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HomeMy WebLinkAbout072-190-038TRAVEL TRAILER W/O PERMITS 7/18/94 07 0-038 93-1321, DAVII kN, , RANDY W,EGER DR OROV.lLLE TRAVE TRAILER UTILIT ELEC GAS COMPACTION T RE SUPPORT S CT REQ.. r I - OVA, 9 LAND DEVELOPMENT B U I L D I N G -72E N VJ R.0 -N MJE NTA- - WHI PERMIT CLEARANCE Baiang Permit No.— OWNERS JnCA 0 � 7 -PA A.P. -7 NAME:- NUMBER:() PFUNT LAST NAM��Sf COUNTY ZONING 4. DESIGNATION: 0 FLOOD ZONE FLOOD MAP: APPROVED: CONDmONALLYAPPROVED: RESOLVE PROBLEMS PRIOR TO AP PROVAL: PARCEL CREATION BY DEEDS OR MAP DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL,ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMMENTS/CONDITIONS: MAP INFORMATION:' DATE OF RECORDING Avc, LOT. 3 BOOK PAGE '41 COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): _YES X NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. re ! quirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDIAIG DWISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. buildin g* setback from cenierline of road. 2. Maintain a ft.building setback from right-of-way/c'en'terline of 3. Maintain a 100 ft. leachfield setback from all existing 'wells. 4. Maintain a ft. leachfield setback from 5. Pay water tender fees in the amount of to Battali6b Number 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. 7. Connect to a public water supply. 8. Connect to a public sewer system. of the Butte County Fire Department. 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. .10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) 12. Obtain approval from the Department of Fish and Game f or vegetation removal. Contact Fish & Game at 916-3 5 5-7010. 13. A traf f ic mitigation f ee f or each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. P&ywmwt to be and& to dw PAWrdag Dhdskn. 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building Code for seismic safety. Mobile homes shall be constructed on a permanent foundation system which complies with the Seismic.2one 3 requirements of the Uniform Building Code.' 1S. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article 11 of the Butte County Code. 18, Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find. pending examination of the'site by a professional archaeologist. This person would,then be able to assess the. site significance and suggest appropriate mitigation measures. 20. 21.- 22. 23. 24. 25. AlO imdonmaNvi 31M 10 AIN665 S661 9 Z 03G C13AI333H LD 9/95 - C:\WP51\FORMS.K\8LDGPERM-CLR TO Q Oate. Time Q FM L WHILE YOU WERE OUT M of Phone Area Code TELEPHONED CALLED TO SEE YOU amber Extension PLEASE CALL WILL CALL AGAIN WANTS TO SEE YOU URGENT --I RETURNED YOUR CALL - Mes ge — V e 7# -d -0 Operator ja- E A S T M A N 4C200 w& a VIOL�TION CHECK LIST (77 Weger Drive) A.P. # 072-19-0-038 Address— 0 Box 5912, Orov'ille, CA 95965-5912 Owner R a n-3-y--D-a -v-1-7s o n Owner's Address- Y/O Bo)� 5912, Orovilie Owner's Phone No. Supervisoral D—istrict Tenant's Name Phone No. Type'of Violation in Detail with Code Section Priority No. Travel trailer w/o permits Permit Appin expired 5/10/93 /Insp could see travel trailer on site (did not know if hooked to util) Send First letter to check out Specific Plot Plan with C/V Noted yes no Penalties Required Ist. Notice Sent 742n/!D4 2nd. Notice Sent (Date) (Date) Comments and/or Determination -t)0454d Oka W, -Te P 7 —7 45 Al PC-,, W ON, Me XA1 A"/ z 9 -e -t= -A/- Disposition For Citation Citation (Da-t—eT— (Date) Department Recommendation to Court Court Action Notice of Violation Recorded 0 Date) Eutte countu. A 3 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPIHONE: 1916) 538-7541 FAX: (916) 538-2140 July 20, 1994 Randy Davidson P.O. Box 5912 Oroville, CA 95965-5912 RE: Code Violation A.P. #072-19-0-038 77 Weger Drive, Oroville Dear'Mr. Davidson: This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure -to obtain the required permits, inspections and approvals from this office for installation of a travel trailer. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary -ompliance with the Butte County Code. However, you0shou-1 be adv -*se-' thaj atte County -has an active Code _L u provides an "effective means of enforcement if Enforcement Program w ch voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions - or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Michael Vieira or Scott Rutherford in this office at the address or telephone number listed above. S' cerely, MCV:dms 1 Mich el C. Vieira, C.B.O. 1 r, 9 sl) Mlana er, Building Inspection �uilldin IC cc: Assessor COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.,*538-7541 ]APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 072-190-038 ZUNINI� FR -10 BUILDING PERMIT OWNER Randy Davidson TELEPHONE SO.