HomeMy WebLinkAbout031-238-031Temlrl is rvicef —gypp—►► J 1%% O
Called PG&`�.�/ r1c�
Temp. Gas Service
i. Called PG&E
I.
JB FINALEI
Signature
{{f
1
W
f
J=OK
0 = Not OK -
- = Not Applicable MOBILEHOMES I
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements -
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
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
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements t
Card -BI
Date
Date Card -BI 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
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; 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. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged ' ^^'^'^ -"
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -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 -Bl Date
17 Card -81
Date Card -BI Date
V = OK
0 = Not OK
- = Not Applicable ,
= Not Recijy
RESIDENTIAL (Single and Duplex)
ti
Date
UNDERF OR (P.Jars) OK except #'s
Date FRAMING (Continued)
g requirements -Setbacks -Easements
'-�0.
'Property Line Firewall & Openings
Ftg., Main; Soils -Steel -Flet. Grnd.- 11,2J" Ftg. Depth
xt. Doors -One 3' -Check Garage-Lovers
3. Fig., Garage; Soils -Steel- / /" Ftg. Depth
ta ' idth-Headroom-Rise-Run- Land ing-Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
walls, Main; Steel-Blockouts-Wrapped-Slab
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
Adia,
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
-&4-
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
488 8kear alls; Na'ling-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
Date - and -BI Date
Card -BI -j,_ ate Card -BI Date
Card -BI
Date Card -BI Date
C -BI
Date and -BI Date
Date FINAL (Plans) OK except N's
- or & Sidelight Protection -Landings
r
`Q«t FReee, Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except N's
14. Water,Ht.; Vent -Access -Combustion Air
15. Water „ipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
a room Exiting
17. Shower Pin; Test, First Floor -Tub Access
-
FiRtures & Tub Access
_ panel; Breaker Sizes -Labels
18. Test Tub kShower, 2nd Floor -Tub Access
Card -BI
Card -BI
19. Gas Pipe; She & Anchors
Date Card -BI Date
Date Card -BI Date
62.
airs & Rails
treplace or Stove; earth
64.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
i . Fixt. & pp tan .-Air Gap -Cooking Clearance
66.
Elec. 8tjNe4&_&_Baaap=iera at Kit. Counter
Date
ELECTRICAL Permit OK except Ws
67.
tng- Land ing-Closer
68.
arage-Damper
20. F'xture & Transformer Clearance -Ins. Protection
earance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
let. Receptacles Spacing -Lights &Switches at Doors
7
c. ech. Equip. Listed for Location
ize Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
21- Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
a ton -o- ooked in Attic ❑Yes73.
Construction -Post Caps
2b 2 Appliance Circuits in Kitchen &Conductor Size
'2e-Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74•
-F4P_Vaats_8„Jmrawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
"27': Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes [I No
wing instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes []No
L2 . Service -Riser Conductors & Ground -Main Disconnect
u wn-Finish
29: Equip. Clearances; Panels-Motors-Mech. Equip.connect-Clrnces-Brkr.
& Cond. Size -115V Outlet
3g Clothes Closet Light -Shower Light
7a,�ty-Atrppe-Roof;
Plbg.-Appliance-Firepl.-Clearance to Opngs.
7
isconnect, Electrical, Plumbing
. Trim; G.F.I. Receptacle -Underground
Card B-17
__
Date 4 Card BI Date
g
ghout House
Card B -I
Date Card -BI Date
ass ro ec ton
Date
MECHANICAL (Permit) OK except q's
83
rnrrarr' c r.... Previous Inspections
8
as e - s Tagged; Gas -Electric
31. A.C. Ducts; Insulation & Support
85.
