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Home My WebLink About079-390-0294 u I? BEASLEY SE cor Foothill & Swiss Ln., Oroville _1813-90B', E INMAN,Haroldl ..,.'423512 Foothill -Blvd, oor&jz'��, :6 cabana/MH.) 676-91B SHELLEY, Betty 4235 Foothill Blvd, Oroville Cont: AMRE (Vinyl siding/sf) V H. W. Shelle E/S Fpothill V .,app. .0 yandotte Rd., Oroville Permit A1259-77P,E(util.,MH) ELEC. /JAGA7-7GT61 -ado S GAS :-azz:2 L P& 'all O d' - O suppoAT STRUCTURE REQ. IV -0 COMPACTION TEST REQ. AJO �2 6 S�I '2 7 7 1ILTssued D79_390 -oaf �-- F17 �+'h"`. �-�P�"'"�`.,�'�5+1+�3`�/,�'��1�`%91,y,�.'•�`i�{i79'�iO+"�rT"A'�'.frc�^'�:3P! �,-y+-yK �rr�i�.t�K�'�y�'�ar�.7,�r�''5�'-;:'+l;�i�i:w3F�.r«rt�i+ie�:+wn.s'"J.'�.;.s.+:.{,-:vim:-r+�:'rr�'�-:r� 36-32-29 676-91B, SHELLEY, Betty _ 44235 Foothill Blvd, Oroville (8inylA/slaing/sf) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 } APPLICATION AND PERMIT t ASSESSOR PARCEL NUMBER 36-32-29 ZONING ARMH5 BUILDING PERMIT OWNER Betty Shelley TELEPHONE SO. FT. OCC. BUILDING VALUATION p Val 11,838 OWNER'S MAILING ADDRESS 4235 Foothill Blvd. Oroville 95966 CONTRACTOR'S NAME AME 800 TELEPHONE 445-3222 CONTRACTOR'S MAILING ADDRESS 1400 Enterprise Blvd. Ste D West Sacramento Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation I $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 92,50 ARCHITECT OR EN ;INEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4235 Foothill Blvd. Oroville Permit fee $ 102.50 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 WK Duplex❑ Mobilehome❑ Other siding SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S J G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: vinyl siding _ 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): 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 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 OR ADDNS. ( ACC. BLDGS. / OCCUPM �20sgft NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea f POWER APPARATUS tr %SINGLE OUTLET CIR, / Ex. Occu pt OUTLETS, OR FIXTURES zoos 0 900030 Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 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, sho6ld 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 s Ad that the above information is correct. I agree to comply to all County Orda'nces and State Laws relating to building construction, and hereby authorize epresentatives of the County of Butte to enter upon the above-mentioned prope y for inspection purposes. 1 also agree to save, indemnify and keep harmless the Count of Butte against 9 y p y g all liabilities Judgments, costs, and expenses which may in any way accrue against sai ounty asequence of the granting of this permit. 2 X Date `1 r' , Signature of Appl'can — Owner ❑ Contractor ❑ Agent [� An OSHA permit 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 - - TOTAL FEE $ 102.50 HAL. CUA PARK SCHL FLD CDF PAR PD ) HD ISSUE This permit is ereby ssued under the sionS a to Co nt ppde and/or work ndi at d abol r 3vhich fees E T 0 UBLIC By PERMI EXPIRES Date 3-11- applicable provi- resolutions to do have been paid. WORKS ate 3-11-91 Receipt No. 83595 WHITE-D.P.W.. YELLOW-AS9[9SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 % APPLICATIQN AN6 PERMIT ASSESSOR PARCEL NUMBER 36-32-29 ZONING ARMH5 BUILDING PERMIT OWNER Betty Shelley TELEPHONE SQ. FT. OCC. BUILDING VALUATION val 11,838 OWNER'S MAILING ADDRESS 4235 Foothill Blvd. Oroville 95966 CONTRACTOR'S NAME AMRE 800 TELEPHONE 445-3222 CONTRACTOR'S MAILING ADDRESS 1400 Enterprise Blvd. Ste D West Sacramento Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ j0.00 LENDER'S MAILING ADDRESS Permit Fee $ 92.50 ARCHITECT OR EN ',INEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4235 Foothill Blvd. Oroville Permit fee $ 102,50 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 a Duplex❑ Mobilehome❑ Other siding SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G 1W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑ Describe work: vinyl siding _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare rider der 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 No. Classification. 6 1/ Fl 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.tr) ACDNS. ACG. BLDGS. yz¢sgft NEW CONSTF MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 30kr FIXED APLNS Ex. OCCup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 +— I Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 0'4 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. r_1I 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 FiIingFee 10.00 Heating Cooling g 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities judgm nts, costs, and expenses which may in any way accrue against sai u ty c sequence of the granting of this permit. X Date 3 Signature of Appl' an — Owner ❑ Contractor ❑ Agent [fi An OSHA permit 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 - TOTAL FEE $ HAz. cuA PARK I SCHL I FLD I COF I PAR PD 1 HDA ISSUE This permit is hereby ssued under the sions a to Co nt de and/or work ndi at abov f r hich fees E T O UBLIC By PERMI EXPIRES Date — — applicable provi- resolutions to do have been paid. WORKS ate -3-11 —91 Receipt No. 83595 WHITE-D.P.W., YELLOW-ASSE33OR, PINK -INSPECTOR, GOLDENROD -APPLICANT e"d* .due OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Harold C. Inman ADDRESS: 4225 Foothill Blvd CITY & STATE: Oroville, CA 95966 IMPORTANT: September 7, 1990 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 Owner has decided not to do work. Permit #1813-90B,E, AP#36-32-29 Receipt #66515 dated 6/4/90. Total Permit Fees Paid -----------------------------$242,55 Retain Building Permit Filing Fee -------- $10.00 Retain Electrical Permit Filing Fee------ 10.00 Retain Inspection To Verify Fee---------- 30.00 o a ermi ees Retained ------------------------- TOTAL REFUND DUE ---------------------------- - ------ $192.55 i i i I I TOTAL $192 55 I, the undersigned, declare under penalty of perjury that the services or articles claimed have be n performed or delivered, and that this claim is true and correct as stated. I Dated this ........ ? ...._..._. day of ............ . 19 at �, Calif. ' tgn Lure of Cla mart I, the undersigned, hereby certify that, o 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 Q (Check one) for the�rtmt Dated this 7th,,,,,,,,,,,,,,, da of September 19 90 at Oroville Calif. ............... Y ...... .. ....... .................... . .............J ..........._..................... Dead/ r Au on -ed uty Dep`' 440-002 Cod 4210500 I Code ............................................ Code ................................................PAYABLE FROM ........Const. Permits FUND ............................................................................ DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. I I s Va3/qo COUNTY OF BUTTE - DEPARTMENT OF PUBLIC'WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 36-32-29 ZONING ARMH5 BUILDING PERMIT OWNER Harold C. Inman582-3317 TELEPHONE SO. FT. OCC.1 BUILDING VALUATION 472 R '18,880 OWNER'S MAILING ADDRESS 4225 Foothill Blvd. Oroville 95966 CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace I A 11000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 19,880 Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 140.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 70.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4235-11 Foothill Blvd. Permit fee $ 220.75 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[] MobilehomeK3 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW I 10.00ea TYPE OF WORK New ❑ Addition [7 Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Cabana (bedroom & living rm.) (BUILT WITHOUT PERMITS) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6OR LESS 10000 OR 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 and Professions Code and my license is in full force and effect. (cense No. Classification Wr/L1, 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) ❑ 1, 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 OCC P. OR AODNS. l ACC. BLDGS. X791 sq 2/2$ NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea PO ER APPARATUS e SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20050t SAL030 Ex. Occup. OUTLETS FIXED P(RESID )NSREA.) 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 pf Consent to Self -Insure. fT1/ 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 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 all liabilities, judgments, costs, a expenses which may in any way accrue agai t aid County irrcon uenc f the granting of this permit. %/ X �tDate Sig.re of App icont — Owner � Contractor C]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 $ occ CONST TYPE 5 TOTAL FEE $ 242.55 ALL E HAZ cuA PARK PAR PD ISSUE This permit is nereby issued under Bions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 66515 WHITE-D.P.W.. YELLOW -ASSESSOR P'VK--VSP�:CTOR, ;OLDENPOD'APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi.11e, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMITtZ PERMIT NO. ASSESSOR PARCEL NUMBER 36-32-29 ZONING ARMH5 BUILDING PERMIT OWNER Harold C. Inman TELEPHONE 589-3317 SQ. FT. OCC.1 BUILDING VALUATION 472 R 18,880 OWNER'S MAILING ADDRESS 4225 Foothill Blvd. Oroville 95966 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 1 A 1,000 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 19,880 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 140.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 70.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 42351 Foothill Blvd. Permit fee $ 220.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Orovillp 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❑ MobilehomegX Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New❑ Addition Remodel[] Utilities❑ Installation❑ Other❑ Describe work: Cabana (bedroom & living rm.) _ (BUILT WITHOUT PERMITS) 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): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ 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) ElI, 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 OCC P. ` OR ADONIS. ACC, BLDGS. I 21/4sgft 11 NEW CONSTR. ULTI.OUTLET NON•RSID BRANCH CIRC ITS 2,50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 1.20 @ 80C AL®30 FIXED APLINIS Ex. OCCup. OUTLETS PR RESID.IEA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 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. shall not employ any person in any manner so as to become subject LK 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 Conlin g 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 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, a expenses which may in any way accrue agai t aid County i con uenc f the granting of this permit. X /7 / / d `� Q0 �Date_n 7 // Sig a re aF App rant — Owner Q Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- n of structures aver 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE 5 TOTAL FEE E $ 242.55 RAz CUA PARK SCHL PAR PD Issue This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date rReceiptpNo.66515 ITE-D..W., YELLOW-ASSLS SO R, PINK -INSPECTOR, GOLDENROD -APPLICANT -�'i�r��n,r�"' v- -x-. :C7'T�'r^�.i•Wq �, _i:m � �.>� �''n ra�l�.;y-;\`�L�►f�f'L`t'i��hsr{�►.Zir.� T�4iy� COUNTY OF BUTTE - DEPARTMENT,.QF PU$'LIC WORKS - BUILDING DIVISION t, 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET % Permit No. // e� OWNER 1.QQ Th YID A. P. o. (u C3- C Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items hMind d. ........................ .......... 2. Plot plansate, signed by preparer of plans ........ 3. Completetriplicate, si ned by preparer. of plans . . 4. Completeand calcs, with wet slgna ure on plans . . 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park ees paid 1 .......................................... t 13. _ Co-` School Disrl'�pt fees paid .............. �14. Sanitation approval from ��'� ✓ L 6' Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required ... Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ........ :......... 23. Owner -Builder Verification (Given to owner o, Mail to owner 0) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature thorization . _ 26. � leo r /��a /1 � o od � �i S ................ . 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pi kup at office. Deliver w. /inspector. Other ApplicanOld2__'CD Date G+ 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 prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 4_' 2. Additional items required: Contractor, designer, o r, was advised of above required data by -phone ail_counter by_6?.dateX J,- 5�� Contractor, designer, owner, was advised of above required data by -phone -mal l -counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy -DPW /- ,' z�lC? C4 ` (J L! G 9f' - A, -I_) ar2/S G61ZiZ a COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 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 opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 3. I personally plan to provide the major labor and materials for construction of the proposed property 'improvement (yes or no) I (have/have not) signed an app cation for a building permit for the proposed work. 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 GI/1,V Social Security umber Q Date -4 — !V — !7 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. v not � ,^c�c�ss u r� �' i% o w A�� e�� t�-E- U b y re. wt o v C.,4 . (9xll- i CERTIFIED MAIL January 28, 1988 r Thomas and Sandra Beasley. RE: Permits and Inspections 4235 Foothill Blvd. A.P. #36-32-29 Oroville, CA 95966 Dear Mr. and Mrs. Beasley: With reference to the above subject, on November 23, 1987, we wrote you a letter requesting that you obtain the required, permits and the required inspections from this office for the work you have done as follows: Constructing a cabana on your property at 4235 Foothill Blvd. Since both permits and inspections are required by both State and County laws, unless you have obtained the required permits and -made arrangements for the required inspections within ten days of the date you receive this letter, the matter will be referred to the proper authorities for appropriate action. Should you have any questions concerning this matter, please contact us. Yours very truly, William Cheff Director of Public Works .0riginal signed J. F. Glarido J.F. Glander t JFG:ahb Chief Building Inspector* cc: Building Inspector - Oroville - Assessor a e 14 23 p X,PI 'If Thomas and Sandra Beasley 4235 Foothill Blvd. Oroville, CA 95966 Dear Mr'. and Mrs. Beasley: November 23, 1987 RE; Building Permit A.P. #36-32-29 With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the.required permits and inspections from this office for the work you are doing as follows: Constructing a cabana on your property at 4235 Foothill Blvd. Since permits and inspections are required by both State and County laws, please contact this office within ten days of the date of this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until you obtain these permits and are authorized by our field inspector to proceed.This field authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this of £ice. Yours very truly, William Cheff Director of Public Works Original 'signed W J..F. Glenda! J.F. Glander JFG:ahb Chief Building Inspector cc: Building Inspector - Oroville Assessor ❑ Complaint -Date ❑ Ocher -.Date r M Owner-: Address: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING A.P. # 86 -ja-a(I Date of Inspection 0-N-91 Tenant • �,s3 �n�v ++ Inspector Building Location : _ Y' 1 S S S Type of Inspection requested: 1. Housing ".2. 2. Financing / / 3. Change of Occupancy to X4. Work W/O Permit / / 5. 1-LjX11 `7 Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory - 3. Bathtub or shower: 4. Kitchen' sink: w� �.,., y�SS 5. Hot and cold water to fixtures: 6. Heating facilities.- 7.- Natural light and•ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects,,.vermin, or rodents: 11. Connection to.sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14: Stairs:(Rise,' Run, Headroom, 1HR, Tolerance�,Handrails) 15. Comments: a r B. Structural .L. 2. 3. 4. 5. 6. Piers and footings: Floor construction: Wall construction: Ceiling and roof construction: Fireplaces: Comments: C. Electrical 2. 3. 4. Service and ground: Receptacles:' Fusing: Comments: r D. Plumbing 1 M, 1. Fixtures connected and vented:- 2. ented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: `c .-.r E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:: 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. P obl m or violation M�C&-V\ a 2. What action -taken (gi completescription): -,1 in "-- w. \ C lete description): \ 5 3. Wha action recommended: A. Information only - file. B. Hold for ten days, then write letter. %% C. Write letter. / / D. Other: ( Complaint -Date ❑ Ocher -Date A Owner: Addres Tenant: Building Location: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT qa3s WME ZONING A KM #,5 A. P. # 's (0 _ 3a Date of Inspection Inspector Type of Inspection requested: 1. Housing ".2. 2. Financing / / 3. Change of'Occupancy to 4. Work W/O Permit / / 5. Other (specify) Present use o build'ng; l', yw A. Sanitation (Housing) 1. Water closet: u 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6.- Heating facilities 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window -or door'for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerances,Handrails) 15. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: _ 6. Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: _ 7. Zoning: 8. Comments: G. Field Problems or Violations -1 1. Pr b mor violation ( 've com ete descri ion): .,AkAdLq t. 2. What actio taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. %% C. Write letter. / /.D. Other: E May 21, 1990 Harold C. Inman 4225 Foothill Blvd. Oroville, CA 95966 RE: Building Code Violation A.P. #:. 36-32-29 4235 Foothill Blvd, Oroville Dear Mr. Inman: This is a warning letter to notify you that you are in violation of the Butte County Code at the above referenced location as follows: Failure to obtain the required permits and inspections for a cabana constructed at the above location in 1987. Since permits and inspections are required for the above work, please contact this office within ten days of the date of this letter, submit two 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. This field authorization cannot be made until the existing work is inspected and approved. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Jim Glander or Bob Reith of this office. JFG:ds cc: Assessor Building Inspector Yours very truly, William Cheff Director of Public Works J.F. Glander Chief Building Inspector PERMIT NO. 1259-77P,E PERMIT EXPIRES OWNER H. W. Shelley CONTR. owner LOCATION (A.P. 36-32-21 E/S Foothill B1vd.,app.500'N..of Lower Wyandott Rd., Oroville. a Temp. Power: Pole Called PG&E Temp. Elec. Serv.��%,�y�i J - Called PG&E Temp. Gas Serv. Called PG&E 1� OB FINALED • (Dat '(Signature -/A 5 i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ,s BUILDING BUILDING (Cont'd) PLUMBING belpaCK F ewall S I Piping For Par ets 1 t Floor Mai Bldg. Restr om Finish 2n Floor Fo tins Windo 3rd Noor Stem all Sidin To out Slab Roof Shea)blna Water Pi i Piers Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Po Footin s V Prov. for ph sical handica ed Conformance of ex. structure V A (lances Gas Pining &Test Temp. as Slab A Final Sanitation Patio REP ACE Final Footin s Footing E VE C T R I C)XkL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Bea FIl FA Motors Framing Test Water Htr. Stucco Final Sub anel Mesh MECHANICAL Grd. Fa t Prot. Scra h Heati g Servic B n Co ngT p. Pole niSh D is ndarnrmmd I erior Lath entilation Permanent oor Closer Final final MOBILEHOME UTILITIES Elec. Service Elec. Pedestal Water Piping ® Sewer Gas Piping Alp— =1ME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity y r Z —. Water Piping 12-�21-9% Drainage Gas Piping �� '� DATE REMARKS OR CORRECTIONS i� u'd ZO �0 3h' P 45 — %20-- 4SIVO 710 Q� - i -7 �L I - (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILL=, CALIF. - 534-4541 + CERTIFICATE OF -OCCUPANCY - This mobilehome has been installed in accordance with the req"uirements of the California Administrative Code, Title 25, Chapter 5, under permit number 1r2 T7 for the following location: Owner uJ • 7�� Owner's Address--*�}✓3's't� Mobilehome Mfg. '-11� Model In V Yearb;2, Insignia No'�,Ef_a ? Serial No.1119 It is hereby certified for occupancy at the above described location and may be occupied. Director�o_f/l�Works f Date /J By /j`/ i THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED ii0}311,EHOLMG INS`'ALLATION 1'NSPECTION CHECK LIST' 1: Is the mobilehome loc;�!teci jail_ required separation from lot lines and buildings and generally conform to plot plan? Ycs No ?, Does the. mobilehome have required clearances 'above ground? (Sec.5085) Yes �/ No 3. Are foot.in�s and supports properly °sized, spaced, and braced aer approved plans? (Note possible variation at spring shackles.) (Secy 5082 & 5083) Yesk _ No_ 4. Is the mobilehome level.? (Sec. 5088)V No� 5. If more than a single unit, are snnections properly installed? (Sec. 5088) Yes No 5. Water. A. Is yfleible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes No C. Backfl.ow_- If coach is not State of Cali proved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum z," per foot slope and is it properly supported? Yes N o C. Are any leaks detected in drainage system after running 3- allons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of California app /ed4es `station have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. ,Connector - Is mobilehome connected to the gas shpply,with an approved 3/4" minimum mobilehome connector not more than 6 ft, long? Note: All piping is to.be.at least as large as the mobiIVhome gas line inlet without reductions other than the mobilehome connector. Yes No B. T est.OK as per following procedure? Yes No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, soapy water. Yes 6d No C. Are all appliance vents properly installed? turn. on gas, test connections with apl."er 9. Electrical �1. Is service largeenough to rovide '.-:dequate amperage to mobilehome (must equal rating of mcabi.lehome faith a ::;inv;:um of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc."? Ye. No / ll. Is there proper clearances around panels? YesNo .J C. Is power supply cord or feeder assembly properly fused? Yes_ No D. Is continuity test satisfactory as per the following procedure? Yes_ No� 1. Ile -energize electrical wiring syste:rl of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and •,_,._.. G�lYly the other .l.ea l.o each rOOUl.ICLWTIIt; supp�y CoiiuliCto'i, iiii liiutitg Iieui rdl. S. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, iter line), inclitding fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity te:;t shall then be n.ade between L.he grounding electrode and the chassis of the Mobilehome.. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. I,; job card signed by health Department for water and sanitation? ll.. If evc:rythi'ng ol:ay, sign off card and t.a services. MOBTLi:M.M.L•' DATA Manufacturer and/or Namestyl �aC_ r LengthWidth. /0 Vehicle Serial No. State Identification No. Z - - Adiittional Information or Comments: ` COUNTY QF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. L�-X �,w `Date - /` Signature of Permite or Agent Receipt No. 6o b 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 Building permit expires Date 1,7- - �� BUILDING Owner VJ s4 „e , "SQ. FT. OCC. BUILDING VALUATION Mailing Address ryooI kit/ d , /4'1 or v le Tee hone N o Fireplace -0 Contractor 4) Wg Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address 151s 6-d/ U PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ow -eP, W C(Pt Q Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 NO() cQ Each gas water heater or vent 1.50 / A. P. No. 3 6 _ �� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes W.. Sanitat — Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Ap4lroval P s Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service io00o AMOR P LES5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADONST ( ADWECCLBLDGLING OCCUP. &) 2¢Sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of alifornia Business & Professions Code under the name style of: Y 50 Ex. OccUp(OUTLETS OR FIXTURES) @@1 109 Ex. OCCU FIXED APPLNS, OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 �® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby zo ot- TOTAL PERMIT FEE $ 3,0 0 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. L�-X �,w `Date - /` Signature of Permite or Agent Receipt No. 6o b 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 Building permit expires Date 1,7- - �� BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: 3. Is the site currently under permit? Yes TVI No / / (If yes, furnish permit number ) OR Is the site an existing site? Yes / / No / (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes /t-/ No ( If no, clarify_ ) 5. What is the mobilehome electrical ra ing?---------------- �D� Amp 'j* 6. What is the mobilehome site service at ing?/0------------- Amps 7. What is the mobilehome site circuit br ker rating?--�Amps' 8. Is there any other electric load to be served bye e�robitehaeae-- site service?rt 5 5 _ p- /7 ---- ----------------------------- (If yes, identify the load and size: (Load) Yes / —[ No / / (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? %O (ft.) 12. What is the mobilehome gas demand? ------------------------------ / 70 _(BTU.) (This information not required if pipe length less than 6 ft. on natural gas or less: -than -,50 -ft. on LPG.)' ' { . . MOBILEHOME SUPPORT DATA Mobilehome Mfr. 6Ck, '1 Setup Model No. Year Width .(ft.) Length (ft.) F+xpando Size. ft.x —ft. (Draw support details below) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). le - s. Center Support Locations (.ft) (in )i *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Footings (check one) Wood either pressure treated or fdn. grade. f 1 2. Concrete pad. 3. Other, specify Supports (check one) 7#7i. Concrete block P 2. Concrete piers 3. Steel piers 4. Other, specify 2 x3D Tical Fooort ting Size - .0j Max. Pier J Spacing - dJ Overhang BUTTE COUNTY BUILDING DEPARTMENT APPROVED .✓ _ ra COUNTY OF`BUTTE — DEPARTMENT OF PUBLIC WORKS 's 7 County Center Drive — UroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 449 Date Signature of Permitee or Age Receipt No. II� 3 0 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 AUBLIC WORKS BY r —Date �11ng permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address v T lephone o 5:3 ^ Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address S Wil 1 PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 -3,00 0 4j er Each Trap 1.50 -! ` nRd U IN n n � Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 p A. P. N ,3 �' — ov �zo n s? Gas piping system 1 - 5 outlets 1.50 (�,cm Each additional outlet .30 Fee W.C. S ni ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 ,60 EQA I Parking Plans Parcel Declalrort arcel Ma p 60' R/W Improvements p Lawn sprinkler system 2.00 Bid,9 .I Pael Approval Plan pproval Permit Fee $ 3r $ NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , Main service 600v OR LESS 5.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Main service OVER s 25.00 100 AMP O OR LESS Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L loo AMP 1.00 �QQ SQ. FT. M!NI`AUM NEW CONST. DWELLING OCCUP. & OR ADONS. ( ACC. BLDGS. 2tsgft NEWCONSTR MULTI.OUTLET NON .RESID. ( BRANCH CIRCUITS) 2.50ea EOR MOBILES NEW CONSTR. POWER APPARATUS &) NON-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 t style of: Y Ex. Occup(OUTLETS OR FIXTURES) BAL@1 Ex. Occup. FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 LAE I am exempt from the Contractors License Laws of the State of California. Permit Fee $ d $ S WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby CL h TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 449 Date Signature of Permitee or Age Receipt No. II� 3 0 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 AUBLIC WORKS BY r —Date �11ng permit expires Date set of plans and spec�f _`°t;^ns MIST be �•�..,t on the iob at all tirres and it is unlawful to any changes or alterations on some without written permission from the Department of Public Works, County of Butte. 0 v � .�--- `14 vwill be required ®t• die !, ;ion of the mabilehom 8'dei- YF FAree-G A I jt,Lj- :THeLL e -y A, A & 34-a3a- at LPO' -17 NOTE:—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and � of a quality prescribed for the Specified use in the Uniform Buiiding, Plumbing & Mechanical Codes and the National Eiectrical Code. 'he: Setback shall be 5 ft. from the ide property line and 50 ft. from the ceaferline of the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely p cut of all easements.- / & T. asements. «T. %7 - Septic system to be as per Butte County Health Dept. Re- quirements. Al/utility connections shall be located within 4 ft. outside the rear th' ir;f rection of the mobile home on the left (road) side of the mobile home. BUTTE COUNTY BUILDING DEPARTSIrNT APPROVED 1q,34 rrr