am exempt under Sec.—, Business and Professions Code for this reason NEW CONSTR (MULTI -.UTI -F -T NO .RES'.. R ANCH CIRCUITS) 2.50 ea NEW.CON,STR (POWER APPARATUS &I NON RES D. SINGLE OUTLET CIR. I 20@50t Ex. OCCUP(OUTLETS OR FIXTURES IBAL030t Ex. FIXED APPLNS. OR OCCLIP- OUTLETS (RFSID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor ECHANICAL PERMIT FilingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] T ' he permit is for $100-00 (valuation) or less. B11 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Ce.61, CaLE; of Consent to Self-Invure. I shal I 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.. Heating —Coo I i ng Hood 3.00 Venti lation 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. 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. io /ezp X /,gq Date Signature of1pplicant Owner 0 Contractor D Agent An OSHA permit is required for excavations over 5.'0'' deep and demolition or construct- ion of structures over 3 stories in height. obile Home Installation Fee TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CON5T. 7ELPD H 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=: -`Dat the applicable provi- resolutions to do -fees have been paid. WORKS Date/,0_ 2V-rp�l /,a ,� 4/_ Y'r, — Receipt NO. e/ f -ap WHITE-D.P.W., YELLOW-ASSE5SOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT COUNTY OF BUTTE. DEPARTMENT OF.PUBLICWORK S� 1 96 Memorial Way,-.Chico,�—Phone: 89172751 7 County Center Drive, Orovi 116"— Phone- 534-4541' Skyway and E I I iott Road, Paradise Phone: 872-2961,'Ext.,57 CORRECTION' OTICE". ..COUNTY OF BUTTE-- DEPARTMENT OF PUBLIC WORKS PERMIT NO— 7 County Center Drive -.Orbville, Oalifo�ni.a 95965 - Telephone 916/534-4541 APPLICAANAND PERMIT ASSESSOR PA L NU R ZONJNG BUILDING.PERMIT OWNER i e -,T b g_:., km TELEPHONE- 11 r) L - SQ.' FT:- 'OCC. BUILDING VALUATION OWNER'S -MAILING ADDRESS CONTRACTOR'S NAME Aj� 5 TELEPHONE CONTRACTOR'S MAILING ADt3_RESS . . , I . - Ibi,311 iAl' 1 cr, I -kl �Sel mF P, f, Al ilf�.o NW'% F replace CONSTRUC-'IAI.N L JUNKNOWN Total Valuation $ Fi I ing Fee $ 10.00, AILING ADDRESS Permit Fee ARCHITECT OR ENGINEER ---------- L71 C�E N S E NO.,, PI awC h ecking Fee $ Penalty AR TECT OR NGINEER:S MAILING ACORE�S X42 1\ I Permit fee BUILDING ADDRESS % PLUMBING PERMIT,: Fi ling Fee 10.00,' 4 Each,Tra� 2.00 So I �.r. Water Heater. 20.Ob 'ZOP0 (!)QD IIIJ Wat* r piping 5.00 LOT N 0- TuBD1 VISION NAME PARCEL, MAP. Eacfi. qas, water. heater or, vent 6.00 Gas,piping system 1 - 5 outlets 5.00 USE OF,$TR.UCTURE SF Rr"Duplex'F� Mobilehomer-l' Other SPECI F�Y Building sewer 5.00 Mob!i'lb Home IS I G I W 1- 1' 110.00 e 7 TYPE OF WORK NeWO Addition.E] F�emlodeiEl Utilii'ies"[] _16sitall'a-ti-o-n[T bfker,[�, Descri be work: t2ff=R_M A 04 XT -1 L- 5e) 1 -A=k S. r yv, 5 INC - —Permit Fee 6 Contractor ELECTRICAL PERMIT' Fi I i ng Fee 10.00 Main service 600V OR,LESS�SS 100 AMP OR L 10.00 Main service,EA. ADD'L 100 Alvli� 2.50 NEW CONST. DWELLING OCCUP.&) OR ADDNS. ACC,BLOGS. 21/20sq ft CONTRACTORS LICENSE LAW "I declare 'under penalty, of perjury (check -one): 19�1 -am:lice'nsed under provisions of.Chapt. 9, Div.%3 of fhe Business and Professions Code and my license is in full force and effect. License No.!BW)64�� Classification X0 F� I_a� the owner I or my employee s with wages as their . sole com'len-. sation,'will do the work,and the structure is �hot intended or offered for sale..'(Se.c., 7044) El' I . as the owner, am exclusively contracting with I ice,nsed contract- ors. (S ' ec. 7044) D I am -exempt un�er 'Sel*c. Business and Professions Code for this reason N '_O N5TR. MULT'_OUTLE T EW UITS) 2-.50 ea ON -RE BRANCH CIR. NEW_CON,STR (POWER. APPARATUS.&) NON RES 0. SINGLE OUTLET CIR Ex. OCCUP( OUTLETS OR FIXTURES' 20@50t BAL@300 FIXED APPLN5 0 2.00 Ex.' Occup. OUT LETS'(RESI*D.)'EA-.) T emporar�� service. 10.00 . Mobile Home Facilities 15.00 - Misc. Wiring 1 �.00 Pe�mlt Fee' Contractor MECHANICAL PERMIT FilingFee 10.00 WORKME I N'S COMPENSATION INSURANCE I declare under pen,alty of perjury (check one): e '�ermit is for $100.00 (valuati:bn) or less. have placed on file with the County of Butte Building Department a Cert ificate of Workmen's C.om'pensation-Insurahce or a Certifi . c6te of Consent to Self-ln�ure.' F] I shall not employ any personAn any manner so as to become subject to the�W. C.1 I aws of Cal ifornia., Notice to Applicant:- If after making this statementi-,should you become subject to the W. C. provisions of the Labor Code,.ypu must forthwith. comply with such provisions or.this permit shal I� be deemed revoked. Heating Cooling Hood 3.00 Ventilation -,Permit Fee $ Contractor I certify that I have"read, this c"ation and state that the above information J�s correct. I agree t6. comply to al I County Ord i nanbes and State Laws relating to building -construction,' and hereby authorize,representatives of the County ot, Butte to ent6r. upon the above-mentioned property for, inspection purposes.- I also agree to save, indem. nify arfd keep..harmless the County of Butte against all 'liabilities, judgments, .costs,- and expenses which may',in any way accrue againstisEld C nt in c ence of,the grant.ing of this permit. X, Date ignature plicant Owner C.nirolc tor E] n tl;e' S Vvp Age An OSHA permit is required for excavat i one over% 5'0'� deep and demolition o� constru6t- ion of structures over 3 stories in-h.eight. Mobile Home Installation Feer TOTAL, PERMIT FEE OCCUP. GROUP, TYPr.OF CONST. 1, -,,.JF!ARCELJ PD 1. No This permit is hereby i.ssued under si ons f - the Butte County Code -and/or 9' work . I nd i bated i above f or which 4� E-qlpR. F By :al R 0 0 PUBLIC PERMIT EXPigjfi�_�_ the applicable provi- resolutions to do fees. have been paid. 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I . r .. .. 11 , , :_.� , I - .� �, � � � , �l I , . , :�'l I � i , , , , . I . �� �t: � . . I . - - -.;. , . . I , , ; . I , .. , . . 4 , . � . . � . , � . I . � � I .. . . � ,� . . I " I . � - " . . ...... � . I . ., . I - I Q COUNTY OF BUTTE -131C , �_NT',OF PUBLIC WORKS, PERMIT NO. 4A 1," 7 County Center Drive - Oroville 95965 - Telephone 916/534-4541 L `2 APPLICAT D PERMIT 1� IE ASSESSOR PARCEL- NUMBER 41 'A� — ZONING BUILDING PERMIT OWN Al 11 C, (0 go P) 4,r Ll n TELEPHONE I 4, . FT. OCC. ING VALUATION SQ BUILD OWNER�S MAILNG ADORE tA ) 1'., k9 ) 6 r t-) CONTRACTOR'S NAME TELEPHONE .CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER /V __rKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. P.lan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS t PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Waterpiping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFKJ4u'plexF� MobilehomeF-1 Other SPECIFY Building sewer L awn sprinkler system 5.. 00 . TYPE OF WORK New [_� Addition Q RemodelLl� Utilities[] Instal ation Other Describe work: IR (C e^DR I o 11, 1�. xy= Pernilt Fee $ contractor ELECTRICAL PERMIT FilingFee 10.00 6001 OR LESS Main service 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELLING OCCUP.81) OR ADDNS. ACC.BLDGS. 20 sq it 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 1, as the ow ner, or my employees with wages as their solecompen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) F1 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 CON,STR. MULTI -CUTLET No N.RE D. RANCH CIRCUIT.5) 2.50 ea NEW CONSTF;L,JPOWER APPARATUS I%), NON-RES[D. � SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 150 @ 259t , BAL @ 10� (FIXED APPLNS. OR Ex. Occup, OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Fi I ingFee 10.0 0 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): F-] 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 Compensa tion Insurance or a Certificate of Consent to Selt-Insure. I shall not employ any person in any manner so as to become sub ject 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 th,is permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee S Contractor I certify that I have read this application and state that the aboveinformation 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 liabil it�ies judgIn. ts, costs, and expenses which may in any way accrue against's-aid County in consequence of the granting of this,�Jrml P X 1,17 . -- , � , A Z& —,Date Signature of Applicant Owner;K Contractor El Agent 0 An OSHA permit is required for excov.)ions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 3116-10 0 OCCUP. GROUP I TYPE OF CONST. This permit is hereby issued under. sions of the Butte County Code and/or work indicated above for which ;F PUBIL QIR XC I -By PERMIT EXPIRES D4te— r the applicable provi- resolutions to do' fees have been paid. IC WORKS -2 Cw ^ eceipt N -7/ 41 t� U R o. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT COUNTY OF BUTTE D NT,0F PU.BLIC WORKS PE 7 County Center Drive' . Orovili 95965 - TelephonEk 916/534-4 PERMIT 6 A.R4fL NUMBER ASSEASO P ONING \_,ZBUILDING PERMIT OWN E T �LE P H 0 N E' I CIO A);l 01� -r pyl SQ. FT. OCC. VALUATION OWN ER G .14-1 AIDDRE, I CONTR AC I OR S -E TELEPHONE CONTRAC-TOR'S MAILING ADDRESS Fireplace 1$ CO� iST�U CTION LENDER- N Total Valuation, Fili6g Fee $ 10.00 LENDER'S MAILING ADDRESS Permit.Fee ARCHITECT.OR ENGINEER TE_�NSIE'NO. 7 Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEE—R-S MAILING ADDRESS' A Permit -fee, $ BUiLDINGL,DRESS -t*4 PLUMBING PERMIT Fi ing Fee 10.00 Each Trap 2.00 Repair I drainage or vent piping 5.00 ro water pi pi ng LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5 00 Gas piping system 1 5,outlets USE OF STRUCTURE SF P_1%7up-lex F� MobilehomeF-1 Other SPECIFY Building sewer. Lawn spri.nkler system 5.00 TYPE OF WORK NewF] Addition Remod I E 0 1 1 tiorLD Other P' Describe work: f! k7NE �kl i U t it�ii t, e (A= 2a Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10;00 IIIOV OR LESS Main service 100 AMP OR LESS 5.00 Main service EA- ADD -L 100 AMP 2.50 NEW CONST- ( DWELLING OCCUP.0J) OR,ADDNS. ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury .(check one): 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 1, 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. (Seci 7044) I, as the owner, am exclusively. contracting. with licensed contract- ors. (Sec. 7044) F-1 I am -exempt under Sec. Business and Professions Code for this reason ULT. LET NEW CONSTR. I OU_r - NON-RESID. (MBRAN H CIRCUITSJ 2.50 ea NEW CONSTR. POWER APPARATUS 6) NON.RESID. (SINGLE OUTLET CIR. —Ex. 150 @ 250 OCCUR(OUTLETS OR FIXTURES BAL@10tl (FIXED APPLNS OR Ex. Occup. OUTLETS (RESI'D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 1 Pe'mit Fee Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION. INSURANCE I declare under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) orless. I have placed on file with the County. of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certif icate of Consent to Self-Irisure. I 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 Lab6r Code, you must forthwith Comply with such provisions.6r this -permit shall be deemed revoked. Heating Cool i rig 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 t;ui [ding -construction, and hereby, authorize representatives of the County of Butte to enter upon�the above-mentioned property for,inspection- purposes. I'al'so agree to save, indemnify and keep harmless theCounty of Butte against al liabiW.�aq, judg ents, costs, and expenses which may in any way a�ccrue agai sai. in in con equence of'the granting of this pQrmit. 5 X, Date Signature of Applicant Owne;E� Contira6tor 0 Agent F -1 ." An OSHA permit is require,, or excavations over 5'0" deep.and demolition or construct- a fo ion of struct6res over 3 star s in height. Mobile Home'Installation Fee $ TQTAL'PERMIT FEE $ :3 0 0 OCCUP. GROUP I TYPE OF CONST. I PARCELI-7 I ISSUE This permit is hereby issued under.the applicable provim sions of the Butte County Code and/or resolutions to do ed abo work indicat vib for which fees have been paid. ?IRC OF PUBLIC WORKS By n 000p PERMIT.EXPIRES Dtte__J�7f Z Pf� 0-71 Receipt'No. t U I WHITE-D.P.W., YELLOW -ASSESSOR, fINK-INSPECTOR, GOLDENROP-APrLi CANT . -1Y