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1848 7th St., Oroville 95965 6 J3 CONTRACjFTP,',�, NAME Own_e_;�-­' ITELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuat;on is Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER __7NSE None NO. Plan Checking Fee $20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $20.00 PLUM�J,N'G PERMIT FilingFee 15.00 '77 Oroville Each Trapv_*� __ 5.00 Solar OV16eat pump water heater 20.00 LOT NO. UBDIVISION NAME CEL MAP is wa erpiping ,;,L 7.00 Xach qas water heater or vent 7.00, USE OF STRUCTURE SPECIFY SF [:1 DuplexR MobilehomeF)Q Other Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home IS 2@ 15-00 30.00 TYPE OF WORK New 1' Addition Remodel tallatio/n, Other E] [:! Utilities M Ins Describe work: Travel Trailer I \Permit Fee $45.00 bqntractor 4ECTRICAL PERMIT Fi ling Fee 15.00 M Main sl�kyice 600V OR LESS 200A OR LESS j_ 18.50 Main serNce 20CA TO 1 OOOA) 37.50 CONTRACTORS LICENSE W I declare under penalty of perjury (check one): F-1 I am licensed under provisions of/apt. 9, Div. 3 of the Business ,c f and Professions Code and my Iii rise is in full force and e fect. License ;Jo. assification I Ny 1, as the owner, or my empl r ees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Fl I am exempt under Sec.-, Business and Professions Code for this reason NEW CONST. DWELLING OCCUPM F S OR ADON ACC__BLCGS. 3.54 sq.ft. NEW.CONSTRL YUL T'_OUTLET NON RESID. A RANCH CIRCUITS) @ 5.00 P ER APPARATUS &) Sit'.. LE OUTLET CIR N Ex. Occup( OUTLE �IkOR FIXTURES 20 CO3) 754 -,AL. (@ 5 XED AF7LNS.,OR I. x. 5 E A.) 1 3.0 Temporary service 15.00 Mobile Home Facilities 1 15.00 15.00 Misc. Wiring 15.00 Permit Fee 48.50 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. I shal I 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. Contractor MECHANICAL PERMIT Fi ing Fee 1 15.00 Heating Cooling Hood 6.50 Venti lation 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 County Ot 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 liabil ties lu dgments, costs, and expenses which may in any way accrue against sai U In f Lh ng of this permit. X Date ��/o Signature of Appl Owner El Contractor F� Agent F� 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 $ OCC CONST TYPE ITOTAL FEE $113.50 I HAZ I D FEES I _��DF I PAV I PD I HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date 14 1 2:Jb Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. OLDENROD-APPL I CANT I COUNTY OF BUTTE - DEPA TMENTOFDEV LOPME S IS ON 7 COUNTY CENTERIRIV OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PE RMITIPP LI CATION DATA SHEET OWNER go rid Proposed Building Use y 1:�/V 2-- ki A. P. No. , Building Inspector 4�,A Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1 All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3- Complete plans, 3/4 sets, signed by preparer of plans . ................... .4. Engineered plans\�nd calcs, 3/4\sets, with wet signature on plans . ...... 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ....... Z ...... 8. Engineered truss details and layout in duplicate (required prior ,jo plan check) . .... 9. Mobilehome data and manufacture\r,s installation instruction 2 sets . ........... ction trZ u 10. Fees Of $ ................................. 11. Impact fees as shown on attached schedull� . .............................. 12. California Department of Forestry plan approval/fee ......................... r. ..A Flood elevation letter (100 year flo by C�li mi rigineer ................... 0 Sanitation and plot plan approval tMV1 ealth Department . ........... 5. City of Chico plumbing permit. 'X ... ................... 16. Plot plan and business license ap�roval`ir';46it�'o*f B)igs/6ridley . ............. 17. Planning approval for (A) Use: _ 7 B Park" \ * . ........ 18. Contact Land Development about (Vimprovements (t) WSr–a—inagee ............ 19. Driveway permit (construction appr . al required prior to occtncy). P;i;4AsWct1oA r�q* St 20. Pre -inspection for . reaq ired. to Building Inspectue (Date) 21. Contractor's license informatio * (No., Name Style, Classification 22. Certificate of Workmans Cc ensation Insurance . .......... ,2& Own r -Builder Verification iven to owner Mail to owner 1 7' ®rmi ........ 62-e Recorded copy of Agricid iral Acknowledgement Statement. ........ y 25. Letter of signature autoorization . ....................... ...... 26. �opy of recorded dedd of parcel creation and 60 right of way to a public roa . ..... 27. Letter of intent on -building use . ........ 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... ; .................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. When you issue the permit, proce s as follows: Mail W6,pwner. 'Mail to contractor. Telephone 51'0-Mrand hold for -pickup at UV^C) office. Deliver with inspector. Other Parcel Creation epr Acreage Applicant_ Copy of Haz-Mat form sent Health Dept. Fire Dept. _ Air Pollution Date Copy of plans sent Health Dept. Fire Dept. . Other Date By The following data must be submitted 1. Index permit for above items No. 2. Additional items required: it issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone — mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone — mail Counter by Date Plans checked by Date Plans approved by 1��Z Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPARTMENT OF FUBLiC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916 '538-7541 I APPLICATION AND PERMIT T H e'? y I) U A C1 sov, WNER'S'M LIN�AqESSS, , - <,r �4 _e,) V " I. He Q�'b NAM� CONTRACTOR'S MAILING AoE CT,RUCTION LENDER A rl -e— LENDER'S MAILING ADDRESS ARCH ECT OR ENGINEER 014,0 ARCHITECT OR ENGINEER'S BUILDING ADDRESS 1) T NO. I SUBDIVISION NAME y % 57 UNKNOWN f\o I PARCEL MAP USE OF STRUCTURE SF [] Duplex[] Mobilehome(Et Other SPECIFY TYPE OF WORK New 7 Addition R emode I I I I Utilities L InsrlIationF_ Other[] Describe work:— 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 Ao. 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 for sale. (Sec. 7044) El 1, as the owner, am exclusively contracting with licensed contract - 0 rs. (Sec. 7044) FI I am exempt under Sec.—, Business and Professions Code for this reason 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. 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 subjec to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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, indemnity and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant - Owner F-1 Contractor L_ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in heiaht. Receipt No. / "(,I<) 0 9- WHITE-D.P.W.. YELLOW-ASSE33... PINK -INSPECTOR. GOLOEWROO-APPLICAWT PERMIT NO. BUILDING PERMIT SO. FT. I OCC. I BUILDING VALUATION Fireplace I I Total Valuation $ Filing Fee Permit Fee Plan Checking Fee Energy Plan Checking Fee Penalty Permit fee PLUMBING PERMIT Each Trap Solar or heat pump water heater Water piping Each qas water heater or vent Gas piping system 1 - 5 outlets Building sewer Mobile Home 15.00 Permit Fee $ 0 0 Contractor ELECTRICAL PERMIT I Fi ling Fee 15.00 I Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1 OOOA) 37.501 NEW CONST. DWELLING OCCUPM OR AODNS. ( ACC. BLDGS. 3.64 sq.ft.1 NEW CONSTF;L N4ULTI.OU TLFT I NON-RESID, BRANCH CIRCUITS) @ 5.00 (POWER APPARATCJS 6 SINGLE OUTLE T R. Ex. Occup(OUTLETS OR FIXTURES 1 20 @ 7 Iq FIXED APPLNS. OR Ex. Occup. OUTLETS (RESI 0 .) EA.) 1 3.001 Temporary service 1 15.001 Mobile Home Facilities 15.00 4,� CC Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ r occ CONST TYPE I TOTAL F�5- $ i i I HAZ S I IMP I FLOOD,/rCOF I PARCEL I PO I HD I ISSUE i 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 Date PERMIT EXPIRES Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 9 16-538-7541 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 o ppor.tu.nity to avoid unnecessary delay in processing and issuing your building.permit. No -building permit will be issued-Lintil this verification is receive d. ' 1. I.personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) %,,,qg�S 2. 1 (have/have not) 2045:�el signed an application for a building permit for the proposed work. .3. 1 have contracted with'the following person (firm) to provide the proposed construction:. Name Address City Phone Contractors License -No-.' 4.. 1 plan to provide.portions of this work, but I have hired the following pe-r*s*on to coordinate, supervise, and pr6vide the major work: Name Address city -Phone' .,..;Contra:ctorrs_ Li6en - s �j_ -No.. . 5. 1 will provide some of the work but I have contract ed (hired). the.fol lowing persons to provide the work indicated: Name Address Phone Type of Work Signed: -17 Property Owner .��e r Social Security N mb� Date NOTE:- 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. ALL 9MUOTUM AND EOUIPMENT INOMING V OVIRWANGS SHALL BE CLEAR OF ALL EASEMENTS - .0 A ou 13ACK OF /0 FT. FROM THE SIDE MID ,AR PROPERTY LINEGS AND FT, FROM THE RF a FT. FROM THE ROAD CENTERLINE SN" 1112 ul— OF 0TRUCTURES AND EQWMW WOW FOR A 9 Fr. EAVE OVERHANG - LO N in vq I M (rlx L)I—V "7 fir This set of vlans and soecifications AM kept on the job at all times and it is unl�wful to— make any changes or alterations on same with- out written permission from the Department of Public Works, County of Butte. MoTr---An K40ferfcis & WorkmanshIp Shop Be In Accordance with Recognized Good Practices and I use in the Of 0 9ualify prescribed for the S ci ie( Uniform Building, Plumbing & MecKcel . Me Notional FjecfriCaICod% nical Codes md' vs k V'� . t a, An / Location of structures & . equipment shall be as shovm & clear of all easements. COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT RVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916; 538-7 541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE K 2 z - /.YJ PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 7 Z-0 e - MO c.4.joz�,I/ 7-o Cc -r- .::Z --F7 cT-77- IS IF74 M�AZEI —1510-045n, �11 TY OF BUTTE - DEPARTMENT OF PUBLic WORKS Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 4- ATION AND PERMIT 4PFLIC PERMIT NO. 3 1( J- --)7743,-Z- ' A'S.TESSOR PARCEL KUMBE ONING 072-190-038 FR - 10 BUILDING PERMIT OWNER TELEPHONE Randy Davidson—,­,�­, SO.FT. OCC. BUILDING VALUATION OWNER*S MAILING ADDRESS 1848 7th St., Oroville 9 5 9 6 5 6. j'3 CONTRA ' C.T rlj;�' S N AM E 0 wfii e': r .: � � TELEPHONE I CONTRACTOR*S MAILING ADDRESS k Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS ---Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $20.00 7 Weger Dr., Oroville PLUMBING PERMIT FilingFee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. UBDIVISION NAME 1 1 PARCE MAP Water piping 7.00 Each qas water heater or vent 7.001 USE OF STRUCTURE SF DuplexF� Mobilehome[3 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I IN 2@ 15.00 30. 00 TYPE OF WORK New r Addi tion L—i Remodell'-- Utilitiesm InstallationE: Other Describe work: Travel Trailer I — Permit Fee $45.00 Contractor ELECTRICAL PERMIT FilingFee 15.00 Main service 600V OR LESS 200A OR LESS J— 18.50 Jq. 50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 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 ;4o. Classification VL— 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 for sale. (Sec. 7044) EJ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) F_ I I am exempt under Sec. Business and Professions Code for this reason Main service 20CATO 1000A, 37.50 NEW CONST. DWELLING OCCUPM OR ADDNS. ( ACC. BLDGS. 3.64 sq.ft.1 NEW C 0 NST R* -- U LTI-QUTLET _NON RE .5, E�; .C. C.RCU ITS) @ 5-00 PO ER APPARATUS.&) SINWGLE OUTLET CIR Ex. OCCLIP(OUTLETS OR FIXTURES. J 20 Q1 76cl FIXED APPLNS OR E.?�t.00CLIP- OUTLETS (RESI*D.) E 3.6110 — Temporary service 15.00 Mobile Home Facilities 1 15.00 15.00 Misc. Wiring 15.00 Permit Fee 48.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): 17 The permit is for $100.00 (valuation) or less. F-1 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 shall be deemed revoked. Contractor MECHANICAL PERMIT FilingFee 15.00 Heating Cooling Hood 6.50 Vent ilation 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, indemnity and keep harmless the County of Butte against all liabilitiesjudgments, costs, and expenses.which may in any way accrue against sa Int %*nM f he gr Ing of this permit. �YIA--a A5 Lh o.% Date Signature of Appli Owner Contractor El Agent A n OSHA permit is re tions over 5'0" deep and demolition or construct- 3quired for excava ion of structures over stories in height. Mobile Home Installation Fee Energy Inspection Fee $ occ CONST TYPE I TOTAL FEE $113.50 I HAZ 1 0 FEEJ lr�f FLOOD I COF PA C I PD This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date Receipt No. 14.1 Jd WHITE-O.P.W., YELLOW-ASSE350R. PINK -INSPECTOR. COLOENROD-APPL I CANT M 25' kA rrl r am 7F 7R ;oe -V . 4 . 8.87 _190.4 ro Ql 517.41 6 5 7 J1 j2a e.5 'of 'TE 1, K 6 5 Z7.3 _PI 14 oc si Ail. f JP 1�. 'N IL -Ir -1 oc c ;Zvf"- vt NO. 4. lie ( , �� zr 4� - — ig;, , I _� - � " , % : % - _z E21 4 f 4b, Qr