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HomeMy WebLinkAbout079-340-01313 TOM STEVENS STEVENS, Thomas R. 1000-70B 1130 Mt i Mt. Ida Rd, Oroville _ gag -70P . Permit#4095-.83B(new pr vate det ched i E t .! garage) 951-70 1130 Mt. Ida Rd., Oroville 00-0915 CUNTR: Gray W. Kelley, 14 Woodcrest Dr., 0 STEVENS, TOM ( addition) 1130 MT. IDA, OROVILLE p, CONT: JOHN WHEELER CONST E REROOF /7/,4 f ®� k t r tiI 1 I I I I 1 1 0 i� CY)I c� , 'i�•ih'�,}�•7E"41r=.�yh�✓;v'',1FSf'•"'"MSG•"X46'ftj'"SycM.N�jS���„;'CT;�'<,�:;.11d.`:w%%::�I.�r.;�v..,.= ,�• 036-67-0-013 00-0915 STEVENS, TOM 1130 MT. IDA, OROVILLE CONT: JOHN WHEELER CONST. REROOF COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION 7 County Center Drive - Oroville�4,Califwnia 95965 - Telephone (530) -754 /' � 0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 016-67-0-011 ZONING BUILDING PERMIT OWNER N TELEPHONE SO. FT. OCC. BUILDING VALUATION 24 1440 OWNERS MAILING ADDRESS CONTRACTOR'S NAME P.MN.ST TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS CheckingFee $ BUILDINGADDRCSW rtl TDA, OROVTLLE TDA, Energy Plan Checking Fee $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE _ SF ❑p Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Others Describe Work: RERMF/M, 1P 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 ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions lof Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professjons Code, and my license is i full force and effect. �� License Class Lic. No. 2 9 7 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 Main Service 200A TO ,000A 46.00 NEW CONST. OWELLMIG OCCUP. OR AODNS. ( d ACC. BLDS. SO 3.52Fr. LNpµR�Ip, ' MULTI-OUTLET'ITS 97,50 POWER APPARATUS a swGLE ovrtET cIR. EX. Occup. OUTLET OR FIXTURES Bq O '.550 Ex. Occup. OFlxs A= DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION I 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.E. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers'ompensation insuranc carrier and policy number are: Carrier 3�0-,,, f-. /i,47 MECHANICAL PERMIT Fling Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number��.:o :. d d a,5I t- '41,9n tt 2 (The above sections need not be:completed ifthe permit is for work of a valuation of one hundred dollars ($100) or less.) ' ❑• 1 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'HAZ. 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 wit those provisions. % I` �/, ,+,/ _ X _ l�' !/ L.. • _ Date t��% _ SignatOre' of Applicant - ❑ Owner Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction�/^'I of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 55.00 D. FEES IMP I FLOOD CDF PARCEL PD I HD I ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above forhich fees have been paid. .i f'► e,_Date / VV PERMIT EXPIRES ON —" Q we Receipt No. nO WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING ISION 7 County Center Drive • Oroville, Californip. 959,5 • Telephone (530) -754 l (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT, OCC. BUILDING VALUATION 24 1440 OWNERS MAILING ADDRESS IV30 MT IDA, OROVILLE CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MaUNG ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRY130 MT IDA, OROVILLE 1 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑XDuplex ❑ 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 XX Describe Work: REROOF/COMP Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Feel 20.00 Main Service 200A 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 i full force and effect.PO License Class Lic. No. 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 I 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 of the Labor Code, for the performance of work for which this permit is issued. My workers'mpensation insuranc carrier and policy number are: rrier Ca.,11 ;Le ,Gu,,,� Policy Number -2- 1-f- Dr4 a,, (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 forthwit comply wit those provisions. X Date � / ,�rQ Sign re of Applica t - ❑ OwnerContractor ❑ Agent An OSHA permit is required for excavati s over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO lOooA 46.00 NEW CONST. OWEWNG W:. OR ADDNS. ( DW: ACC. OCCUP. BLDs. SO 3.50FT; NOµH6,NST. MULTI.OurLET 97,50 WEPPARATUS 8 SINGLERAOUfLEr CIR. Ex. Occup. OUTLET OR FDm1RES 20 @ I.00 BAL @ .50 Ex. Occup. OFurEE.DAa 0D °E'. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 I d 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 $ 55.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD I Ho I ISSS This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for hich fees have been paid. ate _© PERMIT EXPIRES ON ate Receipt No. 294166 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT "PERMIT NO. 4095-83B PERMIT EXPIRES-,Qh3/91 OWNER TOM STEVENS CONTR. owner ASSESSOR PARCEL 36-67-13 LOCATION 1130 Mt. Ida Rd 0 oville J. Temp. Power Pole Called PG&F Temp. Elec. S .Called P( Temp. Gas Sei Called PC JOB FINALEI Signature J=OK 0 = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's 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 _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4• Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-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 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date POOLS (Plans) OK except N'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 7. Water and Sewer Connected -C/0 to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7• Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit 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 J = OK 0 = Not OK - = Not Applicable RESIDENTIAL -(Single and Duplex) = Not Ready Date UNDERFL R (Plans) OK except N's Date FRAMING Continued requirements-Setb as is 48. Firewall & Openings AID`r Card -BI Date Car -BI Date 49. -One 3' -Check Garage -3rd story, 2 exits f 6_�F-t`g., Garage; Soils -Steel- / /" Ftg. Depth 5D•�Etm -Headroom-Rise-Run-Landing-Fire Pro ection 4-.F-Eg:--Porohes & Decks; Soils -Steel- / /" Ftg. Depth AL_- 'Iood on Roof Overhang -Attic Vents -Rafter Outriggers 54e =:c`:c, Main; Steel-Blockouts-Wrapped-Slab din - n - eneer walls, Garage; Steel-Blockouts-Wrapped-Slab rip Screed-Fdn. Vents-Underflr. Access _-7. _Qieia-Fireplace Ftg.-Steel -Glass Protection -Skylights -Plastic _ 8.-N4-V--Fall-Fittings-Test-2 way C/O -Sew r Test 55. c'e^ t"'-itsy�Bolts _ 9.Las42ipe; Size -Anchors FIN 10. VateP4;4pe; t-Anchors -Reg ular Service Test 11.. nderground (NOTE: An entry must be made each time you visit job site) 1 Ducts; aterial-Support-Ins. 56."Ext. St oor & Sideli tion -Landings n� I Y! ` - -Ant olt Joists -Vents -Cripples Card -B Date Card -BI Date _ 33. _Condensate Drain _& Overilow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Card -BI 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date - -- - - - - ------------- Card -BI - Date - - - Card -BI Date .Ca d -6I Date Card -BI Date DateFRAMI fans) OK except N's Card -BI Date Car -BI Date Card -BI Date Card Date Card -BI 3 . Sills; Proper Material_& Anchors _3Z_W_Is, u_ds-Nailing, Spacing & Bracing -_Plates -Sound 3 ring Walls over Girders & Floor Nailing 39:_ ra - --(rat proof) _-__.-- Dat Card -BI Date r _ Dat Card -BI Date 40. eilin s -Stairs -Chases -Tub ader & Beam -Size & Bearing _ 42. chors-Connectors 43 g. Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. 44. e A Flue -Fireplace Throat 45. nttr-====P�& Rom_ex Protect ion-DraIt_Stop-Ins. Baffles__ 46. x8dcm.-11lw4ewe-es-Exiling Doors -Sill Hgt. & Dimensions_- - 47. Framing Card -BI Date Card -BI Date Date FIN (Plans) OK exce (NOTE: An entry must be made each time you visit job site) 56."Ext. St oor & Sideli tion -Landings Date PLUMBING (Permit) OK except N's -oke Detect Water Ht.; Vent -Access -Combustion Air Fu ents-!: a =Comb. Air -Connector - _ _14. 15. Water Pipe; Test & Anchors -Nail Protection n Gara a Floor -Ducts -Meth. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 5 room Ex' ' 17. Shower Pan; Test, First Floor -Tub Access 6 & Bath Fixture s _ Test Tub & Shower, 2nd Floor -Tub Access 6 m Su er tzes-Labels ____18. 19. Gas Pipe; Size & Anchors ails 6 ace or Stove; Clearanc -Hearth - e s at Wo Ext. Card -BI Date Card -BI Date 65. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec Outlets & Receptacles at Kit. Counter 67. Gara a Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except N's 68. A.C. uct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. H r.; Vents -Clearance -Comb. Air-Connector-P.R.V.- --- In Gar e; Above Floor -Meth. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Plb., Elec. & Me uip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled _ 71. Elec. R e Garage; G.F.I.)-Romex Protec. - - 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulati -Looked i is El Yes _- 24. Equip. Ground made up w/Meth. Fasteners -Bond Gas &Water 73. Guard R 'Is onstruction-Post Caps - 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Ven s & Crawloor-Drainage & Wood -Earth Clearance 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At Looked u der Floor 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, 75. Following instld.: Drive Ye ❑ No; Walks ❑ Yes ❑ No; -_ _Insulated Neutral Yes ❑No _ Planters ❑Yes ❑No - 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; B wn-Finish _- 29. Equip. Clearances; Panels -Motors -Meth. Equip. 77, A.C. Uni isconnect-Cirnces-Brkr. & Cond. -115V Outlet _ 30. Clothes Closet Light -Shower Light _ 78. Vents AbovA Roof; Plbg.-Appliance-Firepl.-Clearanc 0 ngs. 79. Water Well; qisconnect, Electrical, Plumbing 80. Ex rior EleA Trim; G.F.I. Receptacle -Underground Card B -I _Date_ _ Card -BI Date _ _----_- -- -__ 81. Ventilation Apughout House Card B-1 Date Card -BI Date 82. Glass Protech n _ 83. Corrections fro Previous Inspections Date MECHANICAL (Permit) OK except N's 84. Gas Test -Meters Tagged; Gas -Electric - 31_ A.C-.-Ducts: Insulation & Support - 85. Water & Sewer Con ected-C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation -_ 86, Energy Compliance rtificate-Other Certificates _ 33. _Condensate Drain _& Overilow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date ar -BI Date - -- - - - - ------------- Card -BI - Date - - - Card -BI Date .Ca d -6I Date Card -BI Date DateFRAMI fans) OK except N's Card -BI Date Car -BI Date Card -BI Date Card Date Comments at Final: 3 . Sills; Proper Material_& Anchors _3Z_W_Is, u_ds-Nailing, Spacing & Bracing -_Plates -Sound 3 ring Walls over Girders & Floor Nailing 39:_ ra - --(rat proof) _-__.-- _ 40. eilin s -Stairs -Chases -Tub ader & Beam -Size & Bearing _ 42. chors-Connectors 43 g. Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. 44. e A Flue -Fireplace Throat 45. nttr-====P�& Rom_ex Protect ion-DraIt_Stop-Ins. Baffles__ 46. x8dcm.-11lw4ewe-es-Exiling Doors -Sill Hgt. & Dimensions_- - 47. Framing _ (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND. PERMIT P RMIT NO. J _ ASSESSOR PARCEL NMBER ,3( — ZONI G BUILDING PERMIT °"/O" 5FeVC41E V T�LryF�H 2�9L j 0 SO. FT. OCC. BUILDING V LUATI S Q7a CPO OWNER'S MAILING ADDRESS //30 "T ID/9 2A Oe-Nt1/Lc.9_ 01 - CONTRACTOR'S NAMED TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation $ �d �• "w Filing Fee $ 10.00 LENDER'S MAILING A DRESS Permit Fee $ ao ARCHITECT OR ENGINE LICENSE No. Plan Checking Fee $0=0 a Penalty $ ARCHITECT OR ENGIN R•S MAILING ADDRESS Permit fee $ 0-a BUIL GO ADD;gt IDA � . /M7 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 I/ 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 n T Q� SF ❑ Duplex ❑ Mobi lehome ❑ Other 80' vim/ ' C7�'� TNS SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: 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 NEW CONST. // DWELLING OCCUP.& OR ADDNS, l ACC. BLDGS. 21/20sgft 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 CONSTR. ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS &' NON.RESID. (SINGLE OUTLET CIR. 20050C Ex. Occup(o OR FIXTURES 9AL®30 ED A FIXED APP LNS. OR 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 FiIingFee 10.00 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. iQl 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 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 Ilab' ities, judgments, costs, d expenses which may in any way accrue again aid Cou In onse of the granting of this permit. VAC�/e,1462—=1Date �� �Z _�� 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/s�torries in eight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 70. s -d occuP. GROUP M! TYP OF COH T. r:JPAR L Pa/ HD 199U 17� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PEKMT EXPIRES Date the applicable toprovi- do resolutions to do fees have been paid. WORKS Date/ 2 �� • "/� 1'7— .—f 3 Receipt NO. 07 4 94 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT