HomeMy WebLinkAbout078-380-054GRAHAM. -Edwin 636-72
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5359 V -E Raod., Oroville.
t CONTR: Butte Const., Oroville �
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DAVID HARP
5359 V -E Road, Oroville.
Permit#3490-84B(install wood burning a
stove/SF)
2-'646B, M
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,THOMPSON',-46retchen -0
5359 • -, E "Rd, Oroville,t
.cont: Monte Pratt
'(reroof &'"hva6'/9f)
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovjlle, California 95965 - Telephone: 916/538-7541
APPLICATION' AWRERMIT t.
ASSESSOR PARCEL NUMBER
36--112-5$
ZONING
A R
BUILDING PERMIT
OWNER
GR THOMP"
TELEPHONE
NONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
5359 v -E ROAD a
1$ an 10$0
CONTRACTOR'SNAME
MOM PRAW
TELEPHONE
533-M7
CONTRACTOR'S MAILING ADDRESS I
2322 MDM VISTA AVE IMEi
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
4• .
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
,$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
V—
Permit fee
$ 39.00
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
1 20.00
LOT NO.SUBDIVISION
NAME
7
PAROL MAP
Water piping
7.00
Each qas water heater or vent
1 7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
15.00
Mobile Home S G W
615.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: REROOF—I(STALL HVAC
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):
Ip{
1Y/il I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full orce and effect.
License .JO. , �!�/vyc Classification a
❑ 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 OCCUPM
OR ADONS. 1 ACC. BLDGS. //
3.64 sq.ft.
NEW CONSTR. U TI -OUTLET
NON•RESID BRANCH CIRC ITS
@ 5.00
/POWER APPARATUS e
_SINGLE OUTLET CIR. )
Ex. Occup( OUTLETS OR FIXTURES
20 76
\
Ex. DCCUp. OUTLETS PIRESIO.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
14� 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 perm,t shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIirig Fee 15.00
Heating DUAL PACK
9.00
Cooling a 'j�j�j
9
Hood
6.50
Ventilation
Permit Fee
$ 33.00
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 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 f the granting of this permit. �7
X ��� W , L%t�� Date -3 7 G"
❑ Contractor Agent
Signature of Applicant — Owner g ❑
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 S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $72.00
HAZ
11 FEES I
IMP
I FLOOD
I CDF
PARCEL PO
HD
Iss
This permit is hereby issued under the
sions of tie Butte County Code and/or
1
ed abad� /°yyhich fs�iave
f
work j(Z"I'lIR CT' F P BLI
BY/
PERMIT EXPIRES Date
applicable provi-
r6solutions to do
been paid.
RKS
Date,
Receipt No. 110076 72.00
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 AND °ERMIT
PERMIT NO.
1421 —,In vt000?
ASSESSOR PARCEL NUMBER
36-112-58
ZONINGRi
A
BUILDING PERMIT
OWNER
TELEPHONE
NONE18
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
3 V—E ROAD OROVILLE
s COn 1 080
CONTRACTOR'S NAME
MONTF PRATT
TELEPHONE
533-0487
CONTRACTOR'S MAILING ADDRESS
r
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 1,080
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$ 24.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
9159 V—E. ROAD DROVILLE,
Permit 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
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: REROOF—INSTALL HVAC
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service LESS
200A OR LESS
18.50
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 Professions CoCde and m full o
license is in rce and effect.
License No. J Classification
FlALNS 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
Main service 200ATO1000A1
37,50
OCCUP.�\
NEW CONST. DWELLING OR ADONS. ACC. BLDGS. //
3.6d sq.ft.
NEWCONSTR U TI.OUTLET
NON .RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURESFIXED
20 76
Ex. Occup. OUTLETS P(RESIO.)REA.)
3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
J_
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
J4 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 i
Hood
6.50
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 ' co equence f the granting of this permit.
X - - �- Date 3 - �% � Z -
Signature nt ❑ Contractor Agent El Applica— Owner
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 S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE
HAz
1 11FEES I
IMP
I FLOOD
I COF
PARCEL
I PO I HO
ISS
This permit is hereby issued under the
sions of Butte County ode and/or
Work ' dl ted ab hich f
DIR CT F P BL
eY
PERMIT EXPIRES Date
applicable provi-
ALsolutions to do
s ave been paid.
RKS
Date
Receipt No. 110076 72.00
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541
APP_LICA ION AND,. PERMIT
ASSESSOR PARCEL NUMB R
-
ZONING,
=2
BUILDING PERMIT
l
OWNER
Gre !� eve o r
TELEPHONE
hon �-
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAI `ING ADD 55ii At C) rO vim`
CONTRACTOR'S NAME[�I
Pr C4 f
TELEPHONE
1s�36(1807
—'
CONTRACTOR'S MAILING ADDRESS/y��
'2 Com, .
