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HomeMy WebLinkAbout030-211-031ZONING VIOLATION T- 11/20/92 (JUNK) 3 0-2 VIOLET B. SMITH I -1743 Oro Dam Blvd. W t, •OrovillE Permit #1977-76P ( p a /i pe I on ex, res.) SF ��/ 30-211-31 ROBERT CUMSTON ���/8'� 1743 Oro Dam Blvd, W, Oroville Permit#4046-88E(ele ser ch)SF SMITH, Anthony R. 586=69B r - ----2- -30 11C��7 -3 1743 Oro Dam Blvd. W., Oroville f ! (reroof & new -windows) 1 771 I `ti, IN THE MUNICIPAL COURT, COUNTY OF BUTTE--"' STATE OF CALIFORNIA OVILLE F]GRIDLEY CHICO PARADISE 1931 Arlin Rhine Drive 239 Sycamore 655 Oleander 747 Elliott Road (916) 538-7747 (916) 846-5701 ', (916) 891-2703 (916) 872-6347 PEOPLE OF THE S ATE OF ALIFORNIA VS. CASENO. �( O / DATE �otDefendant JUDGE ' CONDITION OF PROBATION / CONDITI NAL AND REVOCABLE RELEASE The above named defendant having been convicted of a misdemeanorviolationofSection-2q"�'% ^�,/— tj IT IS HEREBY ORDERED (applicable items checked):, A. COURT ACTION (sentence and/or -terms withtheCourtb Indicated In Sections B, C, and D): 1. ❑ FORMAL PROBATION GRANTED: Placed under care and supervision of the Probation Oificerfora period of from the date of this order. 2. O CONDITIONAUREVOCABLE RELEASE TO TH E COMM UNITY fora period of from the date of this order.. 3ROBATION/CONDITIONAL REVOCABLE j2 LEAS as rantedon / - modified. Original terms M ful force and effect except as mo& fied herein this date. 4. ❑ PROBATION/CONDITIONAL REVOCABLE RELEASE REVOKED ON . Defen- dant found to be in violation of probation/ conditional release. REASON S. ❑ PROBATION/CONDITIONAL REVOCABLE RELEASE REINSTATED: Original terms In full force and effect except as modified herein this date. 6. ❑ PROBATION EXTENDED 7. ❑ REVIEW DATE (a) ❑ Defendant must appear in -Court. (b) ❑ Defendant need not ;appear unless .-�. directed by Probation Officer. 8. ❑ PROBATION/CONDITIONALREVOCABLE- RELEASE terminated B. JAIL/FINE/RESTITUTION: O NO SWAP 0 NO ESP 1. ❑ BEIM PRISON ED in the Butte County Jail for hours/days/weekends/ months with suspended commencing before/at a.m./p.m.;credit 2. O PAY A FINE OF $ (includes penalty assessment): (a) O Payable to probation officer in instalk ments to be determined by him/her. (b) O Payable in equal monthly installments of $ on the day ofeach month commencing (c) ❑' Payable to Clerk of Court by orappearin Court on that date at a.m./p.m. 3. ❑ MAKE RESTITUTION in the sum of. $ plus $ collection fee. (a) O Payable through Probation Officer/ Central Collections in installments determined by him/her. (b) O File proof of restitution y or appear on that date at a.m./p.m. (c) O Pay $ to Vio- lent Crime Fund. (1) ❑ Payable to Probation Officer in installments to be determined by him/her. (2) ❑ Payable to Clerk of Court by or appear in Court on thatdate at a.mJp.m. (d) ❑ C.. FURTHER ORDERS AS FOLLOWS: 1. ❑ STANDARD TERMS: (a) O FORMAL PROBATION. Obey all laws, report to Probation Officerforthwith and as directed, follow all orders of Probation Officer, seek and maintain employment and/ or education and notify Probation Officer of any change in employment, education or residence status. The defendant is ordered to report to Butte County Central Collections, 25 County Cen- ter Drive, Oroville, California, within 20 work- ing days, and arrange for payment of formal probation costs, as determined by Central Collections, pursuantto California Penal Code Section 1203.1 b. Failure to report to Central Collections will result in judgment for pay- ment of full amount of allowable costs. (b) O CONDITIONAL/REVOCABLE RELEASE: (1) O Obey all laws and report to Court in person or in writing if directed to do so. (2) ❑ Follow all orders of Court and report as directed. (3) O Seek and maintain employment/ education and notify Court of any changes in status. (4) ❑ Notify 'Court immediately of any change in residence address. 2. ❑ FINANCIAL TERMS: Do not maintain any checking account or have any checks or credit cards in possession or under control (except payroll checks). 3. ❑ PROGRAM TERMS: (a) ❑ Commence and continue educe - tion, psychological, psychiatric, drug, alco- hol, or other rehabilitative program as pre- scribed by the Probation Officer/Court and not leave or terminate contact with any such program without his/her permis- sion. (1) ❑'Comply with the attached program conditions of (b) O That the defendant attend and com- plete a substance abuse program, as rec- ommended by the Probation Officerand/or the Butte County Alcohol and Drug Ser- vices. Said program may include butnot be limited to a residential program. (c) ❑ Perform hours of work for Court Work Program. Complete assignment and submit certifi- cate of completion tothe Court by at a.m./p.m. or appear in CoAirt at that time. (d) ❑ Attend DUI/Dnver Improvement/ .Complete the program. File proof of completion with the Court by at a.mJ p.m., or appear in Court at that time. D. ADDITIONAL CONDITIONS 1. O Totally abstain from the use or possession of alcoholic beverages. 2. ❑ Totally refrain from the use, control, or possession of any narcotic or controlled . substance unless with a current prescrip- tion from a licensed physician. Do not pos- sess any narcotic paraphernalia. 3. ❑ Do not drive if there is alcohol in your blood. 4. ❑ Do not enter any public place where the primary item soldordispensed is intoxicat- ing liquor. S. ❑ Submit to and pay for any expense of drug, narcotic or alcohol use detection test as directed by peace officer/probation officer. 6. ❑ Submit to search of your person, property, residence, vehicle, or any container under yourcontrol or Inwhich you havean interest at any time, night or day, by any Probation Officer or peace office with or without a warrant of arrest, search warrant, reason- able or probable cause, your presence or ' your then consent. 7. ❑ Register pursuant to: ❑ 290 P.C. O 11590 H & S S. ❑ Do not contact, annoy, harass or threaten 9. 0' Do not own, possess, or have under your.�f control or in your residence at any time a '. firearm, or any other deadly weapon as defined bySecdon 12020of the Penal Code. , 10. ❑ Attend All DSeducation class and complete same. File proof of completion with the Court by at.' . a.m./p.m.,or appear in Court . at that time. 11.0 License or driving privilege is suspended for 12. ❑ Surrender driver's license to Court: (a) ❑ To be held by the Court for days/months. . (b) O To be forwarded to DMV. 13.0 Do not drive without a valid California IF cense issued to you and in yourpossession or without insurance in the legally required amount. 14.0 Driver's license restricted for months as follows: (a) Drive to and from employment. ' (b) Drive during course of employment ' (c) Drive to and from treatment pro- gram. 15. ❑ Do not associate with any child under the ageof years, exceptin the presence of a responsible adult, as ap- proved by the Probation Officer. For the purpose of thisordlsr, is not considered a responsible adult. 16. ❑ Other 0�» UPON SAInSFACTORY COMPLETION OF PROBATION YOU MAY APPLY TO THE COURT TO HAVEYOUR CONVICTION SETASIDE PURSUANT TO SECTION 1203.4 OF THE PENAL CODE CEPT S PROVIDED FOR IN SECTION 13555 OF THE CALIFORNIA VEHICLE CODE. I have received a copy, re u ey�stood ay�li c t ve conditions of probation_ J ^ Date Executedat Califomiaon (dateLSignature r` I' I certify the foregoing is a true copy of the judgment rendered on the above date by the above -nam Judge. CLERK OF T 10 NAMED C URT By:Deputy TO THE SHERIFF: The foregoing certified copy of judgment in the above -entitled action is your authority for execution thereof. DISTRIBUTION: 0 DW'ct Attorney 0 Police Department 0 Jail O Defendant 0 Arresting Agency 0 Pnrbation 0 Collection Department 7 -- COUNTY OF BUTTE CODE ENFORCEMENT CITATION N° 414 NOTICE TO APPEAR Date Tjme ZO �k ' Name ��iZl a Resi a Lti><� 1 l M �•J J I e ress -DOW, MJ \JCI PhGone City �� l `llt_ State /1 Z)p 1� D to Stat Classo Bi r at Sax Ha• `'BR�j EyeH Height` ! Wei Otherldas. Occupat' S— 1jt�'JJ Social Security No. OFFENSE(S) oDC �n ,Butte Count Y Code Section Description of Offense 2. G Vio(A%.3�►sK utIA-b i IeLA—T Location Offense(s) Committed 6 e ❑ Offense item s numbeq� ) not committed in my presence, certified on information and belief. I certify under penalty w of perjury that the ore ing is a and correct. Executed on the date shown above a California X Signature of Code Enfo I \ (Name of Code Enforcement Officer fft)bj1t MPJ kLq; WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME AND PLACE INDICATED BELOW: X Signature_ l�l{41 r>�li --,e a Judge or Clerk of the my M Inu i is alal at: L Dare 19C Form approv d by the Judicial Council of California. SEE REVERSE SIDE White, COURT COPY Yellow, VIOLATOR'S COPY Court_ 11/4/88 Pink, FILE COPY �f2717t�",.' ,f COUNTY OF BUTTE - —. DEPART44ENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT uuu,ul IcNicacn tau vca VI I lJuullly UI OUttC LU Cfl Uif UPUn the above-mentioned property for inspection purposes. X Date Signature of Permiteeor Agent Receipt No. 145- 3 �"' White-D.P.W. — Yellow- ssessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date 2 'elew Building permit expires Date MR )/ BUILDING Owner .--� z/ 7— 5,44 SQ. FT. OCC. BUILDING VALUATION Mailing Address ��S% 3 Oie0 a7/" �L ec/ I wnSr Telephone No. Fireplace Contractor /1_1�1��N% A/Z� �j /�jsp Total Valuation Mailing Address �! 7 J �/�M ��, (/� i��s �""' Permit Fee Plan Checking Fee &/or Penalty / /r" le hon No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 ,CTU �/ J 0 L �1 / /� ( 0/?0I)L h M V 6t/P5- % — Each Trap 1.50 1J 1 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 30 ^/Z -%/Gas Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 11� Fees W.C. -Sani-tat•i•on Fire Dept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration Parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 Bldg. Plans Recd I Parcel Approval I Plans Approval Permit Fee $ O $ SZ NEW ❑ ADDITION ❑ UTILITIESE] OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ^ _ ^_A�2. S e ON �xiST� GAS Main service 100 AMP ORV OR LESS5.00 I��S iC4 Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 25.00 100 AMP OR LESS Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 1,00 NEW OR ADDNST ( ACCLBLDGS.LING CCUP. &) 21tsgft NEW CONSTR. MULTI -OUTLET NON.RESID, BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON-RESID, (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@L6Q BAL@@21 Ex. OCCU FIXED APPLNS, OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 QLam exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em p employ y an y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL N0.1 @ I FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ uuu,ul IcNicacn tau vca VI I lJuullly UI OUttC LU Cfl Uif UPUn the above-mentioned property for inspection purposes. X Date Signature of Permiteeor Agent Receipt No. 145- 3 �"' White-D.P.W. — Yellow- ssessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date 2 'elew Building permit expires Date MR )/ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 l ?.7 Telephone: 534-4541 // j(C, APPLICATION AND PERMITl- above-mentioned property for inspection purposes. _DateAAWK )4 Si'u of Permitee/or Agent 5�5� Receipt No. White-D.P.W. — Yellow-ssessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By� Date�Z Building permit expires Date BUILDING Owner / � �� SQ. FT. OCC. BUILDING VALUATION Mailing Address f �y� � / 0e AA j/C( ((l&f%'-' Vf�Vi1 e // V,~ / � Telephone No. Fireplace Contractor l_,�g-A/77­ ;? / A.1 Total Total Valuation Mailing Address o _3 0 V4 of / Permit Fee Plan Checking Fee&/or Penalty Tele hone No. j. to&IZ& A/4Building Permit Fee Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 .0-0 / LL of ` / 7 v L 4' klp ',/ Each Trap 1.50 f / ` Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. ^�^ 30 <ai� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 / Sv Each additional outlet .30 Fees W. . -S"itati,on Fire Dept. I Fire Zone I Use Permit Building sewer 5.00 EQA ParkinI Plans Declaration I Parcel Map 1 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ 0 $ NEW ❑ ADDITION ❑ UTILITIESQ' OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 10_ ^ �l/� �J�f$TrrtiGi Main service 1000 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVER 600V Main service 00 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. & OR ADDNS• ( ACC. BLDGS. ) 20 sq ft NEW CONSTR. MULTI -OUTLET NON.RESID, BRANCH CIRCUITS) 2.50ea NEW CON ST R. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name of: Ex. Occup(OUTLETS OR FIXTURES)@L-4 109 FIX ED A LNS.style Ex. Occup. ( OUTLETSP(RESID,)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 _ElI !xemgt from the Contrac License Laws of the State of California. Permit Fee $ WORKMEN'S eOMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ an P p y person i n any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 9i,}Iinri�o ..s TOTAL PERMIT FEE $ above-mentioned property for inspection purposes. _DateAAWK )4 Si'u of Permitee/or Agent 5�5� Receipt No. White-D.P.W. — Yellow-ssessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By� Date�Z Building permit expires Date a.. er, .... . , , .,, .. , -� . ,._�... , .: i�.•(Qi�: _ ri;-r"��.+"'; ;'t't?:!"i+5'Ts t=.:-,r *e•�tsjin•rty.,.�.,q. U Permit#40416-88B .;f Robert-Cumpston �'. 1743 Oro Dam Blvd WEst, ORo COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS /PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR. P A R,CEUMBER 'Q'=1" �— ZONING BUILDING PERMIT OWNER a 3�r C TELEPHONE s SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING DDRESS `7 3 C�C�U Dpi 1-(/ CONTRACTOR'S NAME TELEPHONE M CONTRACTOR'S AILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 120 00LIJD Permit tee $ PLUMBING PERMIT Filing Fee 10.00 v ��✓� 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 SFX] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ ,Rwe�mo el ❑ Util' 'e ❑ Installation.❑ Other Describe work: `� ^/tl! X.i a _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 I Main service 600V OR LESS 10.00 ©�.� 100 AMP OR LESS 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 force and effect. License No. Classification 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 >C..` for sale. (Sec. 7044) �0 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 OCCUP.EI OR ADONS. ACC. BLDGS. , /20Sgft NEW CONSTR. TI.OUTLET 2,50 ea C IS NON.RESID BRA CH CI!ICU' POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES SAL 900 °ALoao FIXED APPLNS. R 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): . i2,v k 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 54 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 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. 1 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 agains l aid County/in ense u Rice of the granting of this permit. r3G Y �2 `%2` 6'f X Date Signature of Applicant— I OwnerEjo 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ S "' OCCu P. CONST.TYPEJ JscNoO,] FLOOD PARCEL I P11 1 ND ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIFF7€CTO F PUBLIC WORKS By A Datee /9 COs PERMIT EXPIRES Date /• - �� Receipt No. WNITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLD ENROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERM IT 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 �L,2 W APPLICATION AND PERMIT ASSESSOR PARCELUMBER O M 9 I ZONING BUILDING PERMIT OWNER /^ pas TELEPHONE SQ. FT. OCC. BUILDING VAL ATION OWNER'S MAILIN�%G DR E55 ' I r 'j/e / VAH4{/ C4 / CONTR AC TO R 'S N ME TELEPHONE CONTRACTOR'S AILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN aa.. Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee 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 Age SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W I 10.00 ea TYPE OF WORK New Addition ❑ Remo el Utili 'e ❑ Installatio Other Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW (declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. No. Classification 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. UP.e , DWELLING OCC OR ADDNS. ( ACC. BLDGS. ) iosgft NEW CONSTR TI -OUTLET NON.RESID .BRA C CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. Ex. OCcup�OUTLETS OR FIXTURES 20@50tLicense eALoao FIXED APLNS.I, Ex. OCCup. OUTLETS P(RESID.)REA.? 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 �— Permit Fee $ S= WORKMEN'INSURANCE I deGlare under penalty of perjury (check one): RThe permit is for $100.00 (valuation) or less. E:] 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 shal I be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 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 agai id ounty seq ce of the g anting of this permit. X °��� 8a Date 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 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ �— occu P- CON41T.TYPEJ JSCH00LJFL000JP..1C.LJ PD ND ISIUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI CYTO F PUBLIC BYAl- PE MIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS (j C Date Receipt No. .3J WHITE-D.P.W.. TELLOW-Ale ESSOIR PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Depar't'ment of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building.permit has been applied for in your name and bearing your signature. Please complete and return this information at .your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor andmaterials for construction of the proposed property improvement (yes or no) —f=. 2. I (have/have not)y G signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number - - Date /2 NOTE: This This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.