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Home My WebLink About073-180-095-;_ A.P. 73-18Q5' BONNIE HALSELL, 300' off n/s*jForbestown Rd. 4001 east r' BroUlDsville cut-off, Forbestown - Permit 2204-73P,E (utilities for mobile home) 73-18-95 ALICE CORTEZ 40 CloverleAf Lane, Forbesto IPag�9 M)s-nPermit#2031-.86P (replAc�e--ga-/ 0 L L,• L 1� M � CJ Perait#2031-86P .. Alice Cortez 40 Cloverleaf Ln, i., Forbes I ii 1 f ") 3 , .I OFFICE COPY Address GAS Date�� Meter By ELECTRIC Date Meter By COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 3s CONTRACTOR'S NAME I TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN C 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 ❑ Duplex❑ Mobilehomer0 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S 1G W I 10.00ea ., TYPE OF WORK New❑ Addition [I Remodel❑ UtilitiesInstallation[] Other ❑ Describe work: _ 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 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ 1 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 No. Classification El 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) ❑ 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.N) +/z�sgft OR ADONS. ACC. BLDGS. NEW CONSTR. MULTI -OUTLET NON•RES10 2,50 ea BRANCH CIRC ITS POWER APPARATUS e SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20SSOt SAL@ 3o Ex. OCCUp. FIXED APPLNS. R OUTLETS ((RESID.)EA.) 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. ❑ 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. 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. 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 accrueT_____ against said County in consequence of the granting of this permit. X Date 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 $ OCCUP, CONST.TYPC FLOOD � PARCEL PO NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which . DIRECTOR OF PUBLIC 1 By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date , r ' Receipt No. WHITE-D.P.W.. YELLOW-ASeE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT Y. r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASS E O PAR N ZONNNG BUILDING PERMIT owN 1, 2—. TELEPHONE SQ. FT. OCC. BUILDING VALUATION ' OWN `S J.,�AILIN DDR 6�9 ]-/9 CO RAC'. 01. 1TELEPHONE CO R CTOR'S MAILING ADDRESS Fireplace R CONSTTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 -14 LIN LEND R'S MA G ADDRESS Permit Fee $ ARCHIT CT OR ENGINEER d 1 LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4/0 0 F V_ e, o 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 ❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S TA I O.00ea TYPE OF WORK New ❑ Addit n Re el ❑ Uti I ties ❑ Installation❑ Other ❑ Describe work. _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1011 OR LESS 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): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business/POWER and Professions Code and my license is in full force and effect. icense 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 CONST. / DWELLING oc CUP.y , OR ADONS. L ACC. BLDGS. /20sq ft NEW CONSTR MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS APPARATUS &I ISINGLE OUTLET CIR. Ex. Occu z0 ®s0a p OUTLETS OR FIXTURES eAL030 FIXED APLNS. Ex. Occup. OUTLETS P(RESID )KEA.) 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. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. � L� 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 FiIingFee 10.00 Heating Cooling 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 County of 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 against said County in consequence of the granting of this permit. ��'-f L' r�_l�_�� X ��C� �C • Date / 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 $ occuP, CONST.TYPE __FFLOOD PARCEL PD ND IssuE This permit is hereby issued under sions of the Butte County Code and/or work indi above fo which IR F PU By PERMIT XPIRES Date the applicable provi- resolutions to do f have been paid. I WORKS D e Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center;Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 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 opportunity -to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. Y 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) £s 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner ��_�� Z %f L Social Security Number - Date 7 - /8 46 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. Se ti P 9 system_ r , But �`��b-eut to be per uire County Health Deot.as RF - 9 ents. 3 The .setback shall be 5 It. frometri the side property line and 50 ft. from the centerline of the -road, permitting -� -� 4-2 ft. eave overlhz g. D All utility comnections shall be located within ft. out the -rear third sectio; olf the mobile home onthe left (roat) side of the .mo.b.iJe h ne-. a� V 9 o N 1 Alp BUTTE COUNT BUILDING DEPART ?ENT A PPROVD DECLARATION 1t1:CARDING 1,0'15 Olt PARM-.-IS I certify that as owner of the property acquired by deed in Off icial Records of Butte Count . i ' Volume �, Page ��, y, (AP �, ' �3- • IS f/2 )$I am requesting permission to build or install;;. 'I an additional living unit on this property. I will not divide the afore :••'mentioned property for sale, lease, rent, or financing unless all -t.-•-applicable- •land-division-laws-and••map•-requirements -are.-complied -with. i• I am conversant with the present zoning 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 and --that further I -'shall -not'•change -this, proposed"use -ot -the-'additional living unit unless and until'I receive written approval therefor from i the County of Butte. I fully understand that pursuant to Chapter 20 of the Butte County Code and §11535 et seq of the Business and Professions'Code that if 1, ;�. 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 misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further, ' this statement • shall •be-.properly•••acknowledged and recorded -at -the request of. -the. -County --of• •Butte. : oFFIC I,L'.REroRRs Bonnie Halsell 1208 Ashland Avenue ,.Santa Monica, Calif: • � �- °• .' ':••j..;:...• cess _ _ LOUISE KLUEN JER COlJhliY 1111, :: • .. 21 June 1973 'FEE ate . uNOT COMPARED WIT'h -- -----_ ST' COUNTY OF ) ss. On thisday of ,� , 197,3, before me, a Notary Public in and for the County o State of California, residingtherein, duly commissioneancsworn, personally appeared/s£ ' _-- - ---- — - known to me to be tie person,, venose named , 5 cribed to the wit in instrument and acknowledged to me that .� S lie executed the same. i:: WITi1;:SS W11c°RE0F I have he to set my hand and affixed my, { '� + Al s 'CL te;.County of ' the -day and year in this t.I �. fkC."vWC.fid0t5Z bbl ve written.. .. �_ NOTARY PIJSL'C - CALIFORNIA , + •t • PRINCIPAL OFFICE IN ORANLE COUNTY My Commission Expires Sept. S, 197...4 r- Lary 1'iil�iic a�`` ,. f '. ,. , � ►, .. �� o i� _ . i � � ' �� .. �� r ` i �i ��_ a -. , -� � � � � ��,L 5��- I � �. �3, �� ter»,, - 5,�. t'f• ,,.�...-,;tt-=ia:-•..�.,.:ti.� * r-� , Jt:._,;,�-,�:.�,.,�.,:,� �,�.,,.r�,'�t' _�yw-- r�.r:�-.}'..dt' ""�.:. ' a; . ,?Wo- �ti • " COUNTY OF•.13UTTE — DEPARTMENT OF PUBLIC WORKS �64-73 7 County Center Drive - Oroville, Cald',ornia 9P965 Telephone: 134-4541 s ! APPLICATION AND PERMIT aUU IUI Icc I uV1CUJ M cJIllavcUI L11C I,UUIILY UI DUMC lU U11LUI UpUFI Me above-mentioned property for inspection purposes. ) 7,;2 Date Signature ofPeermitee or Agent f Receipt No. / v q,.21 5 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 � � Date (0' 7- BUILDING Owner SQ. FT. OCC. BUILDING VALUATION — Mailing Address Sao x/i� e__ ��/ � „> Telephone No. Fireplace Contractor,. - f-�...-"�+ �,� �,;r. - _ Total Valuation Mailing Address S•.r.,.(y ' Permit Fee Plan Checking Fee&/or Penalty - - Telephone No.,• Permit Fee $ $ Building,Address'�1-3&/)�/ 6/-='jf �• �Q� ��PLUMBING No. @ FEE, ,� •, ;� PERMIT FILING FEE $2.00 'Each Trap 1.50 0 / {fp Repair drainage or vent piping 1.50 Water piping 1.50 f<)`(/ + 7 f Each gas, water; heater or vent 1.50 ' A. P, ,No. �- �• / l ,_ t „ �' �� J 1' Zoning4 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. ,Sah n Fire Dept. •"��PaPc6l Fire Zone Use Permit Building sewer 5.00 C!O EQA Parking Plans ` Declaration; Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Rec'd '0 Parcel Approval ✓ Plans Approval Permit Fee $ /�' GZ'J $ NEW ❑ ADDITION ❑- - UTILITIES ❑%' OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ?VU Main service incl. 1 meterGYi 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 bal� 1.0 Receps., switches & fix outlets Ziidb.1 2Zs 10 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. lisp. 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 Mi Sc. wiring E7❑ 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 Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. r� I certify that in the performance of the work for which this °"J❑ 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.1 @ 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 $ eF� L7G aUU IUI Icc I uV1CUJ M cJIllavcUI L11C I,UUIILY UI DUMC lU U11LUI UpUFI Me above-mentioned property for inspection purposes. ) 7,;2 Date Signature ofPeermitee or Agent f Receipt No. / v q,.21 5 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 � � Date (0' 7- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO /5A dL 7 Cjiunty Cehter Drive —, Orovi lie, California 95965 OCU TW ephone: 534-4541 APPLICATION AND PERMIT autnorize re esenta�ives or the county or tsutte to enter upon the above -men o' ed property for insp.�ction purposes. �► Date $vgnoture of Permitee%r Agent Receipt No. � z C — White-D.P.W. — Yellow -Assessor — Pi4k-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 0 PUBLIC WORKS By Date � a building permit expires Dete � ~ 7y , , BUILDING Owner 1v ^Q&g—L ///,- L<:-rzl� -SQ. FT. OCC. BUILDING VALUATION Mailing Address /C;I0 e_1 i3 Telephone No. `/ Fireplace Contractor Total Valuation Mailing Address � ��Z„ Permit Fee ' Plan Checking Fee &/or Penal ty Telephone No. Permit Fee $ $ Building Address 3�� S �� PLUMBING No. @ FEE ERMIT FILING FEE $2.00 _ 42 Each Trap 1.50 O ��O S Repair drainage or vent piping 1.50 Water piping 1.50 <,) Each gas water heater or vent 1.50 A. P. No.7.3—J-40-1 / Aonin ni g Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees C. io Fire Dept. Fire Zone Use Permit Building sewer 5.00 041 EQA Parkin Plans a' Parcel Ma e 60' R/W Im rovem `ts p Lawn sprinkler system 2.00 T11 Bldg. P Recd ans Parcel Approval Parcel Plans Approval Permit Fee $ NEW EJ 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 1 2) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturesball dio Receps., switches & fix outlets 2U to) 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. lisp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 G Temp. Power Pole 5.00 License No. Classification Misc. wiring ® 1 am exempt from the Contractors License Laws of the State of California. Permit Fee $ 77 -95 MECHANICAL No. @ 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. •—. �wI 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. 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 $ Ob autnorize re esenta�ives or the county or tsutte to enter upon the above -men o' ed property for insp.�ction purposes. �► Date $vgnoture of Permitee%r Agent Receipt No. � z C — White-D.P.W. — Yellow -Assessor — Pi4k-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 0 PUBLIC WORKS By Date � a building permit expires Dete � ~ 7y , , i ItAl