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Home My WebLink About040-170-104a AP 40-17-104 George Silva Vista Lane, Durham (VARIANCE TO PLACE MOBILEHOME ON-"` PROPERTY - 2/20/79)790-67B ' ENES,, Joseph1303-6 i7 - 40-17-104• -- - - .. 6 $_ t George Silva !� AP# I NIS, Vista Ln. , app.500 W.of Cummings � t ings approx. 750 no'of + Rd: , ap.p.700'No.of Durham-Oroville . 50U off r W/$of C.umtn�irhaan}' Rd.", Durham Durham Orovi]le Hwy,"* Thain A I C ; p Permit' #1024-79PCONTR• Gus Gore Bldg ,E(util MH) � i (new single family ELE C . 3 -- _'7 ; GAS SUPPORT STRUCTURE REQ. COMPACTION, TEST R1Q. ' -7-LCj �. I r- 40-17-104 1 Te' FRANK FOX ► y;esCT3co 2026 Vista Lane, Durham o , 1 _'. Permit#76-85A(Agriculr„r ��Q Exemp . � lyl if permi� t/barn) (%-1-0�" Chico ..� ...ter- • ' a ,2026 Vista Lane, � c5 Contr: AMRE Remodeling Permit#2455-88B(vinyl siding/SF) L j _ � ,4, B07-2460, - " ' % �r 040 170 104?,: + ,; - MISCELLANEOUS'= HVAC Change Out ' HVAC CHANGE 2026 VISTA LN...' FOX, FRANK L & JUANITA`;, IL gra t .k t ' L 1 ,r r t �4 AP 40-17-104 George Silva Vista Lane, Durham (VARIANCE TO PLACE MOBILEHOME ON-"` PROPERTY - 2/20/79)790-67B ' ENES,, Joseph1303-6 i7 - 40-17-104• -- - - .. 6 $_ t George Silva !� AP# I NIS, Vista Ln. , app.500 W.of Cummings � t ings approx. 750 no'of + Rd: , ap.p.700'No.of Durham-Oroville . 50U off r W/$of C.umtn�irhaan}' Rd.", Durham Durham Orovi]le Hwy,"* Thain A I C ; p Permit' #1024-79PCONTR• Gus Gore Bldg ,E(util MH) � i (new single family ELE C . 3 -- _'7 ; GAS SUPPORT STRUCTURE REQ. COMPACTION, TEST R1Q. ' -7-LCj �. I r- 40-17-104 1 Te' FRANK FOX ► y;esCT3co 2026 Vista Lane, Durham o , 1 _'. Permit#76-85A(Agriculr„r ��Q Exemp . � lyl if permi� t/barn) (%-1-0�" Chico ..� ...ter- • ' a ,2026 Vista Lane, � c5 Contr: AMRE Remodeling Permit#2455-88B(vinyl siding/SF) L j _ � ,4, B07-2460, - " ' % �r 040 170 104?,: + ,; - MISCELLANEOUS'= HVAC Change Out ' HVAC CHANGE 2026 VISTA LN...' FOX, FRANK L & JUANITA`;, IL gra t .k t ' L 1 ,r D ^� BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds SECO HEATING AND AIR 4320 ANTHONY CT, SUITE 1 ROCKLIN, CA 95677 (916)652-6755 SECO HEATING AND AIR 4320 ANTHONY CT, SUITE 1 ROCKLIN, CA 95677 (916)652-6755 FEE INFORMATION DBM Heat Pump (Package Unit) $58.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SECO HEATING AND AIR 888629 / C20 C38 / 12/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 707nd vision 3 of the Business and Professions Code, and my license is in f ce effect. X tom" 12/04/2007 Signature Date , WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier: PREFERRED EMPL(policy Number. WKN1275722 E p. Date:05/0112008 (This section need not be competed if the permitis oror onehundred dollars ($100) or ass. ❑I 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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of SAion 3700 of the Labor Code, I shall forthwith comply with those R 12/04/2007 signature v Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Building ' Garage. RemdVAddn Other Porch/Patio Total' i otat t nargea: 3;5If.UU tees rata: Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish; or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this l 12/04/2007 Owner's Signature Date I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including deathJaz perty damage caused by, arising out of, or in any way connected with the issuance of this preby acknowledge that issuance of this permit does not authorize the use or occupancy of aalk, street, or subsidewalk. I hereby authorize representatives of Butte C�enterbtioned pro arty for inspection pure��ssss s. hereby certify that I am the p party owp� br J 12/04/2007 0 Owner Contractor OR; Agent for OwneoAgent for Contractor FILE COPY PROJECT INFORMATION Site Address: 2026 VISTA LN Owner: Permit NO: B07-2460 APN: 040-170-104 FOX, FRANK L & JUANITA Permit type: MISCELLANEOUS 2026 VISTA LN Issued Date: 12/04/2007 By KCG Subtype: HVAC Change Out DURHAM, CA 95938 Expiration Date: 12/03/2008 Description: HVAC CHANGE OUT (530) 343-4847 Occupancy: Zoning: A5 SECO HEATING AND AIR 4320 ANTHONY CT, SUITE 1 ROCKLIN, CA 95677 (916)652-6755 SECO HEATING AND AIR 4320 ANTHONY CT, SUITE 1 ROCKLIN, CA 95677 (916)652-6755 FEE INFORMATION DBM Heat Pump (Package Unit) $58.