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Home My WebLink About069-140-036y A P T L . JOHNSON . to I-: / 545 S.' JOHNSON Dr., Oroville -- Permit 0 153-74P,E lot 186 (util. , NiH)halo '� A - TONY L. JOHNSON -/.� 36 545 Silverleaf Dr., l0 86, KR contra B&D Enterprises, S Permit# 115-75B(covered deck wnings.,. MH.).- FiNgL..'L-'Ly-f7S Ha 1d Cammack �/ 545 Silverleaf Dr., lot 186,Oroville contr: Acro -Lune, Oroville Permit #4524-81B(new awninR/MH) C. 4 DAT E BUTTE COUNTY INTERDEPARTMENTAL CORRESPONDENCE NAME DELIVER TO LAST PERSON NAMED I DEPT. DATE NAME V� . DEPT. PERMIT NO. ..115_75B P E M MH UTIL. PERMIT NO. PERMIT EXPIRES JOwNER Tony L. Johnson -,CONTR. B&D Ehterprises, SAC ;LOCATION (A.P. 34-61-36 ) R 545 Eilverleaf Dr., lot 186, KR, Obo. .I I. ,(q r ,t 5i e .p d. Temp. Power Pole Y` Called PG&E Temp. Elea Serv. t Called PG&E Temp. Gas Serv. Called PG&E FA N JOB FINALED m COUNTY OF- BUTTE — DEPARTIMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms 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 OIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors FramingTest 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 y 6, i� i di t 's. 4l t, til REMARKS OR CORRECTIONS l COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS �P 7 County Center Drive - Oroville, California 95965 ` �� Tele hone: 5�4-4541 APPLICATION AND PERMIT - 4 Cz BUILDING Owner - SQ. FT. OCC. BUILDING VALUATION 70 D O U Unilin Arlrlrocc Telephone No. $ Oa Fireplace Contractor 23 45f � u.S RJ JEFS Total Valuation 700 O° Mai I i ng Address�56 ^ 6 ��6 Permit Fee Plan Checking Fee &/or Penalty �i C�7A�� a 4I ep��a Permit Fee $ 017 of Building ddress/`Cz_,,_)/ 1,2! e'L— bgA4*4D PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 % �� Gem �� L�� Repair drainage or vent piping 1,50 $ Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. / - 6Gas Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 FireDept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declaration Parc Ma p 60' R/W Im r p ov ents Lawn sprinkler system 2.00 Bldg. 4 opf"'Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Ansr,-9 Main service incl. 1 meter AJ !"6=,S 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 20bal% 5 Receps., switches & fix outlets H= 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. FanorF.A. Furn. Motor 1.00 Evap. coo I er, gar. d i sp. or D. W. 1,00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License NoD2e - el' 43 .2- Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ $ 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. Qom' I have placed on file with the County of Butte a certificate of L-1 -Workmen's Compensation Insurance. ❑pI certify that in the performance of the work for which this ermit 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 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 aupm,rize representativ f County of Butte to enter upon the a ve- enti pr r y f r inspection purposes. x '-�- Dat / -IL Signature of Permitee or Agent Receipt No. 12'7;4�0t- White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT`FEE $ N 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 BLIC WORKS By Date wilding permit expires Date................1_ee7.".74 �� 4D OVN i w0 F �� ✓qN ,,�R�s �8i9i1� 9 i3/if af +, i'PERMIT NO. P E is M H UTIL. ?PERMIT NO. 3153-74P,E s %i —/ ! PERMIT EXPIRES "OWNER Torry L`'. Johnson CONTR. `4LOCAUON (A.P. 34-61-36 ' 545 Silverleaf Dr., lot 186, Oroville 4 l . i l �y i Temp. Power Pole P��Lw Called PG&E Temp. Elea Serv.� / L1 Called PG&E Temp. Gas Serv. Called PG&E JOB — / / FINALED (Date) „ , (Signature) COUNTY OF BUTTE — DEPARTMeNT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD A BUILDING BUILDING (Cont'd) PLUMBING Setb /—I y Firewall Soil Piping X___1, Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Pipi 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�4 -� Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Servi Z I Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final j37 DATE REMARKS OR CORRECTIONS - - COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR 7 County Center Drive — Oroville, California 95965 Telephone: X34-4541 j APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 'Sig—nooWe of Periieee or Agent Receipt No. 1 22 7,5—(6 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 P LIC WORKS By Date ljll�_A, — % ,y B ding permit expires Date .:.:�«r %J ................. BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Add re's r �! �`I • Telephone No. Fireplace . Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone Na. Permit Fee $ $ Building AddressPLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 d,' %u if Z* >J -f— Each Trap 1.50 le Repair drainage or vent piping 1.50 � Water piping 1.50 S Each gas water heater or vent 1.50 A. P. a. �T,44 G [�T Coni/ n Gas piping system 1 - 5 outlets 1.50 j Each additional outlet .30 s NJ io FireDept. FireZone Use Permit Building sewer 5.00 iJ EQA Parking Parcel Plans Declaration Parcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bldg. PI s Rec'd P el Approval Plans Approval Permit Fee $ , Q. Q NEW ❑ ADDITION ❑ UTILITIESKr OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.0000 Main service incl. 1 meter 00 3,,0 Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home 4ad Others ❑ Range, Cook -top or Oven 1.00 1<00 -54Q Q �_ Water Heater or Space Heater 1.00 Light fixtures bol a10 pglG�,� 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 $ 06 $ 11, 61 MECHANICAL No. @ FEE 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 W/orkmen's Compensation Insurance. ❑_ 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 $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 I TOTAL PERMIT.FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 'Sig—nooWe of Periieee or Agent Receipt No. 1 22 7,5—(6 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 P LIC WORKS By Date ljll�_A, — % ,y B ding permit expires Date .:.:�«r %J ................. 09 A 1. `PERMIT NO. 4524-81B PERMIT EXPIRES OWNER, Harold Cammack CONTR. Acro-Lume, Oroville ASSESSOR PARCEL 69-14-36 LOCATION 545 Silverleaf Dr.., OroviAle Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E zo Tern . p. G I as ServiceZ Cal led PG E JOB FINALED (Date) 4 Signature -t J = OK 0 = Not OK = Not Applicable MO B I LEHOM ES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS OVERS, CARPORTS, ETC. (PI u,. ,xcept k . 1. Zoning Requirements—Setbacks—Easementsex--Zoning Requirements—Setbacks—Easements. 2. Soils; Special MH Support—Sketch 2, in .ize—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete _ 3.--BecR7-GI70Ts and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) —4-ftad-Rrwn'"-osts—Beams—Rftrs.—Connec.—Shthg.—Rfg.-Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete __ um. Awn.; Columns—Connections—Splice—Decal—Enc:osures 6. Gas; LocatiorrTest—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Doors 7. Utility Clearance 7. `E -ler— C d -BI ate Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k'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/O 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 -B1 Date Card -BI Date Card -BI Date Y i U = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) 0. Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W-V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ Gas Pipe; Size & Anchors 62. Stairs & Rails _ ___1_9. 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes73. 25. 2 Appliance Circuits in Kitchen &Conductor Size Guard Rails &Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ,r',Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes[:]No; Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. - -- 79. Water Well; Disconnect, Electrical, Plumbing Card B -I -- Date Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates ____33. Condensate Drain & Overflow; Size & Grade _ 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI _- Date _ _Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. 37. 38. 39. Sills; Proper Material & Anchors _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _ _ _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthng.-Ring. _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size &_ Romex Protection -Draft Stop -Ins. Baffles Bdrm._Windo_ws or Exiting Doors -Sill Hgt. & Dimensions _ Garage Fire Protection Framing _ (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTVFNT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,'Californla 95965 - Telephone 916/53 541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER J(o _ / _ 0 -- 03C,BUILDING ZONING PERMI OWNER I TELEPHONE SO. FT. OCC. BUILDING UATION OWNER'SIVIAILING ADDR^ SS / L (�L LD_ AC,4� 2B 1// CONTR C OR'S NAME Z3 TELEPHONE 7V/i CONTRACTOR'S MAILING ADDRESS _ /737 1U,/,q-,VP y _ �p�� Fireplace CONSTRUCTION LENDER J UNKNOWN - Total Valuation $` a Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINE •-LICENSE N No. /3 54 7 Plan Checking Fee $ %6 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 3Z,0 BUILDING ADDRESS PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT N/O. SUBDI VISION NAME GGas PARCEL MAP Each qas water heater or vent 5.00 piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeE']" Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Y Addition T Remodel ❑ Utilities ❑ Vstallation❑ Other ❑ Describe Work:t5eccr' (/ J �X� cvIV-we, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service aoov OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.01) OR ADDNS. ACC. BLDGS. 2� sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El --ram 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:�`1�OV7 Classification f 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR- .OU LET 2,50 ea NON.RES ID BRA CH CIRCUITS) NEW CONSTR. ( POWER APPARATUS S) NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL21 00 (pUIXED APPLNS. OR Ex: OCCup.TLETS (RESID•) EA. 2.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 0have 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 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 save, indemnify ep harmless the County of Butte against all liabilities, judgments s, and expenses which may in any way accrue again un ty i onsequence of the granting of this permit. X Date _/0- —/ d — Fr/ Signature of licont — Owner ❑ Contractors Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 33tostories in height. Mobile Home Installation Fee $ TOTAL -PERMIT FEE $ �2 - oA A P. GROuP �/ TYPE �F CON$T. --rV//V/ PARCEL PD ND 99D This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC ` P T EXPIRIA Date the applicable provi- resolutions to do fees have bet?i paid. WORKS Date l�f 2— `I Receipt No. ✓y�i�17,-1By WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT , v 4�.` ~ ^