HomeMy WebLinkAbout078-120-04444
• Wynoka Home 0 \1i
t 44
2348 Via La oval lo
Permit # i9644-2B,P,E,M(neW" singl family)
contr:--W#
-,,n6-ka -Homed,'Ori0
vil e
36-75-44
Permit#1436783t P E��M(new- s
ing VIM 3-1y)
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"PERMIT NO. 1436-83B P E M
i PERMIT' EXPIRES V Z Z&
y
OWNER WYNOKA HOMES
CONTR. owner
ASSESSOR PARCEL 36-75-44
LOCATION_ 2348 Via Laton, lot 44; Oroville
;i
1
b
A
Y '
N
f
Y`
t.'1c
t
A
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called P
Temp. Gas Se
Cal led P1
JOB FINALE
Signature
J - OK .mss
O = Not OK
- = Not Applicable MOBILEHOMES , ' MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except Vs
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
_
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4, Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rig.-Bracing'
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance s
7. Elec.
Card -BI
Card -BI
Date
Date Card -BI Date'
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date _
POOLS (Plans) OK except k'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 Lghig.
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 -BI Date
Card -BI
Date Card -BI Date
6
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date
UND OOR Plans OK except#'s
Date FRA G Continued
Zonin requirements -Setbacks -Easements
4tr PpKrty Line Firewall & Openings
i _s-Steel-Elec. :rnd.:- / Ftg. Depth
4 Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
g., Garage; Soils -Steel- //—/" Ftg. Depth
5 - adroom-Rise-Run-Landing-Fire Protection
-d. Ft Porches & Decks; Soils -Steel- / /" Ftg. Depth
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-57 Ste IIs, Main; Steel-Blockouts-Wrapped-Slab
- -
" emwalls, Garage: Steel-Blockouts-Wrapped-Slab
cco Mesh -Drip -Fd - n
_
7. Piers- fireplace Ftg.-Steel
n-Skylights-Plast ic
V.: Fall -Fittings -Test -2 way C/O -Sewer Test
Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
1. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date i Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
C
ate Card -BI Date
Date FINAL (Plans) OK except #'s
xoiF xt. Steps -Door & Sidelight Protection -Landings
Cvr�—
Date
Date vr- SCard-Bi Date
PLUMBING (Permit) OK except #'s
wr Smoke Detector
Water Ht.: Vent -Access -Combustion Air
15: ter Pipe; Test & Anchors -Nail Protection----------
5P.1 -Furnace; Vents -Clearance -Comb. Air -Connector-
In Garage; Above Floor-Ducts-Mech. Protection
-
_
D.W.V.; Test-Fttngs & Anchors -Nail Protection
Se'Bedroom Exiting
Floor -Tub Access
el-. G.F.I. & Bath Fixtures & Tub Access
&Stower, 2nd Floor -Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
lav-115—as Pipe; Size & Anchors
�s
ve; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
Iec. Outlets & Receptacles at Kit. Counter
DateELECTRICAL
'Permit) OK except #'s
Garage Fire Door; Swing -Landing -Closer
rage -Damper
--
fixture &Transformer Clearance -Ins. Protection
�Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
- In Garage; Above Floor-Mech. Protection
21qj:. Receptacles Spacing -Lights & Switches at Doors
-ize
��Ib., Elec. &Mech. Equip. Listed for Location
_
_
axes & No. of Conductors -Stapled
7R-Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
--
omex Installed Close to Edge of Studs & C.J.
72. Insulation -Foam -Looked in Attic Ci}dhE
_tp.
Ground made up w/Mech. Fasteners -Bond Gas & Waterat
s ck Construction -Post Caps
_
2 Appliance Circuits in Kitchen &Conductor Size
nts &Crawl Hole Door -Drainage &Wood -Earth Clearance
Looked under Floor ❑ Yes
_ ire ize / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
_
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1,
1psulated Neutral F --!Yes ❑No
%%- Service -Riser Conductors & Ground -Main Disconnect
75. Following i}}A�tld.: Drive F6 Yes ❑ No; Walks Dryes ❑ No;
Planters (E]Yes ❑No
7 tucc ; Brown -Finish
-_
2 : nels-Motors-Mech. Equip.
7 C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
30. Clothes Closet Light -Shower Light _
7 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Card B -I Dat Card BI Date
LU_,!__
Card B -I Date Card -81 Date
79. Water Well; Disconne Electrical, Plumbing
80. Exterior E m; .F.I. Receptacle -Underground
81. VenIi hr u ut House
82. G r n
Date
MECHANICAL (Perrc:it) OK except #'s
_
83. C c o s from Previous Inspections
84. %9-111- Meters Tagged; Gas -Electric
31. ets YirSTilation &Support
85. W r & Sewer Connected -C/O to Grade -HD Approval
Vent Fan_Exhaust above Insulation _-
3_3. _ e rain_& Overilow; Size & Grade
. Energy Compliance Certificate -Other Certificates
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Card -BI
Card -BI
Platform if Furnace in Attic
Date Card -BI Date
_.__ . _ __ _.
Date Card -BI Date
C -B 1, Dat and -BI Date
Card- I Date Card -BI Date _
Card -BI Date Card -BI Date
Date
FR NG(Plans) OK excepL#'s
Comments at Final:
7�8 Y_ Sills; Proper Material & Anchors
_3_7 ---Walls SStuds-Nailing, Spacing & Bracing -Plates -Sound
over Girders & Floo_r_Nailing_
__ D ft Stop in Walls (rat proof)
Fre Stops; Furred Ceilings -Stairs -Chases -Tub
_
_ �F
4T. H er & Beam -Size & Bearing
ers-Post Caps -Anchors -Connectors -
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhnq.-Rfnq.
4 p ace ' s or Type A Flue -Fireplace Throat
A Access: Size & Romex Protection -Draft Stop -Ins. Baffles
B Windows or Exiting Doors -Sill H_gt. & Dimensions _
. Garage Fire Protection Framing _
- -
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Merr;oria� Way, Chico — Phone: 891-2751 =' �
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
o
g7p
Inspector ` �l / r7f f lF " f - Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541
- APPLICATION AND PERMIT
ASSES O PARCEL NUMBER
ZONIIYG
�C/�
BUILDING i��iz
OWNEF3
cE3LEPHO E
cJ
S0. FT. OCC. BUILDING VALUAT N '
OWN ''�S/SMA LING DDRESS
CONTRACTOR'S NAME
TELEPHONE
`
ova
CONTRACTOR' MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
9�
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ / ID
BUILDING DD�t ESS
3
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 Q
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
Z R
PARCEL MAP
Each qas water heater or vent
5.00 s'
Gas piping system 1 -5 outlets
5.00 ^
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W 1
10.00e
TYPE OF WORK
New Addition ❑ RemodelQ Utilities ❑ ❑ [:1InstallationOther
Describe work: a Ser
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service soOV OR LESS
100 AMP OR LESS
00
10.1D
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLI 16 519
OR ADDNS. l ACC. B D (/ ,=J
•Zy2Qsgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
] 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession e n m license is in full force and effect.
Y 7
License No. I Classification q r •
❑ 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 CONSTR ULTI-OUTLET 2.50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTRL I POWER APPARATUS &
NON-RESID. X SINGLE OUTLET CIR.
OR FIXTURES BAL®3OQ
Ex. Occu BALO30
P�o
FIXED APPLNS. OR
FIXED A
EX. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
V I have placed on file with the County of Butte Building Department
,V 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 'a
1010
Hood
3.00
Ventilation
permit Fee
$ .4 ,�
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 ave, indemnify �a <ee harmless the County of Butte against
all liabilitie udgments, c std, xpenses which may in any way accrue
against ount c equenc of the granting of this permit.
X Date
Signatu of Applicant — Owner ❑ ontractor ❑ Agent ❑
An HA permit is required for excavations over 5'0" deep and demolition or construct-
of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
F
PARC L
P
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
[ion
Receipt No. X 7
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
Telephone
533.2000
r North Burbank Public Utility District
1960 Erin Street
OROVILLE, CALIFORNIA 95965
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION 70-83
BUILDING SEWERS
This verification form .must be submitted to the Butte County Department of
Public Works - Building Department prior to issuance of,a building or occupancy
permit, whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy Permit, a
copy of this verification form, signed off by North Burbank Public Utility District,
must be submitted to Butte County.
Applicant: WYNOKA HOMES, INC.
Applicant Address: P. 0. Box 1600, Oroville
Applicant Phone No.: 533-2738
Property Location (s): 2348 Via Laton , Oroville
Vista Del Cerro #3, Lot 44
A. P. No. (s): 36-75-44
Fees Paid: $250.00 -N . B . P . U . D . Connection Fee and
$900.00 SC -OR Regional Facility Charge Due
Application for service approved:
North Burbank
May 24, 1983 Public Utility District
Inspection(s) made and successful test(s) observed:
Location: Date:
M
North Burbank Public Utility District release to close permit:
Date: By:
This set of plans and specifications MUST be
kept,on the job at all times and it is unlawful t;
make any changes or alterations on same with-
out written permission from the Department of
Public Works, County of Butte.
,.'OTE:—All PA.7terials & Wc_rkrnanship.Shall Be i --
Accord -ince with Pecognized Good Practices ar
of a quelity prescribed for the So cified use in t! ,!'
Uniform Building, Plumbing & Mechanical Codes
and the National Electrical Code_.
Icbi G
A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment ex -
for a 2 ft. eave overhang.
I
T-
6cS 3
I
0 .
See M )ster Plan ori Mile for building
plans. W `SNC)" HOW ES
* x+11
Zo ' 13.s z .
i o = ,.✓ e [ x _ E-
COUNTY
BUI O DEPARTMENI ,;
SP1/ i A LA.�.-�-,� A P ROVED
s� -3
(A STA DEL CER2U [3L)I-TC- y4
UrrIT -,:r� O%jp,/rLLc
SUBDIVISION CITY COUNTY LOT NO.
X1.3. P. U.0
SEWER
a.\#J 1.7
AFS C-
L
GAS
ELECTRIC
9'78.533.27'38
NOMES,INC.
P.O. aOx 160:
OROVILLE,
CAL. 95955
JOB NO.,
20
SCALE
!3
xuae
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Wynoka Homes
ADDRESS: P.O. Box 1600
CITY & STATE: Oroville, CA 95965 IMPORTANT:
May 16 1983 SEE INSTRUCTIONS
DATE OF -CLAIM: �' , ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner has -decided not to build. (Bldg Permit Application #1968-82B
Receipt #68490, dated 7/9/82, AP #36-75-15)'.
P,E,M,
Building permit fee paid ---------------------- $328.00
Retain plan checking ee----------- 106-0
Retain filing fee------------------ 10.00
mount retained ----------------------------- u
Refunddue --------------------------------- -------------$212.00
Plumbing permit fee paid ---------------------- $ 46.00
Retain filing fee----------------------------- 10.00
Refunddue ----------------------------------------------- $ 36.00
Electrical permit fee paid--------------------$ 55.60
Retain filing fee----------------------------- 10.00
.:Refund due- --------------------------------------------$ 45.60
Mechanical permit fee paid--------------------$ 29.00
Retain filing fee----------------------------- 10.00
Refunddue ---------------------------------------------- . 19.00
TOTAL REFUND DUE------------- --- -- $312.60
312
$312.50.'-
0: -TOTAL
TOTAL
$312.60
I, the undersigned, declare under penalty of perjury that the services or articles claimed have be n ed or del' t this
' claim is true and correct as st ted _
Dated this J /� d°f ............................. 19....... at.. Oro Calif. -
iii...'. ff ....... ..... ....
. Si ature of Claimant
' I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above h ve belm performed or de-
livered and that there is a Budget AppropriationO or Specific Board Approval E] (Check one) f the sa,,n .
16th May , 19.83 at Oroville c.' ................. ..... . . ..
...... .............. ....... ......
' Dated this ..:................................. day of ............................ :................. ..... ....... .............................
epartment Head or Authorized Depui�.
Dept. Exp.
Code Code ........PAYABLE FROM............................................................................................ FUND
DO NOT WRITE. BELOW THIS LINE - AUDITOR'S USE ONLY
VENDOR
CODE
DEPT.
& SUB.
PROD.
SUB:
0BJ.
CLAIM
NO.
INVOICE
N0.
INVOICE
DATE
DISC .
GROSS
AMOUNT
ENCUMB.
SUB -DIST.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
1 / (0 q -- /) z-/
ASSESSORPARCEL NU BER
ZONI
BUILDING PERMIT
04VR AA91ZA-
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
77408so.0
OWNER'S MAILING ADDRESS
3/S
3 . ov
TOR'S NAME
Iy GG/t /�
in
(CO
/J.o
RACTOR'SMAILING ADDROEOSs 9,01// -66C
(/!J l�
Fireplace
CONSTRR)UCTIO(N LENDER
UNKNOWN
Total Valuation $
O, Qo
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ -2-1 2.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 6-,00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 93Z 0 v
BUILDING A��p�RE55 �/� ���0
41-Y
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 /6.00
Repair drainage or vent piping
5.00
/� ,, _
a/C.v U���i�
Water piping
5.00
LOT NO
SUBDIVISION NAME PARCEL MAP
Each pas water heater or vent
5.00 6-,v
Gas piping system 1 - 5 outlets
,pp
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
.00
Lawn sprinkler system
5.00
TYPE OF WORK
New W --"Addition ❑ Remodel_❑ Utilities ❑ Installation❑ Other ❑
Describe work: �S
Permit Fee
$ ,0
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service aooV OR LESS
100 AMP OR LESS
!, f�0
7/
Main service EA_ ADD'L 100 AMP
2.50
NEW CONST'(DWELLING OC c
OR ___NS. ACC, BLDGS.
20 sq ft &C,-
,
-
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Businessy ns
K -land Professions Code and m license is in full force and effect.
fj
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)
❑ 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 CONSTR MULTI -OUTLET 2,50 ea
NON.RESID BRANCH CIRCUITS)
NEW CONSTR. (POWER APPARATUS S1
NON.RESID, SINGLE OUTLET CIR. I
e0 @ zsa
Ex. Occup,(OUTLETS OR FIXTURES BAL@1
XED APP LNS. OR
Ex. OCCup.�OUFITL ETS (RESID.) EA. 2.00
Temporary service 10.00
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.
N-1 have placed on file with the County of Butte Building Department
V- 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 30, OOU
&,00
4 AS
Cooling 0-1114P
/0, as
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 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 s e indemnify and keep -harmless the County of Butte against
all liabili ies, u ents, costs, a nses which may in any way accrue
against s ty in cons a of the anting of this permit.
X Date
Signature o A licanr - Owner
g pp ❑ 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 $
TOTAL PERMIT FEE $ ,;o7. 0
OCCUP. GROUP
_3
I TYPE OF CONST.
PARCEL
FD
HD
55Dy
I/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date
Receipt No. l6oKa
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT