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Home My WebLink About042-040-02242-04-22 RAY MATTHEWS NE cor Henshaw & Alamo,. Chico Contr: Four Counties Roofing Permit #2593 -BIB' eroof Sj 042-040-022 PERMIT#/97-2036 MATTHEWS, Ray -;� 7.92 Henshaw Ave., Chico Cont: Johnson Roofing Co 'Reroof/SF 042-040-022 PERMIT #97-2446. .MATHEWS,. Raymond & Joy T��GA 792 Henshaw Ave., Chico ,_ • 11 IZ9� Cont: M.D. Plumbing Replace Gas Wtr-Htr/SF 03-3683_ COMCAST'COMM, SEE ATTACHED, CHICO Cont: WESTCOAST COMM PLACE CATV POWER- SUPP 0■ rMcCAnEY Howard 1688B 1596-67P* 1331P 1208 -7 NE Corner of Alamo & Het sha-w, Chico T688B= 'GAS CO SIGN n n _. MW COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT AIR,,- ::Z 1„-2? ASSESSOR PARCEL NUMBER SEE ATTACHED ZONING v BUILDING PERMIT OWNEP.� OMCAST COMMUNI C TELEPHONE SO. Fr. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 4350 PELL DR CONTRACTOR'S NAMETELEPHONE WESTCOAST COMMUNICATIONS343_1 CONTRACTORS MAILING ADDRESS 140 MEYERS ST C14TCO CA 95()28 CONSTRUCTION LENDER JFireplace LENDER'S MAULING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ ADDRESS BUILDINSEE ATTACHED Energy Plan Checking Fee Energy $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Feel 20.00 USEOFSTRUCTURE SF ❑ Duplex O Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition O Remodel O Utilities ❑ Installation O Other ❑ Describe Work: PLACE, CATV POWER SUPPLY Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..A oa'ss 8 23.00 184.0 LICENSED CONTRACTOR'S DECLARATION 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,�µR°�,oT and my license is i II force and effect. License Class � - 1 Lic. No. �t!/� � OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the workers' c mpensa' rovisions of section 3700 of the Labor Code, I shall forth c mply h se provisions. s X Date ®� l� �� Signature of Applicant - ❑ Owner /`1` Contractor ❑ Agent An OSHA permit is required for excavations ver 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP.s0 OR ADONS. ( g ACC. BLDS. 3.5QFr: MULTI -OUTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CP Ex. OCCU OUTLET OR FIXTURES BAL p 1.50 MO APPLNS. OR Ex. Occup. DUTLETS RESID. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $204.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 204.08 HAZ. D. FEES IMP FLOOD COF I PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date .1 !e -"-f Receipt No. WHITE-D.O.S.-B. C RY-ASSESS R PI S CTO DENROD-APPLICANT \ i / �'` 61. \,@25 = �� G� r'^ ?.i ti�y t ,..} t ` t.. 2-15(0); N. 1-1.5(0) 100 %®25 tk ! �J �• ,',� 1r'` 1V1 i 1 2- 1 (0) '. AO N. •L :^Oj ..,OM1 4 4 !^'- P : tk /O LOCATION . � �' : � r ,.� 1 - 9� � •:2— , 10) 6a ` sem; .s` ~' ; / CH23-PO2 APN : 042-040-02 i i 1 2-1 -(0) ti '� 792 HENSHAW �� `` = �15 4j 2- 1 '(0) `99 ®25 0 ,- r'" t— t '(0) � • r'� ,fes ''; .9 '`\ '`' 1 �;;"'� 'i ! / fq 1 i:W '6:i ,.i^6.� .i ; i,Qk4 tiA. .4Hi a •\ ro ,-( �} ..�iag � l 'd7: ^`�.:ay > }'" �:�� l zh • %�9na ra. ,J % roti ';�+, k' J i ti. 1: w �. 4� F hN'p' '�� y,; &u it!:.'jr^6 1 •$� `'i �ro s 6 iso r PROJECT: NONE Comcast communications EXISTING CATV 6-27-03 ttEWONaI O�RCE: •350 oEll OR. S�Uau[M0. G 9S83B POLE MOUNTED POWER SUPPLY APPROVED W: REVISION; CH23—PO2 0 • 4----"-----! J IQ\ LOCATIO KETCH f 16 - Oil NOTES :NO ht ------ it. Lo J ......... .... ..... ..... K TIN4 TV 16 1 e4wpu 11, A "7 T Af Ex SE N to U I _Tr_ 7- T E_)(1 ST AA PWIL 514 PP L V 4 ----- - i Mcastcct communications OFFICE: PELL DR.. SACRAMENTO, CA 95838 COM CAST UPGRADE LOACTION. T + SYSTM NOM NUMBM POWER Wwmr- OW2,3 P02- FW�= Fr. 6FU�No- REV DAW_ scam - 031 VIA ..............!i i . ....... w q LOCATIO KETCH f 16 - Oil NOTES :NO ht ------ it. Lo J ......... .... ..... ..... K TIN4 TV 16 1 e4wpu 11, A "7 T Af Ex SE N to U I _Tr_ 7- T E_)(1 ST AA PWIL 514 PP L V 4 ----- - i Mcastcct communications OFFICE: PELL DR.. SACRAMENTO, CA 95838 COM CAST UPGRADE LOACTION. T + SYSTM NOM NUMBM POWER Wwmr- OW2,3 P02- FW�= Fr. 6FU�No- REV DAW_ scam - 031 VIA ' 10 \ Q�,� 1 -1.5*(0) ®25 t i'' Ss t �ujp �. 