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HomeMy WebLinkAbout056-120-0539 056-120-053 LLOYD,LAWRENCE 03-26915-- 3-26915`LLOYD, �Nn 9760 COHASSETT RD, CHICO Cont: SUBURBAN PROPANE INSTALL GAS LINE 056-120-053 03-3431 LLOYD, LAWRENCE RD, CHICO 9760 COI r\'tov�6Cont: OWNER vl�_ INSTALL 2 WALL FURNACES C ` SI2—��5 SCGc,n n-2c� 0 056-12-0-053 98-0045 A JOHN FORBERT 9760 COHASSET ROAD, COHASSET (AG EXEMPT -TRACTOR STC) + OFFICE COPY Address 'a GAS , s �Date Mall r� eter;By : 4 ' ELECTRIC: #" ;+, , u J ± Met'er By / �. t,/t�/��� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone) 538-7541 PERMIT NO. E (Rev. 12/96) APPLICATION AND PERMIT - �L ASSESSOR PARCEL NUMBER /"' } f G 1Vl"✓7 ZONING BUILDING PERMIT OWNERf � 1 T jHOI}G SO- FT. OCC. BUILDING VALUATION OWNER IUNG ADD 6S `• ! //`y-� / .`�-yw CO� RQCTAR'S NAME i.� J It J I� TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG 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 11 A&ici -s5 V ,Uf i e p Pd. Energy Plan Checking Fee $ 5�j�' "' f � $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing 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 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Descfibe Work: ( 1 t \ (1-16 i �'' �'' trt Gas piping sy2tern 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 4 PERMIT FEE S see ' C8 .- zo(a ELECTRICAL PERMIT Filing Fee 20.00 800V�' Main Service 2o.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 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. ❑ 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 rworkers' compensation provisions of section 3700 of the Labor Code, I shall f forthwith comply with those provisions. I X Date f t Signature of Applicant -NO Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction) of structures over 3 stories in height. Main Service 200A To 1000A 46.00 NEW CONST, DWELLING OCCUP. s0 OR ADDNS. ( 8 ADC. BLDS. 3.50 FT. NoµREOSID MULTI -OUTLET @7.50 POWER APPARATUS a SINGLE ourLET cIR. Ex. Occup. OUTLET OR FIXTURES @'.50 BA0 p .SO Ex. Occup. ..APP uXTLEEDTs AEslo .)Oea 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE _ MECHANICA PERMIT Filing Fee 20.00 Heating Ot ILI IS--*# lac, A Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ J , ca HAZ. I D. FEES IMP I FLOOD CDF I PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicatSd above for wh-ch fes have been paid. ( + By Date PERMIT EXPIRES ON Date Receipt No. `n �! ad `� iP f R' ' s #�` WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .If .. COUNTY OF BUTTE - DEPARTMENT OF DEVEL PMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (5 0) 538-75Ai-_2_ MIT NO. (Rev. 12/96) APPLICATION AND PERMIT �-,--� -_ /V/ J ` ' � %1 _ /l� ASSESSOR PARCEL NUMBER 5 ` Sn - I ?Vpi ZONIN° BUILDING PERMIT OWNER ] ' o• re-u— ° SO. FT. OCC. BUILDING VALUATION . OW U ADD S V1 t L COI�1, CLAR,S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MINUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkin Fee $ BUILDING ADDRESS �� / �r7 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDIVISIONS 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 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: �� �✓ �� ���� `,� Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ see, ELECTRICAL PERMITFling Fee 20.00 eoOR LESS Main Service 200A 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 Scti7000 )f Di3f thBid PfiCd Section of of Business and Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penaltyof perjurythat 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 46.00NEW CONST. DWEwNG OCCUP. S° OR ADDNS. ( 8 ACC. BLDS. 3.50Fr. NEW CONS MULTI NON-RESID. ia7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURES BAL p x.50 RI Ex. OCCU oIXPRNEID. 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 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 rkers' compensation provisions of section 3700 of the Labor Code, I shall f rthwith comply wit those provisions. 1 Date 0,-5--- Signalure of Applicant - Ow Contractor ❑ Agen An OSHA permit is required for e c ations over 5'0" deep and demolition or construction of structures over 3 stories in heig t. MECHANICAL PERMIT Fling Fee 20.00 Heating ISG 13700 Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee s Energy Inspection Fee s occ CONST. TYPE TOTAL FEE $ , Q 010 HAZ. D. FEES IMP FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic above for wh' fe s have been paid. �) , O J By Date` I PERMIT EXPIRES ON _ � — �( ` Date Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J" . Dec 17 02 11:38a p.2 OWNER-BIUILDER. 'V'ERIFICATION Attention Property Owner: An "owner -builder" building permit bas 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 Iabor and materials for construction of the proposed property improvement: YES C3 NO l 2. I HAVE HAVE NOT ❑ signed an application for a building permit for the proposed work I have con ted with the following person (firm) to provide the proposed construction: NAME: ' ADDRESS: CITY: PHONE: CONTRACTOR'S 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: ADDRESS: CTI'Y: PHONE: CONTRACTOR'S LICENSE NO. 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 SIGNED: PROPERTYOWNER: DATE: 1 NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER % COUNTY OF BUTTE s BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891;2751 7 County Center Drive • Oroville, CA • (530){538-7541 CORRECTION NOTICE . CD q� OWNER �� PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice tfiis-office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact. this office immediately. Date —L_ REV 10/92 Inspector_ a 056 120-053 03-2696 LLOYD, LAWRENCE' - 9760 COHASSETT RD, CHICO Cont: SUBORBAN PROPANE INSTALL�GAS LINE ki II� r , a 056 120-053 03-2696 LLOYD, LAWRENCE' - 9760 COHASSETT RD, CHICO Cont: SUBORBAN PROPANE INSTALL�GAS LINE ki II� fr i COUNTY OF BUTTE - DEPARTMENT OF,DEV'ELOPMENT SERWICES - BU ILDING•DIVISION 7 County Center Drive • 06oville,,California 95965 • Telephone (530)538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER '� ( (/-'` �^'�) ((" fes']' V lid ! 4�.✓ A �./ .I .� ZONING 01 r . � CI_V •I', � � OWNER �� Lei, Or r ifv� Ct TELEPHONE n! - ("� �7 + P SQ. F7. OCC. BUILDING VALUATION . OWNERS MAILING ADD7 Coh e S S -e4 I ` f ( CONTRACTOR'S NAME TELEPHONE CONE TORS MAILING DRESS l+i;0r�f�C1li1r f' CONSTRUCfION LENDER LENDER'S MAILING ADDRESS Y • Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS ( ?� 0 �'oh r S 141 C I Zt Energy Plan Checking Fee $ ` s ,� PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP t, PLUMBING PERMIT `. Fling Fee 20.00 USEOFSTRUCTURE ,! SF [IDuplex ❑ 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 .1 5.00 TYPE OF WORK t_ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: •I .� 5 1 �� c-, S ! + iAe.. �. [+ V Gas' piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G W @20.00 PERMIT FEE ELECTRICAL PERMIT Fling Fee 20.00 800VR LE Main Service. 200A OR LESS 23.00 I a I LICENSED CONTRACTOR'S DECLARATION 1� ,' 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 '��� (an full force and effect. License Class TU )' 01 Lic. NO. �.l(• i rw•• OWNER -BUILDER DECLARATION, 1 v I hereby affirm under penalty of perjury that I am exempt from the Contractors `License Law for the following reason: fi: ❑ I, as owner of the property, or my employees with wages as their solecompensation, will do the work, and the structure is not intended or offered for X16T ❑ 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. I 171. 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. re •••, My workers' compensation insurance carrier and policy number are -.,:, Carrier �--iC,k.t� L. �, Main Service 200A TO 1000A 46.00 .NEW CONST. DWEWNG oOCUP. OR ADDNS. ( a ACC. BLDs. so — 3.5¢FT: Co No qEs DT =OUTLET @7:80 '. rJ POWER APPARATUS a SINGLE OUTIPT CIR. I Ex. Occup. OUTLET OR FD(TURES 20 O 1.00 BAL- p .50 Ex. Occup. OUTLETS aalo)EA 5.00 Temporary Service 23.00. Mobile Home Facilities "20A0 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 2,0.00,a Heating.""' r Cooling Hood 6,50! Ventilation v PERMIT FEE $ Policy Number , ISL y,S.t Y, (The above sections need riot be complete if the permit is for work of a valuation of one hundred dollars ($100k or less.) ❑ I certify that in the performan� o , the((work for which this permit is issued, I shall not employ any persons an�yr Ta nhef�so as to become subject to'workers' compensation laws of Csl'rforn11,``>�gr agr a that f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo thwith comply ith those provisions. Date (! Signature of+Appliicant -'❑ Owner ° Contractor ❑ Agent An OSHA permit is required for excav tions over 5'0" dee and demolition or construction of structures over 3 stories in height. f Mobile Home, Installation.Fee $ Energy Inspection Fee V $ occ CONST. TYPE i' # { TOTAL FEE $ S • �� ~FLOOD HAZE ibi`FEES IMP CDF PARCEL PD HD ISSUE r ' N This permit is hereby issued under the applicable plovisio�ns of the Butte County Code, and/or Resolutions to do work indi ted above fo^�w "ichtfee)ets have b en paid., , .- By *Date , Q� PERMIT EXPIRES ON / ` " Date r_ Receipt No. '5-1 � (A 0 / �+L10 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 `j--�� ASSESSOR PARCEL NUMBER f1 � / �^ .� I �C^� Vr, G/�N/�J�(�✓l ZONING BUILDING PERMIT OWNER / SO. FT. OCC. BUILDING VALUATION .OWNER'S MAIUNG S Az CONI OR'S NAME �O u rbc T HONES Z_5 COM TO S MAID DRESS Y ' CONST C ON LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS9-7470 I — ! �' _ %' /�% J [/1(A LLxQ-��}, /} I�/COA/ � Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS 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 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe WorkCC n J l I J Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S (lam i�r�—� ELECTRICAL PERMIT Fling Fee 20.00 MainService 2001 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 ' II f0 c and effect. License Class Lic. No. NDECLARATION ER-B 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 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. 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' cerisation insurance carrier and policy number are: Carrier (�_ 1 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' compensation provisions of section 3700 of the Labor Code, I shall rt with comply yu4 those provisions. I/ X Date Signa ure of Appl nt - ❑Owner ontractor ❑ Agen An OSHA permit is required for excav tions over 5'0"deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG occUP. ( NRA 3.5Q F7. coNss . MUL�Tcou�rLEST NON-RESID. C @7.50 8 E 0 J.E PSINGLOWER APPARATUCIR.s Ex. Occup. OUT ET OR FOcrURES 20 BAS p'; 0 UILDER R 5.00 Ex. Occup. Pur rs FIXED ES D.) E Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAL D FEES IMP I FLOOD I CDF PARCEL PO MD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indic d a ove for w ' h fees have been paid. I, �� r(� By Date `"'' LA 0 PERMIT EXPIRES ON v ate Receipt No. WHITE-D.D.S.-B.D. CANARY- SSESSO PINK -INSPECTOR GOLDENROD -APPLICANT _: '► BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-75 ' AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING -2_j44 - ZS OWNER PHONE NO. z- & s -q OWNER'S AJDDRESS C/ 17(0 v �©�19 sS-e ����� 9 s-9 3 LOCAT N OF BUILDING /} 7 ,o ss e -vr- USE OF BUILDING ---j, �lf- SIZE OF STRUCTURE `�� ' X _ � SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME _le L--- STEEL CONCRETE OTHER (Specify) TYPE OF SIDING F COVERING FL Rc TYPE �P� ESTIMATED COST OF CONSTRUCTION $ 2 Zod. 00 AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 1 - I -' , �0 ��''""' 0 FRONT d_A SIDES REAR—20 10$1fL AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections; and approvals to comply with he re ' ments in effect at that time and before occupancy_ p Date 25-- 9O Signature of Owner Permit Fee - $60.00 . The above describelM Building is exempt>from a buiVina permit Receipt No. 03/P,39gel TLLTD I PARC Py ROOFjWG 1 ISS Manager Building Division � By—%Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant