HomeMy WebLinkAbout043-260-036�6
43-26-36
GARY GRIGGS � —`-
910 k Oak Lawn, Chico Q I
Permit ��3222-85E( 1i 0
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PERMIT NO. 3222-85B,P,E,M
PERMIT EXPIRES 11/12/86
OWNER GARY GRIGG9
CONTR. OWNER
ASSESSOR PARCEL 43-26-36
LOCATION 910 2 Oak.Lawn Dr.,
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PERMIT NO. 3222-85B,P,E,M
PERMIT EXPIRES 11/12/86
OWNER GARY GRIGG9
CONTR. OWNER
ASSESSOR PARCEL 43-26-36
LOCATION 910 2 Oak.Lawn Dr.,
J = OK
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -.Easements
r
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
4
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location-Test=Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
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 #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. •Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
4. Elec.; Receptacles and Lighting; Distances-GFI
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 Lghig.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
r
'
4
0 = Not OK ,
- =,Not Applicable
�E = Not Ready RESIDENTIAL, (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
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 -Glass 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 -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15, Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
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 & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic C-] Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
Guard Rails &Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes E) No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters El Yes 0 N
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Pane ls=Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents 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 -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B-1 Date Card -BI Date
Date
MECHANICAL (Permit) OK except
31. A.C. Ducts; Insulation & Supporrtt
83.
C eions f om Previous Inspections
Ga a Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -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 Card -BI Date
Comments at Final:
Date FRAMING Plans OK except q's
36.
Sills; Proper Material & Anchors
37.
38.
39.
40.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
45.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp_.-Rfn_g_.
Fireplace Ties or Type A Flue -Fireplace Throat i
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
_ __ ..
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�1 �
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
2 &__ /01?1.-
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, please contact this office immediately.
__
( / _7
Inspector_. Date ( G __
0❑ B. N.
ca un
Owner:
Compla�
REQUEST FOR INSPECTION Permit No.
actor or Tenant:
BLDG.
PLUMBINGECTRIC
M.H.I./M.H.U.
PRE -
Form
Rough
Rough
Corrections
INSPECTION
Frame
Top Out
Temp. ice
Final
Housing
Stucco
Gas Piping
Job Status
Fireplace
Temp. Gas
Underground
OTHER
Permit Renewal
Bond Beam
Sewer Piping
Verify Utilities
Insulation
Water Piping
Corrections
Corrections
Corrections
READ
Final
Final
Final
IN
p.m.
Date: me t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, Califo'rnia 95965 - Telephone 916/534-4541 _
APPLbTION'AND PERMIT- -
ASSESSO PARCEL NUMBER
,. ,,1
ZONING
a_3
BUILDING PERMIT
OW ER
TELEPHONE
r
SQ.JF T. OCC. BUILDING VALUATION
I
OWNER'S M LI.NpGG ADDR
COR+A,CTOR'S NAME
V t1� "'N% �✓`..
TELEPHONE
-
CONTRACTOR'S MAILING ADDRESS -
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
L NDER'S MAILING ADDRESS
•
Permit Fee
$
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 91012- t�
/
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Cf'l l i.0
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF)< Duplex❑ Mobilehome❑ Other
SPECIFYMobile
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Home S G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: �v`rt o �. �,��r vc JvN.I .�� A,0,4 �,r 5 `�'✓%�' _
0 ��
CpA-r,1��e �flcL✓n��(' �*�Y_A ��eg11,T�r,��.-/��.�z.;i.
Permit Fee
$ J0,
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
—�
GlLew.r a- 4dd�# oma. 3f�d \J -
Main service jp0 AMOR P LESS
OR
10.00 o_
Main service EA. ADO'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p J y (Check One):
El am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$
and Professions Code and my license is in full force and effect.
License No. Classification
/
IRA 1./r/ 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)
as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
o
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.a) Yz¢sgft
OR ACDNS. l ACC. BLDG S.
NEW CONSTR. ULTI.OUTLET 2.50 ea
NON•RESID BRANCH CIRC ITS
(POWER APPARATUS el
l SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 2ALO 30
eL0
FIXED S, OR
Ex. Occup. OUTLETS TS (R(RESID.) EA.) 2.00
Temporary service_ 10.00
Mobile Home Facilities- 15.00
Misc. Wiring q' _ 15.00 , —
v 1 r T 1
termit 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.
FI shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL P RMIT
Filing Fee 10.00
Heating
Cooling
'
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
al��jn.e,n ts, costs, and expenses which may in any w y accrue
agc quence of the granting of this permi .
X Date �/ ;
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations ove '0" d p demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONST.TYPe
I
I FLOOD
PARCEL
I PD
ND
Issu
This permit is hereby issued under
sions of the Butte County Code.and/or
work indicated above for which
DIRECT R OF PUBLIC
BY
PER T EXPIRES' Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date /�-/•-'-'���//'r
//-/ /y
Receipt No. � � -T
WNITC-D.P.W.. YELLOW-ASSZSSOR, PINK -INSP C OR. GOLDENROD -APPLICANT
jCOUNTY OF BUTTE - DE'PAATMENT-OF-PUBLIC WORKS - BUILDING.DIVISION
7 COUNTY CENTER DRIVE - OROVILLE'PCAL-IFORNIA 95965 - TELEPHONE: 916%534 541
PERMIT APPLICATION DATA SHEET
• Permit NoI .
OWNER rot t G G 1 l A. P. No. Y'.? — 2k- 3 �.
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector _6;�Date % Ik 1
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. . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Certificate of Workmen's Compensation Insurance. . . . . .
Contractor's License Information (no., name style, classif.)
7M�< Owner -Builder Verification (Given to ownerEl,"'Mail to ownerEl
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation at
LN„
Pre -Inspection for
Required.
request to 11 --TIPS (Dote)
p 4 Building Inspector —
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Other Driveway pe rmit & const. approval required prior to occup ancv
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction o,f
the proposed property improvement (yes or no) �.
2. I (have/have not)signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide'the major work:
Name �jfP��i�SGje��
Address City
Phone Contractors License No. Z7 tL S �.
5. I will provide some of the work -but I have contracted (hired) the following
persons to,provide the work indicated:
Name Address 'Phone Type of Work
Y
Signed:
Property Owner
Social,Security Num�er
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections`19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned'to our office before we are per-
mitted`to issue the permit.
.Y �.
-• �l�. _ � __ _
a+ .t� � nr.�..�.n>..��r,����.i �„il 16111
County Center Drive - Oroville, California 9596.3 -Telephone 916/534-4541
APPLICATION AND PERMIT
ASESSOR PARCEL NUMBER
_13—Z6-36
ZGCNING� '.
BUILDING PERMIT
OWNER TELEPHONE
OWNER'S AILING RESS
<'
SO. F r. I OCC. BUILDING VALUATION
r
CONTRACTOR'S NAME TELEPHONE
CONTRACT��//OR'S MAILING ADDRESS
( Fireplace
1
CONSTRUCTION LENDER UNKNOWN - Total Valuation $
LENDER'S MAILING ADDRESS I Filing Fee
Per Fee _
$ 10.00
$ r—
ARCHITECT OR ENGINEER
LICENSE NO. I
Plan Checking Fee
$ ,
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
y f
Permit fee
$
PLUMBING PERMIT
Filing Fee 110.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PAREEL MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ OtherSOFiI�}'1(�Q�
SP CI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW F
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work: n _
�5�/�(�!/J�4lJCtL��/t'�/?/YI �•�c���h'�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
main service 100 VAMP OR01 LESS10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
j
I declare under pe a ty of perjury (check one):
( ❑ I am licensed under provisions of Chapt. 9, Div. 3 Of the BUslnes$
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-
j sation, will do the work,and the structure is not intended or offered
I for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ontract
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.1k)
OR ADDNS. ( ACC. BLOCS. / /Zdsgft
New CONSTR. r ULTI.OUTLET 2.50 ear
NON•P.ESID BRArJCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(ouTLETs OR FIXTURES e20950t
ALO 30g
FIXED APPLNS. OR.
Ex. Occup. OUTLETS (RESID.) EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Mise. byirin g 15.00
Permit Fee $
SINWORKMEN'S COMPENSATION INSURANCE
I declare and enalty 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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Putt 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 expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Date
Signature of Applicant — Owner El 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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $ Z
OCCU P,
f.ON ST.TYPC
I
JFLOOOJPARCrLJ
PD
ND
S9uE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
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By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-O.P.W., YELLOW -ASSESSOR, PIN* SPECTOR. GOLDENROD -APPLICANT
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