'i i .A:� ,. rig 'i. h., � /. �p •t 'x �h ^` f j^ rte, ,t j' ,^ll \ ��^ '�`: `1p •t .ff' M—R:01 f` 6 2— 1 "(0) �! r10 .SO�f/�'.,tt� `1.i `�'_i %��` h�`.l Lt ` P 'J��Q tr. `ryO .. ss"/ •Ylr �l r `:.2— 1 10) LOCATION .,� h CH23-PO2 �``.t i`` .: �.,, �:41%.: NIP APN• 042-040-02 % ,' 1 1'(°) t i i ` 1ti ` 792 HENS HAWlb f: 'G� 10. i .i: 21 ��J•i Ali 2— "(0) 93. 1 j' @25 } 1 "(0) r�� ` r,.! 9GF } 10'1:''' �:% ••� 11y ,`i• i. .5y�� ^ � ii1.[�'1€. �\ .." a J:y y .�� .�i� ^i i N 6 't n.� �5,3 •;,,. SIN Ws€ � , € n b ms^µ. n, u, i u ' w°1m:ra 1 :�a5c �€�.� 1�..a .e ".se J �� h PROJECT: ^ SCALE: NONE comcast communications EXISTING CATV DATE: 6-27-03 �.✓ aEaoNK arKE: .aso PEu DR- Wcrw�EN1a a 95MPOLE MOUNTED POWER SUPPLY APPROVED BY: REVISION: CH23—PO2 0 11 8 A 1 M LOCATIOAKETCH + ------ lk —4— T; — -- - — — — (A 3�1.-4- ---------- ------- ...... NOTES: N - - ----- --------- I ------ o X AV eW Hl:sA- hL15 d&Al 014 x ------------- -- . ... . ... loci y Vs .-j ......... I TIN11 TI/ ------- ------- ...... At � EX SEC �on10u11T j ------ - EY/STIAJA PWIL Sia PI -V —J 4 ----- L f col-Itcas T' t communications IWC40NAL OFFICE. 4350 PELL DR.. SACRAMENTO. CA 95838 4-- +--- --4 T-- COMCAST UPGRADE LOACTtON. T- --r 4- F r -4 CC, J- ....... -.4 NODENUMBER; POWER DATE. SCALF— MV711D NO. REV It _03 VA -�A 1 1-4 4 . .......... .......... UL 11 8 A 1 M LOCATIOAKETCH + ------ lk —4— T; — -- - — — — (A 3�1.-4- ---------- ------- ...... NOTES: N - - ----- --------- I ------ o X AV eW Hl:sA- hL15 d&Al 014 x ------------- -- . ... . ... loci y Vs .-j ......... I TIN11 TI/ ------- ------- ...... At � EX SEC �on10u11T j ------ - EY/STIAJA PWIL Sia PI -V —J 4 ----- L f col-Itcas T' t communications IWC40NAL OFFICE. 4350 PELL DR.. SACRAMENTO. CA 95838 4-- +--- --4 T-- COMCAST UPGRADE LOACTtON. T- --r 4- F r -4 CC, J- ....... -.4 NODENUMBER; POWER DATE. SCALF— MV711D NO. REV It _03 VA -�A tjr" ..+.e. - L iScT'':TrAa:•,.-��.. .�.,,;,•'�'cc� 042-040-022 PERMIT #97-2446 MATHEWS, Raymond & Joy 792 Henshaw Ave., Chico Cont: M.D. Plumbing Replace Gas Wtr Htr/SFl/L5 NAP a COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 41 ERMIT No. (Rev. 12/96) APPLICATION AND PERMIT , _ ASSESSOR PARCE 5ttBE� + OLI —0-2-F, V/�(,,l( av+]� ,�� ZONIN e BUI DING PERMIT OWNER . -W a_ CU"OWNER'S /h T �S"��r��" ii SO. FT. OCC. BUI DING VALUATION MAILING E � ax. -I d Caw s CONTRACTOR'S NAME I ./ E-7&6 CG NTRACT 'SIUNCrI�DDt) 1j'/ VJl CONSTRUCTION LEND Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOTNO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF A Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 Solar or heat'pump water heater 23.00 Water piping 15.00 Each gas watei heater or vent 1 15.00 7-00 TYPE OF WORK New ❑ Addition % Remodel ❑ Utilities0 Installation ❑ Other � Describe Work: 7k �lSb-�.. 0a—) UJt ` I�� P—( a C L tx.) I alrx.9--- JJJJJJ Gas piping system 1- 5 outlets 15.00 Buildingsewer 15.00 Mobile Home, IS I GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Feel 20.00 LES3 Main Service ( zoonoRe00VORLEss 23.00 LICENSED CONTRACTOR'S DECLARATION 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 is in full force a d ffect.1 I License Class Lic. No. dh 9 ,3 OWNER -BUILDER DECLARATION jFIXED I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: + ❑ 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 salq'. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To I000A 46.00NEW CONST. DWELLING OCCs0 OR ADONS. ( a Acc. BLos.UP. 3.5Q�' r",o - EsoT;rl-�ur�ET @7.50 AN POWER APPARATUS a SINGLE OUTLET CIR. OUTLET OR FIXTURES 20 @ I.50 Ex. Occup.BAL @ .so APPLNS. OR Ex. Occup. OUTLETS RESID. EA Y 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hby affirm under penalty of perjury one of the following declarations: WI 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' c�gmpenstion insurance carrier and policy number are: Carrier C 8 C mf!�_ _ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 4 (The above sections need not be completed if the permit is for work of a valuation /of one hundred dollars ($100) or less.) M 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 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 wito�prov'sions. !j) fJC Date ��"'X�S �Z_ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ oc - j co PE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL PO HD SU 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. /,�.C.�.�LG�D l/ha 7 BY / ate A? EXPIRES ON If/ /%o "Dale Receipt No. 7 G ch -)&PERMIT WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 41 PERMIT NO. (Rev. 12/96) APPLICAMN AND PERMIT ASSESSOR PARC N MB ZONING BUI DING PERMIT OWNER (/ l 1. �. TF 7 SO. FT. OCC. BUI DING VALUATION OWNER'S MAILING CONTRACTOR'S NAME -ti.lw� TELEPHONE ' 3v� =710 CONTRACT 5 �I, DRESS lily^ ('✓h ((-771lY— CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 s,o0 TYPE OF WORK New ❑ Addition ❑�j Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: �` Gas piping system i - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT J Fling Fee 20.00 Main Service E00V OR LESB zo.A OR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION 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 is in full force andffect. License Class �- C3aLic. No. �d 1 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, OR ADONS. ( g ACC. BMS. s0 3.5QFT: NON-RESID.NEW TI -CIRCUITS GQ7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAL o 1.50 Ex. Occup. OUTLEDTSA RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I her y 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' c mpen tion insurance carrier and policy number are: Carrier w h110_ _ Policy Number (The above sections need not be completed if the permit is for work of a valuation one hundred dollars ($100) or less.) Z/1 ./ 1 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 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 wit ose provisions. X __ __ _Date �j( L �� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood. 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ v -� C7 I E TOTAL FEE $ HAZ. D. FEES IMP I FLOOD I COF PARCEL PD HD SUE 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 _6&60--DateReceipt PERMIT EXPIRES ON I I(Dwp) No. —Z L - S- WHITE-D.D.S.-G.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT ASSESSOR PARCEL MNM4 =olvl �` BUILDING PERMIT OWNS � Q TELEPHONe SO. FT. OCC. BUILDING VALUATION OWNER'S MAID DRESS CONTRACTOR'S NAME ' n TELEPHONE 34�7s� CONTRACTORS MAILING Pa 9 (0 & CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.0 Permit Fee $ ARCHITECT OR ENGINEERS MAKING ADDRESS Plan CheckingFee $ BUILDING ADDRESS ^ p( Energy Plan Checking Fee S $ PERMIT FEE S LOT NO. susDIVLSKINS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF' \ Duplex ❑ Mobilehome ❑ Other sPEcliv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 ,1 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other X Describe Work:�?,�]�/11�� w 1 hJ<� taWA �� 11�-t LV� j,�b/b Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W (a�20.00 PERMIT FEE $ .(96 - ELECTRICAL PERMIT Fee 20.00 800V 0 RL:SFiling Main Service ao.OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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 is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. :Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred 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 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 provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service :GOA TO 1000A h 46.00 NEW CONST. DWELLING Occup. so OR ADDNS. ( a ACC. 8LDs. 3.5¢xNEW' REOSIO. MULTI.CiROUILA @7,50 PowER APPARA us a sINGLE o CIR. EX. Occup. OUTLET ORF RES X 1 yo Ex. Occup. OUTEEDTS RESID I EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HA1. p, iEEs IMP I FLOOD I COF PARCEL PO HO LssUE 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 _ PERMIT EXPIRES ON Oafol Receipt No. WHITE -0 O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROO•APPLICANT . la 042-040-022 PERMIT#97-2036 r. MATTHEWS, Ray 792 Henshaw Ave, , Chico ti Cont: Johnson Roofing Co Reroof /SF �j/i 8 Rt� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDINGD VISION 7 County Center Drive - Oroville,, California 95965 - Telephone (916 5 PERMIT NO. (Rev.12/96) APPLICATION AND PERMIT ASS ESSORPARCEL NUMBER 042-040-022 4. ING ZONSR-1 UILDING PERMIT OWNER TELEPHONE TELEPHONE 895-8785 SO. FT. OCC. BUILDING VALUATION a 0 1920 OWNERS MAILING ADDRESS 792 HENSHAW AVE. CHICO CA 95926 740 CONTRACTOR'S NAME JOHNSON ROOFING CO TELEPHONE 894-5507 ; CONTRACTOR'S MAILING ADDRESS 3080 THORNTREE #15 CHICO CA 9597 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ! Fireplace Total Valuation $ 26 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS + Plan Checking Fee $ BUILDING ADDRESS ' HENSHAW AVE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME - PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK a New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other El Describe Work: REROOF .COMP AND REFLYWOOD Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 f Main Service 20pgORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 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 is i j'wl orce and effect. /_ QQQ License Class - Lic. No. 6 LAP V19172 � I OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the strt.cture is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project, ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 46.00so WEE200A CCU0DOA NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. SO 3.5QFT; DT NEW CONS.MULTI-OUTLET NON- RE @7,50 POWER APPARATus a SINGLE OUTLET CIR. Ex. Occup. ounFroRFocruREs Bn�@'50 Ex. Occup. .uFTEEDTs RES D.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the p rformance of work for which this permit is issued. My workers' comp ation in rance "arrier and policy number are: Carrier t� MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number -272-MAA - (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 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 fortkiwith compN with. those provisions. X �_ Date - / Signature of Applicant -iO Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 74.00 HA2. O. FEES IMP I FLOOD I CDF PARCEL I PD 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. By �c�. Date — ' / `7 PERMIT EXPIRES ON/ � Date ReceiptNo. 2244074 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OFDEVELOPMENTSERVICES -BUIXDSION7 County Center Drive - Oroville, CalifornM 95965 - Telephone (916PER IT NO. (Rev.12/96) APPLICATION AND PERMIT a ASSESSOR PARCEL NUMBER 042-040-022 ZONING SR -1 UILDING PERMIT OWNER RAY MATTHEWS TELEPHONE 895-8785 SO. FT. OCC. BUILDING VALUATION @ 60 1920 OWNER'S MAILING ADDRESS 792 HENSHAW AVE. CHICO CA 95926 740 CONTRACTOR'S NAME JOHNSON ROOFING CO TELEPHONE ' 894-5507 CONTRACTOR'S MAILING ADDRESS 3080 THORNTREE #15 CHICO CA 95973 CONSTRUCTION ENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ 2 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 792 HENSHAW AVE Energy Plan Checking Fee $ $ PERMIT FEE $ 74.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF p Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 15 Describe Work: REROOF COMP AND REPLYWOOD Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service z..AOOR ss 23.00 LICENSED CONTRACTOR'S DECLARATION 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 isjvt f��force and effect. [/_ Qq2 License Class l� j Lic. No. `�it�C/ V J OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service To I000A 46.00so WEE200A NEW CONST. DWELLING UP. SO OR ADDNS. ( a ACX. sins. 3.50FT: NEW NON.RES OT MULCTI.00UTLET 97.50 8 SOING E OUTLETT IC F. OUTLET OR FIXTURES 20 Q , 00 Ex. Occup. BAL @ ,50 Ex. Occup. ouT s AaIo.DFRA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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. 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the prformance of work for which this permit is issued. My workers' com at' n in or aTrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number - q0V— (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 workers' compensation laws of California, and agree that if I should become subject to the wore ' compe on provisions of section 3700 of the Labor Code, I shall fort I h com wit tho a provisions. ` —I -of Date /_ —2 Signature of A pllcant - Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 74.00 HAZ. I D. FEES IMP I FLOOD COF PARCEL I PO HD ISSUE This permit is hereby issued under the applicable provisions the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By /Date g—/ OF PERMIT EXPIRES O (Date) Receipt No. 2�(Zi/j1�T00 WHITE-D.D.S.-B. D. CANA Y --ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT PERMIT NO. 2 593 L 81B „ PERMIT EXPIRES 7/9�82 OWNER HAY MATTHEWS CONTR. Fni;l-r rn13Ilt1PG Rnnfing t ASSESSOR PARCEL 42-04-22 LOCATION LVE cor Henshaw & Alamo, Chico Temp. Power Pole Called PG&E Temp. Elec. Servii Called PG&E Temp. Gas Servi i Called PG/E _ JOB FINALED (Date) Signature 1; -x V = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'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 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 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 k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N'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. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Singlo and Duplex) ^ Date UNDERFLOOR Plans OK except #'s Date FRAMING Continued - 1. Zoning requirements -Setbacks -Easements A 48. Property Line Firewal & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3'-Pbeck Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth50. Stairs; Width -Heady m -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Ov rhang-Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding-Nailing-Ve eer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. 55. Glazing Area -GI ss Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 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 -Cripple Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's 56. Ext. Steps -Door & Sideligh Protection -Landings 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearanc -Comb. Air -Connector - In Garage; Above Floor- ucts-Mech. Protection 15. Water Pipe; Test & Ancho•s-Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Proteclion 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures /& Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpane , Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; learances-Hearth 64. Elec. Outlets at W od Panel; Int. & Ext. Card -BI Date Card -BI ate 65. Kit. Fixt. & A I' nce; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & eceptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire D r; Swing -Landing -Closer 68. A.C. Duct in arage-Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; V ts-Clearance-Comb. Air-Connector-P.R.V.- In Garage; bove Floor-Mech. Protection 21, Elec. Receptacles Spacing -Lights & witches at Doors 22. Size Boxes & No. of Conductors-Sta ed 70. Plb., Elec &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Sts & C.J. 71. Elec. Re eptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fa eners-Bond Gas & Water 72. Insulati n -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & onductor Size 73. Guard ails & Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or I-A.C. Wire Size / / ga. Cu or AI 74. Fdn. ants & Crawl Hole Door -Drainage & Wood -Earth Clearance Loo d under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -O en Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Fol wing instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes E3No; PI Iters ❑Yes ❑No 28. Service -Riser Conductors & Gro d -Main Disconnect 76. S cco; Brown -Finish 29. Equip. Clearances; Panels -Mot s-Mech. Equip. 77, Y.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower L ght 78. ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80 Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -B/ Date 8 Ventilation throughout House Card B -I Date Card - I Date 2. Glass Protection Date MECHANICAL (Permit) OK exc pt k's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & pport 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above nsulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Ove flow; Size & Grade 34. Furnace -Vent; Access -tomb. Air -Return Air Vent -115V outlet 35. Attic Access & Platfor/n if Furnace in Attic Card-krIv Date rd -BI Date Card -BI _ Date _ _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans) 4xcept N's Comments at Final: 36. Sills; Proper terial & Anchors _ 37. _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. _40. Draft Stop in Walls (rat proof) Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. 45. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnp. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. _Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) J' - COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT No. �. 7 County Center Drive - Oroville, Ca;$fornia 95965 -Telephone 916/534-4541 APPLICA;TION,AND PERMIT ASSESSOR PARCEL NUMBER 042-04-0-022-0... ZONING / BUILDING PERMIT OWNER TELEPHONE 149-9474 SQ. FT. OCC. BUILDING VALUATION Medium shake ,Aa E 'S MAILING ADDRESS Rt 6 Box 399-K Chico CA Re -roof CONTRACTOR'S NAME Four Counties Roofing Company TELEPHONE 343-0041 ' CONTRACTOR'S MAILING ADDRESS P.O. Box 3215 Chico CA 95926 Fireplace O CONSTRUCTION LENDER �T7� N/A UNKNOWN Total Valuation $ �-0 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 28.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ .Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS N/A Permit fee $ 38.00 BUILDIN1SEikG ADDRESS, _ PLUMBING_PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 C 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 Duplex❑ Mobilehome❑ Other SPECIFY Building sewer n sprinkler system. 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other Q Describe work: Re -roof using medium shakes 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,a) OR ADDNS. l ACC. BLDGS. 20 sq ;w, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): RXI 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. 252071 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 CONSTR TI.OUTLET 2,50 ea NON-RESID BRANCH CIRC TS NEw -CONSTR ( POWER APPARATUS 61 NON RESID. SINGLE OUTLET CIR. / 60 L01 Ex. Occup OUTLETS OR FIXTURES BA IXED APP LNS. OR EX. Occup.(O TLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 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 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. said unty in consequence of the granting of this permit. X Date 7-9-81 Signature 6 Applicant — Owner ❑ Contractor ® Agent ❑ ion of structures over 3 stories in height. An OSHA permit is required for excavations over 5'0" deep and demolition or construct -By Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 38.00 OccuP. GROUP I TYPE OF CONST. 1 PARCEL PD I ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which OR OF PUBLIC, By PERMIT Dat the applicable provi- resolutions to do fees have been paid. WORKS 7 /—��l✓ Receipt No. .�� WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT