HomeMy WebLinkAbout042-100-0221
r 42-10=22 C n
ANN ROOD r1�/
E/S Muir AVe,4001S Hwy 32, Chico
Contr: Butte Roofing
ermit��2289=86B(reroof/SF) �/ J � �i
042-100-022 03-1731
EPTING, MARION
1237 MUIR, CHICO I /�
CONT: ARTIC AIRE
NEW CONDENSING UNI
El
r
Butte
Butte County Department of Development Services
YVONNE CHRISTOPHER, DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538.7785 Facsimile
ADMINISTRATION * BUILDING * GIS * PLANNING
October 17, 2004
Max Khorasan
Franklin Financial Group
5000 Hopyard Road, Suite 210
Pleasanton, CA 94588
ATTN: Max Khorasan
Subject: Reconstruction of a nonconforming use
Dear Mr. Khorasan:
412 - lad , 02 2 -
Non -conforming uses in Butte County are governed by Butte County Code Sections 24-35
though 24-35.55 inclusive. These sections of the code provide for the replacement of a
nonconforming use subject to the requirements contained therein. This applies to all
nonconforming uses in Butte County. The applicable sections of the Butte County Code may be
found on the Butte County Department of Development Services website at
www.buttecounty.net/dds.
If you have any specific questions please feel free to contact my office.
Sincer ly Yours,
ph W. Baker
Planning Manager
FIRE DAMAGE REPORT
OWNER: I ► �W' �� `T �(2 DATE: 3
LOCATION: A.P. #
CONTRACTOR:
DATE TO INSPECTOR:
Building Description:
ZONING: C —
PERMIT HISTORY ( ) NONE �) AS FOLLOWS:
BUILDING INSPECTOR'S REPORT
Commercial/Usage:
Residential # of Units:
Currently Occupied ('Yes ( ) No f
Abandoned/Vacant:
:r
Electric:
Electric Currently On ( ) Off
Condition of Electric
Gas:
Currently (.., 10n, ( ) Off
Condition 1
Sanitation: 1
t.
Plumbing Working ( es ( ) V0,Obvious Sewage Problems ( ) Yes (
Mobile Home Condition of Utilities: (.) Damaged - Requires Permit ( ) Undamaged — No Permit Required
Description of Damaged Area:
Estimate Cost of Repairs:
�► Condition of Fou n n: (ood ( ) Poor. Explain if repairs needed: 4/0 PWIA.-I —r
Inspector: Date: �' Me -
Sketch
-Sketch building on reverse and indicate area of damage.
` (►,
0
f
so r7
DATE 09/09/2003
REPORT TIME 20:48
INCIDENT NUMBER
LOCAL FIRE NUMBER
STATE FIRE NUMBER
CASE NUMBER
LOCATION 11237 MUIR AVENUIE
RP I PHONE NUMBER
WILDLAND FIRES ❑ ESTIMATED ACRES
STRUCTURE FIRE IFIESIDENTIAL
OTHER FIRE
MEDICAL AIDS
PSA/OTHER
HAZ MAT
COMMENTS
EMD ❑ OES ❑
Dila - /o0 -oar
10572 LOGGED BY IMAA
108861 ILart_Lnral FtrP RO PORTER
I act Ctatrt Flro I BI
MEDICS
PRA M1 ECC ❑
REPORT METHOD 911
FIRE INFORMATION
FIRE INFO SENT HOW EMAIL BY MAA�TO
7 -DAY LOGGED INITIALS Jil B
INCIDENT NAME 11EPTING
START DATE 09109/20031 START TIME 19:45
DIAMOND # 5.0
CAUSE EQUIPMENT
LAND USE DOMESTIC
ACRES = TYPE OF ACRES '
DIAMOND 5 ONLY $ DAMAGE TYPE ALL OTHER
DOLLAR DAMAGE F 1000.00 SAVE 350000.00
INJURIES/FATALITIES ❑
# CIVILIAN INJURIES 0 # CIVILIAN FATALITIES =0�
# FF INJURIES 11 01 # FF FATALITIES 1 01
FC -40 INFORMATION
New Incident FC -40 ❑ DATE OF FC -40 INC
AGENCY INC # INC P#
FC -40 COMP DATE I I FC -40 COMP BY
County Notifications ❑ EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑
a
f
42-10-22
ANN ROOD
E/S Muir AVe,400'S Hwy 32, Chico
Contr: Butte Roofing
>Permit#2289-86B(reroof/SF)
042-100-022 03-1731
EPTING, MARION
1237 MUIR, CHICO4jAl
CONT: ARTIC AIRE
NEW CONDENSING UNI
E
f
7
I
"-0-4-2-100-022 t 03-1731
EPTINGMARION
1237 M , UIR, CHICO
CONf,-.'AftIC '-AfRE
NEW CONDENSING UNIT
COUNTY OF BUTTE - DEPARTMENT -'OF bEA1EbOPMENT SERVICES - UILDING DIVISION
.7 County Center Drive • Oroville, California -95965 • Telephone (530) 538-7541PE81 IT_NO/
(Rev. 12/96) APPLICATION AND PERMIT , 0 �' 1 i� f
ASSESSOR PARCEL NUMBER 0 y-1' / Jo - O Z -L,
!
zaNINGG z_
BUILDING PERMIT
OWNER
TELEPtj,ONE
-67
SO. FT. OCC. BUILDING VALUATION
. OWNER'S tILINGS ADDRESS u '
� YYl -
CONfRACTO;^S SJA ` `� ` _
TELEPHONE
CONS_ !!�,' WC -14— C14- I"V V:.1
CONSTRUCTION LENDER
-
LENDER'S MAIUNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
UCENSENO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS .
Plan Checkin Fee $
BUILDINGADDRESS _ ry
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS 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 cias water heater or vent 15.00
TYPE OF WORK
,/
New ❑ Addition ❑ Remodel 13 Utilities 13 Installation O Other ❑
Describe Work: !V >�,C,J } �r3+y.1 ��f , j t� )C» LA,;,—,
i
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
RUE
Main Service "'.A OR LESS 23.00
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
1 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
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.
Ell! 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 aid policy number are:
�
Carrier C- �!L1 / -5
Policy Number W I,,.M C" 4 3 t7 0 J I
(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
forthwith comply with those provisions.
ll .,
X """" Date. U ' 3 - ;3DC+ _
Signature of Applicant - ❑ Owner ❑ Contractor +❑' Agent
An OSHA permit is required for excavatigr over 5'0" deep and demolition or construction
of structures ove g3�s%orisas 'n h igh ..-
TO
Main Service TO46.00
200ALICENSED
NEW CONST. DWELCC
WEE OCUP. SO
OR ADONS. & ACC. BLDS. 3.5¢FT.
NEW CONST.OUTLET
NOWRESID. MULTI- CIRCUITS@7.50
PowER APPARATUS
8 SINGLE OunEr CIR.
.00
EX. Occup. OUTLET OR FIXTURES BAL @ �. 0
Ex. Occup. DurtEEDTSARESID.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $ i~
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
. - TOTAL FEE $
HAz.
,
D SES IMP FLCOD
CDF PARCEL
PD
HD
ISSUE
yr
This permit is hereby issued under the applicable provisions
of the Butte unty Code and/or Resolutions to do work
indic ted ab • v which fees have been paid.
%�I'
(`(/'J
By f Date %��
PERMIT EXPIRES ON U ��� � l�
Date Jr
Receipt No. __1 U � %
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r ' COUNTY OF BUTTE - DEPARTMENT OF Q`VOLOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PEagn1 0
(Rev. 12/96) APPLICATION AND PERMITI—�
ASSESSOR PARCEL NUMBER 0 Y2 — I 0 - D C
ZONING
BUILDING PERMIT
OWNER
M
TELEP NE
SO. FT. OCC. BUILDING VALUATION
OWNERSMAILING ADDRESS
1 7., `1%.x% <— �v
CONTRl�C qT C
,,^^``
TELEPHONE
S 3330
CONTRACTORS MAIUDVDRE$�� /IVY
CONSTRUCTION LENDER
LENDER'S MA UNG ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flin Fee $
20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee $
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
C G
$
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
/
SF 3KDuplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat um water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition 13Remodel ❑ Utilities ❑ Installation Other ❑
Describe Work: AiLSA-03 Q"-%Yzl� r0a Uryi'
Gas i in stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 20 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 and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I herebyaffirm under penalty of perjury that I am exempt from the Contractors License
P hY P 1 rY P
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
��rformance of the work for which this permit is issued.
DYfhave 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' om��ppensation insurance carrier eeqqd policy number are:
Carrier A Ci.'. %,'YyWW1.,1 C43
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR
aNS. ( ELLAD.
SO
3.50FT
Ntw MULTI -OUTLET
NON -REBID.
@7.50
POWER APPARATUS
a SINGLE OUTLET CIR.
Ex. OCCu OUTLET OR FIXTURES
B20 @ I.000
Ex. OCCU ..FIXED APPLNs. OR
ounETs REBID. EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE t
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Policy Number ws_rtc. aaso3.�'I
(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
forthwith comply with those provisions.
X Date _ G — 3
Signature of Applicant - ❑ Owner ❑ Contractor Wfgent
An OSHA permit is required for excavatio er _' " deep and demolition or construction
of structures i 'ght "1i
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAz. D. FEES IMP FLOOD CDF PARCEL PD HD 5SU
This permit is hereby issued under the applicable
of a Butte unty Coe and/or Resolutions
indic ed ab f whi fees have been
By 4 ate
PERMIT EXPIRES ON
provisions
to do work
ai .
I D�
'�
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT_(DITe
Artic Aire Lic. B-C20-C2 #234913
2350 Park Avenue Worker's Compensation:
Chico, CA 95928
(530)895-3330 Lumberman Mutual
Fax (530)852-9930 #5BA1 65241 -00
Permits To. Be Pulled
Permit Information
Job Name:
Job Address:
Phone Number.-
City & Zip Code:
Type Of Job:
Change Out Cut — In Move Unit
Type Of Equipment:
Package Unit Split System A/C Onl
Y
-Heat Only Heat Pump Package Unit,
Heat Pump Split System
Equipment Size:
BTU Cooling:
BTU Heating:
Type Of Permit Required:
Mechanic Plumbing Electrical
Location:
Roof Attic Ground
Closet Hall Basement
Notes: o ,n C, c�,t oil ank
rA,IAA4 4ve-
CA, 3 A
COUNTY OF BUTTE - DYPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville; California 95965 - Telephone 916/534-4541
` APPLIC410W- ND PERMIT
ASSESSOR PARCEL NUMBER
) ,'_
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. DCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION 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 ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF [:1Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer5.00
Mobile Home S G W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work: —
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. l ACC. BLDGS.
1
2/20sq 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 full force and 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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR.MULTI-CUTLET 2,50 ea
NON.RESID BRANCCIRC ITS
NEW NON -CONSTR ESID. R ( SINGLE OUTLET CIRPOWER APPARATUS .&)
.
20@50a
Ex. Occup(o FIXTURES 9AL®300
IXED A POR
LNS
Ex. Occup. OUTLETS (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 County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner El Contractor ❑ Agent Q
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.
JPARCFLJ
PD
HD
99UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
'
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
D
ate
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California *95965 - Telephone 916/534-4541
APPLICATION, ANkPERMIT
ASSESSR PARCEL NUM ER
ZONING
BUILDING PERMIT
OWNER
Ann Rood'
TELEPHONE
S0. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS
Rte 1 Box 427 Chico Calif
26 squ res
CONTRACTOR'S NAME
Butte Roofin Com an
TELEPHONE
342-6553
CONTRACTOR'S MAILING ADDRES
P.O. Box 557 'Chd:co Ca. 95927
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 38.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Bny 427 9&4' V, Ll a
Each Trap
2.00
Solar Water Heater
20.00
I
Le C
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
SFO Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10-00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: reroof Built up 26 squares _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service OOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
1
2/20sgft
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 my license is in full force and effect.
License No. 176252 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 ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR.POWER APPARATUS IN
NON -R ESID. %SINGLE OUTLET CIR. 1
Ex. Occu 20@50C
P�o OR FIXTURES BAL®30Q
XED
A
FIXED APP LHS, OR
EX. Occup. OUTLETS (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.
® 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 shal I 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 a-ll,Cqunty Ordinances and State Laws relating
to building construction,'agd hereby authorize representatives of the Countyot
Butte to enter upon the abovg-mentioned property for inspection purposes.
t..�,: I r>,..
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
agai s sai County in co c of " sting of this permit.
XThis
Signature of Applicant — Owner ❑ Contractor ❑ Agent 9
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -IRE
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 48.,50
OCCUP. GROUP
TYPE of CONST.
PARCEL
PD
ND
ISSUE
permit is hereby issued under
sions of the Butte County Code and/or
waindid above for which
R PUB
PRES Date
the applicable provi-
resolutions to do
fees have been paid.
RKS
Receipt No.Date
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
�sv'4. �o
gg6 M' o �°,��