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires SECO HEATING AND AIR 888629 / C20 C38 / 12/31/2008 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 707nd vision 3 of the Business and Professions Code, and my license is in f ce effect. X tom" 12/04/2007 Signature Date , WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I 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 WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Cartier: PREFERRED EMPL(policy Number. WKN1275722 E p. Date:05/0112008 (This section need not be competed if the permitis oror onehundred dollars ($100) or ass. ❑I 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 the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of SAion 3700 of the Labor Code, I shall forthwith comply with those R 12/04/2007 signature v Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip Building ' Garage. RemdVAddn Other Porch/Patio Total' i otat t nargea: 3;5If.UU tees rata: Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish; or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: 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 (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this l 12/04/2007 Owner's Signature Date I hereby certify that I have read this application and slate that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including deathJaz perty damage caused by, arising out of, or in any way connected with the issuance of this preby acknowledge that issuance of this permit does not authorize the use or occupancy of aalk, street, or subsidewalk. I hereby authorize representatives of Butte C�enterbtioned pro arty for inspection pure��ssss s. hereby certify that I am the p party owp� br J 12/04/2007 0 Owner Contractor OR; Agent for OwneoAgent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name RA irst Name r �ratn � Address n^ Nt; V \ �l State A- City 1 a� Zip 115 honJ�oh2,4eb— 0 Fax J 'SIO r&maoil City �G1c_ , CONTRACTOR ARCHITECT/ENGINEER Name Seto .J �1�•0`L� Address Address City City �G1c_ , Stat CA— Zip 06(� Phon0l��_{e5%�c 'Jr Fax (,�� _661_IGt E-mail Lin ao( gg U , C5D .�TSIGNATURE 11"011 FA Nffl�_!] For office use only: ARCHITECT/ENGINEER Name Seto .J �1�•0`L� Address Yes City Occ• State Zip Phone Page Fax E-mail Date Approved: State License Number .�TSIGNATURE 11"011 FA Nffl�_!] For office use only: APPLICANT INFORMATION Name Seto .J �1�•0`L� Address Yes City Occ• State Zip Phone Page Fax E-mail Date Approved: .�TSIGNATURE 11"011 FA Nffl�_!] For office use only: Zoning Flood Zone ity 1 ctit SRA 1 Yes I No Occ• Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS KAFORMS\BUILDING FORMS161dgApplSubRgmts.doc PERMIT NO. BIN # PROJECT LOCATION AP# 01'0- '0. Property Addres �D 16� h ity 1 ctit Cross Street CO IMS, S Sheriff WORKER'S COMPENSATION Policy Number Ao5 s �0 Carrier --- t If hiring anyone other than license contractors, a certificate of w kers compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address A escr' t' n or Scope of Work: w 4f - Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. I I Received by:`/ b Amount: /__._y100 � Bldg I I Page 1 of 2 REV 8-12-05 SRA Receipt #: F �t JJ Sheriff SMIP Date: It ---Other Total Page 1 of 2 REV 8-12-05 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING a — =s OWNE PHONE NO. j OWNER'S ADDRESS LOCATION OF BUILDING JL ' USE OF BUILDAG 'SIZE OF STRUCTURE 2k2—' X 7 SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME v STEEL CONCRETE OTHER (Specify) T Y,PP OF SIDING/ r A/ C/ ROOF COVERING FLOOR TYPE ESTIMATED COST OF CONST CTION. $ , 0y AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows:, --t—SIDES 0—/ 1 FRONT 10 I REAR—0 AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq..,ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. . AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building.. I declare under penalty of perjury that 'the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy: Date Signature of Owner Permit Fee - $25.00 The above described AG Building is exempt from a building permit. Receipt No. /-// f Director of Public Works BY Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant fife'.' D OF NATU RAI. WE L FH AN;') DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH - Address ❑ 695 Oleander Avenue, P.O. Box 1100 7 County Center Drive ❑ 747 Elliott Road Reply to Chico, California 95927 Oroville, California 95965 Paradise,: California 95969 Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 916/ 872-2961, Ext. 5 May 6, 1981 George & Lois Silva 2026 Vista Lane Durham,°CA 95938 Dear Mr.. & Mrs. Silva: This is to advise you that pursuant to Section 19-19 of the Butte County Code, the Board of Supervisors has approved a variance renewal to Sections 19-10 and 19-12 of the Butte County Code for the continued use of a mobile home on your property located at 2026 Vista Lane, Durham, CA and identified as Assessor.'s Parcel'Number 40-17-104. This variance renewal was granted on April 28, 1981 and includes. -the following -conditions: 1. The variance .renewal is .granted only for a term of one year.. At the end of one year you must apply for a new variance if the use is to continue. 2. If the applicant residing in the mobile home or conventional residence moves to another location or is deceased, the variance automatically expires and the mobile home shall be moved within 120 days. If the mobile home is not removed within 120 days, the County may remove said mobile home and store it at the owner's expense. Very truly yours, Lynn Vanhart,. Director Division of Environmental Health LEV/lld cc: Clerk of the Board Planning Department Building Department :.Dade Goua!y LAND OF NATURAL WEAL H. AND BEAUTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 695 Oleander Avenue, P.O. Box 1100 XJ 7 County Center Drive ❑ 747 Elliott -Road Reply to Chico, California 95927 Oroville, California 95965 Paradise, California 95969 1 Telephone:' 916/891-2727 Telephone: 916/534-428' Telephone: 916/ 872-2961, Ext..58 April .15 � . 1980 George Silva Route 2, Box 41+ Durham, CA .95938 Dear Mr. Silva: a This is to advise you that pursuant to Section 19-19 of the Butte County Code, the Board of Supervisors has approved a variance to Sections 19-10 and 19-12 of the Butte County Code for the placement of a mobile home on your property located at Vista Lane, Durham, CA and identified as Assessor's Parcel Number 40-'17-104 This .variance. was granted on. March 25, 1980 and includes the following conditions: 1. -The variance. is granted only for a term of one year. At the end of one year you must apply for a new variance if the use is to continue.' - 2. If the applicant residing in the mobile home'or conventional residence moves to another location'or is deceased, the variance automatically expires and the mobile home shall be moved within 120 days. If the mobile home is not removed within.120 days, the County may remove said mobile home and store it at the owner's expense. 3. The mobile home shall be placed.on.the property without violating any of the setback requirements of the zone in which the property is located.. .4. The applicant shall secure all necessary sewage disposal, electrical, plumbing and building permits necessary to install the mobile home. Very truly your L E. Vanhart, Director 'Div Sion of Environmental Health LEV/lld cc: Clerk of the Board Planning Department jilding Department !fr u 1., t - i 1 vt7. ,�`. ��3f��J�' �'., ,',.7`�•- j ,n• ,f. s' � y. ❑ 695 Oleander Avenue, P.O. Box 110 Chico, California 95927 Telephone: 916/343-4211, Ext. 62 .George and Lois Silva Route 2, Box 44 Durham, California 95938 D"ar Mr_ aand 0 tr♦ 7 t.t i` � ♦ w F[ i r. �� ' t e OF NATURAL WEALTH 'AND B'EAUT"Y _ F' DIVISION OF ENVIRONMENTAL HEALTH r )� 7 County Center Drive ❑ 747 Elliott Road •" .. a Y•iK 74a Telephone. 916/534-4281 Telephone: 916/872.2961.,'Ext. 58 Address 4?y•. ��.. Rhply to t `c' ❑ 695 Oleander Avenue, P.O. Box 110 Chico, California 95927 Telephone: 916/343-4211, Ext. 62 .George and Lois Silva Route 2, Box 44 Durham, California 95938 D"ar Mr_ aand 0 i ' t e OF NATURAL WEALTH 'AND B'EAUT"Y DEPARTMENT OF PUBLIC HEALTH F' DIVISION OF ENVIRONMENTAL HEALTH r )� 7 County Center Drive ❑ 747 Elliott Road •" " { k'' Oroville, California 95965 Paradise, California'95969' Telephone. 916/534-4281 Telephone: 916/872.2961.,'Ext. 58 It • .•J• February 20, 1979 This'is to advise you that pursuant to Secti.�:: 19-19 of the 3utte County, Code, the Board of Supervisors has approved a variance to Sections 19-10 and 19-12 of the 3utte Colony Code for the placement --)f a mobile home on your property located at Vista t, ne T)urha 40-17-1.04 . Street Address o=::� This va-r . n: e aas granted o : February 20, 1.079 __ .. e� , , conditions: Date �• 1. '1'-L= the fc_�owi:?5 1. The variance is granted ori_. for a farm of one year. At the end of one year you must apply for a new variance if the use is to continue. 2. If the applicant residing in the mcbiie home or convent�.oral resi- dence moves to another location or is deceased, t`e variance aut�.- matically exci.-a3 and t :-- nobile ho,..: Shall be rov 1.Athin 120 day.z. If. tii'T: C::,��ilf3 hcme _- not r e:,i.^vad ,idtt'j n 22t)...'.- h,:;. ^,,O u_nl may remove said mobile hcr•a and sto_e it at the owncr's+expense.�' 3. The mobile home shall be Y13ced on the propart77 «; v;" ;t violating; a :y of the setback requirements of the z:)ne in which tt:a rroperty is located. 4. The applicant shall secure all necessary sawage ris^.opal, electrical, clix-;,irv, and b-_.il1in; er .._ts rice..;..__ to irr `_aly ^a mob -1''e home. cc:' Clerk of the Board Y Kanning Department Binding Department y a.� , t Chico Env;.ror�mentaltrffealth Very tr.y yours, ..1 earn . r •cel' ay r:.- 1D� �.� � t y LAND O.F NATURAL WEALTH AND BEAUTY -� DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 695 Oleander Avenue, P.O. Box 1100 0 7 County Center Drive ❑ 747 Elliott Road R"ply to Chico, California 95927 oroville, California 95965 Paradise. California 95969 Telephone: 916/343-4211, Ext. 62 Telephone. 916/534-4281 Telephone: 916/872.2961, Ext. 58 February 20, 1979 George and Lois Silva Route 2, Box 44 Durham, California. 95938 This is to advise you that pursuant to Secti on 19-19 of t'he A_`:te Count, Cade, the Beard of Supervisors has approved a variance to Section` _19-10 and 19-12 of the Butte County Code for the placement of a mobile home on your property located at Vista Lane 1111tam 40-17-104 Street Address s` _ This va-i:^e --.;as granted on February 20. 1979 - i .cla'as the followin- 5 conditions: Date 1. The variance is granted orL; - for a y mrm of one year. At the end of one year you must apply for a new variance if tha use is to continue. 2. If the applicant residing.in the mcbiie home or conventional resi- dence moves to another location cr is deceased, t'ne variance autc- ma.tically e:q,ires and tie ,.ehile hv-, shall be within 120 days. If th+_ mobile home i-7-- not rem -L-. ad within l20._ -. -_; tha Cou County remove said mobile hcr-a and store it at tha ov-z or's expen-se. 3. ' •. _ _ - The mebi le home shall be ,ed -on rt`e roca»t� s:� t.�c violating a, of the setback requirements of the zate in wh.ics 1. -.11 -le rroperty is located. 4. The applicant- shall se -care a_1 no e._cary s �aa3-o _'s�nsa_, ale t..rical , :yi_i� �•j :eC2._. --ti t� �._._.__�i .._:= yob --e home. Very t_ -7:`y yours; - Lyn: ,:a:t, Dy_-c;ct �-�Vr Z: -::---.a1 Health cc: Clerk of the Board Kan -ung Departze~t Building Department � Chico Envi-ro=,ental Health :1024 �9P,E i PERMIT NO. PERMIT EXPIRES a` George Silva ? OWNER -CONTR. owner 'LOCATION (A.P. 40-17-104 � N/S Vista Lane, app.500'W.of Cummings Rd.,app. 700'N.of Durham-Oroville Rd., Durham k :r . ri • y v ,A V Temp. Power Pole Called PG&E _ y Temp. Elea Serv. Called PG&E - Temp. Gas Serv. Called PG&E JOB FINA D (Date) (Signature) sCOUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD DATE REMARKS OR CORRECTIONS C, --J 4:11-r 41st' V4f YEg/ 3 ad 7' 1 .�� f '�ta:.J , j'�/.G� 9�o�,�i`�✓9 co•Jc��Z�t �O �ic% 10e/d fd &I'!e /b le 14e #.Z UJ 7! 1 (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical - A: Is service large enough`to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of /100"amp) and other facilitieg-on'-Iot, i.e., water pumps, garage; cabana, etc.? Yes i/ No B. Is there proper clearances around.panels? Yes 4, No_ C Is power supply.cord,or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per the following.procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one'lead of a test instrument to, the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. A11"non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor." 