nected-C/O to Grade -HD Approval
32. Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_
33. Condensate Drain & Overflow; Size & Grade
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 M
Date Card -BI Date
Card -BI
Date Card -81 Date
Card -BI Date Card -BI Date
Comments at Final:
Date FRAMI G Plans OK except q's
Sil�Proper Material &Anchors
�alls; Studs -Nailing, Spacing & Bracing -Plates -Sound
--e@--Bearing
Walls over Girders & Floor Nailing
draft Stop in Walls (rat proof)
•49-4Fire Stops; Furred Ceilings -Stairs -Chases -Tub
L3sF�ader & Beam -Size & Bearing
-%Z-'Hangers-Post Caps -Anchors -Connectors
{2!�siwg.�lpygt-Rftr. Ties- Purlin -Roof Brac.-Truss-Shthng.-Ring. _
44 Fireplace Ties or Type A Flue -Fireplace Throat
RCS --Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_
" garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4841
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
//�, r ^
1' � " fl`+ l/_?-iL��1✓z_�/;!2. iii: '��i'�:?� .
c
7 E/' 14-
Inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT
e.f7 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT cmc
ASSESSOR PARCELNUMBER ZONING
_Q
BUILDING PERMIT
,M
TELEPHONE 0U'
.,
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILI G DD ESS 1' Q
V v
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
C
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ -
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDR SS
Permit fee
$
BUILDING ADDRESS
C
PLUMBING PERMIT -
Filin Fee 10.00
9
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping .
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping '_11 - 5 outlets
Building sel
Lawn sprin am
5.00
USE OF STRU URE
SF ❑ Duplex ❑ Mobilehome❑ Other = r) • �,
SPEC FY
TYPE OF WORK
New ❑ Addition ❑ /Remodel [—]Utilities [:1Installation Other
Describe work:� /V P.AZ r-_Iae 202c -V I e e ]'
,g .V
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
00V R LES
Main service 100 AMP ORS
SLESS
5.00 .O
- -
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. (DWELLING OCCUP.$)
OR ADDNS. ACC. SLOGS.
/ 20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
ElNON.R
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y•
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 CONSTR. MULTI -OUTLET 2.50 ea
NO N.RESID BRA CH CIRC ITS
NEW CONSTR. POWER APPARATUS 6
ESI D, SINGLE OUTLET CIR,
50 @ 250
CCUp OU
Ex. 0TLETS OR FIXTURES BAL@1
FIXED APPLNS. R
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
Filing Fee 10.00
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 beccme 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
Cooling
Hood
3.00
Ventilation
Permit Fee
S
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby 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
againstpaid County iconsequence of the granting of this permit. n
X �h+`�,J) Date �"ti� o'��. � /'.�
Signature of Applicant — Owner 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 $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
Pit
ND
550E
This permit is hereby issued under
sions the Butte County Code and/or
work indicated above for which
DMECTOR OF PUBLIC
BY
PERMIT EXPIRES D e
the applicable provi-
of
resolutions to do
fees have been paid.
WORKS
Date
_
Receipt No. q :Z s 73
WHITE-O.P.W., YELLOW-ASSES50R, PINK-INSPECTOR,GOLDENROD-APPLICANT
COUNTY OF BUTTE- DEPARTMENT•OF PUBLIC WORKS PERMIT No.
- 7 County Center Drive - Oroville, California 95965 • Telephone 916/534-4541---
APPLICATION,AND PERMIT
ASSESSOR L UMR -
ZONING
I ,
` BUILDING PERMIT
OWN `' -
LI(J ?T r nomV am
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING A D ES
-,6—/CONTRACTOR'
NAME-
T11LEPHONE
CONTRACTOR'S MAILING ADDRESS -
r
Fireplace 1j
—D
CONSTRUCTION LENDER*•
UNKNOWN
Total Valuation _ I $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ �t
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ '
Penalty
$
ARCHITECT. OR ENGINEER'S MAILING ADDRESS
` }
Permit'fee
$
BUILDING ADDRESS -
�< ,e
PLUMBING PERMIT
Filing Fee 10,00
Each Trap
2.00 '
Repair drainage or vent piping
5.00
'
Water piping
LOT NO.,
SUBDIVISION NAME_
PARCEL MAP
•
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
' USE OF STRU URE
SF, [:1Duplex ❑ Mobilehome ❑ Other 1 S
T - SPECI Y
Building sewer
Lawn sprinkler system
5.00
" TYPE OF WORK
New ❑ . Addition ❑ rr Remodel -P [:1I Uti lities Instal ion ❑ Other
Des cr' a work: �1 a -I IN QU'e
�r•�l
Permit Fee •
$
Contractor
,ELECTRICAL PERMIT
Filing Fee . 10.00
Main service e0v OR LESS
1000 AMP OR LESS
5.00
- i r
Main servlce,EA. ADD'L 100 AMP
2.50
NEW CONST. \DWELLING OCCUP.al)
OR ADDNS. ACC. BLDGS. I
20sgft
•
CONTRACTORS LICENSE LAW
_
I declare unifier penalty of perjury (check one): 1
❑ 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.
y
License No. Classification --
Z!(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)
❑' I -*am exempt under Sec. Business and Professions Code
for this reason
.NEW CONSTR I.OUTLET 2.50 ea
NON.RESID BRANCH CIRC TS
"NEW CONSTR ( POWER APPARATUS 01
NON-RESID, SINGLE OUTLET CIR,- i
Ex. Occup OUTLETS OR'FIXTURES a ��
IXED APPLNS, OR
Ex. Occup. �p UTLETS (RESID•) EA. 2.00
Temporary service 10.00
, Mobile.Home Facilities 15.00
• Misc. Wiring 7.50
.
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ •1 have placed on file with,the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance,or-a Certificate
of Consent to Self -Insure. -
I shall not employ any person in any mariner so as to beccme.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 ;
Cooling r
- 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 sa'd County in co sequence of the granting of this permit..
X �,�F ✓ JAl/� �1L— ..Date -VWIVI ,% a ; r-�
Signature 'of Applicant — Ownar Conr�aaor ❑ Agent Elwork
An OSHA permit is required for excavations over 5'0;: deep and demolition or•construct-
ion of structures over 3 stori/ies in height.
Mobile Home Installation Fee $
`
TOTAL PERMIT FEE $ 1
CCCUP. GROUP
I TYPE OF CONST.J
PARCEL
PDHO
ISSUE
This permit•is hereby issued under the applicable provi-
sions of the Butte,County Code and/or resolutions to do
indicated above for which fees have been paid.
2E R OF PUBLIC WORKS
,
By. Dglate
PERMIT•EXPIRES ate V
Receipt, No: ,L / 7 Z ` "
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
1
�. A"
4
' r.• V ' ' 'COUNTYrOFBUTTE - DEPARTMENT OF�PUBLIC WORKS- PERMIT NO.
.t 7 County Center Drive - Oroville, California.959f5 -Telephone 916/534-454
APPLICATIQN.A_WPERMIT,' AA IA1:'.l
ASSES O `AJ3C L N MBS£ - - a r .+ ZONING -' 1 ' • -BUILDING •PE
-11
,-
,IFIL-
t
OW ER _ - h , TELEPHONE
1 SO. FT: w OCC. BUILDING VALUATION
'
OWNER'S MAILING A DFIRESS - .
-
Vic
CONTRACTOR' AME - S - -
TELEPHONE .
•
-
CONTRACTOR'S MAILING ADDRESS
•UNKN•OWN
CONSTRUCTION LENDER .�
Fireplace'
_ rt
-�
Total''Valuation', $ .
`
LENDER'S MAILING ADDRESS � , '�„ r
•
Permit Fee '. $
ARCHITECT.OR ENGINEER :. -• LIC;NSE NO. " •
Plan Checking. Fee
$
Penalty
$ .
`-
ARCHITECT OR ENGINEER'S MAILING A DR E55 � � � i,
•
Permit fee'
BUILDING ADDRESS-
y`,'
PLUMBING PERMIT.
Filing Fee 3.00
'
Each Trap
2.00
Repair drainage,or vent piping
2.00
y �.,Q' `- i Water piping -
LOT NO. SUBDIVISION NAME : a t y MAP, -
Each gaswater heater or vent -
2.00 _
]PARCEL
✓ *
Gas piping',system 1 - 5 outlets
' USE OF STRU TUR
k���
Building sewer
Lawn
SF ❑ Duplex ❑ Mobilehome❑ Othel
sprinkler system -
2.00
r - - SPECIFY
TYPE OF WORK- • ,
Permit Fee _
$ '
New��AditionEl, Remodel❑ Utilities,❑ Installation❑; Other ❑.,Contractor
t
ELECTRICAL PERMIT
�FilingFee 3`00
Describe work:
(• ' ' _ '',='
Main service°o°o AMP OR1 OR SLESS
" 5.00
• ,�
Main service EA, ADD'L too AMP
2.50
- �"
NEW CONST: DWELLING 6CC &
OR DA
20 sq ft
CONTRACTORS LICENSE LAW
NEW CON5TR(ULTII.OUT E )
NON.RESID. BRANCH CIRCUIT
2.50 ea
I declare under penalty of perjury (check one): t
NEW CONSTR. IPOWER APPARATUS 8'
s , , •-
❑ I am licensed under provisions of Chapt. 9, Div: 3 of. the Business
NON-RESID. ISINGLE OUTLET CIR. I
Ex. .Occup(OUTLETS OR FIXTURES
50@25c
gAL@t�S
and Professions Code and my' license is in, full force.,and effect.'
FIXED APP LNS, OR _
Ex. Occup.(OUT,LETS (RESID,) EA.) 2.00
License No. Classification
Temporary service
10.00
I, as the owner, or my.employees with wages as their sole compen-
Mobile Home Facilities
15.00
sation, will do the work,and the structure•is not intended or offered.
for sale. (Sec. 7044) , a •
Misc. Wiring'
6.25
❑ I, -as the•owner, am exclusively contracting with licensed contract-
,
ors. (Sec. -7044). t
'
Permit Fee
$
❑ • I,am exempt under Sec. Business and Professions Code
for'this reason =
Contractor
MECHANICAL PERMIT
FiIingFee 3.00
WORKMEN'S COMPENSATIONrINSURANCE 5
Heating
I declare under penalty of perjury (check one):' ' ,
,
❑ , The permit is for $100.00 (valuation) or'less. t,
'Cooling
Er I have placed on file with the County of Butte) BuiIding•Department.
,a -Certificate of'Workmen'.s Compensation Insurance or$a•Certificate
Hood -
2.00
of,Consent to Self -Insure. '
Ventilation
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
Permit Fee
$• "
to the W. C. provisions of the Labor Code, you must"forthwith comply with such
Contractor
provisions or this permit shall be deemed revoked.
I certify that I have read this application -and state that theaboveinformation
Mobile Home Installation Fee
$
Land Development Fee
$
is correct. I agree to comply to all County Ordinances and State Laws relating :
to building construction,' and hereby authorize representatives of the Countyot�
to enter upon the above-mentioned property for inspection
TOTAL PERMIT FEE
.Butte purposes.
•
$d��
I also agree to save; indemnify and keep harmless the County of Butte against
all liabilities,- judgments, costs, and expenses which in any way accrue
occUP, GROUPi
TrP of CtO/NST.
PARCEL
PD
I✓
HD
r/
SS E
�%
,may
`it.
�_ r
/(
f/
against said County in conse ence the granting of this per ..
�� F6
'This permit is -hereby issued under
the applicable provi-
X v� Date
sions of the: Butte County Code `and/or
resolutions to do
Signature of Applicant —_ .. Owner Contractor ❑_ ,Agent.❑
work indicated above for which
fees 'have been paid.
,.
An OSHA permit is required for excavations over ST'' deep and demolition.or construct-
a r
D1 TO F PUBLIC WORKS
ion of structures over 3 stories in height. -
i By
1 PER -EXPIRES Date
Date
!O—'2•
Receipt No. Ca`%
WHITE-D.P. W., YELLOW- ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .