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HomeMy WebLinkAbout041-490-002R 41-49-2 Leonard Campbell E/S Ch okee Rd. 'S. Cherokee Cemete o,ee er 2/a71-77 (add' dwelling on y LEC, GA PPORT STRUCTURE REQ, COMPACTION TEST REQ, 41-49-2 WZ am P. Jensen E/S Che �eed., app.600'S.of PattersonCherokee Permit #@%, .�}B� M(new single family) *jj9r- M F• 1 ~ _ l�r. Pe �347il-82B(open deck/1275-82)SF r �� I`IC,fl J�� 44h � iC 1275-82 I 1107jVXB,P,E,M PERMIT NO. �l 2 PERMIT EXPIRES b OWNER William P. Jensen CONTR. owner . ASSESSOR PARCEL 41-49-2 LOCATION E/S Cherokee Rd., app.600'S.Of Patterson Lane, XMIN75 Cherokee A ti ^h J; ti 1 ¢ Temp. Power Pole Called IPG&E / Te P. Elec. !E:4 1/4- ` Called PG&E �i Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature i i t t iC 1275-82 I 1107jVXB,P,E,M PERMIT NO. �l 2 PERMIT EXPIRES b OWNER William P. Jensen CONTR. owner . ASSESSOR PARCEL 41-49-2 LOCATION E/S Cherokee Rd., app.600'S.Of Patterson Lane, XMIN75 Cherokee A ti ^h J; ti 1 ¢ Temp. Power Pole Called IPG&E / Te P. Elec. !E:4 1/4- ` Called PG&E �i Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE SAM //BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional - explanation,-�piease contact this office immediately. Inspector ��i -�-.sr. Date l COUNTY OF BUTTE • - -� DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS, 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 — ••- _.. .._ Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTIOIN NOTICE • BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office Vwhencorretion of work is completed. If you have any question pertaining to this eed additional explanation, 'please contact this office immediately. Inspector Date r ! J = OK Cf =- Not CfK Not Applicable RESIDENTIAL, (Singilie and Duplex) = Not Ready Date UNDE OOR Plans OK except#'s Date FRA ING Continued lk2oning requirements-Setbacks-nEasements 4 Property Line Firewall & Openings 2. g., Main; Soils -Stet -Elec. Grnd.- / Ftg. Depth 49. Ex PW -One 3' -Check Gaiage-3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth irs; Width -Headroom -Rise' -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5,4-�[_emwalls, Main; StO15-Blockouts-Wrapped-Slab 2WSiding4smVeneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 52r-9taeco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. rs-Fireplace Ftg.-Steel 5 azing Area -Glass Protection -Skylights -Plastic V.: Fall -Fittings -Test -2 way C/0 -Sewer Test . Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 1)9rW5ter Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground s & Ducts; Clearance -Material -Support -Ins. irders-Sills-Anchor Bolts -Joists -Vents -Cripples Card - l ate Card -BI Date f C d -BI e - - 1-gard-BI Date Ca "l I Date Card -BI Date Card -BI • .(j-a✓Card-BI Date Date FINAL (PI&fsJOK except #'s Ilk,Date Card -BI Date �CC J..Card-BI Date Date f PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 31. -Steps -Door & Sidelight Protection -Landings 5 Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air-Connector- In arage; Above Floor-Ducts-Mech. Protection lAw-Water Pipe; Test & Anchors -Nail Protection 1 V.; Test-Fttngs & Anchors -Nail Protection m Exiting Z.7 Shower Pan; Test, First Floor-Twrccess G.F.I. & Bath Fixtures & Tub Access 1 ub & Shower, 2nd Floor -Tub Access . Trim & Subpanel; Break r Sizes -Labels 19. Gas Pipe; Size & Anchors airs & Rails 63. Fireplace o C1earwees- �rth 04-Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date -%-Card-BI Date it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date §&�­Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s rage 're'Door; Swing -Landing -Closer AbFA-Gant in Garage -Damper 2 lure &Transformer Clearance -Ins. Protection r. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In arage; Above Floor-Mech. Protection t"Elec. Receptacles Spacing -Lights & Switches at Doors 7 Plb., Elec. & Mech. Equip. Listed for Location 2L_4Nze Boxes & No. of Conductors -Stapled 7I1t-EFe-­Reeeptacles in Garage; (G.F.I.)-Romex Protec. 2x Installedose to Edge of Studs & C.J. Equip. Gro ade up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic -Yes uard Rails &Deck Construction -Post Caps pliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size Pik/ ga. Cu rraA.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor XYes 27. Range Circ. /e4' ga r AI -Oven Circ. / / ga. Cu or At, Insulated Neutral es ❑No 75, Following insstl�': Drive Yes E) No; Walks Yes C] No; Planters Lk` es 0 N 28. Service -Riser Conductors & Ground -Main Disconnect ucco; wn-Finish 2Aw-Equip. Clearances; Panels-Motors-Mech. Equip. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet ^.s Closet Light -Shower Light 7 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. _ 7 a Well; Disconnect, Electrical, Plumbing Elec. Trim; G.F.I. Receptacle -Underground Card B -I `terior Dat Card -BI Date V tilation throughout House Card B-1 Date and -BI Date %A-� G Protection Date MECHANICAL (Permit) OK except #'s84. 31. A.C. Ducts; Insulation & Support _ 8 Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. er & Se onnected-C/0 to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. -Air -Return Air Vent -115V outlet X35. Attic Access & Platform if Fur ce in ttic Card -BI Date Card -BI Date Card -BI Date C -BI Date - _ Card -BI Date Card -BI Da-te-���Card-BI Date Card -BI" Date Card -BI Date Comments at Final: Date FRA G(4 s) OK except #'s IIs; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 3 aring Walls over Girders & Floor Nailing 3 graft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub Hea er &Be3m-Size & Bearing angers -Post Caps -Anchors -Connectors 44/CIn-g Joist-Rftr. Ties -Purl* Roof Brac.-Truss-Shthnq.-Rfnp. _ 41VF place Ties or Typ lue-Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4 drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) J = OK' 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES- (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'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.-Rig.-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 2. Footings; Size -Spacing -Marriage Line Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 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 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip.-Pool,Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 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 UVC TnP'KlrP TAT ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS ,0 CERTIFY THAT G CONSERVATION REQUIREMENTS HAVE BEEN INSTAT,J,Di IN COWORMANCE H�RRENT ENERGY CONSERVATION REGULATIONS BU ILD ING PERMIT NO./Z7.5'p A.P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER—APPROVED—PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge_ Single Glazed �IJ Fdn. Walls Special (Insulated) L� Floors CERT. & LABELED WDS. Walls ✓ & SLIDING DRS. tl Ceiling/Roof WEATHERSTRIPPED DRS. [�— Ducts BACK DAMPERED FANS Circulating Pipes„ INTERMITTENT IGNITION DEVICES ✓ APPROVED HEATER APPROVED WTR.HTR. CERT. APPLIANCES (� I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. / Insulation Applicator Name 'A6 & G Ikid ' ,j 6>A1.q& / Signature of X" _ (please Mrint) Insulation Applicator General Contractor/Owner N Signature of General Contractor/ a Ste (contractors Li ense No. (pease print) Date State Contractors \'—Ucense No. C? a THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. x.33_ �Zo� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Rc, Paradi.se — Phone: 872-2961, Ext. 57 CORRECIT00011H W079CE UILDING OR PR PERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector I wi v COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 APPLICATION AND PERMIT / 76 ASSESSOR PAR L N ER -J- Q 7j ZONING ^Is ,/y1 BUILDING PERMIT AA �J, YrZrtoSj SQ. FT. OCC. I BUILDING V TION / ' 0O MAI LIN ADDRESS 01W, T- I �OX 306 OeO(//Ll� (,g �Sy(�S 5,76 3760. av CONTRACTOR'S NAMEOW�� TELEPHONE [[// ` oo CONTRACTOR'S MAILING ADDRESS � Fireplace Total Valuation 1 $ 600. 06 Z , p0 CONSTRUCTION LENDER�� ..-_ UNKNOWN Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ r a ARCHITECT OR ENGINEERLICENSE NO. Fee $ ,SO ,P�llapn�C�f/hecking -"- ✓ P. C. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee -Z r $ BUILDIN ADDRESS 0415E )TL)', /7P%; (000 s' PLUMBING PERMIT Filing Fee 10.00 �V ,U Each Trap 2.00 g•�O Repair drainage or vent piping 5.00 n, `i�6P—i�e-4 Water piping $, 0D LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer so& Lawn sprinkler sy tem 5.00 C�9vl TYPE OF WORK New Addition[:] Remodel❑ Utilities❑ Installation[] Other❑ Describe work: Permit Fee $ Z6.00 Contractor ELECTRICAL PERMIT Filing Fee 10.00' Main service 100 AMP OR00V OR LESS5.00 S, 00 Main service EA- ADD'L too AMP 2.50 NEW CONST. (DWELLING Y •01� OR AODNS. ACC. BLDG 2¢ sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business50@25¢ and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONST R_POWER APPARATUS &I NON-RESID, SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES BAL@1 00 FIXED APP LHS, OR EX. OCCup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mi sc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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. 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. Heating W&VD T Cooling .00 Hood 3.00 3, Op Ventilation Permit Fee S �0 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against 'bilities, judgments, costs, and expenses which may in any way accrue f said County equence of the granting of this per Date gignatureof Applicant Own r Contractor ❑ Ag, nr An OSHA permit is require or a covations over " deep and de olition or construct- ion of structures over//3 stories in eight. Mobile Home Installation Fee $ TOTAL PERMIT FEE Z ,�' , occ . GROUP TrPE of CONST. PAR L P ND esUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF P LIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. l0 33 t%3.8��Z �2� - WHITE-D.P.W., YELLOW-ASSEs9 , PINK -INSPECT , GOLDENROD -AP LICANT Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT K-31653 FOR RESIDENTIAL DEVELOPMENT OFFICALBUTTE_ Section 26-8.1 of the Butte County Code requires this acknowledgementDS RE4G1 be recorded prior to issuance of a building permit. v �4� c The property described herein is adjacent to land or includedSEP 30 1046 'At' within an area zoned for agricultural purposes, and residents of CLAR'X:,A. f4El_S014 this property may be subject to inconveniences or discomfort arisdMK-'REGORDER N7J from the use of agricultural chemicals, including, but not limited to herbicidesfEE pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa- sionally generate dust, smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: �36.4)- acrez5 , pQrcel no, 0L1 -4Q-0 _ 00Z _0 ") or C hero tree, PA. I m;. Sou+ho � Cherokees e &Aeas+ u a r le r a� `t� e 1UMAea.S+ c oa He r a rid `l'he k)6rE%eas4 ua r k r o� 4K e So -c. +k eas+U �ucr•4er L�t nc� CaS4erl� 04 -ihe, Oa-aville_ - hero kee, ��. � n Se` -E . 3 3 Town sh.`p 1 t fJor Ih, ?c -r\ e '-i Co. s4 M 0. Q. Date: _ f—J/ n State of SS. County of ) PROPERTY OWNERS: i .—EV tSvi';r 1V, a ami ridb M On this the day of , 19 before me, the undersigned Notary Public, personally appeared 11rZ C40 -`v OFFICIAL SEAL known to me to be the person(s) whose name(s) ROBERT MWAM subscrib d to the within instrument and acknowledged NOTARY PUBLIC - CAUFORNiA Pr C1 that executed the same for the purposes Puc¢acreS p therein co tained. Aty�mmissionf:xpirPsApri130,t982 IN WITNESS WHEREOF, I hereunto set my hand and official seal. e r Notary Public Present A.P. NO. END OF DOCUMEM 10116181Z We WV 1861 9 100 .,WIG AANnoo TT I 21!' 71 VRATOR scd AM 113, �AJI L2 nn' -o rz r i I I j 31 irk J rj i 'iikf j Tj k13 n V7, S. f- 'F4 I T c' i+':: � 10116181Z We WV 1861 9 100 .,WIG AANnoo TT I 21!' 71 VRATOR scd AM 113, �AJI L2 nn' -o rz r i I I j COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT 0. , ASSESS PARCEL NUMBER �_ ZONI G BUILDING PERMIT OWNER TELEPHONE S0. FT. OCC. BUILDING VALUATION O XLNJE RMAILING ADDRESS a CONTRACTOR'- AM ONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /fir ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee A Z_'�• Penalty $ W ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUI� ADD s pd O PLUMBING PERMIT Filin gFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 42 Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF � uplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home TsG W 10.00 e ,/ TYPE OF WORK New AdditionE Remodel [—I Utilitie ❑ stallation❑ Other❑ Describe work: �r-* Q76 _'k ".Lk 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. ( ACC. BLOGS. 2t/2 0sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. of the Business and Professions Code and m license is in full force and effect. y License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEWCONSTRd MULTI -OUT LET NON .RESID, `BRANCH CIRCUITS) 2.50 ea NEW CONST;R ( POWER APPARATUS &1 NON -RES,D. 1 SINGLE OUTLET CIR. / 20@50e Ex. Occup(o XTS OR FIXTURES BALD. 309 FIXEEDD APP LNS. OR Ex. Occup. OUTLETS (RESID•) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 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. 164 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,,shouId,you become subject to the W. C. provisions of the Labor Code, you must forthwith'corIply with such provisions or this permit shall be deemed revoked. f' ',r , r+;r 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'�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 said County in gljr�eque a of the granting of this perm t. X / Ivlj Date 81Z.- Signature of Applicant — ne Contractor ❑ Agent ❑ An OSHA permit isrequired for c vations over 5'0" deep and demolition or construct- ion of structures ave_rr 3 sr�tories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OC CUP. GROUP I TYPE OF CONST. PARCEL PD HD 550E This permit is hereby issued under sio of the Butte County Code and/or w k indicated above for which D EETOR OF PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / Date 'J /�'�/ Receipt No. �©J WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT • t � 1 - 1 � r � � J i - ao laic sraoo, ox aonhyN��� 1 ' �I �I 1 emud* q a OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Edward Poste ADDRESS: Rt. 1, BOX 306 CITY & STATE: Oroville, CA. 95965 IMPORTANT: June 7, 1977 SEE INSTRUCTIONS DATE OF CLAIM: ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Decided not to install mobilehome. (Appt cant: Leonard Campbell- Permit Appin. - , - Receipt #159882 - AP 41-49-2) Plumbing permit fee ----- $33.00 Retain ftitag fee - ----- 3.00 Amount of refund due ----------- $30.00 Electrical permit fee --- $23.00 Amount of refund due ----------- $20.00 Land Development fee ----------- $25.00 TOTAL REFUND DUE --------------- $75.00 $75.00 I TOTAL $75. 0 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .................................. day of ............................. 19......, at................................• Calif..................................................................................... Signature of Claimant I• the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de- livered and that there is a Budget Appropriation ❑ or Specific Board Approval F-1 (Check one) for the same. Dated this .................................... day of ............................. 19....... at .............................. , Calif..................................................................................... Department Head or Authorized Deputy D ept. Exp. Code ............................................ Code ...............................................PAYABLE FROM............................................................................. ........... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY VENDOR CODE DEPT. & SUB. PROD. SUB. 0BJ. CLAIM NO. INVOICE NO. INVOICE DATE DISC. GROSS AMOUNT ENCUMB. SUB -DIST. f .INSTRUCTIONS to CLAIMANTS All claims against the county must be. itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by.the claimant and submitted to the De- partment head for approval. _ - Upon approval the Department head will forward claim to County_ Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. .INSTRUCTIONS to CLAIMANTS All claims against the county must be. itemized, giving dates and character of service rendered or work performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by.the claimant and submitted to the De- partment head for approval. _ - Upon approval the Department head will forward claim to County_ Auditor for payment procedure. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. COUNTY OF{BOTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 '�% Telephone: 534-4541 71,— 7 / APPLICATION AND PERMIT / v cr�c V' anc VUUnIy UI pular. LU CIItUl LIVUII 111C above-mentioned property r inspection purposes. X Date,5-- ��/ —7 7 Signature ofPLMitteeeor A ent Receipt No. ZL fP/ a ap 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 By Building permit expires Date Date BUILDING Owner O �Vn L,a SO. FT. OCC. BUILDING VALUATION Mailing Address 13 X 'yj , O�0 L] �'L,& Tel hn oe No. ^ 08 Fireplace Contractor o w/vei2.• Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address � s �l �,e��« PLUMBING No. @ FEE PERMIT FILING FEE $3.00 /�+ Wo C9S , �; N I°2 0 (C I�� ' 1. e M��'�� Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping O-- �1Z 01Z �pniAg Verification Only Each gas water heater or vent 1.50 A. P. No. /— 5/ r Z Gas piping system 1 - 5 outlets 4.56 d Each additional outlet .30 s itatio FireDept. FireZone Use Permit Building sewer 6-06 U^ EQA Parkin Plan Parce Declaratio Parcel Ma P 60' R/W Im roveme is P Lawn sprinkler system 2.00 ��++ dgO� IA_;"'R. c'd I PrceI Approval PIApproval Permit Fee $ ,QQ 1 LIE -267461% NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR LIE Main service 100 AMP ORSLESS 5.00 ✓ Main service EA, ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLDGS.CCUP, &) 20sgft NEW CONSTR. MULTI -OUTLET NON•RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS &) NON.R. 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 st le of: y Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Ex. Occu FIXED APP LNS, OR P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ,;Il am exempt from the Contractors License Laws of the State of California. Permit Fee $ 00 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. @ FEEPERMIT • 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 $ Q� cr�c V' anc VUUnIy UI pular. LU CIItUl LIVUII 111C above-mentioned property r inspection purposes. X Date,5-- ��/ —7 7 Signature ofPLMitteeeor A ent Receipt No. ZL fP/ a ap 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 By Building permit expires Date Date NOTE: —All Materials & Workmanship Shall Be in Accordance with Recocnized Good Practices and of a 'quality prescri ed for the Specified use in the Uniform Building, Rlumbing 9 Mechanical Codes and the Nath nal Elect}ical Code. 0 Thi-' sni- of plans coal - - *A -1• - - M! , tST ')e kehA ^� `�. ',nk nt rll +tans �s:,d It is u.nlaful to ►^"' .'si�i C�►^;rry�s or rlt,-r-1*,nrs on same withouf written permission from'he Department of Public Works, County of Butte. A) DD n1H 11c.:k4,f Setback shall be 5 ft. from the side property line and 50 ft. from the centerline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. 40�rq 7 / -7 7 All utility connections shall located within 4 ft. outside the re third section of the mobile hot on the left (road) side of the mob home. �o x j � � W 3 o F a ,a o Q.g h �o x j 3 o Q.g h Septic system -emd-I9ee1if L__ -1_L i^%-4"'th Off, 3"TbIMPIm to be as per Buffe County Health Dept. Re- quirements. 1� j BUTTE COUNTY BUILDING DPA TMPN1 ,yP V E Q/1 �i w M ):':, �r`,.�.*w'K ':;i?pn�• ..ern°'.;�"A 41 ?' !I d>pw.t �.I y� +N eA V _ �' e !. 3,10 o r �x .n,.f�M ♦ r N �..N a ._..,:..,. n;tre4,',Hh.� h ..�1;1» ' � �J7�.pg�xivSY .p,.r .. 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