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HomeMy WebLinkAbout058-500-006i NORMANE WILLIAMS •058-500-006 'PERMIT498=112AG�` W/S Nelson Bar Rd aWp N of WILLIAMS +Norman&4Lesta„�.ly U. 114'19 NelsonBarRd. roviunt Rd Yankees . Contr: Oroville ump & Ele, Oro Ag. Ex=Permit=Tractor St'e`” Permit#23-80E (e le ser for truck ` repair) pri, power pole,�r3`; ! -4015 Contr: Oroville Pum Permit#3523-80E (ele ser ,ch for ex mh site & mise wiring) MFi I 1 f 13 @0 1 LM O TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance E.H. USE ONLY Plot Plan Attached Floor Plan Attac�hed�! 1 Sent to S. D. '%, - :(3 J, W�11 P -j Owner Location AP# Plan Approved for: Sewage Disposal �W/ater,Supply.: Public Private Well Clearance for dwelling. Other �j�'s' Hold final for: Final clearance O.K. for: NOTE: SA Environmental Health Specialist 8/96 Date scale: approx. /"-100' q 1 1 l 1 �o JV `I �e l .ti 1 A p O 1149 Meson B cr- Road W ICMS BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965- TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT 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. NO. © ZONING �2 -s OWNER Or Q �s� PHONE NO. OWNER'S ADDRESS � LOCATION OF BUILDING /1% /S �a �. -- o r &-r USE OF BUILDING SIZE OF STRUCTURE a ' x _)ZLiLSQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME ✓ STEEL CONCRETE OTHER (Specify) TYPE OF SIDING Cc/ O aw ROOFVERING FLOOR TYPE L-0 In ESTIMATED—COST OF CONSTRUCTION $ uildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County F ances as follows: , - -- _ FRONT �� I±L✓ SIDES 2-Q' /kh4/K-"' �2-6 �IMA'� REAR 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 the requirements in effect at that time and before occupancy. Date C2 Permit Fee - $60.00 Receipt No. ). U rf-C Signature of Owner. 484&&� Trio The above described AG Building is exempt from a buildina permit. 17 FLOG PAR L P.D ROOFJD4G ISSU I Manager Building Division By Date9 ul / r White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant 41 As - 4E 02 - 1 -/,6 .-e, I L Alo FIX) Af-ia fs /-Jz".g COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOWAND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER— TELEPHONE SQ. FT. I OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER -� UNKNOWN [Fireplace Total Valuation LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty _ _ Permit fee $ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 1 2.00 Repair drainage or vent piping Water piping 2.00 LOT NO. SUBDIVISION NAME771PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SFE] Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. OR ADDNS. ( ACCLBLDGS.DWELING CCUP.&� 20sgft 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) L] I am exempt under Sec. , Business and Professions Code for this reason NEW C_6N_9_T_R._rMUL.TI.OUTLET2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 50"'asa BALP 10¢ FIXED APP LNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 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 Ventilation 2.00 _ 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. 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[—I against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner E] 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 $ Land Development Fee $ TOTAL PERMIT FEE $ occuP. GROUP I TYPE OF CONST. PARCEL Po HD 550E 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 Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Dr i e - Oroville, California 95965 - Telephone 916/534-4541 ' PPLICATION,AND PERMIT PERMIT NO. ASSESSOR PARCE _ ()Y �O^IN=� _ BUILDING PERMI ow IC l TEL PHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CO TRACTOR' 1NAM TELEPHONE v 0 ` I NTRACTOR'S MAILING ADDR SS 10 ON 1 -4 % LENDER 6 n V UNKt4OWW Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDS DD�E�st /V IS 0 yn I PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 � I Water piping LOT NO. .I SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ emodel ❑ Util'ties ❑ Installation❑ Other Describe work: i =5;%Main Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 OR LES service ;$o AMP ORS SLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING OR ADDNST ( ACCLBLDG5. OCCUP.&) 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Busin � Business and Professions Code and my license is i'n full force and effect. License No-Waar) Classification Cold ❑ 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 -OUTLET NON.RESID. BRANCH CIRC ITs 2.50 ea NEW .CONST. POWER APPARATUS . & NON NONRES-D. R(SINGLE OUTLET CIR . Occup(ourLETs OR FIXTURES �@� BA 10t EX. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 CU- '160 de,1 5,t�C� Permit F e Or $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ©% 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. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 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 s ve, indemnify and keep harmless the County of Butte against all liabilities judg rets, costs, and expenses which may in any way accrue aga d in consequence of the granting of this per %�"' Date i V S Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is regvi 0d for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ occup. GRouP TYPE of CONST. PARCEL PD MD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC c By PERMIT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS / 7 env Date�j . / xff/ Receipt No.41 Q7 CYS-.t'p 13 pd WHITE-D.P.W.. YELLOW- ASSESSOR•, PINK -INSPECTOR• GOLDENROD -APPLICANT E. Other t 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: — F. Commercial Buildin s 1. .Roof covering 2. Distance to property lines: 3 Physically handicapped: 4. Restro6m floors and walls:_ 5. Exits: 6. Improvements: 7. zoni . 8. C omm ,t S. G. Field Probl.s or_ Violations 1. Problem r •riol-ation (give complete description) : 2. What acti 3. What action LU&Cn a give cOMPlete description) eu: %% A. lnfor. atril.y - fi1..��. Qlvvte✓ as ©�-��-- 77 B. Hold-fo-\e (10) days, then write letter. by 8- C. Write letter,' ` /% D. Other': 2dd -4 Owner:-- Address-- Tenant: wner:Address:Tenant: Building Location. Type of Inspection requested: 'i BUri'TE COUNTY DEPARTMENT OF PUBWC WORKS `SPECIAL iNS.PECTIGN. REPORT J. i. , A, kA n A. P. IF Date of Insp ction P Ins ector<- I. Rousing/ / 2. Financing 3. Change of Occupancy to ,IW4- Other specify)-- A Presnkit use: cf buildi.n�: • A. Sanitation tiausingj 1. Water closet: 2. Lavatory-, —_ Bathtub or Shower: 4. Kitchen sink: — 5. Hot and cold water to fixtures: 6. Heating fa.c i1ities: 7. Natural Ifght and ventilation: 8. Room and space requirements:_ 9. Bedroom window or.door for second exit 10. Infestat?on o;_ izsecr_s, vermin or rodent : 11. Connection to sewage disposal.: 12. Connection to water supply:� 13. Rubbish and garbage facilities: 14. C omment. s : B. Structural 1. Pi.ers and footings: 2. Floor construction: 3. Wall construction: _ 4. Ceiling anti roof const ction- 5. Firc-.rlaces: 6. Ccrm-ienFs: C. Electrical � �. i . Seg �•icc: end 2. Rece )tE.c.ies: 3. 4. Ccry in g: s : _ ______� D. P ljimb inj 1. Fixtures co::-nect%-'d and vee teal: 3. Cts beating ?,'t ali _��•__�_ .�_�.__.�. � � ._. -- • COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION 7 County Centsr Drive — Oroville, California 95965 — Telephone: 534.4541 PERMIT APPLICATION DATA SHEET OWNER I l� -' Proposed Building Use_ Permit fee based upon: Permit No. ffr—Lla—,� A.P. No. —5w — 12 — V- �'— -0 Combete Contract Price DPW Valuation Building Inspector �� • S2' al A7" Date :7 ) D At time of permit application, I was advised t/ We 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. State Energy Forms No. .................... 7 Statement of Inten for Non -Heated A Buildings ................... 8. Fees of $ ................... �% Letter of signature authorizati n............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow) . ..... ........:...............................................................e-in......... . 1g� 15. Pre -inspection forjE'-C1- C ._ required. Pr-inspec. request t bldg. -inspector e 16. Other When you issue the permit, process as follows: Mail to owner I/Telephone�c�-5 2.i �.� and hold for pickup at Other Applicant Mail to contractor. office. Deliver w/inspection. Date i Copy of plans sent Health Dept., Fire Dept., / Other Date— During ateDuring the plan checking process, the following data must be sub itfed prior to permit issuance - (For required items not checked above at time of applicati irc itecn 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer caner) as advised of above required data by Telephone Mail Other )A% BY Date Plans checked by Plans approved by OTHER: Copy/DPW Date Date '( J� S I'Ve / So / 4fV Al' a 7 L u�� 0 Co--n +r: aid . porn e_. r r2��� r� a fir.. Of gv 1 ♦ J COUNTY OF BUTTE — - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel epho;e: 534Y4541 ' APPLICATION AND PERMIT aumorize representatives or the uounry or tsui(e to enter upon the above-mentioned property for inspection purposes. X Date< Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. i Contractor Mailing Address Fireplace Total Valuation Telephone No. -- Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W. C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR L SLFSS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS — Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST %ACCLBLDGS.LING CCUP. S) rZPSgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of!"Ex. NEW RESID. BRANCH CIRCUITS NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEWCONSTR. /POWER APPARATUS e NON •RES I D. (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIPES) 5 L2j OCCUp ( FIXED APPLNS. OR • OUTLETS (RESID.) EAI 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation.' ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r -1I 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 the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ aumorize representatives or the uounry or tsui(e to enter upon the above-mentioned property for inspection purposes. X Date< Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By Date Building permit expires Date COUNTY OF BUTTE — • DEPARTMENT OF PUBLIC WORKS ti 7 County Center Drive - Q)ville, California 95965 / Tel ephcne: 534541 APPLICATION AND PERMIT M,2 -61 yi Ivu. - - - r _ White-D.P.W. — Yellow -A s o**n Inspector — Goldenrod -Applicant Building pe it expires DaYe BUILDING �11 p ®' Owner V0�A A)E. W 1U,1 A" S SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor 02boju,� o/nn4 q-Ljc-_-:c"g(c co Mailing Address Pb %y, Fireplace Total Valuation l• /� �PO C'� Telephone No. �. 2,103 Permit Fee Building Address S ,VC /v (Java Q,D Planng Fee&/or Penalty Permit t Fee APP K -0y, til I OPh'>f (4 LVA)` - R—O, PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 i'►« Repair drainage or vent piping 1.50 p A. P. oa . Zoning & Planning Water piping 1.50 ` Each gas water heater or vent 1.50 Fes I AfC. I Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans Parcel I Declaration I Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 &i9_R4arrs+Rec'd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ 0 LeU-RAL s t CCS F-012— -TP-00C ELECTRICAL No. @ FEE 126-Pr1iR. P}Z\ T� PERMIT FILING FEE $3.00 o� Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service eoov OR LESS �' r� 100 AMP OR LESS 5.00 J,f✓O Main service EA. ADO'L 100 AMP 2.50 2,.Gb ��E� o S �/ Main service OVER P O 25,00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING 0 OR ADDNST ( ACCLBLDGS. C P 41 :20 sq ft r CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Busine & Professions Code under the name Style //C�r!e / NEW CONSTR MULTI -OU 2.50ea NON.RESID,ONST � BRANCH CIRCUITS) NEW CONSTR (POWER APPARATUS 9 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES B L@; EX. OCCUP• � OUTLETS FIXED P(RESID )RE A% 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No- B Classification C -ea Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee 1>4 $ $, WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Work"en's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT - FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 -me ntio d pro rty for inspection purposes. ` Date/ � � 1 igl ature of Perm ee or Agent Land Development Fee $ TOTAL PERMIT FEE �'�rt $ This permit is hereby issued under the applicable provisions of the County Code and/or resolutions to do work indicated a e fo -which fees have been paid. RE OF P BLIC WORKS Datd -61 yi Ivu. - - - r _ White-D.P.W. — Yellow -A s o**n Inspector — Goldenrod -Applicant Building pe it expires DaYe