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and'the chassis of the. , mobilehome. Upon satisfactory completion of.theelectrical tests, the' lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign. -off card and tag services. MOBILEHOME DATA � � �. � 7 Manufacturer and/or Namestyle LengtWidth �. Vehicle Serial No. )tl, State Identification No. Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with equired separation from lot lines and buildings and generally conform to plot -plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes�o 4. Is the mobilehome level? (Sec. 5088) Yes No_ 5. If more han a single unit, are crossover connections properly installed? (Sec. 5088) Yes�To_ 6. Water A. Is flex' le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No_ B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yesa, . Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No_ B. Does it have minimum" per foot slope and is it properly supported? Yes ` No C. Are any leaks detected in drainage system after running 3 allons of water through each fixture including washing machine standpipe?.YesL No If coach is not State of California approved, does station have required trap and vent? Yes No as Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome.gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehomewith connector, turn -on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No Sdajeat.. Sanitation Cleara (0 y } Q vlf dp ?tTf o f [x�1� Lot'eAn AP# plan -S moor-w.red for: Sawags Disposal �.��, weUer SUPP3.y . Hold fiml fon Mater Supply.�.� or F IM7, clearaMs ®° K, . for: rda tar Supply . clears am for a ��"� b e&,aam mobile home. Other clearance for addMon of COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE..OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code' Title 25, Chapter 5, .under permit number. %i5 - 75 for the following location: �z/ a lJ��-�"�+— Ga-►-.! Owner Owner's Address Mobilehome Mfg. '�}�+4�� Model Year InsigniaNo. �;?I'n %G Z �" ? Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date +� r � L' 7 f By 0.421 THIS CERTIFICATE IS VOID,WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer; Pink - D.P.W. COUNTY 0'A BWAJE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — ' Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT /03n� j9 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Si .lure of Permitee o`rrAAggeen't + Receipt No. r V v I White-D.P.W. — Yellow -Assessor — 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 abov r which fees have been paid. t ORECTJfDPAOF PUBLIC WORKS %//gg�-p %.V1L' ,'� --,W=r, � .-.! a& �� Building permWexpires Date — BUILDING Owner W I Xomsail, SQ. FT. OCC. BUILDING VALUATION Mailing Address J Telephone No. Contractor �p Mailing AddressFireplace 572 8 Total Valuation � 7�epho .t 7 Permit Fee Building Address 0 6L PlanChecking Fee&/or Penalty Permit Fee m 1 vi, s- PLUMBING No. @ FEE iQ ✓f f 11 PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 P. No. Sio '— Zoning & tanning Water piping 1.50 Each gas water heater or vent 1.50 s FireDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. a s Rec'd I Parc rovol Plan pprov.l Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 800v OR LESS t00 AMP OR LESS 5.00 Single Family Duplex Mobil Home Others ❑ P ❑ � ❑ Main service EA. ADD'L too AMP 2.50 �= N -" OVER 800V Main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGS.LING CCUP. �}'\ 22sgft I 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: `/� NEW CONSTRES,., MULTI -OUTLET NON.RESI D. BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS .&, NON-RESID. SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTURES g L1� 09 IXED ALNS. Ex. Occup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification s Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability WWrkmen's Compensation. have placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $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 y$ L " am .1� $ TOTAL PERMIT FEE $3C1 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Si .lure of Permitee o`rrAAggeen't + Receipt No. r V v I White-D.P.W. — Yellow -Assessor — 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 abov r which fees have been paid. t ORECTJfDPAOF PUBLIC WORKS %//gg�-p %.V1L' ,'� --,W=r, � .-.! a& �� Building permWexpires Date — COUNTY OF BUTTE - DERARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 - � Telephone: 534-4541 APPLICATION AND PERMIT o BUILDING Owner L'1 (Z�AE S'jj,, VPV SQ. FT. OCC. BUILDING VALUATION Mailing AddressT..y��J2 OX 44 ttn," VI �. 5 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address i(� 5' V1,S A LA&)9 A-PI� Plan Checking Fee&/or Penalty Permit Fee s00� o G "jl mw S 2D , 4,009 PLUMBING No.1 @ FEE 00 / IID,= b(deAW—OPGV1&I-C, t2_J7- PERMIT FILING FEE $3.00 Each TraD 1.50 DI),e H -A A4 R pair drainage or vent piping 1.50 A. P. No. AA� �j� `t 0 ' 1 -) 0 T Zon�g. &'PI I g Water piping Q, p® Each gas water heater or vent 4 . Fs S tion Fire Dept. Fire Zone Use Pe it Gas piping system 1 - 5 outlets 1.50 EQA ParkingParcel Plans Declaration Parcel p 60'.R/W Improvements Each additional outlet .30 Building sewer OD Bldg. Plo s Recd Parce royal Pla Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES RA OTHER ❑ Permit Fee $ �I!s,®d .$ a-3 c ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS y� V 100 AMP OR LESS 5.00 , d Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 2-._-0 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELLING OR ADDNST ( ACC. L.G..CCUP. S) 20sgft 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 y le of: NEW RESID. BRANCOUTL T NON RESID. (MULTI. CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS.6 NON-RESID. (SINGLE OUTLET CIR. Ex. OCcuo(OUTLETS OR FIXTURES BAL@1 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 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor C d h' d h I t b' I' b' ' MECHANICAL No. FEE PERMIT FILING FEE $3.00@ Heating e w is requires every emp oyer o e insure against is ility 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 any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 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. Xa >g � Date � a Signature of Permiteeeorr Agent Receipt No. /9 9/L—D" White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Coo I i Ventilation Hood 1 1 2.00 Permit Fee $ $ Land Development Fee TOTAL PERMIT FEE $%-3 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abo for which fees have been paid. IRECOF PU IC WORKS C Date3. S Building permit expires Date a . MOBILEHOMB SUPPORT DATA If other than single -wide, QQ Mobilehome Mfr. % s % ��' furnish Setup Model No. U 4 Year 2 Width- (ft.) Box Length (ft.) Tagalong or Expando Size --ft. x --ft. (SHOW SUPPORT DETAILS BELOW) r On_all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Y Footings (check one) Single F140001". Wood either rA-ft A pressure treated or x -To foundation grade. (ft.)(in.) (in.) (in.) 2. Other (specify) Center support - Center support, r locations*- footing sizes Supports (check one) (in.) Be,e 1. Concrete block. x E:] 2. Other • (specify) (ft.)(in.)'- (in.) (in.) _ - i S. (ft.)(in.) (in.) (in.) '1;,x30 -- Typical Support (in.) (in.) Footing.Size (ft.)(in.) (in.) (in,-) �� 6°I -- Max. Pier Spacing (ft:)(in.) 2(tx 30 t Max. Overhang �°� -- (ft.)l (in.) (in.) (in.) (ft.)(in.) - } BUTTE COUNT� 'BUILDING DEPARTMENT APPROVED *If center piers -are other than drawn above, draw in locations, spacing, and dimensions. 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County_ Center Drive, Oroville, CA. . PHONE: 534.-4541 MOBILEHOME INSTALLATION SHEET 3. Is the site currently under permit? Yes No (If yes, furnish permit number -, ) OR Is'the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No (If no, clarify ) 5. 'What is the mobilehome electrical rating? ----------------------- 0 Amps 6. What is the mobilehome site service rating? ---------------------- 2— a 0 Amps 7. What is the mobilehome site circuit breaker rating? ------------- ® Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural_ LPG --/'--f- 11. What is the.gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ----------------------------- (BTU)" (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) 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 � lGi ZONING BUILDING PERMIT OWNER � � � � � TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS a� v: ,� C CONTRACTOR'S NAME - A v, r C A .+.. i' G T n! TELEPHONE /11 2 k 0(J CONTRACTOR'S MAILING AD RESS �i yy :ver fn.,_,- !7r mar w.e.q"�6 R g S l — Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee ; t ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty ; BUILDING ADDRESS n / Permit fee ; b 5V 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 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea' TYPE OF WORK New ❑ Addition ❑ RemodelX] Utilities ❑ Installation❑ Other ❑ Describe work:�� .�� S = `� J Permit Fee ; Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 00v OR LESS 10.00 1AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): a i am licensed under provisions Of Chapt. 9, Div. 3 of the BUsines$ and Professions Code and my license is in full force and effect. License No. 'y i0 Z 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 CONST. DWELLING OCCUP.aI '/zQsgft OR ADDNS. ACC. BLDGS. I NEW CONSTR. U TI.OUTLET 2,50 ea ITS NON.RESID BRA CH CIRCU' POWER APPARATUS e\ (SINGLE OUTLET CIR. / EX. OCCUp(OUTLETS OR FIXTURES .220 0@530 FIXED Ex. Occup. OUTLETS P(RESID )LINISREA.) 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. ❑,roI have placed on file with the County of Butte Building Department a Certificate o'f,Workmen'slCompensation Insurance or a Certificate of Consent to Self -Insured ❑ I shall not employ any person in arty manner so as to become subject to the W. C:•laws of Californi% 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 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. 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 Couinty in consequence of the granting of this permit. --- X t Lis. -- Date � � Z — e � Signature of Applicant — r 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 $ SU OCCuP. I CONST.TYP[ SCHOOL FLOOD PARCEL PD ND 1 ISSUE This permit is heissued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By_--�a-w-- r� Date N PERMIT EXPIRES Date T �� Receipt No. O i -7 6o, 3-- 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 PERMIT ER IT NO. r�- ASSESSOR PARCEL NUMBERZONING -' (''•-- — BUILDING PERMIT OWNER CIL A -4k kf6 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MA LING ADDRESS CONTRACTOR'S NAME A -o-, r e TELEPHONE CONTRACTOR'S MAILING ADDRESS :ver, ( t -k fir, a, 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 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 [I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remode10 Utilities ❑ Installation[] Other ❑ i Describe work: -+ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 SOOV OR LESS Main service 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW ` I declare under penalty of perjury (Check One): 3'1 am licensed under provisions of Chapt. 9, Div. 3 of the BusinessrPOWER and Professions Code and my license Is In full force and effect. License No. 'iC7-304e T Z Classification ,!3 ❑ 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 OR ADDNS. C CONST. ( ACC. BLDGS. DWELLING OCCUP.eI 1�20sq ft NEW CONSTR MUI.OUTLET 2,50 ea NON-RESID .BRA CH CIRC ITS APPARATUS 6 `SINGLE OUTLET CIR, Ex. OCCUp(OUTLETS OR FIXTURES20050t e ALO 30 FIXED APLNS. EX. 0CCUP- OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. IYirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): .e permit is for $100.00 (valuation) or less. 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 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. 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 again aid Co my in consequence of the granting of this permit. X Date 2. _ Ste- �'" 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 $ 60,5-0 OCCUP. CONST.TYP6 SCHOOL FLOOD PARCEL P11 I HD I 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. DIRECTOR OF PUBLIC WORKS BY "L"" 4-- Date '� d PERMIT EXPIRES Date 19 —A? Receipt No. a / -7 (a 2.--- WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT