HomeMy WebLinkAbout069-490-005ag
t
?r a
Village Oaks, Inc.
F561Lariatt Loop, b, Oroville
1
c c tr .
on . North
ontr: North Si ra Const.,Oroville
:L
Permit #1528-77B,P,E,M(new sirgle fam.)
go 00, 92-2683 M
- 69=4490-005
EREZ, John
56 Lariat Loop, Orovill e e
gas line & hvac/sf 01, 3 12
I
C:ml
a„
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
y
ASSESSCIR PARCEL NUMBER
J69-490-005
ZONING
R 1
BUILDING PERMIT
OWNERPER.
JM589-1413
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
56 LARIAT LOOP OROVZLLE 95966
CONTRACTOR'S NAMETELEPHONE
OWNU
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15.00
Permit Fee
$
ARCHITECT OR ENGINEERLICENSE
NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
i
Penalty
$
BUIL51s6,GATsMOP OROVILLE
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE `
SF [� Duplex❑ Mobilehome❑ Other t
SPECIFY ;.
Gas piping system 1 - 5 outlets
1 5.00 --
Building sewer
15.00
Mobile Home S I G I W
615.00
TYPE OF WORK
New ❑ Addition ❑ Remodel AL I Yj& 8c IAltdiif Other ❑
Describe work: INSTALL NEW AL YA(;�( (�i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AA 00OR LESS
2OR LESS
18.50
Main service 200ATO1000A)
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑I am licensed under p
provisions of Cha t. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License ;Jo. Classification
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
NEW CONST. DWELLING OCCUP.E
OR ADDNS. ACC. BLDGS.
3.6dsq.ft.
NEW CONSTR ULTI.OUTLET
NO N•RESID BRANCH CIRC ITS
^ 5 00
POWER APPARATUS e
SINGLE OUTLET CIR. )
Occu /
Ex.p\OUTLETS OR FIXTURES
20 @ 751
Ex. Occup. OUTLETS ((RESIED APPLN S.D )REA.)
( 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. 6yirin 9
15.00
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 DUAL PACK
9.00
Cooling
9.00
FHood
6.50
Ventilation
Permit Fee
$ 33„00
L 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, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X �� / Date ? %� ��•
Signature of Applicant — Owner ® 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 $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEES 53.00
HAz
I DFEES I
IMP
I FLOOD
COF
PARCEL
I PD
I HD
I ISSU
This permit is hereby issued under the
sions oft utte County Code and/or
work Indic ed abo a which fe
DIRE F PUBLIPISRKS
By
PERM1 EXPIRES Date
applicable provi-
resolutions to do
have been paid.
ate / q An
3
Receipt No. 122400
WHITE -D. r. W.. YELLOW-A59E350R, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
-2.tvS�
PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately. _
Date InspectorC'�
REV 10/92
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AIND PERMIT
PERMIT NO.
l
ASSESSOR PARCEL NUMBER
069-490-005
ZING
R 1 -
BUILDING PERMIT
OWNER
JOHN PEREZ
TELEPHONE
589-1413
so. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
56 LARIAT LOOP OROVILLE 95966
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE ND.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
56 LARIAT LOOP OROVILLE
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 7.00
Each qas water heater or vent
1 7.00
USE OF STRUCTURE
SF q Duplex ❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
15.00
Mobile Home S [GTW
@ 15.00
TYPE OF WORK
New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work: INSTALL NEW DUAL PACK & GAS PIPING
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 6000V OR LESS
18.50
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
L �7
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
Main service 200ATO1o0OA)
37.50
NEW CONST. / DWELLING OCCUP. G\
OR ADONS. ACC, BLDGS.
l
3.6a sq.ft.
NEW CON5TR ULTI.OUTLET
NON.RESID BRANCH CIRCUITS)
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR. /
Ex. p OUTLETS OR FIXTURES
20 715-,`
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Iyirin g
'15.00
Permit Fee
$
—
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.
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 D UAL PACK
Q.nn
Cooling
9
Hood
6.50
Ventilation
permit Fee
.
T33.00
L 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, judgments, costs, and expenses which may in any way accrue
against said Count in consequence of the granting of this permit.
X Date ,� `n? ? 5;;�Z
Sig ure of Applicant — Owner Contractor ❑ Agent ❑
6�1An OSHA
permit is required for excava ions 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 FEES 53.00
HAz
1 0FEES I
IMP
FLOOD
I CDF
I PARCEL
I PD
I HD
IS/
This permit is hereby issued under the
sions of t utte County Code and/or
work i die ed abo, which fe
�•r
DIRE F PUBL
BY lwm p A F
PERkff EXPIft-ES Date
applicable provi
resolutions to do
Ove been paid.
RKS
Date
Receipt No. 122400
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE Department of -Public Works
7 County Center Dr e,.Oroyille, 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 informat-ion ..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 major labor and materials.for construction -of
the proposed property improvement (yes or no) � eS
2. I*(have/have not) -A 4 y-1 signed an application for a building permit
for the proposed work.
3.. I have contracted with the following person (firm) to provide the proposed -
construction:
Name
Address City
Phone - Contractors License No.
4. I plan to provide portions of this work, but'I have hired the following'person
to cogrdinate, supervise, and -provide -the major work:
Name.
Address City
Phone Contractors License. No'7.
.:.:
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 ber ,
Dateg-
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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
065- -11910 - 005-
ZON:IVG
-
BUILDING PERMIT
OWNER
To1n1•� 2fi° Z
TELEPHONE
S6S-ly/3
SO. FT. OCC. BUILDING VALUATION
OWNER'S MA LING ADDRESS
,51�
CO N TR ACTQR'S„NAME
TELEPHONE
CONTTR/AACTOOCRQR''SSMMAAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 5(0Permit
fee $
PLUMBING PERMIT Filing Fee 15.00
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
Sfa_ Duplex F-1 Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00 S. 0 0
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work: `ZiUSA// 4'64)��/P7� �i�(�
/1,41p Gas ofpQlA'OI
Permit Fee $ a0.00
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
(f
Main service 200AORLESS 18.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p er l y (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER
and Professions Code and my license is in full force and effect.
License No. Classification
❑ 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)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 20CA TO 1000A1 37,50
NEW CONST. / DWELLING OCCUP.�\ 3.60 sq.ft.
OR ADONS, l ACC. BLOGS. I
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS @ 5.00
APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES 20 V 764d
Ex. OCCUp. OJTLETS PIRE5ID IREA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15,00
Permit Fee $
—
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.
❑ 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 Filing Fee 15.00
Heating G , 00
Coolin 9 Q�
Hood 6.50
Ventilation
Permit Fee $
00
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, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner❑ Contractor E]Agent ❑
An OSHAwork
permit is required for hations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ mss/
HAz
I DFEES
IMP
FLOOD
CDF
PARCEL
I PD
I F10
FSSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
�ht
Receipt No. 1 ^
22-660
WNIT[-D.P.W., 7CLLOW-A3eC33011, PINK -INSPECTOR. COLD CN RDD -APPLICANT
�� �
� ��`
S �
��
0
1528-77B,p,E,M
PERMIT NO.
PERMIT EXPIRES
�l
;OWNER Village Oaks, Inc.
;CONTR. ,North Sierta Const.,Oroville
,
LOCATION (A.P. 34-80-5
56 Lariat Loop, lot 16, Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. /02-6?—1
Called PG&E
Temp. Gas Serv.
Called "'-- —
JOB
FINALED
COUNTY OF BUTTE — DEPARTMENT'OF PUBLIC WORKS -
BUILDING INSPECTION -RECORD
Finish
BUILDING
BUILDING (Cont'd)
Interior Lath
PLUMBING
Setback
Door Closer -� �%
Firewall. —/tea
Soil Piping
MOBILEHOME UTILITIES ------------------
Forms
Elec. Pedestal
Parapets
1st Floor
Gas Piping
Main Bldg.
Support
Restroom Finish
2nd Floor
Drainage
Foot in gs
Windows t
3rd Floor
Stemwal l
-.;� S' 7 \---
Siding
To out
Slab
Roof Sheathlni
Water Piping
Piers
- j "7
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings --7 —7
Stemwall. —_-J --'%7
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handicaped
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. as
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footino
ELECT AL
Masonry Walls
Throat ?j
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FIRES RI LERS
Motors
Framing
—
Test V
Water Htr.
Stucco
Final
Subpanels
'75
Mesh
✓ —
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilat o a
Permanent
Door Closer -� �%
Final
Final r- 7
MOBILEHOME UTILITIES ------------------
Elec_ Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOSILEWOME INSTALLATI N - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
.C.,o.,
iii
»
(NOTE: An entry must be made on this form each time you visit the job site.)
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street Lot Number Tract No.
f:XTERIOR WALLS
ManufactureThickness/Type kness/Typo �L p
R Valu /
CEILINGS
Batts: Manufacturer Thickness R Value
Blown: Manufacturer �—��— Thickness No. Bags 9C Wt./Bag
Sq. Ft. Covere4zz—j_-]L— R Value_/G%
FLOORS
Manufacturer IThickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation ;riches
FOUNDATION WALLS
Manufacturer Thickness/Type R Value
GENERAL CONTRACTOR LICENSE No.
BY.
TITLE — DATE
INSULATION CONTRACTOR: AWKINSS INSULATION CO. LICENSE No. 215-925
�-�_ a
BY TLE �i -DATE �/
COUNTY OF BUTTE- - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
dutnorize representatives of the County of t3utte to enter upon the
above-mentioned property for inspection purposes.
X Date -17p
$ ature of ermi0 Agent / /&0697 /_0/97
Receipt No.
White-D.P.W. - YeII.,aAWh.V9Pi -Inspector - Go] fenro -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 Glf')PUBLIC WORKS
By Date q R- 7 7
uilding permit expires Date q %�
BUILDING
OwnerVilla e Oaks Inc.
OCC. BUILDING VALUATION
Mailing Address
MFireplace
Telephone No.
Contractor North Sierra Construction Inc.Total
Valuation O
Mailing Address 2856-A Olive Highway,OrovillePermit
Fee
® ---
Plan Checking Fee &/or Penalty
California 6
Tele hone N
_925
Permit Fee $
Building Address Lot 16 6 Lariat Loo
PLUMBING No. FEE
PERMIT FILING FEE $3.. 00 .00
Village Oaks Inc., Oroville Calif.
Each Trap 1.50 12.00
Repair drainage or vent piping 1.50
Water piping 1.50 1.50
Zoning Verificafiop
Each gas water heater or vent 1.50
A. P. No. 34 -80 -
Gro 'n p
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
s
W. . Sa0won, Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00 5-00
EQA
Parking Parcel
Plans Declaration
Pa Ma
P
60' R/W
ImprovementsLawn
sprinkler system 2.00
9.ager �'
parcel Approval/6
s Approval
Permit Fee $
$ 21. LO
NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3.00
Main service 80001 OR L 0 AMP ORLESS5.00
Main service EA. ADD'L too AMP 2.50
OVER 600V
Main service 100 AMP OR LESS 25.00
Single Family ® Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L to 1.00
NEW CONST. DWELLING O�
OR ADDNS. ( ACC. BLDGS. 20sq ft .
1 4 `�
NEW CONSTR. (MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) '2.50ea
NEW CONSTSL 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:
North Sierra Construction, Inc •
�/(
Ex. Occup(OUTLETS OR FIXTURES)50 @250
BAL@1
Ex. Occup.(FIXED APPLNS. OR
OUTLETS (RE510.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License N2832 1 ;
of � Classification B. 1.
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.
FI 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 3.00
Heating bo -4-.00 4.00
Cooling 22 .0 .00
Ventilation
Hood 2.00 .00
Permit Fee $ 13.00
$ 13. 1D
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
Landev. ee
' 0
TOTAL PERMIT FEE
$
dutnorize representatives of the County of t3utte to enter upon the
above-mentioned property for inspection purposes.
X Date -17p
$ ature of ermi0 Agent / /&0697 /_0/97
Receipt No.
White-D.P.W. - YeII.,aAWh.V9Pi -Inspector - Go] fenro -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 Glf')PUBLIC WORKS
By Date q R- 7 7
uilding permit expires Date q %�
This set of plans and sPecificnfions MUST 63
kept on the io6 at all times and it is unlawful to
make any changes or alterations on some withour
written permission from the Department of Public
600.00!PgutnfY of Butte. -
OT -P A
�41411!1,1,1'11
r
Plan on file.' or building
7h Bid
eek
d�p 'ck shall be 5 ff. from fhe
y li e and 50 ff. froth f6
y e
—t;ehferline of the road, permitting 0'rnaxi-
Murn of a 2 ff. eave overhang but entirely
Out of all easements.
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
L�K=�
17 Kle9-, I LOT Na, lea �UffO eaUNJr) 4-4Lq