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HomeMy WebLinkAbout064-080-008.P. 6 08 A 4- - 7, 1 16 1 8 FRANK UHOR 290 Colter,, —1- - -- ----- _ 4. . ....... Contr: C & M Electric, Magalia Permit 2361-73 P�.E Y-2 L * 'W 8 64-08� CONTR - S. 0. S. 19944Z-O!�"� 14 -~Permit #6211-75MHI IIssued 1,2 -,9- 7,-� I - -64-08-8 ,qONTR : RoriStr7ker, Paradise {Permit #188-76B(n w deck & patio- cover/MH) 9 x _.Y_� ..�.. _ _l ���I d'i0 v�� PERMIT NO. 188-76B P E M MH UTIL PERMIT NO. PERMIT EXPIRESZ /��/ .S OWNER Mr. & . Mrs .. Frank Tfhor CONTR. Ron Stryker, Paradise LOCATION (A.P: 64-08-8 ) .290 Colter Way, Magalia �. p` Temp. Power Pole i Called PG&E Temp. Elec. Serv. Called PG&E emp. Gas Serv. Called PG&E JOB /FINALED (Date) 1 l (Sign tdre) COUNTY OF BUTTE — DEPARTMENT -,-OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDJNI§„ „/ BUILDING (Cont'd) PLUMBING Setback "/ A&190 4W Firewall Soil Piping Forms LT Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor, Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond B am FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco ' Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE 11d6 /_1 C .REMARKS OR CORRECTIONS COUNTY OF BUTTE — ► DEPARTMENT OF PUBLIC WORKS 7 County Center Drve —. Oroville, California 95965 lAr-Z�a Tel ephc�e: 53$-4541 APPLICATION AND PERMIT authorize representatives of the county of Butte to enter upon the above-mentioned property for insp ction purposes. *� X Date 711-1 Signatu>re of Permitee or Agent Receipt No. / y'7® 7S' 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 abov"whichfees been p 'd. OF BLIC WORKS BYDate �— 26 ilding permit expires Date ................./..-11`'.x..7.7.. BUILDING Owner H gd- /I FltAgIT V OIR SQ. FT. OCC. BUILDING VALUATION ZI7 'r Mailing Address Ca(_y cFZ w j4'rEL,t n tM 1� 14 L 1 A, Telephone No. , 3 — O S Fireplace Contractor R 0 ^1 T&Y t c Total Valuation Mailing Address 696 13 L( Cc 0 Permit Fee Plan Checking Fee &/or Penalty Telephone N (app Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Cc L -t C � 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. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F 4091W. Sa )FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel' Plans Declaration Parcel Ma P 60R/W Improv provements Lawn sprinkler system 2.00 Bldg. P4we<c'd Parcel proval PIc s Approval Permit Fee $ $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures al d�o Receps., switches & fix outlets Z 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: /ZdNlii' L u /0, 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 Temp. Power Pole 5.00 / C License No. X.3 � 9.0 � Classification 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 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 $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the county of Butte to enter upon the above-mentioned property for insp ction purposes. *� X Date 711-1 Signatu>re of Permitee or Agent Receipt No. / y'7® 7S' 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 abov"whichfees been p 'd. OF BLIC WORKS BYDate �— 26 ilding permit expires Date ................./..-11`'.x..7.7.. Permit #6211-75MHI r, UHOR, FRANK 290 Coltrer•= Way j Magalia A.P. #64-08-8 Contrs.S•O.S. (MH Installation)for peril it #2361-73 % --`_ e / e 1 r a. I Yp • 1 t 1 ' k [ 1 1 7 } 1 COUNTY OF BUTTE — PNEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephpne: 534-4541 rJ u • APPLICATION AND PERMIT autnonce representatives or the t.ounty or butte to enter upon the above-mentioned property for inspection purposes. X r%,%� �rA�.--'_ Date ! il_ - ti Signature of Permitee or Agent I' ` ~Receipt No.`T?� 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 `',�-- Date41 Building permit expires Date �� 5 BUILDING Owner _�c ' � • L, .., . _; � ' SQ. FT. OCC. BUILDING VALUATION '. Mailing Address ' Telephone No. Fireplace Contractor , `f, .�' _ Total Valuation Mailing Addressf �/ /�/� �/��'s ,� Permit Fee Plan Checking Fee &/or Penalty % Telephone No. Permit Fee Building Address t� /1"'^"� r.a r i PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 if Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ��^ -- Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees �WC. SaniCation �FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans_ Pdreel eclaration Parcel Ma P 60' R/W ` Im rovements P Lawn sprinkler system 2.00 Bldg. P,ns Recd Parcel Ap royal Plans` pproval Permit Fee NEW ❑ ADDIf ION ❑ UTILITIES❑ OTHER ... ELECTRICAL' ' No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter .A Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home'Q Others ❑ 'Range, Cook -top or Oven 1.00 t Water Heater or Space Heater 1.00 Light fixtures 10 -_•= .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, -Water r20- Hood, Ex. Fan or F.A. Furn. Motor Evap. cooler, gar. disp. or D.W. Air conditioner or heat pump pump ,� Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. ?,6 9,C -6r 9...r / Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANC 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against,Iiability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r 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 11 $ $ 1 certify that,l 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 ��` -.4� 'A 4 f 1 3V /gip TOTAL PERMIT FEE autnonce representatives or the t.ounty or butte to enter upon the above-mentioned property for inspection purposes. X r%,%� �rA�.--'_ Date ! il_ - ti Signature of Permitee or Agent I' ` ~Receipt No.`T?� 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 `',�-- Date41 Building permit expires Date �� 5 MOBIL EHOME INSTALLATION INSPECTION CHECK LIST' 1.� Is the mobilehome located wi required separation from lot lines and buildings and generally conform to.plot plan?' Yesy No r . . 2. Does the mobilehome havie required clearances above ground? (Sec. 5085) Yes C110 3. Are footings and supports properly sized, spaced, and braced as pee pproved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yeses/ No 4. Is the mobilehome level? (Sec. 5088) Yes `- No 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fle le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow -'If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each :nd?? es_ No_ B. Does it have minimum '" per foot slope and is it properly supported? _ P P P y pp .rted? Yes No C. Are any leaks detected in drainage system after running 3 allons of water through each fixture including washing machine standpipe? Yes No D. If coach is�nat State�'of�California approved, does station have required rap and vent? Yes No '8. Gas Piping.and Gas Vents A.Connect Is mobilehome connected to the gas supply with an�approved 3/4" minimum mobilehome Gonnector not more than 6 ft. long? Note: All piping is_t.o-be"at least as large as the mobilehome gas line inlet without reductions other.-t'han the mobilehome connector.. Yes No� B. Test OK as per following procedure? Yes_ N 1. Open all appliance connector valves. 2. ---Shut off appliance burner and pilot valves. 3. Air test with manometer ,to 10"-14" water column, or test with slope gauge (minimum '6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on'gas,'•tgst connections with soapy water. C. Are all appliance vents properly installed? Yes P, No. A, 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome (must equal rating of r mobilehome with a minimum of 1 0 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc..? Yes o_ B. Is there proper clearances around panels? Yes �No C. Is power supply cord or feeder assembly properly fused? YesNo_� D. Is continuity test satisfactory as per the following procedure? Yesy No 1. De, -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly'conductors, including neutral conductor, have been disconnected, 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test. instrument to the mobilehome grounding conductor and apply the other lead to each rn.obilehome supply conductor, including neutral. 5. All non-current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line),. including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder.assembly conductors. shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome: Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signdd by Health Dep a�ltment for water and sanitation? 11. If everything okay, sign off card and tag services. I MOBILEHOME DATA Manufacturer and/or Namestyle !— Length Width Vehicle Serial No. State Identification No. Additional,Information or Comments: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovifie, California 95965 `�� Telephone: 534-4541 / / APPLICAVON AND PERMIT ri Z_1_____, autnonce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �— P a Date `3�J25 ignature 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 beenpaid. DIRECTOR 00PUBLIC WORKS BY Date Z' 9— i 3' Wilding permit expires Date fes" 1- 7 BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Fireplace Contractor ,�; � Total Valuation Mailing Address W 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 Vw_' Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent j 1.50 j D A. P. No. / -- Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F ion Fire Dept. Fire Zone I Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma R/W P Improv s Lawn sprinkler system 2.00 Bldg. P ns Recd Parcel A roval Plans Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Main service incl. 1 meter Additional meters, each 1.00 — Single Family ❑ Duplex ❑ M biI HoTe Others ❑ Sub -panel 02 or less) (more than 12' Range, Cook -top or Oven 1.00 ( 77*Light Water Heater or Space Heater 1.00 fixtures b 61 �^ 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. �tl `��, � Classification � —•o 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 Wo kmen's Compensation Insurance. ertify 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 $ 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 G TOTAL PERMIT FEE autnonce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �— P a Date `3�J25 ignature 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 beenpaid. DIRECTOR 00PUBLIC WORKS BY Date Z' 9— i 3' Wilding permit expires Date fes" 1- 7 I permit: 2361-73 P,E UHORI FRANK 290 Colter Way Unit 12 Lot 224 Magalia Ut,:LI-Volein for mobile home except gas) !I COUNTY OF BUTTE — DEPARTMENT 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 property for inspection purposes. P Signature of Permitee or Agent Receipt No. White-D.P.W. Date 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 Owner SO. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 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. N0. 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 EOA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd I Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 26025 bal d10 Receps., switches & fix outlets b. 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 Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification 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 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 $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. P Signature of Permitee or Agent Receipt No. White-D.P.W. Date 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 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 53.4-4541 APPLICARION AND PERMIT auuiurtce represeniaiives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature off Permitee/orrAgent / Receipt No. Q 2 / ` L 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 UBLIC WORKS By Date Building permit expires Date �: 7 �.�.. BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor C zz,--(f /c- Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty A 1,2 Z 11:7 (� Telephone No. Permit Fee Building Address O� T� IF PLUMBING No. @ FEE PERMIT FILING FEE $2.00 O Each Trap 1.50 2 Z Repair drainage or vent piping 1.50 Water piping 1.50 S6 Each gas water heater or vent 1.50 A. P. No. _ ZZ ,n g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe SanitaQ Fire Dept. Fire Zone Use Permit Building sewer 5.00 4 EQA Parking Plans Parcel Declara 'on Parcel Ma 60' R/W Im rove nts P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $() $ SO NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 QQ Main service incl. 1 meter _7.06 Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures bal� 10 Receps., switches & fix outlets ba CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professio s Code under the name style o : + 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 'efD Temp. Power Pole 5.00 �// f License No -214 l 7 Classificatio Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Qd $ WORKMEN'S COMPENSATION INSURANCE I 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 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.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE is S auuiurtce represeniaiives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature off Permitee/orrAgent / Receipt No. Q 2 / ` L 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 UBLIC WORKS By Date Building permit expires Date �: 7 �.�..