23 22 l Q, Oro
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ D
Filing Fee
g 15,00
LENDER'S MAILING ADDRESS
Permit Fee
$ Z
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ .
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS F _
Permit. 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
SF14 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.001
Mobile Home S I G I W
@ 15.00
TYPE OF WORK gr
New ❑ Addition Remod 1❑ Utilities ❑ Installation❑ Othe
Describe work: 2V-0-0 - V C
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600V OR LESS
200A OR LESS
18.50
Main service 200A TO IOOOA1
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
❑ f, 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
I this reason
NEW CONST. DWELLING OCCUPM
OR ADONS. ACC- BLDGS. //
3.60sq.ft.
NEW CONST R. "" RANCH CIRCUITS)
NON.RESIO BRANCH CIRC ITS
@ 5,00
(POWER
/POWER APPARATUS &)
OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES
6d
20 @0 7Ski
FIXED
Ex. Occup. OUT ETS (RESID )REA.)
I 3.00
Temporary service
1 15.00
Mobile Home Facilities
15.00
Misc. Wiring
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
fa Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
❑ I shal I 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 noeo q�,
t 6h
-Cooling
Hood
6.50
Ventilation
permit Fee
$ 33 o-
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 Applicant nature of Date
[�'''+ Contractor ❑ Agent LJ ❑
Si8 pP - owner A
An OSHA
ion of structuresover39stor es inehe excavations over 5'0" deep and demolition or construct-
Mobile Home Installation Fee S
Energy Inspection Fee $
occ 1
CONST TYPE
TOTAL FEE $ 72.po
HAz
1 0FEES I IMP FLOOD
I COF
I PARCEL
I PD
I HO
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
/By — 72 °"-7/• _ 72 0
Receipt No.100 / C�
. TE-D.P.W.. YELLOW-ASe ESSOP, PINK -INSPECTOR, GOLDENPOO-APPLICANT
Permit#3490-84B
David Harp
5359 V -E Road, 'Or
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER r /
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1
J '.1 C
CONTRACTOR'S NAME '
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$• 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
i
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ '
BUILDING ADDRESS -
,'
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF B Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑'-'
Describe work: 'I r" r r r r ; —
41 Ir -
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
NEW CONST. DWELLING OCCUP.&`
OR ADDNS. ( ACC. BLDGS. I
t
220sgft
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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. ULTI.OUTLET 2.50 ea
NO N•R ESID BRANCH CIRC ITS
CONSTR RESID. SINGLE OUTLET CIRPOWER APPARATUS &
NEW NON - ( .
Ex. Occup(OUTLETS OR FIXTURES BAL030
FIXED APPLNS. OR
EX. OCCUp- OUTLETS (RESID.) EA.1
2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
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.
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 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 — -I Date ''- / • !
Signature of Applicant — Owner,,E� 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 $
TOTAL PERMIT FEE $ ? -
OCCUP. GROUP
I TYPE OF CONST.
[__�PARCELJ
PD
HD
ISSUE
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 paid.
WORKS
Date
Receipt No. I ` 1 1
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 916/534-4541
APPLICATJON AAND PERMIT
PERMIT NO.
Dv
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
O WEt,i�rr" / 0
K P-3 Y�
SQ. FT. OCC. BUILDING VALUATION
OWNER'S yAI LING V DE S " - D� �
/(✓�D ��f
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDE
UNKNOWN
Total Valuation $
Qv
Filing Fee
$ 10,00
LENDER'S MAILING ADS
Permit Fee
$
ARCHITECT OR ENGINE
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINE 'S MAILING ADDRESS
Permit fee
$ �°�--
euILDIN?,G A D ESS
fj
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10-00e
TYPE OF WORK
New ❑ Addition E:1 ❑ 9t))lities ❑ Installation[ Other
Describe work: >NS L GUaUD /-'
S -,Q CIE
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS10010.00
1AMP OR LESS
Main service EA. ADD'L 100 AMP
2.50
NEW LING O
OR ADONST % ACC. BL DGS.CCUP.&)
21/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 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)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR (MULTI -OUTLET 2.50 ea
NON-RES,.,BRANCH CIRC ITS
NEW -CONSTR POWER APPARATUS .&)
NON RESID. SINGLE OUTLET CIR.
Ex. Occu 20e50e
p�o TS OR FIXTURES BAL®300
FIXED
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
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.
1 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.
MECHANICAL PERMIT
Filing Fee 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 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
ainst said County in onsequence of the granting of this permit.
X %%- �_ $
Date_
Signature of Applicant — LneX 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 $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE of CONST.
PARCEL PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
C OJ9 OF PUBLIC
By
PERMIT E IRES to
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date —t
�\1 I f
Receipt No./�� 1
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT