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HomeMy WebLinkAbout078-330-02192, 96-5B.iW, Al' LINCOLN, 'Augti§t,&,Kdren nw p pi� 5'� b'n s ',,cont* 91 C e- s f roor..'.§tru N 330 -0� 02-1 a a a �.;+ Vif ALe+�Y11bCM.Yw fN..M-c I J=OK O = Not OK =Not Applicable ' = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements_ 2. Soils; Special MH Support Sketch �. 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch)_ 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE NOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector - 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card'13=1 Date Card B-1 Date-Card,13-1 t � f MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s- 1. Zoning Requirements -Setbacks -Easements t 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel I 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood'Avwn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings j Date Card B-1 X Date Card B-1 Date 'Card B-1 ! Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability - 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures: Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir: Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 '1% Date Card B-1 r J=OK O = Not OK = Not Applicable ' = Not Ready RESIDENTIAL (; Date UNDERFLOOR (Plans) OK except #i's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ft \, Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. epth 4. Ftg., orches & Decks; Soils -Steel-/ /Ftg. epth 5. Stem IIs, Main; Steel-Blockouts-Wrapp d 6. Stemwa , Garage; Steel- Bloc kouts-' apped 6a. Hold Do s and Special Anchor 7. Slab; Steel- rapped 8. Piers-Fireplac Ftg.-Steel 9. 10. D.W.V.; Fall -Fitt g-Tes Way C/O -Sewer Test UF. Gas Pipe; Siz chors - yard gas piping: size -test 11. Water Pipe; Tes An or -Regulator -Service Test 12. Electric; Un rground 13. Pienums Ducts; Clear)Qce-Material-Support-Ins. 14. Girde -Sills-Anchor Bolts oists-Ve-tts-Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permil),OK except s's 16.SWat Htr.: Vent -Access -Combustion Air -Baffle ---------SSS-- --- -- --------------------------- 17. Water ipe: Test & Anchor -Nail Protection --SSSS-SSSS-- -SSSS-- ------------------------------ 18. D.W.V.; est -Fittings chor-Nail Protection --SSSS-- -SSSS-- -- -- - ----------------- 19. Shower P . First Floor -Tub Access SSSS---SSSS----------------SSSS-- -SSSS-- 20. Test & S wer. Second Floor -Tub Access -SSSS---SSSS-- 21. Gas Pipe: Size & chors ---- ---------- -------------SSSSSSSS-- -------------------------------------- Date Card B-1 Date Card B-1 ------------------------ -------- -SSSS-SSSS-- SSSS -- ----------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except 4's 22.- Fixture & Transformer Clearance - Ins. `rotection -----------------qSSSS-p -- 9 -9 --- ------------------------- 23. Elec. Receptacles S acin Li hts Switches at Doors --------------- ------------- 24. Size Boxes & No. of Conductor Stapled --------------------------------------------- ----------- ------- --------------- 25. R ex installed Close to Ed e of Studs & C.J. --------SSSS-- - --SSSS-- ----------- ------------------------------------- 26. Equ . Ground made up !Meth. h. -Bond Water --------------SSSS-- PP --SSSS---SSSS-- --------------------SSS-Gas-&-----SSS--SSSS-- 27. 2 A I nce Circuls i lchen &Conductor SizeiGFl -------------- -SSSS--- ce Ci --------tche --Conn- forSize-- - 22. Subfeed re Siz ya. Cu or AI-A.C. Wire Sizer ga. Cu or At -SSSS-- --- -------------- -----------SSSS-- ------------------------------ e --SSSS-- --- -----SSSS-- --- 29. Range Circ ga. Cu or AI -Oven Circ. / I ga. Cu or Al. Insulate Neutra ❑ Yes ❑ No ---------------------------------- ------ ------------- O -No ------------------- 30. Servi -_Riser Condu rs & Ground -Main Disconnect ---------------- ---------- ----------------------------- -------------- Eq . Clearances Pane Motors-Mech. Equip. -----------------------------------SSSS-- ----------------SSSS---SSSS---SSSS-- 32. Clothes Closet Light-Showe Light -Spa Light -------------------------------------------- -SSSS- - SSSS- ----------- 33. Smoke Detector ------------------------------- ------------------------------------------------ Date Card B-1 Date Card B-1 -------------------------------------------------- --------------- ---------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except k's 34. A.C. Ducts Insulation & Supp t� SSSS- -- --- --- -- SSSS SSSS - SSSS-- - SSSS-----------------SSSS---------- 35. Ve Fan: Exhaust above ' ulation --------- --- SSSS ----------- ------------------------ ------------- 36. Cond sate Drain erflow: Size & Grade --------------------- --------- -------------------------- -------- ------ 37. Furnanc Vent ccess-Comb. Air -Return Air Vent -115 outlet --------------------- --- --- -------------------SSSS-----SSSSSSSS-SSSS-------- 38. Attic Acc & Platform if Furnance in Attic ----- -------------------------------------------------------------------------- Date Card -B-1 Date Card -B-1 ------------------------------------------------------SSSS--------------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except 4's 39. Sils. Proper Material & Anchors ------ ------------------------------------- ---------------------------- ------------- 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------------------------------------------------ 41 Bearing Walls over Girders & Floo' Nailing ----SSSSSSSS-- --SSSS------- ---------------------------------------------------- 42. Draft Stop in Walls (rat proof) ----------------------------------------------------------------- 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub -----SSSS-- ------------------------------SSSS----SSSS-- 44. Headers & Beam -Size & Bearing 'ingle & Duplex) Date FRAMING (Continued) 45. Hanger - aps-Anchors-Connectors _415 ng. Joist-Rflr. ties-Purlin-roof Bra c-Truss-Shthng.-Rfng. -- 47 -,Fireplace Ties or Type A Flue -Fireplace Throat clearance --- 48.�ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits ------------------------------- 53. _Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ___ - _ _ 55. Siding -Nailing Veneer _ 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access _ 57. Glazing Area -Glass Protection -Skylights- Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Da �ard B-1Ila Date Card B-1 � ---� ------ Date Card B-1 Date Card B-1 Date FINALL-(Plans) OK except N's Ext. Steps -Door & Sidelight Protection -Landings moke Detector ------------------ -- urnace: Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection ------------------------------------ 04_Be4rew-Ex i c i n g -SSSS------------SSSS-o- -SSSS-- -- & ath Fixtures & Tub Access -Spa ----------------------------- Fanel; Breaker Sizes &Labelsb ------------- --------------&---Su- ---- nzls ------------ -------SSSS----SSSSSSSS-- - ,68 Fireola-r Stove: Clearances -Hearth -SSSS-- SSSS- ^�------------SSSS-- 50.-E4 ae--n a is t Wood Panel; Int. & Ext. - ----- -- -- ---------------------------- 7Q_A41-Frrr.-& Appliance; Grnd.-Air Gap -Cooking Clearance - -- - ----------------------SSSS-- - G - ^ is & Receptacles at Kit. Counter ---SSSS-- SSSS-- 1-- - - - --- arage Fire Door Swing -Landing -Closer -------------------------------------- Garage -Damper -------------------------- t4-NVR-ftr,-Vents-Clearance-Comb. Air-Connector-P.R.V. In Garage: Above Floor -Meth. Protection Flet. & Mech. Equip. uip. Listed for Location ----------------------- ' .7fr-Elee-Reeeptacles in Garage; (G.F.I.)-Romex Protection -----------------------------SSSS-- --- 7, 1^ ,Ia1i^^-Foam-Looked in Attic ❑ Yes -------------------------------------SSSS-- -- _1&,Qeerrd-Rails & Deck Construction -Post Caps - --------------------------------------- a_0_- an. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --- -- ---------------------------------SSSS-- -- 39-fvITOWtTSTinstld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ------------------- ----SSSS-- i1LSFeeco-Brown-Finish ni :Disconnect. Electrical, Plumbing --------SSSS--- --SSSS-----------SSSS-- -- a3 u�ove Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings - - - - - - - -- -- --SSSS---SSSS-- SSSS--SSSS-- tet^'We-, Disconnect, Electrical, Plumbing ----------------------------- A&-&oe+' e;ec. Trim; G.F.I. Receptacle -Underground - ....--.._ --SSSS-- a6_44eA4rtdrion Throughout House SSSS-- ---------------------- --SSSS-- aW- G4 ss-Pratection .----- ----------------------------------SSSSSSSS------- 8a•-6errULrmns from Previous Inspections ------ --- ------------- ------------------SSSS-- W_-)-. s"Fest-Meters Tagged; Gas -Electric -- -- -- -- - --- ---- SSSS-------------------SSSS-- 99r& Sewer Connected -C/O to Grade -HD Approval cL &mTT Compliance Certificate -Other Certificates Date j Lar -d B-1 Date _ _ Card B-1 - -- ------ ----SSSS-- - ...--- - --- - SSSS - - Date Card B-1 _ _ Date Card B-1 -------------------------- Date Card B-1 Date Card B-1 Comments at Final COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OrovilL,e,-Callfgrnia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 36-34-21 ZONING A R BUILDING;PERMIT OWNER &D KAREN LINCOLN TELEPHONE 533-2487 SQ. FT. OCC. BUILDING V ATION 6,000 O WNER•SUGUSTLING DRESS P.OMA I. BOX 582 PALERMO 95968 CONTRACTOR'S NAME CURRENTS CONST ITELEPHONE 34-8464 CONTRACTOR'S MAILING ADDRESS 147 SILVER BAR DRIVE 95966 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 6,000 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 67.5.0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 33.75 Ener Plan Checking Fee 9Y 9 $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 35 INGLEWOOD DRIVE OROVILLE Permit fee $ 116.25 PLUMBING PERMIT FilingFee 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 SFEI Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ADD ;RODE STRUCTURE _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000A, 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Chapt. 9, Div. 3 of the Business and SProfessions/ Code and my license is in full force and effect. License .Jo. Classification 46 ❑ 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 NEW CONST. / DWELLING OCCUP.8d) ACDNS. \ ACC. BLDGS. // 3.64 sq.ft. ' NEW CONSTR.ULTI.OUT LET NON-RESID BRANCH CIRC ITS @ 5.00 ( POWER APPARATUS 1f 1 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APLNS. Ex. OCCUp. OUTLETS P(RESID )RE A.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 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. jZk 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 WO VENIS2 1 4.501 9.00 Cooling g Hood 6.50 Ventilation permit Fee $ 24.00 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 sai ounty i consequence of the granting of this permit. X e Date y Signature of Applicant — Owner❑ Contractor 9 Agent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No—&O-30By WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ HAz 1 DFEES IMP FLOOD CDF PARCEL I PD I HO I SUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indica d abov r which fees have been paid. ate IR OF PUBLIC WORKS ✓ D PERMIT EXPIRES Date COUNTY OF BUTTE - DEPARTMENT -OF -,PUBLIC WORKS - BUILDING DIVISION -7 COUNTY CENTER DRIVE = ORO_VIL CALIFORNIA 95965. -.TELEPHONE: 916/538-7541 PERMIT APP1,AXATION DATA SHEET / Permit No. _ OWNER h r_0[ A. P. No. 36 _3 L/ Proposed Building Use n Building Inspector Date t At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions.................................................. 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Dat( 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... or 25. Letter of signature authorization p 26. C'• V1tiQ.� 2tO /�A�o�i�ionn j D-�TQd 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone :L3 �/-SL16%and hold for pickup at �20 office. Deliver w/inspector. Other Applicant Date LI 1- 52 Copy of Hdz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone-__nail-counter by .date Contractor, designer, owner, was advised of above required data by_phone_maII_counter date` Plans checked by Date Plans approved by � Date Sets of plans on hold in Copy -DPW File cabinet AP folder COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville,.-California 95965 - Telephone: 916:'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER - �a 3 ih c lH TELEPHONE S 3 -Z Y9 SQ. FT. OCC.`, BUILDING VALUATION OWNER'S MAILLNG ADDR S ^ oI,,e Ct l e rn o S" 6 CONTRACTOR'S NAME- ef rnth•rlZ �0h r� TELEPHONE .3�/ 8`/6 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 7 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ -7 7� Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ //61" PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 O� r2 v ^ G 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 SF/�,{ � Duplex❑ Mobilehome❑ Other v SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ig Describe work: _ �I'!)C9-F _�I-r-4 r t% Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 2001 OR LESS 00A OR LESS 18.50 Main service 200A TO 1000AI 37.50 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 ❑ 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING oCCUP.&\ O // R AODNS. ACC. BLDGS. 3.66 sq.ft. NEW CONSTR. ULTI.OUTLET NO N•R ESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 764 RA FIXED APPLNS. EX. Occup. OUTLETS IRESID IREA.� 3.00 Temporary service 15.00 Mobile Home Facilities. 15.00 Misc. Wiring 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 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ 2c/ 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. X Date Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA ion of structuresover3 storiesoineheight ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ —i occ CONST TYPE TOTAL FEE $ /Z/ Z D I HAz 1 0FEES IMP I FLOOD I CDF I PARCEL I PD I HO I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WNITE-O.P.W.. YELLOW-ASSE340R• PINK -INSPECTOR. GOLOENROa-APPL CANT 1- Thls set of plans and speclflcatlons MUST be -- kept on the job at all times and it is unlawful to NOTE.:—AD Materials & Workmanship Shall 16 i�1 make any changes or alterations on same with- tiS out written permission from the Department r+; Accordance with Recognized Good Practices: � fo of a .quality prescribed for the Specified use In fho r ��5��-,gyp PO' a��bl�c W�rk�, (61onty of 11"-, Vniform Building, Plumbing & Mechanical Codes or ' p S the National Electrical Code. VWAHWM per ft 3%wa .1d `�..� . i y- 01 OA A0 • '�' � � I a � K O0. rip 6614J ' Ri S i to CO � 0 i �� p_,_G� Sots S Y 4 -� ,.� Sde �2 , _- i -. .�( A `� •�---moi^ •l - _. 'i... ... --. -. et 4- a �� eA _ . BUTTE COUNTY { . - 'BUILDING DEPARTMENT AP'PR011ED- �9�9