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HomeMy WebLinkAbout063-150-0200 FOREST RANCH 63-15-20 MUNICIPAL WATER CO. �Syc�, Nopel Avenue Contr: Forest Ranch R B Strang r� Permit#1804-88E ser ch/w_l er co) B07-0739 063-150-020 MISCELLANEOUS Electric Panel AT & T 100AMP METER AND PEDES1 NOPEL RD W/oP7 AT&T / BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 4 INSPECTION CARD .MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website: www.buttecounty.net/dds Permit No: B07-0739 Issued: 4/9/2007 Address: NOPEL RD Area: LEST RANCH Owner: AT & T APN: 063-150-020 Applicant: MGH ENTERPRISES IN(Map Page: Permit Type: Electric Panel Description: AT & T 100AMP METER AND PEDESTAL Flood Zone: None SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do .Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab Until Above Signed Holdowns/Straps 122 Shearj,311UB.W P. -Interior 135 Shear' —Exterior 135 Roof i Electric By:- 129 .Do Ni"------�- "` OFFICE COPY �3igned Rougl; Bldg Permit: Rougf', Rough, Address: Rough, Gas Pi l Showe,, GAS By: Date: -L •• _ _ Fire Sj Electric By: Fire Sj - j f Bui Umg Fina 1 802 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type 1 IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath - 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Setbacks 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool ElecBonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 1 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: Public Works Fina 538-7681 Fire Department/CDF 538-7111 Env. Health Final 538-7281 Sewer District Final **PROJECT FINAL 801 ,o a --rrulect rinai is a i-crnucare or occupancy for (Kesidential Ugly) PERMITS BECOME NULL. AND VOH) 1 YEAR FROM THE DA-rE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A]. YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION Inspector Copy 0 111, BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: Owner: Permit No: B07-0739 APN: 063-150-020 AT & T Issued Date: 04/09/2007 By KEJ Permit type: MISCELLANEOUS 2540 CACTUS AVE Subtype: Electric Panel CHICO, CA 95973 Expiration Date: 04/08/2008 Description: AT & T 100AMP METER AND PED] (530) 894-2537 Occupancy: Zoning: R1 Contractor Applicant: Square Footage: MGH ENTERPRISES INC MGH ENTERPRISES INC Building Garage Remdl/Addn 2540 CACTUS AVE 2540 CACTUS AVE CHICO, CA 95973 CHICO, CA 95973 Other Porch/Patio Total (530) 894-2537 (530) 894-2537 FEE INFORMATION DBA Permit Issuance $54.90 DBA Travel and Documentation $82.35 DBE Single Phase Service-Resid $55.00 i LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires MGH ENTERPRISES INC l ISZ1 --M 7 4 Ive7 /%+•07 I HEREB FFIRM UNDER P ALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commenci with Section 7 0) of Division 3 the Business and Professions Code, and my license is in full for ndeff. X 04/09/2007 IContractor's SignatJ& Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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. 541 HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by (�[ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carie Policy Number:Exp. Date: ��p� (This section nee not a competed if the permit is or one hundred dollars ($100) or less.) ❑I CERTIFY AT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, shanot employ anyper n in any mar so as to become subject to the Workers' Compens tion laws of Califomi d agree that if I houId become subject to the workers' com ansa on Provisions of S ion 3700 of the or Code, I shall forthwith comply with those X 04/09/2007 blgnature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEYS FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip $192.25 Balance Due: $0.00 Receipt No: OWNER./, BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that l am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500); Please check one of the following: ❑1, 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ElI, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: X 04/09/2007 Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, an,0 property damage caused by, arising out of, or in any way connected with the issu r of this pe . I hereby acknowledge that issuance of this permit does not authorize the use or o pancy of sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County t enter th ove me ned property for inspection purposes. I hereby certify that I am the props m ed to act on the property owner's behalf. s ,yccl2 04/09/2007 Name of Permittee [SIGN] Print Date ❑ Owner Contractor OR. ©Agent for Owner ElAgent for Contractor FILE COPY r - BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name Ay, 01 AZJG1 First Name Mailing Address" eo,*r-T--d 4-&,e City State ZiRi,�Q%3 Phone g4 Y- ZSr3 7 Fax E-mail . fIM& L' N�lr- CONTRACTOR Name AZJG1 Address �.yo e J � City r✓6� Stated Zip9S9'73 Phone O 37 Fax Sq E-mail %t/h�G,fi'oa�� C���3ClafcSc�G. /tJ,oT Lic. # e O JZ..7 Class 4 9/C7 APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address zio 977 City Fax el-A� State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address 44e.7L� �. City State zio 977 Phone 9 �/. Zs3% Fax el-A� E-mail gAae. Aw/c 0 —WF &6&096 PERMIT NO. o-� -���� BIN # ^"�� PROJECT LOCATION V AP# IG _ IS o - b `L -D Property Address £ eon ®` o 10 %Xval/l _ City /�` WORKER'S COMPENSATION Policy Number 2 P/7 Z Carrier �wi z -z1 I S . 'e, w� If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: G&_2 lea l z r/,e✓ ,q7X— ®too5,1 . IF Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. I Type Const. W COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATI&N-,ANS PERMIT PERMIT N0. ASSESSOR PARCEL NUMBER �. ZONIN BUILDING PERMIT OWWN-ER �� ( ) r0r e'5 IMAM lA w e i ♦ Intl ��.%` 1 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS CONTRACTOR,,,�S NAME /JJ r TELEPHONE CONTRACTOR'S MAILING ADDRESS f e �C.t Fireplace CONSTRUCTION LENDER r UNKNOWN T5tal Valuation is Filing Fee $ 10,00 LENDER'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 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE / SF Duplex❑ Mobilehome❑ Other 1,1/41M- SPECIFY '— i"-' Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Q'j r < Describe work: !� +` �'?( �� �!-i/-%•'� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 10.00 t7 100 AMP OR LESS Main Service EA. ADD'L 100 AMP 2.50 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. (l G�'' �l) License No. Classification El 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8 CC, SLOGS. , h2sgft New DCONSTR.� A ULTII.OUTLET NO N.RES.D .BRANCH CIRC TS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES ew 030 EX. Occup. OUTLETS P(RESID )FIXED APLNS. REA.Y 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. �Yirin 15.00 1 CO g Permit Fee $ a'0 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 I 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 shallsbe deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating i Cooling g Hood 3.00 Ventilation 1 Penult Fee ; Contractor I certify that I have read this application and state that the above information 1s correct. I agree tolcomgly to all County Ordinances and State Laws relating to building construct4,on, and hereby authorize representatives of the County or Butte to enter uponih'e,above-mentioned`property for inspection purposes. 1 also agree to save, ind'emriify and'keep harmless the County of Butte against all liabilities, judgments, costs.. -and expenses which may in any way accrue against sai.dZounty.in -consequence of the granting of this permit. J ' 1 v ° Signature of Applicant — O nerj❑ Contractor Q Agent ❑ An OSHA permit is required fo% covotions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee ; Energy Inspection Fee j $ TOTAL PERMIT FEE $ 0ccup . CONST.TYPEJ JSCH0QL I FLOOD PARCEL I P11 I ND J ISSUE This permit is hereby issued under the applicable provi- sions of the Butte Count Code and/or resolutions to do work indicated above for which fees have been aid. P DIREIC ROOF PUBLIC WORKS f By Date .� �� PERMIT EXPIRES Date 42- Receipt No. E t�,G h WNITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PER l6 NO. ASSESSOR PARCEL NUMBER — O x O — (7 ZONIN BUILDING PERMIT FATION oreS' aQ TELEPHONE SO. FT. OCC. BUILDING V L OrER'S AILING ADDRESS D CONTR TO.' NAME TE PHON CONT CT S MAILI DDR SS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'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 ADDR7,5 Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE /n� SF F-1Duplex❑ W Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets I 5.00 Building sewer ! 5.00 Mob le Home S I G I W 0.00 ea TYPE OF WORK j New ❑ Addition ❑ Remodel ❑ Utilities ❑ dnstallation❑ Other Describe work:{° f Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 106.0 Main service EA. ADO'L 100 AMP 2.50 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 m icense is in full force and effect. License No. '� S Classification El 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. I DWELLING OCCUP.SI\ OR AODNS. ACC. BLDGS. +/z¢sgft NEW CONSTR. MULTI -OUTLET NON. C CIRCUITS) 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. (OUTLETS OR FIXTURES EOCCUp 200000 eAL930 FIXED ALINIS Ex. OCCUp. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 f 0t! Permit Fee $ Drp 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 Seif-Insure. (� I shall not employ any person in any manner so as to -become subject j� 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 Feo $ Contractor I certify that I have read this application and state that the above information 1s 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 all liabilities, judgments, costs, and expenses which may in any way accrue again s u onsequence of the granting of this ermit. X �� Date 41 Signature of Applicant — 0 ne ❑ Contractor Agent' An OSHA permit is required for covations 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 $ P� OCCUP. CONST.TYP[ JSC1I00LJ1'L00aJP11RCCLJ PD 3 ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRTO OF PUBLIC By 62 PERMIT EXPIRES Date the applicable provi- resolutions to do flees have been paid. WORKS Date Receipt No.I (a Ct WHIT[-D.P.W.. YELLOW-ASSE300R. PINK -INSPECTOR, GOL-APPLICANT DENROD COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICAT"ION AND PERMIT 'V ASSESSOR PARCEL NUMBER — 0 a. O — (� ZONIN BUILDING PERMIT rNLA o)•eS� TELEPHOP4E SO. FT. OCC.1 BUILDING VALUATION OERAILING ADDRESS 'SpJ D )L— ,CON CONYR T NAM TE nPHOjNE. CONTR'ACTOWS MAILIDDR SS 0� 'fen Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES &I j q Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE/n�, SF [I Duplex❑ Mobilehome❑ Other 4G SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ utilities[:] dnstallation❑ Other Describe work: �� 1�.7s�-G'L�/7�1 %(r� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000V OR 0 AMP ORLESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and m (cense is In full force and effect. License No. Classification E] 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) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.a` OR AODNS. ( ACC. BLDGS. / /20sgIt NEW CONSTR. '.OUTLET NO N.RESID BRANCH IRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. 0050 Ex. Occup OUTLETS OR FIXTURES .2ALG 30C FIXED APLNS Ex. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 j '" Permit Fee $.fir p 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. 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 �ag�aln s u onsequence of the granting of this ermit. ^ / ( Date — Signature of Applicant — 0Qn-,❑ Contractor 0- Agent An OSHA permit is required foovations over 5'0" deep and demolition or construct- ion of structures over 3/ stories in height. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Permit Foe $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPc SCHOOL FLOOD PAIICCL PD 110 D9U[ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT FXPiRFS date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. Ci I�/J�/g s N Na X OV EX TTNC- 5i Ru_1 UR ?` ` 1 F f , Provide adequate clearances C"' E` rotection and a Twe-A Flue. s W00,0 -5701/E '*D E rR1VA7,F N ENTRY h' 10" UJALL =20 2qJ 4 tR EC.E f?TI.ON' E gi q#1 42" WILD. ' a - O 04' erAY471-7-IMI 77:9 E'r 1-6 Y -..�.�l.J''..L-.�. 121 OUTTE COUNTY BUILDING DEPARTMENT Tids set of plans and specifications MUST bt kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Pub lic Works, County of Butte. I HOTS. --M Va%Aah I Workmanship Shag Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform iuiiding, Plumbing & Mechanical Codes and the Natlonal Electrical Code. PA 1 i7 0 N Al f j VV - ` XXE %A t ; i OF ....� t C 121 OUTTE COUNTY BUILDING DEPARTMENT Tids set of plans and specifications MUST bt kept on the job at all times and it is unlawful to make any changes or alterations on same without written permission from the Department of Pub lic Works, County of Butte. I HOTS. --M Va%Aah I Workmanship Shag Be in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform iuiiding, Plumbing & Mechanical Codes and the Natlonal Electrical Code. 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