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.
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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
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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
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