HomeMy WebLinkAbout035-215-001a
A.P. 215-1
JIM BANOS
1967 Parks Ave., Oroville
CONTR: Harmony Builders, Oroville
Permit 2567-72B,E V-icio-5 � -I--r7C'
_(reroof )
35-215-01
Contr : MH Electric, Oroville
Permit#1889-81E (Erle ser ch &
clean up) SF ?,�
35-276;,01��
Contr: Don george Roofing
Permif#1291-84B(reroof)SFlaw
1
6
c> 1
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_-,�- Permit#1291-84
James Banos
1967 Parks St, Oro-
t
t
s-
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AWPERMIT
1PERM)I/T NOO.�
ASSESSOR PARCEL NUMBER
�S-Ia 1: 5 - (1
ZONING
BUILDING PERMIT
.OWNER .. .. 7....)TELEPHONE
�.
-C�M�7/ I M 1 e , _-�, k -,.i -d
SO. FT. OCC. BUILDING VALUATION
'
OWNER'S MAILING,ADDRESS
1 (. rl 4-)( k s Is ?) r �n
I 10 o
CONT Tl! Y` N \�V r 0 v �,/��'U�, vl 44•���r43(� 73
^ 1_ %
%c�
V
CONTRACTOR'S MAILINGR
°Q ADDESS �'�(
b S r) I ( VP s A.��„ UV
Fireplace
CONSTRUCTION LENDER -
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$j;�(�
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS �
Permit fee
_
$
BUILDING ADDRESS
96) 1 ye --7 d s
/t 1
PLUMBING PERMIT
Filin Fee 10.00
9
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ��"Dupiex ❑ Mobi Iehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ J Other Q'`
`�
Describe work: P0 r -0-T& W O_� � t��,IA0IQ.
•- S �! p� ,C., a 6 r-
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
NEW CONST. ( DWELLING OCCUP.&
OR ADDNS. C ACC. BLDGS.
1
2h0sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Q 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.'2,!9 Classification f' -T 9
❑ 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 ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS.
NEW CONSTR POWER APPARATUS &')
NON.RESID. ,(SINGLE OUTLET CIR.
Ex. Occu aO@500
P�o FIXTURES BAL®300
FIXED APPLNS. OR
FIXED A PL
Ex. Occup. OUTLETS (RESID,) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
O 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.
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. J
�'��`n +�i� Date /��/
X ? '
Signature of Applicant - Owner ❑ Contractor ❑ Agent 0
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
PD
ND
1550E
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By W Date
NN
PERMIT EXPIRES Date
Receipt No.
WHITE—D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD—APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATIOWAND PERMIT
i
PERMIT N0.
ASSESSOPAF�c�L NUMBER
`` —'
v
ZONING
BUILDING PERMIT
OWNER
S
TELEPHONE
SQ.FT. OCC.1 BUILDING VALUATION
OWNER'S MAILI G DDRE LI
Vr
CON T R•S N
TELEPHONE
CONTRACTOR'S MAILI G ADD - S A
V (%Jl
Fireplace
CONSTTILICTION LENDER
UNKNOWN
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 ADDRESS
Permit fee
$
BUILDING AD ES
sa
PLUMBING- PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas waterheater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New❑ .,Addition RemodelD utilities [:1 Installation❑Other
Describe work:
S p r
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e0v OR LESS
1000 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
- 2.50
NEW CONST. DWELLING OCCUP.&
OR AODNS. ( ACC. BLDGS.
2Ih0sgit
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 forceand effect.
License No. ����.-20 Classification ef37Q
❑ 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., ULTI.OUTLET 2,50 ea
"0 BRANCH CIRC ITS.
—NO
&')
NEW NON -R ESID. SINGLE OUTLET CIR
CONSTR POWER APPARATUS . /
(
20®50a
Ex. Occup(o OR FIXTURES SAL®30
FIXED A
Ex. OCCup. OUTLETS PLNS (RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 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 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
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 fflounty in consequence of the granting of this permit. Oma/
X �� _5-/'/T
Date
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
PD
HD I
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
D CT O PUBLIC
BY I
PERMIT EXPIRES Dat
the applicable provi-
resolutions to do
fees have been paid.
WORKS
�
Date
,L
Receipt No. �i 7
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
• !1
PERMIT NUMBER _ B 2567-72B, E'
;r
P
E
PERMIT EXPIRES
OWNER Jim Banos,
Harmony Builders., Oroville
�a'CONTR: .
LOCATION (A. P. ZU12 iU215-1
1967 Parks Ave., Oroville
7
}
s
I
COUN? iTTE
'
Depar"tmert lic Works
.y -v., _ "
BUILDING INSPECTION RECORD
Zoning
Setback
Forms
Foundatio �%
Piers & Girders
Fireplace
Rgh. Plumb ng
Bond Beam
Lath & Plaster
Rein. Steel
Gas Piping & Test
Found. Vents
Framing 42 /� ,11!2 — %-2--
Plmg. Topout
Rough,Elec.
Wtr. Htr.
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation &.Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final
Final
Final
DATE
REMARKS OR CORRECTIONS
r
COUNTY OF BUTTE — •D TMENT OF PUBLIC WORK
7 County Center Drive - Oroville, Celifornigr95965
Telephone: 533-1230, Ext. 259
APPLICATION AND PERMIT
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
X17 Date '?J 027 2,
/s,gn ' re f Perris tee or Agent
Receipt No. 7 oy
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 PUBLIC WORKS .
By a - Date /4.>-2-72
Building Permit Expires Date,/c,-2_--? �
BUILDING
e
Owner
SO. FT. OCC. BUILDING VALUATION
O
Mailing Address 0%r ,�
Fireplace
Contractor /
Total Valuation UG
Mailing Address�- V�
Permit Fee ! C>0
Plan Checking Fee &/or Penalty
Permit Fee $ a0
$ 3
Building Address YK
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
L
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
Zoni
A. P. No. — �1 2
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .50
Fire Zone Fire Dept.
Sanitation
r1bilding sewer 5.00
Plans 4**'Fees
W. G. RA
Encroachment
Lawn sprinkler system 2.00
NEW ❑ ADDITION OTHER
Permit Fee $
$
c
L
ELECTRICAL No. @ . FEE
PERMIT FILING FEE $3.00 goo
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
USE OF STRUCTURE Single Family Duplex ❑ Others ❑
Range, dryer or water heater 1.00
Oven, Cook -top or space heater 1.00
Light fixtures / 0 ,L3
Rec ps., switches & fix outlets b S
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State•of California Business & Professions Code under the name
style of:
—;4CA lc"Salw f3yr Ur f"
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap, cooler, gar. disp.,or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
License No.Classification
❑ i am exempt from the Contractors License Laws of the State of California.
Permit Fee
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of `the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
f� Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Permit Fee $
$
I certify that I have read this application and state that the above
y pp
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
$tate Fee for Str�rg Motion $0.07/$1000 Evaluation
Instrumentation rogMot
$ Q
TOTAL PERMIT FEE
$ r
authorize representatives of the county of Butte to enter upon the
above-mentioned property for inspection purposes.
X17 Date '?J 027 2,
/s,gn ' re f Perris tee or Agent
Receipt No. 7 oy
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR 0 PUBLIC WORKS .
By a - Date /4.>-2-72
Building Permit Expires Date,/c,-2_--? �
C,
r
'4"t y „ w. ti - �.., /./. ��-/\J.•- `/,jw , s. 1
v- 2-
� ..- `•--!rte � 1 � `,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATIN•'AND PERMIT '
ASSESSOR R-PARCEL^NUMBER
A 1~ f�
ZONING
BUILDING PERMIT
OWN aR4_ -,-q_TEELLLEPHONE{
SO. FT. OCC. BUILDING VALUATION
-
OW/NER'S MAILING �A. DRESSk,,
7 -i� Y
CONTRACR'SE1,
Ai;
TE L E PIHON E)9y
U / (1 6
CONTRACTOR'S M-A'I-LING ADDRESS
�I S (? M D�
Fireplace
CONSTRUCTION LENDER
UNKNOyWN�
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT, OR ENGINEER AJ Q
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDINGIARES�
./
PLUMBING PERMIT
Filin Fee 10.00
9
-
Each Trap
2.00
Repair drainage or vent piping
5.00
rn
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ®--1`&uple,n Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ UtiII ies ❑ IIn(s al ation ❑ Other [
Describe work: Ie, S c- i L. Lo rky% U <P
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
5.00 ^
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.y`
OR ADDNS. ACC. BLDGS.
2�sgft
_
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
i� I am licensed under provisions of Chapt. 9, Div. 3 of the Business
!— and Professions Code and m license is in fu force a d effect.
y
License No. V"( 77 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 CCNSTR TI-ou LET 2,50 ea
NON-RESID. BRANCH CIRCUITS)
NEWCONSTR. POWER APPARATUS &I
NON -RESID, / (SINGLE OUTLET CIR. /
50@2N
Ex. Occup OUTLETS OR FIXTURES BALL®1
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID. EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50 1
Permit'Fee $
Contractor
MECHANICAL PERMIT
FiIirig 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�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.
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 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 liabilities, judgments, costs, and expenses which may in any way accrue
against saitl County in conseq, ence the granting of this permit.
X �� Date �� +
Agent
Signature of Appl'fica 4t - Owner ❑ Contractor ❑ A
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
PD
HD
59UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
OF PUBLIC
, 'W71�; "`
y
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date L
5- 78 +' Z-
�//B
Receipt No. _510.7 'a^'
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
4
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSE M T No.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4
APPLICK ION AND PERMIT
SO �PARCE `UMBER ZONING
r
BUIL ING
RMIT fqq
ow ELEPHONE
6m es,
S0. FT. OCC.1 BUILDING VALUATION
OWN 'S MAILINGDRE�SS/ �'f
47 1 kJ
C N AC OR'S.A�n IT.ELEPHO�1
CO NTRAC OR'SING AD ESS
S
Fireplace
ONSTRUC ION LENDER
UNKNOWN
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 ADDRESS
Permit fee
$
BUILDING A RESS
PLUMBING PERMIT
FilingFee 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 STRUCTURE
SF LrnU, Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Remodel ❑ Utili les ❑ nAallation❑ Other
Describe work: et _ S � C ��J P X911 U "P
Permit Fee
$
Contractor
ELECTRICAL,PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2,50
NEW CONST. IDWELLING OCCUP.91
OR ADDNS. ACC. BLDGS.
/ 20 sq ft
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 fu l force d effect.
/
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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR I -OUTLET 2.50 ea
NON-RESID BRANCH CIRCUITS)
NEW CONSTR. (POWER APPARATUS e\
NON-RESID.• SINGLE OUTLET CIR, /
50 asc
TURES BAL@1
Ex. OCCUp OUTLETS OR.FIISIS.
Ex. OCCUp.�OUTLETSP(RESID )REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50 J
Permit Fee $
Contractor
MECHANICAL PERMIT
FilingFee 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 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
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 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 liabilities, judgments, costs, and gxpenses which may in any way accrue
nce the granting of this permit.
against d County in n%01,0-1
-.�--
X , Date
Signar re Of Appl o t — caner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep an 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
PD
I ND
9911E
This permit is hereby issued under
sions the Butte County Code and/or
wor i dicated above for which
T_OR OF PUBLIC
B
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
O
Date
7�
���/ •�
/l
�s/�'7
Receipt No. (( 77
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT