HomeMy WebLinkAbout059-086-01759-08� `
BILL SHELTON`
512 .Manzanita j
S irling City
- ermit ##1920-77E (ele-ser -eh)-_S� -
059-08-6-017 93=2169 B,E
SCHMIDT, DENNIS / .f
17124 MANZANITA, STIRLING CITY h 97
CONTR: MCLAUGHLIN ELECTRIC
WOODSTOVE, REPAIR FLOOR; MISC ELEC/SF
1
I
059-08-6-017 93-2169 B,E
SCHMIDT,, DENNIS
17124 MANZANITA, STIRLING CITY
WOODSTOVE, REPAIR,:,,FLOOR, MISC ELEC/SF
CONTR':'MCLAUGHLIN ELEC
COANTY OF BUTTE - DEPWTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916 538-7541
1 .•- '� APPLICATION AND PERMIT
PERMIT NO.
G
ASSESSOR PARCEL NUMBER
059-0f36-417
ZONING
BUILDING PERMIT
OWNER
Dennis Schmidt
TELEPHONE
894-8877
SQ. FT. OCC. BUILDING VALUATION
((��((�� ((��(�
t• 500.00
OWNER'S MAILING ADDRESS
1172 Manzanita Ave., Chico 95926
CONTRACTOR'S NAME
PTclaughlin Electric
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace A 1,50.0.00
Total Valuation 2
Filing Fee
000.00
$ 15.00
CONSTRUCTION LENDER
UNKNOWN
LENDER'S MAILING ADDRESS
Permit Fee
$ 37.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee'
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 52.50
PLUMBING PERMIT
Filing Fee 15.00
17124 Aian2anita St., StirlingCit
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
WaterP� 9 I In
P
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home I S I G JW I
@ 15.00
TYPE OF WORK
New r_ Addition a Remodel[I Utilities ❑ Installation❑ Other fZ]
Describe work: WOOdstoye, Repair Ply Flooring & _
Mise. Electric
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO IOOOAI
_
37.50
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
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)
2' I, as the owner, am exclusively contracting with licensed contract-Misc.Mobile
ors. (Sec. 7044)g
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.&)
OR ADONS. l ACC. BLDGS.
3.6$sq.ft.
NEW CONSTRMULTI-OUTLET
NON.RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 8 760
AL_ 464
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.�
I 3.00
Temporary service
15.00
Ho
Home Facilities
15.00
H
15.00 • 00
Permit Fee
$
—
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.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating
Cooling
Hood
6.50
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 dgments, costs, ,and expenses which may in any way accrue
against sajd my in co eq f,( e off tj�;�ranting of this permit.r�
X _ _ /_��i Date 17- / - g-3
g pp L� 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 S
Energy Inspection Fee $
occ CONST TYPE
TOTAL FEE $ F2.50
HAz
I DFEES I
IMP
I FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
,g DIXCTQR-0E-PWDHC
By tC - t i % !"; r . _
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS J �,
Date
'
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD- A PPLICANT
N.,
t COUNTY OF BUTTE - DEPANTMENT OF PUBLIC WORKS PERMIT NO.
F 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 -
APPLICATION AND PERMIT
A SESSOR PARCEL NUMBER
q,5 059-086-017
ZONING .1
-� BUILDING PERMIT
OWNER
Dennis Schmidt
TELEPHONE
894-8877
SQ. FT. OCC. BUILDING VALUATION
Est. 500.00
OWNER'S MAILING ADDRESS
1172 Manzanita Ave., Chico 95926
CONTRACTOR'S NAME
McLaughlin Electric
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace A 1,500.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 2.000.00
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 37.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 52.50
PLUMBING PERMIT
Filing Fee 15.00
17124 Manzanita St., Stirling City
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFf] Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home SG W
@ 15.00
TYPE OF WORK
New Lj Addition U Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work: Woodstove, Repair Ply Flooring &
Misc. Electric
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 115.00
Main service 600v OR LESS
200A OR LESS
18.50
Main service 20CATO 1000AI
37.50
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
' 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUPM
OR AODNS. ( ACC. BLDG S.
3.64sq.ft.
NEWCONSTR.ULTI.OUTLET
NON .RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &
(SINGLE OUTLET CIR. )
Ex. Occup(OUTLETS OR FIXTURES
20 76d
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.I EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
1 15.00 15.00
Permit Fee
$ 30,00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 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:
rshall 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 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
penult 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 Save,
costs, d expenses which may in any way accrue
against sa' o my in conseqVWce oft ' g of this permit.
--3
X Date __ _ q -7—T3
An OSHA permit is required For excavations over 5'0" deep and demolition or construct -work
of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 82,50
HAz
1 0FEES
IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
indicated above for which fees
DI CT
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
jp1d,.
have beenion
ORKS
D to
Receipt No. �S
WHITE-D.P.W.. YELLOW -ASSESSOR, PINx-INSPECTOR, GOLDENROD -APPLICANT
1 J
COUNTY:-.OFOBUTTE
DEPARTMECT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER' �f PERMITp 0
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.
I' A Is
Date �� _ - 53 Inspector c 6a�
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFQRN x,965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER SC/ AD A. P 7
Proposed Building Use Building Inspector Date ZZ ICI
At time of permit application,'I;was`advised the following data must be submitted prior to permit processing and/or issuance:
� DATE RECEIVED BY
FL" 1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3_ Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form. ....... .............................. .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . .......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $.........................................
11. Impact fees as shown on attached schedule. ........................... ! . .
12. California Department of Forestry plan approval/fees. ................. .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department.,:' .......... .
15. City of Chico plumbing permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . ........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). .. 1;4
20. Pre -inspection for required. .. Building i� -Date
c )
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner 'Mail to owner )............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ..................:...................... .
29. Documentation of legal access . ....................................... .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets area and frontage requirements . .............. .
A ting violations/ fired permits. .....................................
32. Plan check list. ...........- .......................................... .
33.-
.34. '
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at:, office. Deliver with inspector.
Other''
Parcel Creation
Acreage ,Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. n Other. Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permiffor above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY.OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-538-7541
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 ma' abor and materials for construction of
the proposed property improvement yes or no)
FA
I -shave not) -
for the proposed work.
signed an application for a building permit
3. I have contracted with the following person (firm) to provide the proposed
construction: ..
Name' cj LAv
Address City
Phone e Contractors License No. 3L5-07 Z.2 2
. .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 City
Phone Contractors 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:
Property Owner
Social Security Nu err
Date JZI/ Q 3
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.
Permit: 1970-77E
Shelton, Bill
512 Manzanita St.
Stirling City
f (elec. svc. change SF)
}
1.2
f
d
i
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t
•.
•COUNTY OF,BUTTE — DEFARTMENT OF PUBLIC WORKS
7 County Center Drive Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
autnonze representatives OT the Lounty of tsutte 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 7 `" ' - — - — Date
Building permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address %�--
/y
Telephone No.
Fireplace
Contractor _
Total Valuation
{ 60(, "ice"
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. lj '� /J�'f �'—
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees
W.C:
Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
.EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
Bldg.•Plans.Rec'd I
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑1(
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service i°o°o AMP ORV OR SLESS 5.00
/
Main service EA. ADO'L 100 AMP 2.50
Main service OVER 600V
00 AMP OR LESS 25.00
Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L loo AMP 1.00
NEW CONST. OR ADDNS, ( DWELLING
ACC. BLDGOCCUP. &) 20syft
NEWCONSTR. MULTI -OUTLET
NON .RESID, % BRANCH CIRCUITS) 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON.RESID. SINGLE OUTLET CIR,
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. Occup(OUTLETS OR FIXTURES)@S
BAL@@a1
FIXED ALWS
Ex. Occup. (OUTLETSP(RESID)REA) 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 $
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.
0 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. @ FEE
PERMIT 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
TOTAL PERMIT FEE
$
autnonze representatives OT the Lounty of tsutte 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 7 `" ' - — - — Date
Building permit expires Date
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION,
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT N
APPLICATION AND PERMIT 7 - �-,K
As'
Es�QSP�1RCf�l,�IUM�ER017
ZONING
BUILDING PERMIT
•OWNE
ENNIS SCHMIDT
TELEPHONE
891-8877
SQ, FT, OCC. BUILDING VALUATION
OWlNE�B772" anzanita Avenue, Chico CA 95926
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
-
CONSTRUCnON LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
17124 Manzanita St Stirling Cit
PERMIT FEE $
38.75
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Duplex O Mobilehome O Other
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New O Addition O Remodel O Utilities O Installation O Other O X
Describe Work: 1st renewal/93-2169
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 'OVOR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO IOOOA )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. 9LDS. )
SO
3.5C FT.
- -
CONTRACTORS LICENSE LAV1%,
declare under penalty of perjury (check- ne)
O ! ern. a !icensed under provisions of -Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
for this reason
-WORKER'S'COMPENSATION INSURANC
1 declare under penalty of perjury (chgpkona9:
O This permit is for $100.00 (valuation) or less.
O I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
NEW CONST. MULTI -OUTLET
-NON.RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIH.
Ex. Occup. ( OUTLET OR FIXTURES )
2D @ I•o0
BAL. .60
FIXED APPLNS. OR
Ex. Occu p' OUTLETS IRESID.1 EA. )
(
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California 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.
X �.
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEE $ 31.75
HAZ.
1 D. FEES
IMP
I FLOOD
CDF
I PARCEL I PD
I HD
I ISSUE
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.
BY Date
PERMIT EXPIRES ON R,1R�g5
tbate)
Signature of Applicant - O Owner O Contractor O Ag
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT