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Home My WebLink About031-253-03731-253-37*PAU� NORMAN. `---- / 1083 Grand Avenue, Orov*ille STRAWN WA 404 '�- 3a NORMON, Paul Jo Aven Ile. 11 2 '37 d 083 Grand. Ave. CONM: Arinda-!-Builders.1xic 1674 loth st George Roof incy, V ngle family res.) Oro - ville- 'B06-272 9 ,.MISCELLANEOUS"' out NEW HVAC ROOF --' 1083GRANDAVEBROOME, DAVID . aLC n` ' - x ----~-�---.� � .' ^R—,—'E U . / [ ' � ~ ^ mw- � ^ / ~~ BUTTE COU\'TY DEPARTMENT OF` DEVELOPMENT SERVICES INSPECTION CARD 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (53(4) 538-2140 Website:www.buttecounty.net/dds Permit No: B06-2729 Issued: 11/29/2006 Address: 1083 GRAND AVE OROVILLE APN: 031-253-037 Permit Subtype: HVAC Change 1 Owner: BROOME, DAVID L & CHARLENE Applicant: AIR CARE AND REPAIR SERVICE Description: NEW HVAC ROOF MOUNT MUST BE ON JOB SITE JOB SHALL BE READY PRIOR TO CALLING FOR INSPECTION. THE INSPECTION CARD AND APPROVED PLANS MUST BE AVAILABLE FOR EACH INSPECTION OR THE INSPECTION WILL NOT BE MADE AND A RE -INSPECTION FEE MAY BE ASSESSED. ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Rough Framing 128 Rough Plumbing 406 Rough Mechanical 316 Rough Electrical 208 Gas Piping 403 Roof Nail 129 Shower Pan/Tub Test 408 Fire Sprinkler 702 Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Gas Test 404 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Building Final 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Project Final 801 ON PERMITS BECOME NULL AID 1 YEAR COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspectary,Copy ' �i BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1083 GRAND AVE Owner: Permit NO: B06-2729 APN: 031-253-037 BROOME, DAVID L & CHARLE Issued Date: 11/29/2006 By KEJ Permit type: MISCELLANEOUS 1083 GRAND AVE Subtype: HVAC Change Out OROVILLE, CA 95965 Expiration Date: 11/29/2007 Description: NEW HVAC ROOF MOUNT Occupancy: Zoning: AR Contractor Applicant: Square Footage: AIR CARE AND REPAIR SERVICE AIR CARE AND REPAIR SER• Building Garage RemdUAddn P.O. BOX 804 P.O. BOX 804 UKIAH, CA 95482 UKIAH, CA 95482 Other Porch/Patio Total (530) 533-3701 (530) 533-3701 FEE INFORMATION Heat Pump (Package Unit) $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B1009 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License AIR CARE AND REPAIR SERVII 471898 / C 20 / 08/31/2008 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such peril to file a signed statement that he or she is licensed 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 pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil of not more than five hundred dollars 11/29/2006 penalty [$500]; Please check one of the following: Contractor's Signature Date 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: HAVE the work himself or herself or through his or her own employees, provided that such improvements ❑I AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this peril is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ 1, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Carrier: VIRGINIA SURETY Cpolicy Number:�S001626101 gyp*Date:01/01/2007 Contractor's License Law.). (This section nee not be competed if the permit is or one undre ollars ($100) or ess. ❑ I AM EXEMPT under Section B. & P.C. for this reason: ❑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 Workers' Compensation laws of California, and agree that if I should become subject to the workers'X 11/29/2006 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 11/29/2006 I hereby certify that I have read this application and stale that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner or am authorized to act on the property owners behalf. 11/29/2006 CONSTRUCTION LENDING AGENCY 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) 0 Owner El Contractor OR. E]Agent for Owner Agent for Contractor INSPECTOR COPY Lender's Address city State Zip COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 13�oo41-7t;' 13 DX OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. <-L •0"�- Ij 11 Wv/!�7G f VA6 Date 6� 7 -.o7 Inspector��7\�/�'' REV 4/05 Phone #� -/ 7 FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 May 14 2007 3:56PM HP LASERJET FAX p.2 ttv, TE_m9,o,: 'FOOliot, i hit, X Number $ " 4ms 1&;vai. "). D4rA: 0ion " attic .etc; R- iaiGe :EBiudir . BW/hr C piiGit RIM, -A, A?a@n6w*51.aK "' Ily &.30 %A4 0 .k-fei giedii :I -S I UM556 AC6., . N Ogler"' Cmvffird�M r . . 1: ]delttttYl -swisog 107.. Duct , . l#OMP ..p � C piiGit 9v xbm 6 xi h A giedii :I -S I UM556 AC6., . N Ogler"' ACMR'.: 107.. CpVt0iW.'BUIEDi( qODEPWATMENT.•HER SM AIIjZ<i7APPLfCA_D),R): 1aUJLVJN0OVRNX-WAT().C, �,PANQY May 14 2007 3:56PM HP LASERJET FAX 1"T -*L fpl&-- S ive:A 'i cess "P6rffiif,9Lrnb-6r Ove, V Mv. i 14A4' -S! 3 H 6t x ug�-, ti ldN� 6 -' FINAL 66Nk5T,'k ON. .esll a M—le d-V.en C f LOWO ve $a. easVlm Y.On iW� - "" """ - �s en mpat e"intierioi fifilslrtri 0, S Vt. eQ on... bin p.3 At- NEWCONSTRUCTION" ACAR 02/1l'?07 Masurcd, vows I EfiWPOW Leakag6MOWAh" UM: -`CakdldW (Nominal,.,ir .a. (A:. M •c�(toAx-nurviiier of tens. or $s ZL.Z A Ilotgonds-of u -31 -1P . Al .......Ski. OW'Dikf ftr'MV lvqmjorndht� . -C W - Wit h Eht&.Test0d::I;eWi&-Fl6W --i*,:CFM , ffb"r6-Te9f-bf Exis bTlgg Duct System..Pni or. fti-D'U'a 4' J -Fc -ge. Altered p ob4 0 4 -'P if W" -P-6 Final. gtr e e U, a Test ar Verllfficati6w-Siandards- for Tlf,' P&ii p L A -k . fandVefffi Am 0, piss, 11 fail IRS were T installed WT.ac Aehaifimdlcbhi F6AW! ACAR 02/1l'?07 WT.ac Aehaifimdlcbhi F6AW! May 14 2007 3:57PM HP LASERJET FAX M �10 uEnuGFRANT,=AR(m:.-.:NMA-SURrLMM-NT�. ..rt tipar. .. ... . . ... jv f; 1=056AIMN on °g IMM 06 tem-,' 'T stm of)"i ChlibtMbn �10 uEnuGFRANT,=AR(m:.-.:NMA-SURrLMM-NT�. ..rt tipar. -,!iup oyop :I�tofw jv f; 1=056AIMN �siri�ianTinetirin�e%��re (Tsitin9ti;; 41i}' °g IMM 06 .10-116ID6, L-Pyrnu40etheo*; 140-thllyo of)"i ChlibtMbn -,!iup oyop :I�tofw jv f; �siri�ianTinetirin�e%��re (Tsitin9ti;; 41i}' °g S400thi1cp yiferii asgdi if-bdtWben :- S wid 45 '-F). this; p.4 J4estdetiaEstoiiipztiC� Pori: -2005-'- A x;- argeet .37- this; p.4 J4estdetiaEstoiiipztiC� Pori: -2005-'- May 14 2007 3:58PM HP LRSERJET FAX P.5 yi7GbIJ^!!SQ4�JPjiEiR` Y� 'Ct2lt}$ xSJ /�oEli e: :<: ' - _ _ : ?� ..4;r .8�. ARB;..-. . I3,eYKef - �$llhad aie uvaii� „eRs! •G79:t ARV3: �6iFan6^helrt��•�iaree;n"n'7tifSab.w1:�:,.D wi.li:s..��'J+.£.:�._.t, .. .,. .. ..> ... ��:• . kriJbw%i l`etdiod for ._ aa4e A+r[Iou : rifoiia,2 nuQ,�irbte,'� R �G�V(A i 1412: 6 fie1�c'f�iedAir�loyr` ling �sp�crzy.Sst��)�. �M��isie�;ltlr�ls�a�=��„��IGt�T�leae6:'�.eai�os+�;iri;i�llp2gt�t��thsnt3iecai 1 rl1 T .w C8�'. ._ . _ y, r,: J: • . v+fit : •�-�;a.:, nEehanel'aArsal��;laialt- .' ,. .� ., ... - . .. - -. - •.�: .,�, - „'�,t•,. �-�..�•ht��.0UC6iaEF�,�s�.?�4G�AT��AT'��'ei�FJCi3�:Y':. '(E�''c}ttonf'�11Y �i9FtieA) � . 4.ro— tir1':Ca+e eiP�e'1;Oi;Rv'r .. :�0pri127a0S' Wss8e rCatt(eafssE i`t��k�n�iuiflaifla?m..ms965= X08-27•� yi7GbIJ^!!SQ4�JPjiEiR` Y� 'Ct2lt}$ xSJ /�oEli e: :<: ' - _ _ : ?� ..4;r .8�. ARB;..-. . I3,eYKef - �$llhad aie uvaii� „eRs! •G79:t ARV3: �6iFan6^helrt��•�iaree;n"n'7tifSab.w1:�:,.D wi.li:s..��'J+.£.:�._.t, .. .,. .. ..> ... ��:• . kriJbw%i l`etdiod for ._ aa4e A+r[Iou : rifoiia,2 nuQ,�irbte,'� R �G�V(A i 1412: 6 fie1�c'f�iedAir�loyr` ling �sp�crzy.Sst��)�. �M��isie�;ltlr�ls�a�=��„��IGt�T�leae6:'�.eai�os+�;iri;i�llp2gt�t��thsnt3iecai 1 rl1 T .w C8�'. ._ . _ y, r,: J: • . v+fit : •�-�;a.:, nEehanel'aArsal��;laialt- .' ,. .� ., ... - . .. - -. - •.�: .,�, - „'�,t•,. �-�..�•ht��.0UC6iaEF�,�s�.?�4G�AT��AT'��'ei�FJCi3�:Y':. '(E�''c}ttonf'�11Y �i9FtieA) � . 4.ro— tir1':Ca+e eiP�e'1;Oi;Rv'r .. :�0pri127a0S' BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds FEE INFORMATION Heat Pump (Package Unit) $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires AIR CARE AND REPAIR SERVIt 471898 / C 20 / 08/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full fo ce and effect. // X r'r ILAZ_1 G�. �%/Ifi> "1j.� _ 11/29/2006 Contractor's SlVature I✓ Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: VIRGINIA SURETY CPolicy Number: WVS001626101 Exp. Date:01/01/2007 (This section nee not be completed if the permit is or one hundre dollars ($100) or less.) ❑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 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 X 11/29/2006 Signature V IV Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. I CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct. alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this 11/29/2006 Owners Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prppe ty ownerpr am uthorized to act gn the prop0rty, owners behalf. 1 r -J.4 Owner 1:1 Contractor OR;Agent for Owner DAgent for Contractor FILE COPY PROJECT INFORMATION Site Address: 1083 GRAND AVE Owner: Permit No: B06-2729 APN: 031-253-037 BROOME, DAVID L & CHARLE Permit type: MISCELLANEOUS 1083 GRAND AVE Issued Date: 11/29/2006 By KEJ Subtype: HVAC Change Out OROVILLE, CA 95965 Expiration Date: 11/29/2007 Description: NEW HVAC ROOF MOUNT Occupancy: Zoning: AR Contractor Applicant: Square Footage: AIR CARE AND REPAIR SERVICE AIR CARE AND REPAIR SER' Building Garage Remdl/Addn P.O. BOX 804 P.O. BOX 804 UKIAH, CA 95482 UKIAH, CA 95482 Other Porch/Patio Total (530)533-3701 (530)533-3701 FEE INFORMATION Heat Pump (Package Unit) $55.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires AIR CARE AND REPAIR SERVIt 471898 / C 20 / 08/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full fo ce and effect. // X r'r ILAZ_1 G�. �%/Ifi> "1j.� _ 11/29/2006 Contractor's SlVature I✓ Date WORKERS' COMPENSATION DECLARATION I I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: VIRGINIA SURETY CPolicy Number: WVS001626101 Exp. Date:01/01/2007 (This section nee not be completed if the permit is or one hundre dollars ($100) or less.) ❑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 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 X 11/29/2006 Signature V IV Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. I CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lenders Address City State Zip Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct. alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: ❑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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this 11/29/2006 Owners Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prppe ty ownerpr am uthorized to act gn the prop0rty, owners behalf. 1 r -J.4 Owner 1:1 Contractor OR;Agent for Owner DAgent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Nameirst e YOot� A u1_ Mailing Address �0 Q 3 G� hcl Ctut , Cityp iL O U I,Stao Address S/ Zip S` Q� / Phone 6.3c,_ ( Fax E-mail APPLICANT SIGNATURE X (LamA For office use only: CONTRACTOR Name 0A-e2C `� c/2 C G Address S/ 5rYwc.,t . City Mvv1• f State Zips &5.. PhoneS3o-533 370/ Fa't S33 •17Yt" E-mail// 404 - tA AN ' L -}L�ic. # p P CI$ss APPLICANT SIGNATURE X (LamA For office use only: ARCHITECT/ENGINEER Name CIPD, A_( , Address SRA City Occ. State Zip Phone Page Fax E-mail Date Approved: State License Number APPLICANT SIGNATURE X (LamA For office use only: APPLICANT INFORMATION Name CIPD, A_( , Address SRA City Occ. State Zip Phone Page Fax E-mail Date Approved: APPLICANT SIGNATURE X (LamA For office use only: Zoning Property Ad rq,,, n_�G 1 �V Flood Zone Cross Street SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. BIN It PROJECT LOCATION AP# o 3037 Property Ad rq,,, n_�G 1 �V City Cross Street 0 Cov WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of W rk: Bldg 610;w ff\-�nJ lrr"A411_9�c SRA Sq FT- Living Garage Open 0 Cov ❑ Structure Built without Permits SMIP ❑ Proposed Change of Occupancy Other (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff SMIP Other Date: Total V � r.:::��...zr „ ....,-..,.{ ,u :. `r,.. ..?� '..K`S'::,�.' N,it,•+r•7'r..,��.,,,,,:yr._ "4. ._r: ,my.+_� �:.;.-A,•.• t � �«r « ., .; �r:�r• ..�. - �. y... �' yam. 1' r r _ � .. �t �r w: J ^J �� ' r ' �1 tl' � r .i _ � .. �t �r I-V COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI0 7 County Center Drive - Oroville, California. 95965 -`Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL N B _z xvc� v �'. BUILDINGft- RMIT ,OWNEfl�) / a l� f i ti l `✓/ {J�9 TELEPHONE S"e y f 2 rf L/ SO' FT. OCC. BUILDING VALUATION OWNER'SMAJUNG ADDRESS L'I.Or ra ,f// f ,c D .:,— Q . 0.!!. CONTRAC.TOR'S A AME oar.rfac. TELEPHONE 7- .S'� CONTRACTOR MAILING ADDRESS 9 ,a- C/v C r rVa-, L° aA $'�li Fireplace CONSTRUCTION LEND R UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ 3 � ' ARCHITECT OR ENGINEER , LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ( �• -C.. I"O u r I /C (' PERMIT FEE $ y s ..1 *y ,1_1L -.� - r: i'- "r ;.a,, •w ;r, p . 6. PLUMBING PERMIT Filing Fee 20.00 ;,Each Trap ,4•s:' + i' ' -7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SPECIFY SFX Duplex O Mobilehome O Other Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile HomeIS-1G W @20.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities O Installation O Other CI la,Describe Work: FEE $ Contractor Contractor ELECTRICAL PERMIT 'Filing Fee 20.00 OR LESS Main Service ( 200AORLESS ) 23.00 Wim. r' Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONIS. ( a ACC. BLDS. ) 3.5C S0 , FT, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) O 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.--- License No.dl-S V :2 1,6, Classification �', — � e'l EI 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) ❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET -NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup. ( FIXED APPWS. OR ) OU7LE7S (RESID.) EA. 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):' 25 7'I-1^r`,P"LI %+�• ❑ This permit is for $100.00 (valuation) or less. :� f *—I -SIC C/ ❑ I 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. I ❑ I shall 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 $ r' 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 er te_iup the above mentioned property for inspection purposes. I also agr a to save, indemnify and keep harmless the County of Butte against all liabilities, dgments, costs, and expenses which may in any way accrue against said Comtt In�c�p%nsequence of -the granting of this permit. .; Date ; - /// )r Signature of Applicant - ❑ Owner ❑.Contractor Q'Agent f Iof 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 S FEE7 HAZ. D. FEES MAP FLOOD CDF PARCEL PD HO ISSUE This permit is hereby issued under the Butte County Code and/or indicated above for which fees have BY -t v ory PERMIT EXPIRES ON_ /1_i%r,3�A,�: the applicable provisions Resolutions to do work been paid. Date .3 r r tel Receipt No.Iq WHITE-D.D.S.-00..`''r CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO 7 County Center Drive - Oroville, Californ a 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR EL NU B zD ING_ BUILDING RMIT NER n� o yah TELEPH;NgS s��r2r7 FT. SO. . OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME - Co�eor f' �► TELEPHONE ��3-�/� CONTRACTOR MAILING ADDRESS `) t/ 4?, -,-i= • !'!9c/�r lie Fireplace CONSTRUCTION LENDIFR UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 39. ARCHITECT OR ENGINEER LICENSE NO. Platt Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS wo v = l f e 0, 9S' PERMIT FEE $ p •s' /f PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFK Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G 1 W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 1:1Other ❑ Describe Work: PERMIT $ FEE Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS I 2ODA OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST.( OCCUP. OR ADDNS. ( & ACC. BLDS. ) So, 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and m license is in full force and effect. License No. -/S:2.2 4 Classification C _ -3 Cf O 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) O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ I am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI.OUTLET -NON•RESID. ( BRANCH CIRCUITS ) @7.50 ( POW ER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): _S'7e47�e F U N Cr ❑ This permit is for $100.00 (valuation) or less. -so , ❑ 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. ❑ I shall 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. 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 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 C4gr ntin of this permit.Xou Inc equence oDate Signature of Appli Tit - ❑ Owner O ontractor @'Agent An OSHA permit is required for i tcavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $� / HAZ. 1 D. FEES IMP FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees ave been 1310 / PERMIT EXPIRES ON I ete) provisions to do work paid. ate��jL Receipt No. WHITE-D.O.S.-Brb—^ CANARY -A SESSOR PINK -INSPECTOR GOLDENROD -APPLICANT IM Permit#Z041-86 Paul Norman 1083 Grand Avenue f-asp " COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,,kalifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBE 1 1 c 4 f� _. ZONING BUILDING PERMIT OWNER i I'F:ul &..Orwl"In P TELEHONE S0. FT. OCC. BUILDING VALUATION - f OWNER'S MAILING ADDRESS ' ° District Cn_.nte r rr. . Orovi I I r CONTRACTOR'S NAME •; .arc:+^ Roofincx TELEPHONE CONTRACTOR'S MAILING ADDRESS 3073 Olivn "i]v, iJ1(- Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 'I ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee E$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Ave. nrov Permit fee $ lo PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF EE Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 1W 10.00 ea' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Q Describe work: Ino N 1'1ri _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 452206 Classification i''��h ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.61) +,Z�sgft OR AODNS, l ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRC ITS (POWER APPARATUS e� ISINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20950t e AL930 Ex. Occup. OUED PLNS R TLETS (RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 0 I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling 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 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. X Date 9-7 7 86 Signature of Applicant — Owner ❑ Contractor ❑ Agent M An OSHA permit is required for excavations over 5'0" deep and demolition or construct -DIRECTOR ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ ; nr . OccUP. CONST.TYPC I I FLOOD PARCEL I PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OF PUBLIC Jr f /1l By /, 1t PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS r r DateY� Receipt No. i . _ _ WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cayl.iforniL95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUM - -I ZONING BUILDING PERMIT OWNER Paul Norman TELEPHONE 589-1274 SO. FT OCC. BUILDING VALUATION _ OWNER'S MAILING ADDRESS 49 District Center Dr. Oroville CONTRACTOR'SNAME George Roofing TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS 3923 Olive Hwy. OrOVille. Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ In 00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee - $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1083 Grand Ave. Oroville Permit fee $ 4a ro PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF KI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[— Other ® Describe work: Roofing _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): FX 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. 452266 Classification C-39 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.tr , OR ADDNS. ( ACC. BLDGS. 2Y20sqft NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20®SOQ eALeao FIXED PR EX. Occup. OUTLETS (RESID IEA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ 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 against said ounty In consequence pf the granting of this permit. X Date 9-17-86 Signature of Applicant — Owner EJ Contractor ❑ AgentX1 An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occu P. CON ST.rraE FLOOD PARCEL PD ND 59UE This permit is hereby issued under sions of the Butte County Code and/or work Ind'Ug@ted above for which IRE F PU BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 9 Receipt No. WNITC-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT