Loading...
HomeMy WebLinkAbout072-050-018v 1 ELAM, Bill V 5440 Old Olive Hwy, Oro 1 1� Contr..Walter Luczak (reroof/,sf) ^1 l -072-0507018 -• #98=167qL4E ELAM, .BILL_� .;.5440 OLD OLIVE HWY; ORO WATKINS PLUMBING -'$� 1' G�� . REPLACE GAL.WATER w�CO P R , ,�. ��i !. �,y,-.t;;rsr�v •,� n.v.._-..a�..i•-+,,r•�.. .,.... . � ..-.--..F.- � - -.-..-M...-ya. s;.r ..��..,. .e'v, •-,-.-�.-..=..:a.. ': r�ra..+' :Y+��"til mss' 072-0507018 #98-1677 r ...l, ELAM, BILL. 5440 OLD OLIVE HWY ,OROVILLE WATKINS PLUMBING REPLACE GAL WATER W\COPPER r , I r' • f r j 1{ Ij I r` 'j I a .. �. _ .. �,,; �+w T,ri W�'�:+r --�*. :++�,�iwr ['trr . �•� nw r 'T� - s�.r�.,rq�,�..� .. .. � /// COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541r PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 072-050-018 ZONING BUILDING PERMIT OWNER BILL SLAM 1E L57922251 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 5,440 OLD OLIVE HWY, OROVILLE, CA 95966 CONTRACTOR'S NAME WATKINS PLUMBING TE5LEPHONE34-7773 CONTRACTORS MAILING ADDF'�E- 89 VIA PACANA, OROVILLF, CA 95966 CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS "UNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS - 5440 01 D 01 IVE 10a, OROVILI F Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIOMS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ,CK Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK' I _ New ❑ Addition ❑ Remodel ❑ Utilities ❑ Ins%llation ❑' Other »7 Describe Work: REPLACE GAL WATER W/COPPER Gas pieing system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoOA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. y License Class (�- .� (P Lic. NO. �%,� 7 9 % („- OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permitis issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 4 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X f �. . • f 1,� Date -% `.2 it S _ Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO t000A J 46.00 NEW CONST. DWELLING OCCUP. so OR ADONS. ( a ACC. BLOS. 3.5QFT; NpµpOESlpT' MULT"CIRCUI TS 97,50 POWER APPARATUS a SINGLE OUTLET CIR. 20 R Ex. Occup. OUTLET OR FIXTURES Bn� @' 0 Ex. Occup. oFIx�LEED�A AESIooERa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. p. FEES IMP I FLOOD I COF PARCEL I PD 1 HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which f es have been paid. By Date 7/29/98 7/29/99 PERMIT EXPIRES ON ' Date Receipt No.r+Vv4 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION V 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541/] PERMIT NO. (Rev. 12/96) APPLICATiON AND PERMIT "i� �0 ASSESSOR PARCEL NUMBER 072-050-018 ZONING BUILDING PERMIT OWNER BILL ELAM TEfW­E2251 SO. FT. OCC. BUILDING VALUATION OWNERS "AILING ADDRESS 5440 OLD OLIVE HWY, OROVILLE, CA 95966 CONTRACTOR'S NAME WATKINS PLUMBING TT477773 CONTRACTORS MAILING ADDR!n89 VIA PACANA, OROVILLE, CA 95966 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS OLD 01 IVE $ Energy Plan Checking Fee5440 WZ, OROVILLE R PERMIT FEE S LAT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ]ai Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: REPLACE GAL WATER W/COPPER Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2t10AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. s� - License Class C -3(o Lic. No. / 22 7 C/ & Z OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service tow To 1000A 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( 8 ACC. S. so 3.5¢FT, NEW CONST. -OUTLET NON.RESID. U @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. J1 Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00 BAL @ .50 FIX Ex. Occup. ounFrs MI EA. R 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 ' Misc. Wirin 23.00 PERMIT FEE S ' WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 If the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) jEf 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X— `�� Date %'� �f' �% _ ,5 nature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF pggCEl pp HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which f es ' ve been paid. By �' Date 7/29/98 PERMIT EXPIRES ON 7/29/99 Date Receipt No. 244682 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ;"� _ ,. - � ,»...: �ti .F - - '"'+-t r kar�'t'Tf�'li`as*�4,�t A,7 �, _','"�-lV+C�'•�`-~`L•--�.,,,� a` 72-05-18 3205-90B ELAM, Bill 5440 Old Olive..Hwy, Oroville Contr: Walter-Luczak ,:. (reroof/sf) " 14 s :.'r" 7r" � -77777,Y_01 7777 ,Y_ r ,>;- 4 :.v .,a COUNTY OF BUTTE d DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPUhTION AND PERMIT ASSESSOR PARCEL NUMBER 72-05-18 ZONING 1 BUILDING PERMIT OWNER BILL �� , TELEPHONE S0. FT. OCC. BUILDING VALUATION 35 60 2100 OWNER'S MAILING ADDRESS 5440 Old Olive Hwy, Oroville CA 95966 CONTRACTOR'S NAME i Walter Luczak TELEPHONE 589-%91 CONTRACTOR'S MAILING ADDRESS 38 Wahoo Ave. Oroville CA 95966 Fireplace CONSTRUCTION LENDER None. UNKNOWN Total Valuation Is FilingFee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 38.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy g $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5440 Old Olvie Hwy,Oroville Permit fee $ 48.50 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 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New Addition ❑ Remodel❑ Utilities[] Installation❑ 'Other X Describe work: Reroof _ I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 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 fo ce and effect. License No.2� 4 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST, DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2/20sgft NEW CONSTR. ULTI.OUT LET NON -R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CI R. ) Ex. Occup( OUTLETS OR FIXTURES 20 506 9AL0 30 FIXED PR Ex. Occup. OUTLETS (RESI 0.IEA.) 2.00 Temporary service 10.00 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. ❑ 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. IX 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 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 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 against said County in consequence of the granting of this permit. l %�'' -- -y' +� *� Date l '� Signature of Applicant —� OWner ❑ -Contractor Agent ❑ An OSHA permit is required for excavations over 5' 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 E $ 48 .50 8 0 HA2 CUA PARK $CHL E PAR IssuE This permit is nereby issued under Bions of the Butte County Code and/or work 1n$ cued above for which ffee��have DIRE - A F PUBI.'ICORKS I By(4 PERMIT EXPIRES Date the applicable provi- resolutions to do been paid. 9/13/90 Date 9/13/91 Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AN&PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 72-05-18 ZONING 1 _ BUILDING PERMIT OWNER BILL ELAM TELEPHONE SO. FT. OCC. BUILDING VALUATION 35 60 2100 OWNER'S MAILING ADDRESS 5440 Old Olive Hwy, Oroville CA 95966 CONTRACTOR'S NAME Walter Luczak TELEPHONE 589-0691 CONTRACTOR'S MAILING ADDRESS 38 Wahoo Ave. Oroville CA 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 38.50 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Ener Plan Checking Fee Energy g ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5440 Old Olvie Hwy,Oroville Permit fee $ 48.50 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 [R Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W10.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other® Describe work: Reroof _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): '10tL I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full fo ce and effect. ^' License No -2a � 42, ClassificationEx. ❑ 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oCCUP.1k OR ACDNS. ACC. BLDGS. , /z ¢sq ft NEW CONSTRESIC, RANOOUTLET NON-RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS 1k (SINGLE OUTLET CIR. Occu p(OUTLETS OR FIXTURES 20@500 SAL®30 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID .)OR EA.) 2.00 Temporary service 10.00 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. ❑ 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. IDI I shall not employ any person in any manner so as to become subject 4� 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 10.00 Heating Conlin g 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 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 against said County in consequ rice of the granting of this permit. U 1 � Signature of Applicant — Owner ontractor ® Agent ❑ An OSHA permit is required for excavations over 5' \deep and demolition or construct- ion of structures over 3 stori s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 48.50 HAZ I CUA I PARK SCHL FLD I PAR PD I Ho IssuE This permit is nereby issued under sions of the Butte County Code and/or work )c ed above for which fees DIRE PUB By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. ORKS ate 9/13/90 Receipt No. No.-23" WHITE-D.P.W., TEL LOW'ASSC SSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AWRERM1T ASSESSOR PARCEL NUMBER 7Z_05_ a ZONING 1 BUILDING PERMIT ..- OWNER `Lalyn TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'r MAILING ADD R SSio CONTRACTOR &t V ./pULE�E CONTRACTOR'S MAILING ADDRESS 3"h66 fimt096 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee 19 $ Energy Plart Checking Fee $ - ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS - Permit tee $ 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 Sff 92 Duplex❑ Mobilehome❑ Other • SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 0.00 eal TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other]' Describe work: 4fA4t4 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100VAMP OROR LESS10.00 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 ❑ 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) El I, 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 EA. ADD•L too AMP 2.50 NEW CONST. DWELLING OCCUP.E, OR ADONS. ( ACC. SLOGS. �20sgft NEW CONSTR ULTI-OUTLET NO 11-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050¢ 9AL0300 FIXED EX. OCCup. OUTLETS PAPLNS.(RESID )REA.) 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wirin 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. ❑ 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 Filing Fee 10.00 Heating Conlin g 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 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. %� Date Signcture of Applicant — • -Owner 01. Contractor ❑ Agenti❑ 1 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 FEE $• ALSCHL HA2 CUA PARK I PLo PAR PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No.* 7��?l 07 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD ENROO-APPLICANT