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Home My WebLink About041-480-019A.P. 41-48-19 F LLf Little Field Reservoir app. off w�s o Cherokee Rd. 166-73E servi e only for mobile mph, 40h 3 /.x,0(0. -Y/= - o av 0 i3 -.37 -O 3( TE�:. COUNTY 'EDUCATION Terri Thurman'. . Executive Assistant Student Support. Services W ��777 . 1859 Bird Street Orovilie, CA -95965 (5$0)532-5757 Fax (530)1532'-5758 , tthurinah(Obcoe.org, a T COUNTY OF BUTTE DEPAFITMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. — 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 above for which fees have been paid. By DIRECTOR OF PUBLIC WORKS Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mai l i ng Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas Zoning &Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. C. Sanitation FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Parcel Ma Declaration P 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES [:]-` OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑' Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 204t225 baI (a 10 Receps., switches & fix outlets ^25 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑ I am 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. ❑ 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. 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 TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. — 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 above for which fees have been paid. By DIRECTOR OF PUBLIC WORKS Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO S� 7 County Center Drive — Oroville, California 95965 Telephone: 534!-4541 �\ APPLICATION AND PERMIT author ze representatives of the County of Butte to enter upon the above-mentioned r erty for inspection purposes. X Date 17,7 Signature of Permitee or Agent Receipt No. Za 92 of 2 _ 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 above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Building permit expires Date -Z BUILDING Owner ' / SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor 0 Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE 2.00 7i O-CDI ^ 3 ` Each Trap 1. 0 G✓ Repair drainage or vent piping 5dN Water piping 1.50 O Each gas water heater or vent 1.50 A. P. No. �— L "' ?- Dorn Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FV Sanitation Fire Dept. Fire Zone Use Permit Building sewer 5.0 o-� EQA Parking Plans a De aration Parcel Ma P 60' R/W I Improvements P Lawn sprinkler system 0 ::::T Planed Parcel pA prowl I Plans Approval Permit Fee $ $ Cy NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter; Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 120Am al_t 1.0 Receps., switches & fix outlets 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap, cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump �+ Mobil Home Facilities 5.00 �B'O Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ OC 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 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ �� author ze representatives of the County of Butte to enter upon the above-mentioned r erty for inspection purposes. X Date 17,7 Signature of Permitee or Agent Receipt No. Za 92 of 2 _ 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 above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Building permit expires Date -Z r , .x • ect�¢ns' shad be . r !` ;• �` t util'lty n t ,t �wtside the rear oeat'�ttl7.j he :mile home r� '#hrr(3 `ect Gn. 0, 'of moble tk�c'lef 4rQad 5e ' ,r home %' •• �. •� s s ,•* 1.. r '�.! f F J•` 1, 6 r _ a * i ' _ • 115T wy • n M ti.. natio s .••' c=. r ,•`r '° � . - . s ocif 4apful t lar d p it is un ' his sot o¢ ,:,ia al' tisrtes a;�d same Witbout. w , ^thQy ob• a ajterations on t of Public' wxept. on, " change or. 3 e pepartrnen; make ary o .from th ermiss r e t r :r ' Written . P {Butt •> r' •'�' county, o , F ' DEPARTMENT ; . - PPROVE®,.% ' 9 • � ' 1 ' i .. , .. ..• .. •Z•�... -`tat. A l 1't DECLARATION REgARDIi1G LOPS OR PARCELS r Y t,Lfy that., as owner of the property acquired by deed in ial Records. `of Butte County, (.AP.Volume Page fic -I am requesting permission to build or install an additiWial.living unit on this,' property.'. I will not divide the afore- mentioned property for 'sale, lease, rent, or financing unless all applicable. -land -division -laws and--map•-requirements -are.-complied -with. I am conversant with the present --oning regulations affecting the aforementioned property, and declare that I shall not violate same. I represent that the proposed use of the additional living unit is i. and -that further I -shall -not change -this proposed use -of -the- - additional living unit unless and until -I receive written approval therefor from the County of Butte. . 1 fully understand tA7at pursuant 'to Chapter 20 of the Butte County , Code and -§11535 et seq of the Business and Professions Code that if I, in the future, sell, lease, or finance the area on or adjacent to said improvement without fully complying with the applicable laws and - ordinances, that I shall be -guilty of a misde-;eanor and therefore, subject ?4 to the aforesaid penalties and imprisonment pursuant to law. Further, this •statement - shall •be--properly-ocknow"edged and. -recorded ar, the request 4. �f--the unty_of...ButL e. finer a � ..�'.:•: _ 'R.C- ' ' -, ti:193 ress Date 33150- 3150-----------•------------- -------------------------------------- ----------- - TATE--- --- TATE 017 CALIFORNIA ) -' 0=7f OF j sso On thi.s=r"dal of ,�- J;v� 1.97._ s, before ,1e a Notary Public in and .for the CoW.Ly oz State of California, residing therein, duly ssioned rn, ,personally appeared �: - H a known to i:1e 'to" be the person ;;nose -�c.`:'�� crud to t e wit in instrunenfi and acknor,aledgea to m that' --Tie- executed the ;sa•me. Mpl, S.._tI- r� R .. have hereunto s`t ray hand .and of JE ixcd ny ea1CFj11fjALtj1i'f,oU ty or /6 % %` the -'day and year in °o4r:KRY e tt'-tic; [e ft • � f UaLIC - CpLi1 - eurre _O.UwrY i' S 11�eE 2^ 14' _ - �;•i i� S ,1OL41-P.�l-1 ) 2C