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HomeMy WebLinkAbout061-340-027`1-3�t..Z� A.P. K.G. MALLOUGH ! I e/s Oro Quincy Hwy, 1/3 mi. so. ! of Mountain Houseile r Vjille Permit -1246-'72E , ,�^-,?�7f� (utilities for a home _. 61-34-27 Contr: Mountain bevelo.pment Permit.3B,E ew garage) " I, t � I I' I BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE DELIVER TO LAST PERSON NAMED _ATE NAME I DEPT. I DATE I NAME DEPT. M r1 7 2697-83B,E PERMIT NO. PERMIT EXPIRES et i 1 OWNER KENNETH G. MALLOUGH CONTR. Mountain Development ASSESSOR PARCEL 61-34-27 LOCATION NE/S Oro Quincv Hwy 22 mi N Brush Creek Ranger Sta, Brush Creek i t ! i t Temp. Power-Pole— Called PG&E _ Temp. Elec. Service I Called PG&E_ Temp. Gas Service _ i Cal led PG E JOB FINALE[ k 1 S Signature a V=OK 0 = Not OK - = Not Applicable -. Not Ready v hSIDENTIAL (Single and Duplex) Date UNDE LOOK (Plans) OK except#'s Date FRAMING (Continued) Celt 9- Dg requirements -Setbacks -Easements 48.-Propeay Line Firewall & Openings t - eel -Flet. Grnd.- / /" Ftg. Depth xi. Doors -One 3' -Check Garage -3rd story, 2 exits g., Garage; Soils -Steel- / Ftg. Depth fairs; - eadroom-Rise-Run-Landing-Fire Protection 4. orches & Decks; Soils -Steel- / /" Ftg. Depth 5 ywoo oof Overhang -Attic Vents -Rafter Outriggers 5., atn; Steel-Blockouts-Wrapped-Slab 52,-- niing-Nailing-Veneer r 6. St , arage; Steel-Blockouts-Wrapped-Slab 53!::ucco ^"� �h �r'p Screed-Fdn. Vents-Underfir. Access 7. 8. Piers- ' p ace Ftg.-Steel W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 54, 55. ss Protection -Skylights -Plastic ming -Bolts 9. Gas i nchors 10.at pe; Test -Anchors -Regulator -Service Test - 11, let ' ' nderground 12. Hums cis; Clearance -Material -Support -Ins. 13. s -Sills -Anchor Bolts -Joists -Vents -Cripples Cet I ate Card -BI Date Card -BI bate Card -BI Date Card -BI Date Card -BI Date ®rd' ate Card -BI Date Date FINAL, (Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s $K­EY,I�Steps-Door & Sidelight Protection -Landings 6dj5fPrb ee eta 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Ven arance-Comb. Air -Connector - I e; Above Floor -Ducts -Meth. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. xt tng Shower Pan; Test, First Floor -Tub Access 60• u Access ___17. 18. Test Tub & Shower, 2nd Floor -Tub Access 61 . ec. Trim & Subpanel; Breaker Sizes -Labels _ Gas Pipe; Size & Anchors 62. Stairs-&-Rtrts1 _-__19. learances-Hearth Card -BI Date Card -81 Date 64.panel; Int. & Ext. 65.144+, �', �; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Iles at Kit. Counter Date ELE ICAC Permit OK except #'s 67. oor; Swin -Landing-Closer 68• - per '- Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr • -Clearance-Comb. Air-Connector-P.R.V.- arage; Above Floor-Mech. Protection 21. EJee-REL'2ptacles Spacing -Lights &Switches at Doors 22. '3FZS oyes & No. of Conductors -Stapled 70. uip. Listed for Location 23. 9MeA L"talled Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water ec. Rete tacles in Garage; G.F.I. -Romex ec. p 9 ( ) 72. -oam-Looked in Attic ❑Yes73. - _ 25. 26. ante ircuils in Kitchen & Conductor Size Subieed Wiese / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI ec Construction -Post Caps 74. Fdn. Ve wl Hole Door -Drainage & Wood -Earth Clearance Looked uriaer Floor ❑ Yes _- 27. 28. irc. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated I ❑Yes ❑No ervice- onductors & Ground -Main Disconnect 75• Fol Drive ❑Yeslo; Walks ❑Yes anters LJ Yes 'RPfo 76. - inish 29. uip. Clearances; Pane I Equip. 7 tsconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -_- 30. Ligh-Mech. C - oset Light -Shower Light Light -Shower 78,E Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Wall• D_ isconnect, Electrical, Plumbing - --- --- ---- -- ----- Card B-I�fat f I - Card -BI Date 80 E -4-- & Trim; G.F.I. Receptacle -Underground g�ughout House Card B -I Date Card -BI Date 82 n Date MECHANICAL (Perrc,it) OK except #'s erections from Previous Inspections 84"_ Gas Test -Meters Tagged; Gas -Electric A.C. Ducts: Insulation & Support 85.--Weler-&-Sewer Connected -C/O to Grade -HD Approval y - 32. _ 33. Vent Fan_Exhaust above Insulation Condensate Drain &. Overilow; Size & Grade 8 pliance Certificate -Other Certificates -_- 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 BI ate _ Card -BI Date Card -Bl -Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA (Plans) OK except #'s Comments at Final: _ _. Si roper Material & Anchors _ - 37. a _ Studs -Nailing, Spacing & Bracing -Plates -Sound 38. e_a_ring Walls over Girders & Floor Nailing o in Walls (rat proof) - 40. �4 ei l ings-Stairs-Chases-Tub _-__4gieplaee-i�es�r _ 42r -Id 4 45._ _eader & Beam -Size & Bearing __ Caps -Anchors -Connectors - Ing. Joist -Rite. Ties-Purlin-Root Brat.-Truss-Sh ntt"i g.-R(I Type A Flue -Fireplace Throat ize &__Romex Protection -Draft Stop -Ins. Baffles jjdr Exiting Doors -Sill Hgt. & Dimensions - rotection Framing - -_ (NOTE: An entry must be made each time youvisit jobsite) J =OK 0 = Not OK = Not Applicable MOBILEHOMES * = riot Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 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.-Rig.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 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 H's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N'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 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 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 Lghtg. 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 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS _ 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 �r matter, or need additional explanation, 'please contact this office immediately. Fu Fo RAF Lt. 5PLr c rz l WEI n r Inspector �aj)' / f Yj j Date 'V L � ' COUNTY OF BUTTE - DERARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION -AND PERMIT PERMIT NO. e -0(O Z ASSESSOR PARCEL NUMBER- Z, ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS -2 = s o a J CONTRACTOR'S NAME bE1/E o - co, TELEPHONE s �- 97 CONTRACTOR'S LING ADDRESS S Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 2j Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $76-160 ARCH TECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 7, SEC) Penalty $ ARCHITEC OR ENGINEER'S MAILING ADDRESS Permit fee $ �Zes BUILDING ADDRESS s c PLUMBING PERMIT Filing Fee 10.00 _ 2� U Each Trap 2.00 Solar Water Heater 20.00 _ Lo Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome ❑ Other 11 l4 6 F-7 SPECIFY Building sewer 5.00 Mobile Home I S I G I W 10.00 e TYPE OF WORK Newt Add ition❑ Remodel EJ Utilities❑ Installation[]Other❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OC P ` OR ACDNS. ( ACC. BLDGS. ' / 2h2sq ft C7C/ � o ,CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): /I�YF'I I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full fo a and effect. License No. 2Classification ❑ 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 NNOEW CONN.RESI5D BRANCH CIRCITS.TR u TI.OUTL T 2,50 ea NEW CONSTR POWER APPARATUS &') NON.RESID. (SINGLE OUTLET CIR, Ex z0®s0e . Occup(o OR FIXTURES 9AL®ao IXEDTs Ex. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ ego 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. ❑ 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 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to ave, indemnify and keep harmless the County of Butte against all liabilitie dgments, co and a nses which may in any way accrue against said my in cons que ce granting of this permit. X Date Signature o Applicant — Owner Contractor Agent An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 storiesinheight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ %$70, Q occui./GR.uP �', TYPE of CpNST. r "7L PD ND 15Su�r This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D=R:�FtOF P BLIC BY ` PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. &�� / O WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT r COUNTY OF BUTTE —DEPARTMENT OF OUBLIC µWORKS - BUILDING DIVISION A. 7 COUNTY CENTER DRIVE - OROVILLE,. CAL•IFBRNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER ,tJ��{ )�l l / ,/ l I n 0 Q14 A. P. No. Proposed Building Use 4-AA24�5:: Permit Fee Based Upon: Complete Contract Price DPW Valuation Other (Explain) • Building Inspector- Date 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. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . _SC OAO. Sanitation approval from 4x004/XZ / Health Dept. I 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑•) 15. Improvements may be required. . . . . ... 16. Mobilehome Installation Data. . . • . . • . 17. Pre -inspection for Required. Pre-Inspec. request to (Date) p q Building Inspector 18. Other 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 _ ,9 Applicar��,/�!!�/,r'., .��! 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 By. Plans checked Plans approves Other Copy—DPW Telephone Mail Date Date _ 6.3 Date Other TO: Building- Depart, .ent Fror:,:-hvi.rormtental Health Su'o ect: Sanitation Clearance Plan '!.poroved for: Sewage disposal. Hold final for: Final clearance .O.K. for: Clearance 'for bedroom mobile home. Other NOTE S anit avian p2 water > water suppl-r water supply water supply . Da t, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK/ ,/ _7"_7 County Center Drive — Oroville, California 95965 Telephone' 533-1230, 'Ex4. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x 1� x1 --2G- 7'z Date Signature of Permitee or A�ggey' Receipt No. ;7'r White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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. DIIRREC R F PUB WORKS By 4 • DateR— --20 Z__ Building Permit Expires Date 2-60-7 3 BUILDING Owner A/_ x92 SQ. FT. OCC. BUILDING VALUATION Mailing Address �Lr Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Permit Fee $ $ Building Address ' PLUMBING No. @ FEE PERMIT FILING FEE J$2.00 —_Fach 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. ('p�— r� — Zoning _Z Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept.' Sanitati Planninguilding sewer 5.00 ans / Fees f/ W. C. R/W od Encroachment Lawn sprinkler system2.00 NEW ❑ ADDITION ❑ OTHER ❑. Permit Fee $ $ '611/1 ELECTRICAL No. @ I FEE PERMIT FILING FEE J$3.00 S Oo Main service incl. 1 meter Additional meters, each 1.00 USE OF STRUCTURE . Single Family ❑ Duplex ❑ Others ❑ Sub -panel 02 or less) (more than 12) Range, dryer or water heater 1.00 Oven, Cook -top or space. heater 1.00 Light fixtures Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar, disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring .4 License No. Classification 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. M 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 Permit Fee $ $ I certify that I have read this application and state that the above information is correci. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby tate Fee for Str ng Motion $0.07/$1000 Evaluation nstrumentation ♦4rogram $ TOTAL PERMIT FEE $ . (' authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. x 1� x1 --2G- 7'z Date Signature of Permitee or A�ggey' Receipt No. ;7'r White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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. DIIRREC R F PUB WORKS By 4 • DateR— --20 Z__ Building Permit Expires Date 2-60-7 3 COUNTY OF BUTTE — DERART,M,ENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned roperty for inspection purposes. X Date Signature of Per ite�e oar Agent Receipt No./ 1 -3 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. DIREC OR OF PUBLIC WORKS BY ADate f eL ;;I— 3 Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor 0. Total Valuation Mailing Address �cJa— Permit Fee Plan Checking Fee &/or Penalty Q S / 3 Telephone No. Permit Fee -7—$ $ Building Address v�EXsr .GG PLUMBING No. @ FEE PERMIT FILING FEE $2.00 s .� o p Each Trap 1.50 LG A Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. " ®2 — 1p Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F grrrFtati M Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I ParcelParcel Declaration Ma P 60' R/W Imp rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 2— ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 / —eh or- Z- /LIs .�rh, iT Main service incl. 1 meter i3Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 oress) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal__ X1.0 R s.,sw' es & f outlets ZZ�o((�a22S5 O ! c� 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: / Pt 12v't3��ta`i o�J -1 -tytJC- ov-i Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 V. O , l 0 AA 4 01 -L- 6A p Temp. Power Pole 5.00 License No. _ZC74' 2011 Classification 3 Misc. wiring ❑ 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. I Io an certify that in the performance of the work for which this ermit is issued I shall not em P employ y 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 Is e authorize representatives of the County of Butte to enter upon the above-mentioned roperty for inspection purposes. X Date Signature of Per ite�e oar Agent Receipt No./ 1 -3 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. DIREC OR OF PUBLIC WORKS BY ADate f eL ;;I— 3 Building permit expires Date