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HomeMy WebLinkAbout042-600-058,42-60 -5 DONALSON • , g, M Craig � 1 , 1125 Streamside-Ct, 10 -6= f Manor.;.. Chico (new single family) i E i i i 144� f C= T -,,,a 15; 1'4'� - F I (Zrz'4�jvi 7-- RE I E 42-60-58 .518-91B,P,E,M, DONALSON,Craig 1 ' 125 Streamside Ct, lot 16-A Walnut Manor, Chico (new single family) 0F( ICE Y Address -c5f GAS Meter "'�-�=ate� . ELECTRIC A> L meter By- L& Date OFFICE COPY r Address -27 -GAS 117 Meter Y Dates D Date Me-m�rY---- JOB FINALE Signature COUNTY OF BUTTE DEPARTMENT OF PUBLIC lNORKS 196 Memorial Way, Chico — Phone: 891-2751 - 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or %need additional explanation, ple�aose contact this office immediately. �l U 16le r -C9 1 ° 3 r e i- 1 rtN tr—'S �a Date —/6- Inspector Owner L� , Permit No. F.NFR(:Y CF.RTI-FTCATION Wa,.4*1�— Wta—pct_ 1,0CAT ION ROOF MATERIAL THICKNESS EXTERIOR WALL I(1= A.P. NO. DESCRLPTION OF' 1\SOLATION BRAND NAME} ' THERMAL RES. MATERIAL FIBERGLASS BRAND NAME CERTAINTEED THICKNESS '%S frK THERMAL RES. 1?� CEILING BATT OR BLANKET TYPErSak&4A5,%RAND NAME CERTAINTEED THICKNESS { afl THERMAL RES. vp LOOSE FILLTYPE INSUL-SAFE IIIBRAND NATE CERTAINTEED THICKNESS va.!is a THERMAL RES. 3fl FLOOR,ELEVATED PIATERIAL FIBERGLASS THICKNESS FLOOR, SLAB MATERIAL THICKNESS WIDTH 24 WALL PI A T E R S AL THICKNESS 3� H BRAND NAME CERTAINTEED THERMAL RES. BRAND NAME THERMAL RES. BRAND NAME THERMAL RES. I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN THE ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIF. ENERGY -REQUIREMENTS. SHASTA INSULATION INC. #530235 FIRM NAP STATE CONTR. LICENSE NO. -z V--cf / I hereby certi.fy rlie above insulation and all required items as shown on the Building Depart. approved plans and attachments have been installed as required by the `tate of California Energy Requirements. All equipment, dev ces.and materials are of the quality prescribed or are specifically a1)prove,d by the State of Calif. ---------- ---------------------- FIRM NAME/OWNER (PLEASE PRINT) STATE CONTRACTOR'S LICENSE NO. yam, 'A.1� SIGNATURE OF GENFRAL CONTRACTOR/OWNER DATE This certificate must be on file with the BUILDING DEPARTMENT prior to final inspectiori`appcoval and a copy shall be posted within the building. JANUARY 1984 v=0K O = Not OK =Not Applicable` ' = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ P L" ft./ P'LPG 7. Electric 7. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks Easements POOLS (Plans) OK except #'s 2. Footings; Size -Spacing -Marriage Line 1. Setbacks -Easements 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting, Distances-GFI 6. Water; MH Test -Regulator -Connector 5. Elec.; Pool Lighting; 15 volts-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 8. Gas and Electricity Tagged 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 9. Exits; Insp.-Sketch '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. 10. Cert. of Occupancy Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 4 O O=Not OK - = Not Applicable ' = Not Ready RESIDENTIAL (Single & Duplex) Date UNP RFLOOR (Plans) OK except #'s Hing -Setbacks -Easements -Flood -Slope VPtg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth t /, Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth F/9,, Porches & Decks; Soils -Steel-/ /Ftg. Depth emwalls, Main; Steel-Blockouts-Wrapped Stemwalls, Garage; Steel- Blockouts-Wrapped 6a. tWd Downs and Special Anchors 1-2-41/ . Slab; Steel -Wrapped l/L! 8. rs-Fireplace Ftq.-Steel B' D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Date b"t -q / Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s X. Water Htr.; Vent -Access -Combustion Air -Baffle Water Pipe; Test & Anchor -Nail Protection D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access -11. Gas Pipe; Size & Anchors Date C..q,ej ( Card B-1 GG Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection ZZ'Eiec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 2 . Romex Installed Close to Edge of Studs & C.J. 2 . Equip. Ground made up w/Mech. Fastners-Bond Gas & Water V2 Appliance Circuts in Kitchen & Conductor Size/GFI Subfeed Wire Size /tqa. Cu or AI-A.C. Wire Size &)/ ga. Al or At Range Circ. a/ ga. Cu or Oven Circ. / / ga. Cu or Al. Insulated Neutral XNo Servic Conductors & Ground -Main Disconnect ,1^ Equip. Clearances Panels-Motors-Mech. Equip. hes Closet Light -Shower Light -Spa Light 3,5, -Smoke Detector Date 6 4:,q i Card B-1 (Tr Date Card B-1 Date /.✓J I -A 1 Card B-1 (:; Date Card B-1 Date MECHANICAL (Permit) OK except #'s ,,OA.C. Ducts Insulation & Support 38"Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 36. Attic Access & Platform if Furnance in Attic Date (,�j�p� ( Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRA NG (Plans) OK except #'s Sils, Proper MaterialAn C Qk Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41' Bearing Walls over Girders & Floor Nailing Af. Draft Stop in Walls (rat proof) Z73ire Stops; Furred Ceilings -Stairs -Chases -Tub 4. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. ties-Purlin o c -T hthng.-Rfng. irep r Fireplace Throat clearance 0, Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles :!P,Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions --'&6-Garage Fire Protection Framing 1. Property Line Firewall & Openings Sf.- Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 33:--Sfairs; Width -Headroom -Rise -Run -Landing -Fire Protection . ply od on Roof Overhang -Attic Vents -Rafter Outriggers ding -Nailing Veneer Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access Wr Glazing Area -Glass Protection -Skylights -Plastic ft -Shear Walls; Nailing -Bolts 5 .1 nn1rt at (o n - W�eiN Fg s 60. Infiltr on -W s-Wi ows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL tans OK except #'s xt. Steps -Door & Sidelight Protection -Landings 2. Smoke Detector e; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 6 droom Exiting G.F.I. & Bath Fixtures & Tub Access -Spa r619 Elec. Trim & Subpanel; Breaker Sizes & Labels irs & Rails 6 . fireplace or Stove; Clearances -Hearth 6c/ E Outlets at Wood Panel; Int. & Ext. it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 7/. c. Outlets & Receptacles at Kit. Counter 7 . Garage Fire Door; Swing -landing -Closer .,7si 1C.0.,,Duct in Garage -Damper tr. tr.; Vents -Clearance -Comb. Air-Connector-P.R.V. I�DoGarage; Above Floor-Mech. Protection PI lec. & Mech. Equip. Listed for Location 7 E!9p-. Receptacles in Garage; (G.F.I.)-Rome rotection 7Pfnsulation-Foam-Looked in Attic Yes -49,Gtmfd Rails & Deck Construction -Post Caps . v-7,P.-Fi ents & Crawl Hole Door -Drainage & Wood -Earth earance Looked under Floor 0 Yes Of af Folio ing instld.; Drive es 0 No; Walks 0 Yes 0 No; P nters Yes 84-"Vc_W;S4wa,-FAdK Unit; Disconnect, Electrical, Plumbing Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Well; Disconnect, Electrical, Plumbing or Elec. Trim; G.F.I. Receptacle -Underground n 'iation Throughout House ss Prot ction . Correc ' ns from Previous Ins p tions 89. Ga t -Meters Tagged; -Electric f l r &Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates Date!J..�& Card B-1 Date Card B-1 Date Card B -1%h JJ, Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (NOTE: An entry must be made each time you visit job site) �JCOUNTY OF BUTTE - DEPARTMENT OF PUULIC WORKS 7 County Center Drive - Orevllle, California 06006 - Telephone: 010/630.7641 1 = APPLICATION AND PERMIT PBRMIT NO. ,15 11Q_Wn S L BUILDING PERMIT 442-60-58 CRAIG DONALSON 60, FT, OCC, BUILDING VALUATION P.O. Box 4055 420 M 5,880.00 153 1,530.00 N OR's MAILING A0011119111111 Fireplace i A 1.000.00 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 60.410. 0 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 316.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT FIIIngFee 1 10.00 Each Trap 9 2.00 18.00 Solar or heat pump water heater 20.00 LOT NO. 16-A SUBDIVISION NAME PARCEL MAP Walnut Manor Water piping 5.00 • Each qas water heater or vent 5.00 USE OF STRUCTURE SF E� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 1 5.00 Building sewer 1 5.00 Mobile Home S I G I W 10.00 ea' TYPE OF WORK New ❑X Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: I Rarlrnom Mast -pr 6n --FSR Permit Fee $ Contractor ELECTRICAL PERMIT Filin Fee 10.00 Main service 6001 OR LESS10.00 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUSinesS and Professions gode and my license is in full force and effect. License No. Classification. ❑ 1, 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.e,00 OR ACDNS. ( ACC. BLDGS. h2sgft ' NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2,50 Be POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. O( cc UpOUTLETS OR FIXTURES 20050t eAL030 EX. l)CCUp. OUTLETS ((RESID )FIXED APPLNSREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bVirin 9 15.00 Permit Fee $ 73.00 WORKMEN'S COMPENSATION INSURANCE I declare and r penalty of perjury (check one): ❑e permit is for $100.00 (valuation) or less. lyI 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. Contractor MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling 1 6.00 6.00 Hood 1 33W 1 3.00 Ventilation 2 1 3.011 6.00 permit Fee $ 31.00 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. 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 agains said Gpunt in copse ence of the granting of this p `mit. X / J to S Sign ure of p is nt Owner❑ Contractor Agent An OSHA perm. is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in h8:3eight. Mobile Home Installation Fee $ Energy Inspection Fee $ 30.00 o co ST TYPE TOT L $ FEF,, F,,$ 538.00 HAz. cuA PARK HL Lo PAR Po Issu This permit is hereby issued unser 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 Date Ly' -L24- iL PER EXPIRES Date - rZ2�� 2r Receipt No. / 00 WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECT . GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 9161538-7541 PERMIT APPLICATION DATA SHEET / Permit No. OWNER A. P. No. Proposed Building Use Z Building Inspector4a Date �5 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation %k (� instructions ...d l •�, ....... L� l .off.. ' /10. Fees of $ —T �C � (rf , 11. Chico Urban Area fees paid ........... . �.............. ..... ��'•� �•34�: • X7'°3 %( __L 12. Park fees paid ... �•� yt _L_l3• ( (/ S2:� School District fees pai . r./�. 5—• 14. Sanitation approval from Health 'Depar men 717 /4/x5. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: .. 18 Improvements may be required. Contact Land Development Section DPW �(� �. Driveway permit (construction approval required prior to occupancy) - 20. Pre -Inspection for required Pre-Inspe°. uestt p Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23 Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 4 PY f�Recorded co of Agricultural Acknowledgment Statement ......... iC 9 25. Letter of signature authorization ................................... 26. 27. When y��ou��sue the permit, process as follows: Mail too owner. Mail to contractor. �felephone2��/and hold for pickup at C_I_� _L_office. Deliver w/inspector. Other _ Applicant ,l l ( �-' - Date �• �� i Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent____HealthDept. Fire Dept. Other Date By The following data must be submitted prior to P41r1mit is,&dancrCircle -ew it m not c c ed above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone----nail—counter by .date Contractor, designer, owner, was advised of above required data by—phone _malI—counter by date Plans checked by Date Plans approved by r,e_5 Date Sets of plans on hold in File cabinet AP folder A COUNTY DF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville,-California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT i I PERMIT NO. i _ zo"'"G - BUILDING PERMIT T ELE PHC�N.E $O, FT. OCC I BUILDING VALUATION 42 5 880.00 153 j C 1 1,530.00 CONTH­ �v.. .. ._._..._ MECHANICAL PERMIT CONTRAQ TOR'S MAILING ADDRESS j Fireplace A 1,000-00 D UNKNOWN Total Valuation S O 0/ CONSTRUCTION LEVO ER — Filing Fee LENDER'S MAILING AODRESS - Permit Fee LICENSE NO. Plan Checking Fee ARCHITECT OR ENGINEER Energy Plan Checking Fee ARCHITECT OR ENGINEER'S MAILING AODRESS' Penalty ;ertify that I have read this application and state that the above information t I agree to comply to all County Ordinances and State f Laws relatinthe County Ogt Permit fee SUILOING ADDRESS PLUMBING PERMIT Each Trap _ Solar or heat pump water heater PARCEL MAP Water piping ' LOT NO. SUBDIVISION NAME O� T_ Each qas water heater or vent Gasp system 1 - 5 outlets USE OF STRUCTURE Building sewer ryI SFU Duplex❑ Mobilehome❑ Other SPECIFY Mobile Home S G W `—" TYPE Or WORK iPermit ' Remodel❑ "Utilities❑ Other C1 Fee _Installation❑ New Addition❑ Contractor Describe �c.k: ELECTRICAL PERMIT LESS • MAS I Gl\___OR Main service '1'0'0'AMP OR LESS NforCONTRACTORS LICENSE LAW r penalty of perjury (check one): siness licensed under provisions of Cha ti is in force hand ueffecL Profess n C de my D ense No.Classification s the owner, or my employees with wages as their sole compen- on,will do the work,and the structure is not intended or offered sale. (Sec. 7044) as the owner, am exclusively contracting with licensed contract- .. (Sec. 7044) Business and Professions Code m exempt under Sec._�—. this reason Main service EA. ADO'L 100 AMP NEW CONST. ( DWELLING OCCUP OR AOONS. ACC. BLDGS.^� S 10.00 $316.00 s rs on0 S I S.OD_ $ APPARATUS hl ( SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES FIXED APPLNS. OR EX. Ocoup• OUTLETS IRESIO.I EA. Temporary service Mobile Home Facilities Misc. `'firing Permit Fee Contractor INUM WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT I decrrlaare under penalty of perjury (check one): Heating Lhe permit is for S100.00 (valuation) or less. on file with the County of Butte Building Department ��.. I have placed a Certificate of Workmen's Compensation Insurance or a Certificate Cooling of Consent to Self -Insure. not employ any person in any manner so as to become subject Hood ❑I shall to the W. C. laws of California. It after making this statement, should you become subject Ventilation Permit Fee Notice to Applicant: the W. C. provisions of the Labor Code, you must forthwith comply with such Contractor to provisions or this permit shall be deemed revoked. Mobile Home Installation Fee ;ertify that I have read this application and state that the above information t I agree to comply to all County Ordinances and State f Laws relatinthe County Ogt Ener Inspection Fee occ g/CONST TYPE Filing Fee 1 10.00 L 104ea 0,00 2 'mr3.00 2.5 Correc . to building construction, and hereby authorize representatives, TOTAL FEE S b t v Butte to enter upon the above-mentioned property for inspection purposes. _ I PAR PO HO I ISSUE y HAZ CUA I PARk SCHL FLO I also agree to save, indemnity and keep harmless the Count of Butte against all liabilities, judgments. costs, and expenses which may inma y way 'accrue against said Co4nty consequent f the granting oatelt iZ r` ` I This permit is nereby issued uroer the applicaole provi- sions of the Butte County Code and/or resolutions todo work indicated above for which fees have been paid, 0.-i , Contractor %9a^t ! � qu � �j , ntRFrTOR OF PUBLIC WORKS I �LOi �I.,�N ��E�—_ ��/oI�NUT M�NO� `�U�PI�/f��IGN, Gj�I,�O,GA. �(�r ND IIOA _. mug lb tinv4 end it is unlawfiA to wNy or a'"-oR same WMWA W6*w PWOA--M frm tw pf Pet& Dam cp's ths C, PT q, A - ; a. s",za, V'swin"I cola& -4 _Q '—A4* Ul set mader pkm a lb Ra %oft elk -W c