HomeMy WebLinkAbout028-240-034• HELEN SEATON 28-24-3q
W/S LaPorte Rd; app 6004 N of r'05 4Ba
remodel without permits Hwy, Bangor
12/27/93 Permit#407-83P,E(util
&EC
GAS -.00w--
F HELEN H
W S
COMPACTUN-TEST REQ.
SU STRUCTURE REQ._ ....
028-240-034 PERMIT#95-2208
HENSLEY Harold & Marlane
5753 La Porte Rd., Bangor fitc
Conv Porches to living,insulat,slelet-
rock, rewire,ele ser ch & fixtures/SF
028-240-034 00-3035
AMERAL, JOHN
5753 LA PORTE RD., OROVILLE
CONTR: D & D HOMES
DEMO SF (INSIDE KIT & BATH)
028-240-034 00-j905-4
AMERAL, JOHN
5753 LA PORTS ., OROVILLE
CONTR: QA -15 HOMES �) ��)
NEW MITON PERM FND
028-24-0-034 01-1466
AMARAL, JOHN
5753 LA PORTE RD. BANGOR
0 CONT: D & D HOMES
MH OPEN DECK
0
LAND DEVELOPMENT SHEET
ENCLOSED
11
4
�[,' �
\..i� �i j � � u; �I 1
Jul -02-01 07:21A
P.01
Department of Development Services
Building Division
7 County Ceuta Drive
OroviUe, CA 45465
(530) 538-7541 (330) 538-2140 FAX
FACSIIVIIL
COVED SHEEN''
A
Date: -7/2 Q i
To: V b o AM -40C.
From: MICA*ft V1679A
Subject: Atmel 029' 240-D3dl
Number of pages (including this cover sheet): 9
Telephone Number of Receiving Telecopier: 416-5
834'1
If you do not receive all of the pages, please call (530) 538-7541 as soon as possible.
CONE,1 DENTIALl"TY NOTE: The information contained in this facsimile is confidential and may
also contain privileged information. The information is intended only for the use of the
individual of entity to whom it is addressed. If you are not the intended recipient, you are hereby
notified that any use, dissemination, distribution, of copying of this communications is strictly
prohibited If you have received this facsimile,' in error, please notify me immediately by
telephone, and return the original tome. Thank you.
.ltxl —02=01 07:23A P.07
ADDITIONAL INFORMATION:
1 ttear0y affirm under perjury the above iffmmadon is true and corred. I understand that any changes to the use, or character of use, of this building will
require permits from the autho ' . I understand that Real Estate Olsdosure taws require disclosure of this information if or when offered for safe.
O S NATURE DATE OWNER'S SIGNATURE DATE
FOR DEPARTMENTAL USE
REVIEWED BY:
COMMENTS:
DATE:
Ju,1 —02-01 07:22A
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING
PN: ONE:BUILDING PMT. 0
AIAI
OWNER:
MAIL ADDRESS:
IC71'
SITE ADDRESS:
PROPOSED USE:
PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2.18) IN THE SPACE PROVIDED ON THE REVFR3E OF THIS FORIL (PLEASE
PRECEDE EACH COMMENT wmr RELATED QUESTION N) .
GENERAL INFORMATION:
1. Is (here a primary dwelling on the property 7
2. Is the structure already built, under construction, or under notice of code violation? C
3. Will items produced in this building be offered for sale?
4. Will the public have access to this building?
5. Will any advertising, on or off site, be associated with the use of this building?
6. Will this building be occupied at anytime as a sleeping quarters?
7_ Will this building be occupied at any time as an eating area?
8. Will this building be occupied at any time as a cooking area?
9. Will this building be occupied at any time as a living area?
SITE CONDITIONS:
Yes: No:
Yes:
No:
Yes:
No:
Yes:
N
Yes:
Yes:
N
No:
01
Yes:
No:
Yes:
No:
Yes:
No:
10. Is the structure foundation within T of septic tank or 10' of )each lines? Yes:
11. Is any portion of the proposed structure located closer than 20' to your front property line? Yes:
12. Do you plan to add a driveway or modify existing access to a county maintained road? Yes:
13. Will the proposed structure encroach within any recorded easement? Yes:
CONSTRUCTION FEATURES:
14. Will this building have insulated floor, watts, or ceiling?
15. Will this building be heated or cooled?
16. Will this building have a water closetttoilet?
17. Will this building have a sink?
18. Will this building have a water heater?
19. What type of floor covering will the building have?
20. What type of wall covering will the building have?
No:
No:
No:
No:
Yes: No:
Yes: No:
Yes: No:
Yes: No: --�
� _{ , � .
r � i +•�
COUNTY OF BUTTE - DEPARTMENT► OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 9, Orovil'e, California 95965 • Telephone (530) 538-7541
(Rev.12/96) • APPLICATIONANDPERMIT" '
ASSESSOR PARCEL NUMBER ZONM BUILDING PERMIT
OWNEp TEL@NONE SO FT IOCC.1 BUILDING VALUATION
OWNERS MAKING A MOS
CONTRACTOR'S NAME af•-r p
:✓. it
CONTRACTORS MASING ADDRESS
: 4 r i > 'i rR RIVER tL3 1ii,::;t:OVILLL CA 959G5
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
ARCHrMCT OR ENGINEER I LICENSE N0.
ARCHITECT OR ENGNEERS NAA UM ADDRESS
BUAOINGADDRESS
LOT NO. I SUaDNISION'B NAME
USEOFSTRUCTURE
SF O Duplex ❑ Mobilehome O Other
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities O Instapation ❑ Other ❑
Describe Work: i'.A_„-L' Lk- FA�-`ILY WISWO Kit X11 13A112
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license Is in full force and effect
License Class r' 1 ' Lic, No.
'OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, army employees with wages astheir sole compensation,
will do the work, and the structure is not intended or offered for sale.
O I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is Issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is Issued.
My workers' compensation Insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit Is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of Caldomia, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions. f
X'. ......
Date
Sigrieture ,of Applicant - O Owner ,Contractor O Agent
An OSHA permit is required for excavations over 50' deep and demolition or constructiori
of structures over 3 stories in height s.
Receipt No.
WHITE•D.D.S
Total Valuation 1$
20.00
Permit Fee
eckina Fee
Plan Checkina Fee
PERMIT FEE 1 _
PLUTA13ING PERMIT I IFFIllng Feel 20.00
Each Tr 7.00
Solar or he um water heater 23.00
Water pl in 15.00
Each as w ter heater or vent 15.00
Gas I in 1 - 5 outlets 15.00
Buildin r 15.00
Mobile Homl JSTaTWT__020.00
OR nmmo;
Mobile HomelFacifilties, I 1 1 20.001 1
Misc. Wirina I I I I I *a nn
FEE 1 $
20.00
f'nnlinn
Hood 6.50
Ventilation
PERMIT FEP t
Mobile Home Installation Fee $
Enerev Inseactinn Fm I a
E
PERMIT FEE
i
ELECTRIC
PERMIT
Filing Fee 20.00
Main Service
=OR=
23.00
Main Service
aooA To IMA
46.00
NEW CONST,
OR ADDN.
Dy✓
( la Aoc. yes ' i
3.5¢s-0.
OR nmmo;
Mobile HomelFacifilties, I 1 1 20.001 1
Misc. Wirina I I I I I *a nn
FEE 1 $
20.00
f'nnlinn
Hood 6.50
Ventilation
PERMIT FEP t
Mobile Home Installation Fee $
Enerev Inseactinn Fm I a
E
cDNsr. TwE
TOTAL FEE S
H1_0.
FEES I
IMP
I f=D
I COF
I PARCEL
PD
HD
ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated 0Sove for which fees have been pad,
1
PERMIT EXPIRES ON - r�
(DAro)
41
Ju.1-02-01 07:22A
P.05
NOTES
RESIDENTIAL
028-240-034 00-3034
AMERAL, JOHN
5753 LA PORTE RD.; OROVILLE
CONTR: D & D HOMES
NEW MH'ON PERM FND
(� THE HCD FORM 433A FOR THIS MH CANNOT
BE RECORDED UNTIL ONE OF THE FOLU-JM
HAVE BEEN 'TURNED IN TO THE BLDG DIV:
(1) LICENSE PLATE(S) or DECAAL(THE
INSPBMR KEr RETRIEVE)
(2) STATE M OF FACIS(ONLY ON
NEW MH, S) w
INSPECTOR TO VER]FY SERIAL & LABEL #'S
1
SPECIAL CONDITIONS
CHECKED
BY
SRA _
FLOOD CERTIFICATE REQ. _
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY _
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER _
i
OFFICE COPY
Address
GAS
Meter By Date
1
ELECTR
Meter By Dae
1 n I
JOB FINALED (Date)
Signature
1
V= OK
0 = Not OK
= Not Applicable MOBILE HOMES
= Not Ready
Date MOBILfWOME UTILITIES (Plans) OK except #'s
Zoni equ ements- Setbacks- Easements
oils' tial MH Support Sketch
ewer; Location -Test -Fall -C/O -Concrete
Location -Test -Easement Needed (Sketch)
lectricity; Location-Clearances-Grnd-/�_ p -Concrete
0
6. Gas; Loca ion -Test -Wrap;-/ /" L'ft.
/ Nat. or/ /"L"ft.% PLPG
ell CI ante 8 Disconnect
1 itv Clearance
Date Card Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE H ME INSTALLATION (Plans) OK except #'s
111.01glpfng Requirements -Setbacks -Easements
. Foo9jjags; Size -Spacing -Marriage Line
3-'0G_as; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -,Clearances
S. Drat ; MH Test -Fall -Flex Connector
ater; MH Test -Regulator -Connector
Ater Md Sewer Connected -C/O to Grade -HD Approval
as svd Electricity Tagged
ie D ns-Type=installation Cert.
1 . xits; l9sp.-Sketch
of Occupancy
f2,4ermanent Foundation Only; License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
�HD �z3us'ar�a<i
1
c ��L� /7f� Z3o r FScrt l
� — 3 — 2_00c�)
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip, w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J = OK
0 = Not OK
= Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date Anderfloor (Plans) OK except #'s
(f.' Ftg., Main; Soils-Elec. Grnd.- /' tg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
Date
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
53.
Ext. Doors -One T -Check Garage 3rd Story, 2 Exits
Date
54.
Card B-1 Date Card B-1
Date
55.
Card B-1 Date Card B-1
Date
56.
PLUMBING (Permit) OK except #'s
Date
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Date
18.
Water Pipe; Test & Anchor -Nail Protection
Date
19
D.W.V.; Test Fittings & Anchor -Nail Protection
Comments at Final:
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral Q Yes Q No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
75.
A.C. Duct in Garage -Damper
Date
76.
Card B-1 Date Card B-1
Date
77.
Card B-1 Date Card B-1
Date
78.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
83.
Stucco Brown -Finish
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
Date
84.
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roll Brac.-Truss-Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One T -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
Date
57.
Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access
Date
58.
Glazing Area -Glass Protection -Skylights -Plastic
Date
59.
Shear Walls; Nailing -Bolts
Comments at Final:
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
1 nfiltration-Walls-Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor Q Yes
82.
Following Insild./Drive J Yes J NoMalks J Yes J No/Planters :j Yes D No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
BUILDING PERMIT NUMBER: 00-3034
Address or location of unit: 5753 LAPORTE ROAD, OROVILLE, CA 95966
Legal Description of Real Property: A.P.#028-240-034
SEE ATTACHED
(x) Mobilehome/Manufactured Home
O Commercial Coach
Has been affixed to the real property above by installation on a foundation system
pursuant to Health and Safety Code Section 18551.
Owner's name: JOHN AMERAL
Owner's address: 576 HANOVER STREET, DALY CITY, CA 94014
INSIGNIA OR HUD NUMBER: RAD1234501/00
SERIAL NUMBER OR V.I.N.: CAFLY 17A/B 23018 -SC 12
MANUFACTURER'S NAME: FLEETWO D YEAR 2000
OFFICIAL APPROVING INSTALLATION:
DATE: 6/19/01
PHONE: (530) 538-7541
H.C.D. 513C
RECORDING REQUESTED BY:
AND WHEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
COPY of Document Recorded
20 -Jun -2001 2001-0026463
Has not been compared with
original
BUTTE COUNTY RECORDER
SPACE ABOVE THIS LINE FOR RECORDER USE ONLY
NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH,
INSTALLATION ON A FOUNDATION SYSTEM
Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code
Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit
described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document
shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as
to its contents to all persons thereafter dealing with the real property.
JOHN AMERAL
REAL PROPERTY OWNEMESSOR
576 HANOVER STREET
MAILING ADDRESS
DALY CITY, SAN MATEO, CA 94014
CITY COUNTY STATE ZIP
5753 LAPORTE ROAD
INSTALLATION MAILING ADDRESS, IF DIFFERENT
OROVILLE, BUTTE, CA 95966
CITY COUNTY STATE
ZIP
SAME
UNIT OWNER (if also property owner, write'SAME')
MAILING ADDRESS
BUTTE COUNTY BUILDING DIVISION
LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY
7 COUNTY CENTER DRIVE
MAILING ADDRESS
OROVILLE, BUTTE, CA 95965
CITY COUNTY STATE ZIP
00-3034 (530)538-7541
B D G PERMITN TELEPHONE NUMBER
6/19/01
G OF LO AL AGFFI IAL DATE
DEALER NAME (if not a dealer sale, write 'NONE-)
DEALER LICENSE NO.
L1l Y COUNTY STATE ZIP "
UNIT DESCRIPTION
FLEETWOOD 2000 SUNCREST - 5442-L
MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER
CAFLY17VB 23018-SC12 26'X 44' RAD1234501/00
SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIAILABEL NUMBER(S)
REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. #028-240-034
SEE ATTACHED
HCD FORM 433(A) REV. 8/91
WHITE- County Recorder CANARY - HCD PINK - Applicant GOLDENROD -Building Dept.
REAL PROPERTY DESCRIPTION:
ASSESSOR'S PARCEL # 028-240-034
A PORTION OF LOT 6 AND 41 AND A PORTION OF LOT 7, BOOK 7 PAGE 77,
OFFICIAL MAP OPF THE TOWN OF BANGOR, SECTION 27, TOWNSHIP 18
NORTH, RANGE 5 EAST, M.D.M. MORE PARTICULARLY DESCRIBED AS
FOLLOWS:
PARCEL 2 AS SHOWN ON THAT CERTAIN PARCEL MAP FILED IN THE OFFICE OF
THE RECORDER, COUNTY OF BUTTE, STATE OF CALIFORNIA ON APRIL 3, 1985,
IN BOOK 99 OF MAPS, AT PAGE 6.
CERTIFICATE OF CORRECTION RECORDED JULY 27, 1989, IN BUTTE COUNTY
OFFICIAL RECORDS UNDER SERIAL NO. 89-28038.
JOHN AMERAL
REAL PROPERTY OWNER/LESSOR
STATE OF CALIFORNIA
Ili' .. •:,;iS, TRANSPORTATIQN AND HOUSING AGENCY
�v►"ra
'-LviUtT]vIENT OF IIOUSING AND COMMUNITY DEVELOPMENT
DMSION OF CODES AND STANDARDS
REGISTRATION AND TITLING PROGRAM„Aa��"
STATEMENT OF FACTS
This unit is a: �Mobilchome C] Commercial Coach 0 noating Home 0 Truck Camper
Decal (License) No.(s)
I/We, the undersigned, hereby state:
Trade Name
Serial No.(s)
TI•IE ABOVE DESCRIBED MOBILE HOME RIAS BEEN INSTALLED ON
AN APPROVED PERMANENT-rOUNDATION SYSTEM AND IS PRESENTLY
IN ESCROW WHICH WILL CLOSE WITHIN 45 DAYS S.
I/We further agree to indemnify and save harmless the Director of Housing and Community Development, State
or -California, and subsequent purchasers of said unit, for any loss they may suffer resulting from registration of
the above-described unit in California, or from issuance of a California certificate of title covering the same.
I/We certify under penalty of perjury that the foregoing is iruc and correct.
i
Executed on / ::2- �
( atc)
Signatu
(City)
Printed names)
�
--s-� /q
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Address c7 9!s'%j (1} t" OrC`%t
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SCHEDULE C
THE LANT -T► -,..,FERRED TO HEREIN IS DESCRIBED AS FOLLOWS:
ALL THAI' CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
OF CALIF' WNIA, DESCRIBED AS FOLLOWS:
A PORTION OF LOT 6 AND 41 AND A PORTION OF LOT 7, BOOK 7 PAGE 77, OFFICIAL
MAP OF THE TOWN OF BANGOR, SECTION 27, TOWNSHIP 18 NORTH, RANGE 5 EAST,
M.D.M. Mo.RF PARTICULARLY DESCRIBED AS FOLLOWS:
PARCEL 2 AS SHOWN ON THAT CERTAIN PARCEL MAP FILED IN THE OFFICE OF
THE RECORDER, COUNTY OF BUTTE, STATE OF CALIFORNIA ON APRIL 3,1985 IN
BOOK 99 OF ?MAPS, AT PAGE 6.
CERTIFICATE OF CORRECTION RECORDED JULY 27,1989 IN BUTTE COUNTY
OFFICI Al t-ECORDS UNDER SERIAL NO. 89-28038.
AP NO. 628-240-034
PRELIM
' ,COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DI SION
7 County Center Drive • Oroville, California 95985 • Telephone (530) 538-7 41 MIT
(Rev. 12/'96) APPLICATION AND PERMIT C� � �
ASSESSOR PARCEL NUMBER 028-240-034
ZONING
BUILDING PERMIT
OWNER 520-5
AMERAL JOHN
I` -7 -TO
SO. FT. OCC. BUILDING VALUATION
1
'
. OWNERS MAILING ADDRESS
576 HANOVER ST.. DALY CITY CA 94014208
C
2,704.00
CONTRACTOR'S NAME
D & D HOMES
TELEPHONE
532-3301
CONTRACTORS MAILING ADDRESS
2243 FEATHER RTVM MM., OROVILLER0,5965
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation Is 63,670.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee 477.00/2
$ 238.50
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 155.00
BUILDINGADDRESS
5753 LPL PORTE RD. OROVILLE U, 95960
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 413.50
LOTNO.CZ
I SUBDIVISIONS NAME
I PM
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome XOther
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each as wat r heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations Other ❑
DescribeWork: Nal MH ON PS'Zh1 FOUND / fe eMobile
Gas piping stem 1 - 5 outlets
15.00 15.00
Building sewer C
15.00
Home I S I G W
@20.00
PERMIT FEE
i
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 2o.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class L L Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit Is Issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permitis Issued.
My workerss,,' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation pr visions of section 3700 of the Labor Code, I shall
fort withLcop se rovisions.
XK Date 2 2-1-106
Signature of plicant�n - ❑ Owner ❑ Contractor ❑ Agent
An OSHA p rmit.is dquired for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO tOooA
46.00
NEw CONST. owEwNo OCCUP. 3.5QFT.
OR rACrBLDS
NEW COS
NON.RESID.' @7.50
APPARATUS
SINGLE 0URET MR.
.11N..
20 .00
EX. Occup. OUTLET OR FIXTURES BAIL x.50
Ex. Occup. o ETS FIEEsID.DEEX 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI_ $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE
TOTAL FEE $ 521.50
HAZ.
D. Fe IMP
X
FLOOD
X
CDF
X
PARCEL
X
Po D
X
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
ate /9/o
0
ReceiptNo. 300359 /$521.5
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
L
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive a OrovilleN California 95965 • Telephone (530) 538-7541 P R� IVO.
(R _ APPLICATION AND PERMIT o � ({ `fi
iu.o.oA►raaeer ��
D0"N0
BUILDING PERMIT
ow►eJl -fM Ef
v 3 306So.
FT. OCC. BUILDING V UATION
'Ica
owras masa ADORess
-71Q
`) y o
rZ7
°1 �)
CONATNUC"W UMM
.
�� WAILM aooAas
Fireplace
19
Total Valuation=
`3
AW,WECT an 00DOM
uwseNa.
Slina Fee
S 20.00
wrov
AAC41MM OR ENW18711 uADDA 'sa
Permit Fee 7 !2.
_
Plan Checkin Fee
$ ISS' m
O'1O"p017 S 7J L
Ip�� 0�0Energy
Plan Checking Fee
=
ir.
PERMIT FEE
_
u TINIM susonslowswue
"
PLUMBING PERMIT
Fili g Fee 20.00
Each Tra
7.00
USEOFSTRUCTURE
Solar or hent pump water heater
23.00
SF ❑ Duplex ❑ Mobilehomev Other
Water piping
15.00 —
sP��
Each ga3water heater or vent
15.00
TYPE OF WORK
Ges piping *ystem t - 5 outlets
15.00
New ❑ Addition C�_ Remodel O UtiGtles O Instakfif2L O Other O
Building sewer
15.00
NAAI'
Mobile Home S G W
@20.00
Describe Work:
PERMIT FEE
_
ELECTRICAL PERMIT
Filing Fee 20.00
°so°OoaY
Main Service O0A MS,
23.00
Main Service xooA To woA
48.00
/�
CONST. owEu)+O occuv.
GA eOows. a �cc. eu:s.
3.Seso.
=.C.,O. MULTwvnET
g7.50
`/
��
P01N01 AVP;ff`c
a SNOLE OUTLET 010.
OVnEr OA WURE'!
Ex. Occup.ew
200 1.00
0 .x
Ex. Occup. oum" �,o.°Rrw
5.00
I
Temporary Service
23.00
Mobile Home Facilities
20.00
M'isc. Wiring
23.00
1
PERMIT FEE
S
*PERMIT
6 S�
MECHANICAL PERMIT
Filing Fee 20.00
FEE PAID
Heating
SRA ' '
d
Cooling
SHERIFF
$
Hood
6.50
Ventilation
OTHER
PERMIT FEt
t
Mobile Home Installation Fee
=
Energy Inspection Fee
= o
OCO CONST. TYPE T AL FEE $
AMOUNT RECEIVED
$ 62
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.
*RECEIPT NUMBER'/
*-TO BE PUT INTO COMPUTER
By
Date
PERMIT EXPIRES ON
n
.. �. ,t- � i'�.�.,rv�::�T::';ar,�,,,. . .':Y�'�it i�+h!!..a'�.;i y"r•►t�. �•t ',� i. ,i:ye:'i `��^'4 i#K'N• ti'�d4 hi'� �R':`u Ya`,S.r." ..;�..yp :y�.. Sc,.'+a.::;. l
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: �JA-I ASSESSOR PARCEL ER: a — Q -UO O
Proposed Building Use: (M n uilding Inspector: Date: � d
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 --------------------------------------------------------------------------------------
Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
k*n
omplete plans, 3/4 sets, signed �bypthe riarer of pl s ----------- - - ---------------- --- -gineered plans, 3/4 sets, `Qi v�" Ie "signature on p anl s. Al eer>tg m be shownnoon p -ngineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
116. Energy Design Compliance and supporting documentation.-----------------------------------------------� ---
❑ 7. Statement of Intent for Non -Heated and A/C Buildings.
98. Hazardous Material Form. ----
9. Manufactured 110and 1
Tie Ddwn' Specifications .------------------
O10. Fees of $ ---------------------------------------------------------------------=--------------
Impact fees as shown on the attached schedule - E� _D. !- __________ ______ ���( -p-(
t California Department of Forestry plan approvallfees. ------ceS�-d-:d o
❑ 13. lood elevation certificate. ----------------------------------------------------------------------------------------
- tion and plot plan approval Health Department. ------------------------------------------- d
ityof Chico plumbing permit.-----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use: (B) Parking:
1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. y~ -----------------
AV9'ecroachment Permit for driveway (construction approval prior to occupancy). ---------------------
tion -""
Pce forrequired. Request to Building Inspector on
❑21. Contractor's license information. (Number, Name Style, Classification). -----------------------------
El 22. Workers' Compensation carrier and policy number. ---------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑).
..,,2 44. Letter of signature authorization. --------------------------------------------------------------------------------
t5. Recorded copy of Agricultural Acknowledgment Statement. --------------------------------------------------
❑26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑ !' Manufactured Home utility clearance. -------------- ' --------------------------------------------------------- �a
r xisting viol ions and/or j�Ged p ------------ �-- -_-- ---=--------------------------- .
0433 ant Deed,��'IC'tEH..Titl k to H.C. $ _______________
�30
.Other:•
Whr'you issue the permitArocess as follows El Mail to owner, []Mailto ntractor.
' d hold for pickup at t�Y e th spector.
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air
Copy of plans sent ❑ Health Department, ❑ Fire Department:
1. Index permit application for the above iterps numbered:
(Date)
Plan Check List
2. Additional items required:
designer, owner, a&rsed of the above required data by ❑phone; ❑mail, ❑Building Division counter, bye Date: /
actor, designer, owner, wasadvised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, yas advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: _ Date: / m Plans approved by: ��- Date: /— —/7- c1
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: ;.
VP11-0--_—fTlo..el*_•_
RECEIVEDH. U ON Y
Plot Pt" Att6•hs41
Roar Plan Attu
JAN 9 2001 �'"` to s'O'
TO: Building Department �~� d
BUTTE COUNTY PLANNING DIVISION
FROM Envita I H I h OROVILLE CALIFORNIA
ronmenCO t
SUBJECT: Sanitation Clearance
'7]5b m pk (L A L t,4 P --;p )�- r3
Owner \ Location AP#
Plan Approved for: Sewage Disposal / Water S ly: Public Private Well
Clearance for dwelling. Other (�/l0� 1�r�P /fes//yC
Hold final for:
Final clearance 0 K. for:
F
NOTE: �4jy
L
Environmental Health Specialist Date
8/96
;�`y.. _ .. v. w.., _., Y. .. .. - . {• r 'v.: �j T. , .•(� a^Y%.ica,�3k+h.�j.r?� `
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
'(One form per &AIding)
School District
A.P. Number
Property Owner
Property Locatic
Subdivision
Building Department No.
Lot No.
9
Residential Development
F
..................................................................................................................
Sq. Footage
i
No of Living
Mobile Home
Addition/ *Supplemental to
(Group R)
Units
Installation
Conversion Permit #
'(No foundation inspection):
Addition
Building Department Representative
(Floor Plans reviewed by School District
strict Identification No. 010072
Y ( lip A 1l,{ 11 /) ►l 4 at -School District certifies that
Sq. Footage
(Including Exterior
Roofed Areas)
Date
4.
A
7 { �j J V (Applicant)
Q 30
- I c- PVJ��
(Street Address) (Phone Number)
�. 959lq
(City)
has complied with the requirements of Resolution No.
representing I I� square feet.
ZSchool District Representative `
Paid by Check # ' Remarks:
(State) (Zip Code)
9 iJ by, payment of $ 2(� 1 —r f(
AB 2926 $
FULL MITIG.ION $
-/7-vr
Date
Notice: You may protest the imposition of the fees identified above by submitti a written protest to the District, in compliance with
Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit '
you from challenging the imposition of the fees in any court action.
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is
notified by the applicable Local Banning Agency that this project is being reviewed under the California Environmental Quality Act ICEQA),
this project may be subject to additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeform.xls 110/98)dmm
LAND DEVELOPMENT
OROVILLE / CHICO
BUILDING / ENVIRONMENTAL HEALTH - PERMIT CLEARANCE
Building Permit No.
NAM ER ,�yl n ^ I Joh Yi NUMBER
NAME /���b7c�F !1
PRfNrLASrNAIWE FIRST
ADDRESS / LOCATIONS753
COUNTY ZONING
DESIGNATION: FLOOD MAP: X56 FLOOD ZONE:
I
APPROVED: CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL
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:_06-24-0(o
MAP INFORMATION:
DATE OF RECORDING:) SJR LOT 2. BOOK. PAGE Cf�
COMPLIANCE WITH OLD S DIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT
PAGE 23): YES t 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. requirements.
CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED.
X1. Maintain a 50 ft. building setback from centerline of road.
—2. Maintain a ft. building setback from right-of-way/centerline
—3. Comply with Zoning code for building setback from road.
4. Maintain a 100 ft. leachfield setback from all ebsbng wells.
/ 5. Maintain a ft. leachfield setback from L
_.6. Pay water tender fees in the amount of $ to Battalion Number
�7. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290.
8. Connect to a public water supply.
—9. Connect to a public sewer system.
M to
of the Butte County Fire Department.
_ 10. 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.
-11. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $
—12. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below)
—13, Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010.
—14. A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the
Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division.
—15.1 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 Zone 3 requirements of
the Uniform Building Code.
_ 16. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors.
X 17. Pay school impact mitigation fees.
X 18. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County
Code.
_ 19. Wood stoves and fireplace inserts shall be EPA approved and desi
Clean Air Act of 1988 as amended. gned to meet the emission requirements of the California
—20. 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.
21.
22.
23.
24.
25.
26.
"A10 iN]I Nd013A30 0NY)
3W8 JO A -Woo
6661 C 1 1 n r
Q3ni333a
LD 6/98
FORMS\BLDG PERMIT CLEARANCE
PRE -INSPECTION REPORT
L—
LOCATION:
CONTRACTOR:
PRE-INSPETION FOR: N L W
DATE: -' cP, /a- —&-0
A.P. #- • C�
ZONING:
DATE TO INSPECTOR .—O OPERMIT HISTORY:( ) NONE FOLLOWS:
BUILDING INSPECTOR'S REPORT
Building Description:
Commercial/Usage:
Residential# of Units:
Currently Occupied
AbandonedNacant
Electric:
Yes No -.,Electric currently On Off
Condition of Electric
Gas:
Natural Propane None Currently On Off
Obvious Problems:
Sanitation:
Plumbing Working
Well Working Potable Water
Obvious SewageProblems
ACTION RECOMMENDED: ISSUE: r-� HOLD FOR
Inspector. R-19
Date
Sketch buildings on reverse and indicate location on property.
km&i�l kffawmqo�
& tjowm� oemt
/z16 )
�
fsL.
NOTES
'k—SIDENTIAL
028-24-0-034 _ 01-1466
AMARAL, JOHN
5753 LA PORT E RD. BANGOR
- = ; CONT: D & D HOMES
MH OPEN DECK
bG -3o2>5
II SPECIAL CONDITIONS II
CHECKED
BY
1
1
I
I
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
I JOB FINALED (Date)
Signature
{
k '
.r
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 01-1466
ASSfrta-PvZV �1JJ4`
ZONING
BU I LD I NG P ER M IT
owN�g� Ai�RAt 6
JJll11
TE 73%E"
SO. FT. OCC. BUILDING VALUATION
91.
DWMgI"df h ST. DALY CITY 94014
�j /}
COT TORS jA6NES 532-3
TELEP O
!4
CorMAILING
SFATSS RIVER BLVD, OROVILLB 95966
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ 2912.00
ARCHMECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 54.00
ARCHMECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $ 35.10
BUILDING ADDRESS
x5753 LA PORTS RD BANGOR
Energy Plan Checking Fee' $
PERMIT FEE $ 109.10
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome [9 Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each gai water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instalation ❑ Other ❑
De^scr@' WSi C
Gas piping system 1 - 5 outlets 15.00
Buildin sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 200. OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license in full o[c and effect. 1 V +{�
License Class -'" • Lic.'No. -7 y`-, . ,./
OWNER -BUILDER: DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason: ''
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property; am. exclusively contracting with licensed contractors
to construct the project."
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' comp"eihsation Insurance, as required by Section
3700 of the Labor Code, for the perfermanee of work for which this permit is issued.
My workers' mpArisation insurance carrier and policy number are:
Car
Policy Number /7 L I to &6 sr f tl 4 L1
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars.($100) or less.)
❑ 1 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 workers'
compensation laws of California, and:egree that f I should become subject to the
workers/compensations provisions of section 3700 of the Labor Code, I shall
forthwith comply wil&those provisions.
4�, o
Signature `of Applicant'- ❑ Owner ❑ Contractor ❑ Agent f
An OSHA permit4s quired for excavations over 60" deep and demolition or construction
of stuctures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING ffUP. 3.5Q F7.
OR
�o (
NEW NST MULCTcou�TLS.
NON•RESID. c @7.50 ,
POWER APPARATUS
8 SINGLE OUTLET CSI R.
00
Ex. Occup. ourLET OR FDMRES SAL I:w
Ex. Occti ou�T E�s R D.oFA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 109,10/
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
E?!
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.
By Date
PERMIT EXPIRES ON
Date
Receipt No. v civ
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
V= OK
0 = Not OK
- = Not Applicable = Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Footings; Size -Spacing -Marriage Line
1.
Zoning Requirements -Setbacks -Easements
4.
2.
Soils; Special MH Support Sketch
Drain; MH Test -Fall -Flex Connector
3.
Sewer; Location -Test -Fall -C/O -Concrete
r 7.
4.
Water; Location -Test -Easement Needed (Sketch)
Gas and Electricity Tagged
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
10.
6.
Gas; Location -Test -Wrap;-/ P' L'ft.
/ P Nat. or / /"L"ft./ PLPG
Cert. of Occupancy
7.
Well Clearance & Disconnect
8.
Utility Clearance
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
r 7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts- Bea ms- Rttrs.-Connectors
Shthg.-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rhrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
1.
Setbacks -Easements
2.
Soils; Compaction -Structure Stability
3.
Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
6.
Elec.; Enclosures; Conduit Entries -Terminals -Listed
7.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
•
r
✓ = OK
0 = Not OK
- = Not Applicable
• = Not Ready
RESIDENTIAL (;
Date
46.
Underfloor (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
5.
Stemwalls, Main; Steel-Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Cana B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
63.
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
70.
Fireplace or Stove, Clearance -Hearth
Date
71.
Card B-1 Date Card B-1
Date
72.
Card B-1 Date Card B-1
Date
73.
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Meth Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral O Yes ❑ No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
Date
86.
Card B-1 Date Card B-1
Date
87.
Card B-1 Date Card B-1
Date
88.
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Comments at Final:
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
jingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Rolf Brac.-Truss-Shting. -Ring.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Cana B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor -Meth. Protection
77.
Pib., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82.
Following Insild./Drive J Yes D No/Walks J Yes J No/Planters J Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.L Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
Department I' F'r1 vu.7I7I'1rSE te_ Services
e ar/i Building
5h dli„ g r.'4 ', i ko
y k 'firti dry►) k County r w,i,.r Drive
Orovwe, CA 95965
(330)5
38-7541 (530) 538-2140 FAX
I SHEET'
7/2
Date: LO
To: A w c
AV '
Number of pages (including this cover sheet):
Telephone Number of Receiving Telecopier:
N
#15.553 - 83'1
If you do not receive all of the pages, please call (530) 538-7541 as soon as possible.
CONFIDENTIAL YY NOTE. Tice information contained in this facsimile is confidential and may
also contain privileged information. The information is intended only for the use of the
individual of entity to whom it is addressed If you are not the intended recipient, you are hereby
notified that any use, dissemination, distribution, of copying of this communications is strictly
prohibited If you have received this facsimile,* in error, please notify me immediately by
telephone, and return the original to me. Thank you.
, ui �EuTsTo, CW607 aFp To Sme-4 c.6 ,
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02/13/01 15:15 FAX 530 532 3304 D & D HOMES
AQ I a 3`isoo/6o I / 0�
_EETWOOV'HOMES OF CALIFORNIA, INC.
N. PIONEER AVE.
] BOX 1:05
30DLAND CA. 95 6
;0/662-5225 /662-2759 (FAX.)
a subsidiary of Fleetwood Enterprises, Inc.
tataiter FDRA/D&DDHOMES
HOMEINC. ,
819 P DAVM ST
VAC_AVILLE CA. 95688 (FAX)
707/446-3411 707/446-zF,z 3 r.Z
,htpTo FRC/V&D HOMES INC.
DBA: D&D HOME
2243 FEATHER RIVER BLVD
OROVILLE CA- (51:521)
5110/532-':01
CASH ON DF-LIVERY'r-0.0:'
Financedby CONSECO FINANCE SERVICE CORP.
4 HUTTON CENTER DRIVE #400
SANTA ANNA, CA.
Approval Number: 1643291
X001
,i
F.O.S. Point Purchase Auth./Verbal/P.O. Number
WOODLAND, CA
DSM Inspection/Approved by
ALFRED LUCCHESI BERMAN SCOTT rMXX STOCK
Customer Name
THIS HOME CONTAINS INSULATION AS FOLLOWS:
Location Ceiling Wall Floor
R -Value 22 11 11
ADDra3L Thickness 7 3 1/2 3 1/2
Appliance./ Furnace Serial Numbers:
Notices
1. This home is not 61191I)IS f0! FNA Tl1e I fvtancing unless the apProP Invoice
3uppterrtenr is attached and c6Nfred.
2 Thio Holme is npottaelliig, eligible for VfAA Mtla�wfaaured Home Financing u rnlpe�s+ it has been stamped
5fetnxlesoaaon
Dues paid by Fleetwood. ati for VlP payments if eensin
4. VIP—(Voiwne Mr�nlltre prpgrartt)Th6 Purdtaser may qu ty PaY� for INS
volume levels are reached. For Copies of ttte Volume lncenove Program
manufacturing center or region, pisase address your written request t0 Flealwood
erderprw,as, Inc Nwkelm Deoanmenl —'VIP Request.` Housing Group. 3050 Myers
Sbsot, R"rverside, California 92513
Specific amounts which may be paid under ind VIP program and rennin other marketing
programs cannot be identified on a per-homelRdtvrd m basis end areIndividual
charged to p Wrheeds
turd Profits as a cost of doing business. Payments made under any Ind�viduai pa► frame
marketing programs will be hated as separate line items on the invoice.
Santa barns may quality for an instant Disoounr and it wit! be shorn as a rine foam. Ag homes
>nac oontsln"Inseam awounr fine item wig not be o0g?le for VIP programs) or PWMWUS. .
5
If tntornretion Is desired regarding Inc furniture package Fumtlure shippedwith the home, inducting
the ritaller wholesale Prioe and the type at ILIM& re-PlOase fowrard a written requem 10
,General Manager" at the address listed at the top Of UriS IMroice.
s. Certification CALIFORNIA .Inc. cartmes that (t) this
Fleetwood Home$ of
invoice Is in compliance with thelhtth In InvoicinPractices g Statement (Statement) as
approved
by
reW16on of the ManuftIctured Houaing inedtute on October 6. INS: (2)
that the manufacturer, in preparing and certlty M this invoice and any disclosures
required to be made by the Staternent, to providing to the hast of its knowledge and
belief accurate, rromptete, and truthful information, and that (3) the maNfacUer
empress acknowledges inat tenders and insurers rely on hrwaees and arry disclosures
FWMmd to be made by Ute Statement to make. insurance and purchase
decisions.
/�-i - L-
1 White raisad Pa'l21 catit� _ �� •'
1 45h'e1veS/Ward taY i Y%}';•, .49'...
add c 1 Ose# 21 '1;11 l.y. -
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N (1058
o,
rd to
,� a�wesa etanmra�
ttAodA N Year
Date Shipped inDate
/04/6
Brand Name
SUNCREST
5442 20t)t)
01/
SIo
JOt9I Width TOtBiJ.ength
Ber00fns Baths
2
GOLY17t3018-SCi2
CAFLY.17B23018-SC12
exterior Materia►
\�
FIBtft CEMENT
F.O.S. Point Purchase Auth./Verbal/P.O. Number
WOODLAND, CA
DSM Inspection/Approved by
ALFRED LUCCHESI BERMAN SCOTT rMXX STOCK
Customer Name
THIS HOME CONTAINS INSULATION AS FOLLOWS:
Location Ceiling Wall Floor
R -Value 22 11 11
ADDra3L Thickness 7 3 1/2 3 1/2
Appliance./ Furnace Serial Numbers:
Notices
1. This home is not 61191I)IS f0! FNA Tl1e I fvtancing unless the apProP Invoice
3uppterrtenr is attached and c6Nfred.
2 Thio Holme is npottaelliig, eligible for VfAA Mtla�wfaaured Home Financing u rnlpe�s+ it has been stamped
5fetnxlesoaaon
Dues paid by Fleetwood. ati for VlP payments if eensin
4. VIP—(Voiwne Mr�nlltre prpgrartt)Th6 Purdtaser may qu ty PaY� for INS
volume levels are reached. For Copies of ttte Volume lncenove Program
manufacturing center or region, pisase address your written request t0 Flealwood
erderprw,as, Inc Nwkelm Deoanmenl —'VIP Request.` Housing Group. 3050 Myers
Sbsot, R"rverside, California 92513
Specific amounts which may be paid under ind VIP program and rennin other marketing
programs cannot be identified on a per-homelRdtvrd m basis end areIndividual
charged to p Wrheeds
turd Profits as a cost of doing business. Payments made under any Ind�viduai pa► frame
marketing programs will be hated as separate line items on the invoice.
Santa barns may quality for an instant Disoounr and it wit! be shorn as a rine foam. Ag homes
>nac oontsln"Inseam awounr fine item wig not be o0g?le for VIP programs) or PWMWUS. .
5
If tntornretion Is desired regarding Inc furniture package Fumtlure shippedwith the home, inducting
the ritaller wholesale Prioe and the type at ILIM& re-PlOase fowrard a written requem 10
,General Manager" at the address listed at the top Of UriS IMroice.
s. Certification CALIFORNIA .Inc. cartmes that (t) this
Fleetwood Home$ of
invoice Is in compliance with thelhtth In InvoicinPractices g Statement (Statement) as
approved
by
reW16on of the ManuftIctured Houaing inedtute on October 6. INS: (2)
that the manufacturer, in preparing and certlty M this invoice and any disclosures
required to be made by the Staternent, to providing to the hast of its knowledge and
belief accurate, rromptete, and truthful information, and that (3) the maNfacUer
empress acknowledges inat tenders and insurers rely on hrwaees and arry disclosures
FWMmd to be made by Ute Statement to make. insurance and purchase
decisions.
/�-i - L-
1 White raisad Pa'l21 catit� _ �� •'
1 45h'e1veS/Ward taY i Y%}';•, .49'...
add c 1 Ose# 21 '1;11 l.y. -
.q
Harold R. & Marlane Hensley
P.O. Box 183
Bangor, CA 95914
RE: Building Code Violations
5753 LaPorte Road, Bangor
Dear Mr. and Mrs. Hensley:
�- - Eatte Count,
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
May 22, 1995
A.P.#028-24-0-034
This is a formal warning notice. Pursuant to Butte County Code (BCC)
Section 41-2, we sent you a.courtesy notice dated February 7, 1994 notifying
you that you are in violation of the BCC at the above -referenced location.
As of this date, the following violations still exist:
Failure to obtain the required permits, inspections and approvals from
this office for remodel and rewire of single family residence and
construction of detached building in violation of the 1991 Uniform
Building Code as adopted by Section 26-1 of the Butte County Code as
follows:
(a) Section 301(a) Permits Required
(b) Section 305(a) Inspections Required
(c) Section 305(d) Inspection Approval Required before Use or Occupancy
The above violation(s) shall be corrected or abated by you by submitting
three (3) complete sets of plot plans, applying for the required permits,
and paying the -appropriate fees, including penalties. After permit issuance
and field authorization to proceed, the work must be completed and approved
by this office within the permit specified time.
This is your final warning. Unless you contact this office and make the
proper arrangements .to correct or abate the violation(s) voluntarily, within
ten (10) days from the date of this letter, enforcement shall be pursued
through the issuance of a citation (ordering you to appear in court) for
said violation(s) and for failing to comply with this warning letter.
Upon conviction of said violation(s) or of failing to comply with this
letter, the court shall impose penalties (fines) and a Notice of Violation
shall be recorded in accordance with Butte County Code Section 41-7. The
Notice of Violation shall include a description of the premises the violation
concerns, a description of the violation, the date of your conviction and
the action necessary to corrector abate the violation(s).
Should you have any questions concerning this matter, please contact Scott
Rutherford or Michael Vieira in this office at the address or telephone
number listed above.
Sincerely,
MCV: dms
Mic ael C. Vieira, C.B.O.
Manager, Building Inspection
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
February 7, 1994
Harold R. & Malane Hensley
P.O. Box 183
Bangor, CA 95914
RE: Building Code Violation A.P. #028-24-0-034
5753 LaPorte Road, Bangor.
Dear Mr. and Mrs. Hensley:
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 remodel and rewire of single family residence and
construction of detached building.
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 compliance with the Butte County
Code. However, you should be advised that Butte County has an active Code
Enforcement Program which provides an effective means of enforcement if
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.
Sincerely,
MCV:dms
MicTilael C. Vieira, C.B.O.
Manager, Building Inspection
cc: Assessor
/a Mgt 94 -
/VR . 1�En/5l.Ei /N Y2�s17E 106
G5-l-TE�� sc fT 7
T�-r soArE
A Po,ei/on/ aF T� /�-7%c
To 43�-D,eoati/� /� sJ✓-�i/�w/iy ui�4S eo,�ISr�IG7�
2� l�ND A- T�o2T�°'� °F
7v 77W/�77(C /� �
/,E,e2e/f X40
7z
i
i4PAu c �-7�oh! M Iq6C 13Y /-ApeVc) ���
t
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r ,
$107,08.0-7
$107,845.20 `~ ,
$85,602.71
'
$8'9, 17,9, . 11
$78,399.69
$75,275.64
$71,929.99
$66,456.09 682366.5.,0.969499•.' ,
$86,138.13
$106,934.09
.$107,257,.169 . -
$121,836.60' - •. _ '
$1,104,533.00 1325440
a
•
A ���x . /CIO
#EA15&C1`1
yes.
9M h 1994
l l
Robert . Eastham
Absolute nvestigative Services
2060 Thir Street
Oroville, C 95965
RE: Hunter ase Inquiry
Dear Mr. Eastha ,
We have discussed ur inquiry with Coun Counsel's office and find that interviews with
county staff regarding rivate cases will n t be permitted. As you know, there are avenues
available to you throug deposition subp enas, private contact, etc. to obtain the information
you request.
Sincerely,
William Farrel, AICP
Director of Development
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
OWNER'S STATEMENT OF USE - DETACHED ACCESSORY BUILDING
PN:
ONE:
BUILDING PMT. #
OWNER:
PHONE:
MAIL ADDRESS:
SITE ADDRESS:
PROPOSED USE:
PLEASE ANSWER QUESTIONS 1-20. PLEASE EXPLAIN YES ANSWERS (2-18) IN THE SPACE PROVIDED ON THE REVERSE OF THIS FORM. (PLEASE
PRECEDE EACH COMMENT WITH RELATED QUESTION #)
GENERAL INFORMATION:
1.
Is there a primary dwelling on the property?
.`Yes:
No: '
2.
Is the structure already built, under construction, or under notice of code violation?
Yes:
No:
3.
Will items produced in this building be offered for sale?
Yes:
No:
4.
Will the public have access to this building?
Yes:
No: *-
5.
Will any advertising, on or off site, be associated with the use of this building?
Yes:
No:
6.
Will this building be occupied at any time as a sleeping quarters? =
Yes:
No:
7.
Will this building be occupied at any time as an eating area?
Yes:
No:
8.
Will this building be occupied at any time as a cooling area?
Yes:
No:
9.
Will this building be occupied at any time as a living area?
Yes:
No:
i
SITE CONDITIONS:
10.
Is the structure foundation within 5' of septic tank or 10' of leach lines?
Yes:
No:
11.
Is any portion of the proposed structure located closer than 20' to your front property line?
Yes:
No:
12.
Do you plan to add a driveway or modify existing access to a county maintained road?
Yes:
No:
13.
Will the proposed structure encroach within any recorded easement?
Yes:
No:
CONSTRUCTION FEATURES: -
14.
Will this building have insulated floor, walls, or ceiling?
Yes:
No:
15.
Will this building be heated or cooled?
Yes:
No:
16.
Will this building have a water closetttoilet?
Yes:
No:
17.
Will this building have a sink?
Yes:
No:
18.
Will this building have a water heater?
Yes:
No:
19.
What type of floor covering will the building have?
20.
What type of wall covering will the building have?
ADDITIONAL INFORMATION:
I hearby affirm under penalty of perjury the above infromation is true and correct. 1 understand that any changes to the use, or character of use, of this building will
require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale.
OWNER'S SIGNATURE DATE OWNER'S SIGNATURE DATE
FOR DEPARTMENTAL USE
REVIEWED BY: DATE:
COMMENTS:
ADDITIONAL INFORMATION:
I hearby affirm under penalty of perjury the above infromation is true and correct. I understand that any changes to the use, or character of use. of this building will
require permits from the permitting authority. I understand that Real Estate Disclosure laws require disclosure of this information if or when offered for sale.
OWNER'S SIGNATURE DATE OWNER'S SIGNATURE DATE
FON DEPARTMENTAL MENTAL USE
REVIEWED BY: DATE:
COMMENTS:
COONTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive a Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 01-1466
AssU�C7P Z-TT4
zOw^ G I q
BUILDINGPERMIT
OWN P
JOHN AMORAL 6
TELEPHONE
0-737-2508
SO. FT. OCC. BUILDING VALUATION
2912.00
OWN 5 MAILING AOORESS
x'16 HANOVER ST, DALY CITY 94014
CONTRACTOR'S NAME
D & D HOMES 532-33
TELEPH
1
CONTRACTORS MAILING ADDRESS
2243 FEATHER RIVER BLVD, OROVILLE 95966
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 2912.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 54.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$ 35.10
BUILDING ADDRESS
5753 LA PORTE RD BANGOR
Energy Plan Checking Fee
$
PERMIT FEE
$ 109.10
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome 11 Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other CX
De@FPN kMK X52)
Gas piping systern 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
(9]20.00
PERMIT FEE
t
ELECTRICAL PERMIT
Fling Fee 20.00
600VOR LESS
Main Service zo.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license ' n I e d effect. ��/�
. License Class Lic. NO. J q
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is Issued.
tion Insurance, as required by Section
❑ I have and will m i in workers' coRe
3700 of the Labor de, for the pert ofwork for which this permit is issued.
My worker m nsation insureer and policy number are:
Carrier
Main Service 200A TO 1000A
46.00
NEW CONST. DW IIIG OCCUP.
OR ADONS. ( a ACC. S.
s0
3.50 so
pEOSIDT' MULTI.OUTLET
@7.50
POWER APPARATU S
a SINGLE OUTLET IS
Ex, OCCU OUTLET OR FIXTURES
�0 @ 1 00
Ex. Occup..OFUTT�rsSRES OEA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
S
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt
S
Policy Number 2-l O G 1
(The above sections need not be completed if the permh is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compen tion I f Calif ia, and agree that if I should become subject to the
worker ' co ensa rovisions of section 3700 of the Lab r Code, I shall
forth c those provisions.
_ Date
atur of Applic - ❑ Owner ❑ Contractor ❑ Agent
An O Aper ' ' required for excavations over 5'0"deep and d molition or construction
of sfh&GtuTTs over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 109.10
HA2.
D. FEES IMP
PLooO
cDF
PARCEL
I PD
H
tStK
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.
By/- Date
PERMIT EXPIRES ON Zd 0 -2—
Date
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I
WHITE-D.D.S.-B.D.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT
'
SERVICES - BUILDING DIVISION
- 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
(Rev. 12/96) APPLICATION AND
PERMIT 7
ASSESSOR PARCEL NUMBER _ 374 1 -
o
BUILDING PERMIT
OWNER
/ =7'NEV
%
%SD SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING
CONTRACTOR'S {i�ME TELEPHONE
1Y �1J\
o-wjieg 3Z33o
C°NTRAQTO`R9 NO rR � f'
-�"7
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
ARCHITECT OR ENGINEER HUCEN-jSEN0j.
Total Valuation
Filing Fee 20.00
a
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee S
C• ���
BUILDING ADDRESS
s Pa
Plan Checkin Fee a 5 O
r -Tp—
Energy Plan Checking Fee S
$
aN
LOT NO. SUBDN610NS NAME PARCEL MAP
PERMIT FEE $ Q l O
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
Each Trap 7.00
SF ❑ Duplex ❑ Mobllehome er �N
Solar or heat um water heater 23.00
Water piping 15.00
ePECIFv
TYPE OF WORK
Each gas water heater or vent 15.00
New O" Addition ❑ Remodel ❑ Utilities ❑ Insinuation ❑ Other E3
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Describe Work: 5 z
Mobile Home S G W (a?20.00
PERMIT FEE $
ELECTRICAN IT Fling Fee 20.00
- ----- ------'-
Main ServicOR LESS
OR LESS 23.00
Main ServicTO 1000ACCU 46.00
NEW CONST.
OR ADONS. DWELLING e°i.DDS 3.5d_
ACC
N O TI.OUTLET
NON•RES10.7.50
APPARATUS
E OUTLET CIR.
'
1 Ex. Occu .OR FDCTURES L ®1.0°
BAL SO
EX. OCCU. RESID °EEA 5.00I
1
Tem orar 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
'PERMIT FEE PAID l t�
MECHANICAL PERMIT Fling Fee 20.00
Heating
SRA - -
Coolin
SHERIFF
Hood 6.50
OTHER
Ventilation
PERMIT FEt: $
Mobile Home Installation Fee S
Energy Inspection Fee $
-
oCD CONST. TrvE TOTAL FEE $ �O • l Q
AMOUNT RECEIVED
HAZ. D. FEES IMP FLOOD COF PARCEL PD HD ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
"RECEIPT G
NUMBER
indicated above for which fees have been paid.
* TO BE PUT INTO COMPUTER
ov
— Date
PERMIT EXPIRES ON
ro
�. E.H. USE ONLY
Plot Plan Attached
Floor Plan AttocgEd
i Sant to 8.0. (�% /
F
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location
,--Ile�Z4
AP# `
Plan Approve fd : Sewage Disposal Water Supply, Public Private Well
Clearance for welling. Other
r
Hold final for:
Final clearance O.K. for:
NOTE:
Env
8/96
mental Health Specialist
Date
9', 9G
AV/cJ04--> — /�loi
JJ�9
R00,
l
APPROVED
Butte County
Envirronme tal ealtl-.
s �g
�_--Date------
Signature
\ BUTTE COUNTY
dU I LDI NG DEPARTMENT
1 Q ppRV p n
Ly
. T
WA
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MAX.
I t J, HEWuRAII HUGH 1 � 0111 1 11
MAX. A. 7 rn 3to"MIN. STAIR
za -fN
6 4 n, 7v W E DT++
6.5
May 1995
1
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9
-
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MAX.
I t J, HEWuRAII HUGH 1 � 0111 1 11
MAX. A. 7 rn 3to"MIN. STAIR
za -fN
6 4 n, 7v W E DT++
6.5
May 1995
1
T
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9
-
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MAX.
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MAX. A. 7 rn 3to"MIN. STAIR
za -fN
6 4 n, 7v W E DT++
6.5
May 1995
AND NNIIEN RECORDED MAIL TO:
BUTTE COUNTY BUILDING DIVISION
7 COUNTY CENTER DRIVE
OROVILLE CA 95965
f a 6 t
COPY of Document Recorded
16 -Jan -2001 2001-0001671
Has not been compared with
original
BUTTE COUNTY RECORDER
AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8 of the Butte County Code requires this acknowledgment to be recorded prior to issuance f a building permit.
The property describVd herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of
this property may bei'subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited
to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not -limited to cultivation.
plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has
established agricultural purposes and residents within said zones and on adjacent property should be ed to accept such
M
inconvenience or dis-c_omfort from normal, necessary farm operations.
All that real prope" situate in the County of Butte, State of California, described as follows:
THAT CERTAIN REAL PROPERTY SITUATE IN THE COUNTY OF BUTTE, STATE
OF* AALIFORNIA, DESCRIBED AS FOLLOWS:
A PORTION OF LOT 6 AND 41 AND A PORTION OF LOT 7, BOOK 7 PAGE 77, OFFICIAL.
MAP OF THE TOWN OF BANGOR, SECTION 27, TOWNSHIP 18 NORTH, RANGE 5 EAST,
M.D.M. MORE PARTICULARLY DESCRIBED AS FOLLOWS:
PARCEL 2 AS SHOWN ON THAT CERTAIN PARCEL MAP FILED IN THE OFFICE OF
THE RECORDER, COUNTY OF BUTTE, STATE OF CALIFORNIA ON APRIL 3, 1985 IN
BOOK 99 OF MAPS, AT PAGE 6.
CERTIFICATE OF CORRECTION RECORDED JULY 27, 1989 IN BUTTE COUNTY
OFFICIAL RECORDS UNDER SERIAL NO. 89-28038.
AP NO. 028-240-034
O"Ic 'tel �' �� 1•ROPERT WNERS:177
State of California
County of
SO, nt.a--• Co ) )
personally appeared /P'jt,� �. • �m�,�--��
In+emrtemejor proved to me on the basis of satisfactorn• evidence to be the person( whose name h
within instrument and acknowledged to me that he/stretttrm, executed the same in his/ftVrtthei"uthori•, ,h ca iac t ( to the
that by his/R abet -signatureh) on the instrument, the erson P ) (fes, and
executed the Instrument. P or the entity upon behalf of whic> °Iue person(.--) acted,
WITNESS my hand and official seal. _...,�
., ��motxl► J. AIUCENA�
Comm.t 157093
MOrAAYPUBUC•CAUFOIIpA
Sign
t 1 CooerP ob See
e
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT o.
(Rev. 12/96) APPLICATION AND PERMIT ��� 3�3`
ASS ESSOR PARCEL NUMBER
02R -940-0h
ZONING
BUILDING PERMIT
OWNER
w
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADD S
576 M T DA1Y C11Y CA _0141014.
CONTRACTOR'S NAME
D&D1401ES
32H�?301
CONTRACTORS MAILING ADDRESS ,
2243 FEATHER RIVER MM 01ROVIIJE CA 95965
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
l
Energy Plan Checking Fee $
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: DEMO SINGLE FAMILY (inside kit &bath)
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home Is I GI W
(x320.00
PERMIT FEE :
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 200,, OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
'OWNER-BUILDER.00
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO
46.00
WEE200A
CCU000A
NEW CONST. DWELLING OCCUP.
OR �a S. ( ACC.
C
3.5QF°:
M ouBUDSST
NON-RESID, '
97.50
POWER,,PPARATus
8 SINGLE OLJTLE7 CIR.
Occup. OUTLET OR FMAES
1114LEX.
,,L O L.50
Ex. Occup. OUTLE =.DE.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit Is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is Issued.
My workers' compensation insurance carrier and policy number are:
Carrier IC/CC
Policy Number
(The above sections need not be completed 9 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo with co y w' Ise provisions.
X Date .Z 2. b 6 V
Signa ure of Applicant - ❑ Owner contractor ❑ Ag nt
An OSHA peo�1tt is required for excava Ions over 5'0" deep and demolition or constructio
structureslover 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE: $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
:Z.
D �� IMP
FLOOD
CDF
PARCEL
PD
HD
esti
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated ve for w_ ich fees have been paid.
/ -00of
t� r
PERMIT EXPIRES ON
ate
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASS S PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive a OrovilleN California 95965 • Telephone (530) 538-754 Pg MIT No.
ADDII 11reTInu Amn PFAMIT - � 3�
(Key.IZND) n. . r.vn..%Wa r... �•.•-•.
A.tBaORPARCdNaJ1/eN1 a Q' �l d _ D DDN"o
v
BUILDING PERMIT
ownx /
rav V0 'a'a"O"a
SO. FT. OCC. BUILDING VALUATION
- L C[ 9 6 1 c
s a-3301
r�TR1lCTNDN LElOEII
Fireplace
Lmors NAAruMo AooRwa
Total Valuation =
ARCHH=ORENNaNM
UCzME"0.
lFilina Fee
S 20.00
Permit Fee
= -�
ApCMM= On VOWUM, MALM ADoaess
Plan Checkin Fee
b
WAAMADOAM
Energy Plan Checking Fee
9
$
PERMIT FEE
_
UDTNO.
sueow"IONSNAM
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Tra
7.00
USEOFSTRUCTURE
SF O Duplex O Mobilehome O Other
SPWVY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New O Addition O nodel ❑ Utilities O installation O Other ❑
Describe Work
I dU S f A -Ty-(
Gas piping system 1 -5 outlets
15.00
Building sewer
15.00
Moble Home S G W
Q20.00
PERMIT FEE
_
ELECTRICAL PERMIT
I Filing Feel 20.00
Main Serviceio00OVo►o�n�`ss
23.00
*PERMIT FEE PAID � ��
SRA $
SHERIFF $
OTHER $
$
$
AMOUNT RECEIVED $ �
*RECEIPT NUMBER
* TO BE PVT INTO COMPUTER
Main Service 20" To NOO.A
46.00
CONST. OWEILANOOCCUP. 3.5a$a
OR ADONS. i A.C. e�n8. FT.
NOKRLTI-
ESID. MUCH CIR ET @7.50
POWER APPAUTIS
a 404OLE OUTLET COL
Ex. Occup. OUTLET OR FIXTURE!RAL 0 20 • N.lO
F=0 APPL43. OR
Ex. Occup. OUTLETS ESID.) EA 5.00
Temporary Service 1 23.00
Mobile Home Facilities 1 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
ventilation
PERMIT FEE $
Moble Home Installation Fee 1 i
Energy Inspection Fee I s
oee
coral. TYPa
TOTAL FEE $
NAz
D. MEs WP
FLA00
COF
PARC&
PO
asp
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.
By Date
PERMIT EXPIRES ON
n
/J4111 9 Ir
A.P. # y- -03�/ Address 5,O 3 44 �r 2 a
Owner �ajL6LCJ ..e
Owner's Address ,o, ��' ��g� y,
Owner's Phone No. Supervisoral District
Tenant's Name Phone No.
Type of Violation in Detail with Code Section Priority No.
e- r!/f?ldi'/✓
/ ,�D 4/T� irJ !�✓�vo�1�t�
Specific Plot Plad with C/V'Noted'_'ves no ;Penalties Required
1st. Notice Sent - -7- c,! 2nd. Notice Sent
ate Date
Comments and/or Determination
Lo
MI
Disposition For Citation Citation
Date (Date)
Department Recommendation to'Court
Court Action
Notice of Violation Recorded
(Date)
1
2
3
4
a
8
7
8
9
10
11
12
13
14
15
18
17
18 1
19
20
21
22
23 .
2411
25 11
26
PROOF OF SERVICE BY MAIL
I. am. over the age of 18 and nqt a party' to. this cause. I am a _
resident of. and employed in the county where the mailing occured. My
business -address is Building Division
Department of Development Services
7 County Center Drive
Oroville, CA 95965
I served the foregoing SECOND NOTICE VIOLATION LETTER
(A -.P. #028-24-0-034)
'by enclosing a true copy in a sealed envelope and depositing said envelope
-=in.the `United States mail with postage fully prepaid on 22nd. of May
19 95 and addressed as follows:
Harold R. & Marlane Hensley
P.O. Box 183
Bangor, CA 95914
I declare under penalty of perjury under the laws of the State
of Calififornia that the foregoing is true and correct and that this
declaration was executed on 5/22/95
at Oroville , California.
Donna Sperling-,
Office Assistant III
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELORMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
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.
Date nspector
REV 10/92
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
_ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
D 0,�
ASS SSOR PARCEL NUMB R ZON G
BUILDING PERMIT
OWNERTELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWN •S MALI [LING DDFj.ESI -
CONTRACTOR'S NAMEt��
V
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
_
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
.$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRES
Lo
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
•r---
Water piping
5.00
LOT NO.
SUBDIVISION NAME
I.RL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome Other
SPECIFY
Building sewer
5.00
Mobile Home
10.00 e t
TYPE OF WORK
New Addition❑ Remodel❑ Utilities Installation❑ Other
Describe work:
Permit Fee
$ tla 60
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 ®�
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. / DWELLING OCCUP.&
OR ADONS. \ ACC. BLDGS.
2�120sgft
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 m license is in full force and effect.
Y
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sap -on, will do the work,and the structure is not intended or offered
r 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 CONSTRMULTI-OUTLET 2,50 ea
NON-RFS,BRANCH CIRCUITS)
NEW CONSTR ( POWER APPARATUS &1
NON-RESID. SINGLE OUTLET CIR, /
20050a
Ex. Occup(o TS OR FIXTURES BAL®30Q
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 ^,O
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
.❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
rti
aficate of Workmen's Compensation Insurance or a Certificate
ZConsent 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.
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 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 li ties, ments, ts, and expenses which may in any way accrue
ag st s id C nt V • In o e enc f the granting of this permit.
v
X Datec;2 JL �-3
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 $
TOTAL PERMIT FEE $ ,
OCCUP. GROUP
I TYPE OF CONST,
PARC PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No- ��M
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
U
OWNER
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA195965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET`
Permit No. 9/
2;;t
A. P. No. � r'. ' � ,
Proposed Building Use.
Permit Fee Based Upon
Building Inspector
Complete Contract Price L ---*DPW Valuation
Onef; (fxplain)
At time of permit application, I was advised th, following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . .
2. Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . ... . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
/8 Fees of $ • • • • •
k<_9. Letter of signature authorization. . . . . . . . . .^ .
�0. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . • • • • • .
• • T STI D ��
P.re-Ins req .e to \ (Date)
17. Pre -Inspection for Required. Buil at
n.
tor
�8. Other L1��
., w
When you issue the permit, process as follows: Mail to• -ewer-, Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant Dat "-
Copy of plans sent Health Dept., Fire'Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time f application, clr lei item.)
1. Index permit for above Items No. -- �
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
Telephone Mail
Date
Other
Plans
PInn.q
Other
Copy—DPW
NOTE:—AII Materi Is & Workmanship Shall Be in
Accordance with - ecognized Good Practices and
of a quality presc i6ed for the Specified use in the
Uniform Building, lum6ing & Machanical Codes and
hke National Ele rical Code.
i4. permit will
installation o:
0
A setback of 5 ft. from -the
property lines and a setback
C from the road .
�be required for the0--knterline shall be clear of
the mobile, r t structures or equipment exC80
for a 2 ft. eave overhang,
C_
This set of plans and specifications MUST be
kept on the job at all times and it is unlawful to
made any changes or alterations on same without
written permission from the Department of Pu6Rc
Works, County of Butte.
Utility connections shall be within
4 ft. of the mobilehome, either
directly behind or within the rear
4 half of the roadside (left) of the
Z mobilehome.
0`,
Im
X/o 7--J�3
COUNTY
BUILDING DEPARTME6 .
ARPRO.YEO
v�
1
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Censer Drive - Oroville, California 95965 - Telephone (916) 538-754 4 IO•
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 028-240-034
ZONING
BUILDING PERMIT
OWNER HAROLD & MARLAPdE HENSLEY
ELEPHON
T 679E2568
SO. Fr. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
5753 LAPORTE RD 95914
1
, . UU
E1,500.00
CONTRACTOR'S NAME
NONE
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
,
LENDER'S MPJUNG ADDRESS
Filing Fee.
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEER OWNERLICENSE
NO.
Plan Checking Fee
$
Energy Plan Checking Fee
n
$ 23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
I
Penal
$
BUILDING ADDRESS I
5753 LA PORTS RD
PERMITFEE $ 295.45
w
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
6 7.00 42.00
LOT NO.
SUBDIVISIONS NAME
PAR!YAP MAP
Solar or heat pump water heater
23.00
i USEOFSTRUCTURE
I
SF XK Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel g Utilities ❑ Installation ❑ Other ❑
Describe Work: ':REWIRE, �� n, ;
'RAT14 FIXICITREES,
Mobile Home I S I GI W I920.00
PERMITFEE $ 2.00
Co tractor
LECTRICALPERMIT Filing Fee 20.'00
PORCIRES TO T,TVTNC, /
000V OR LESS
Main S ice ( 20OAORLESS )
23.00 23.00
Main Serve ( 200A TO I000A )
kC
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
)
and my license is in full force and effect.
License Class I Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
L w for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale,
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason I
EW CONST. DWELLING OCCUR
RADDNS. \(& ACC. BLDS. )
SD. 40 f1C
3.5¢ Fr. 95
NEW CONST. MULTI.OUTLET
NON.RESID. BRANCH CIRCUITS )
97.50
WER APPARATUS
(8 S GLE OUTLET CIR. )
Ex. Occup. ( our OR FIXTURES)
20 @ IAO
6AL .SO
Ex. Occu FIXED WS. OR
p ( OUTLETS EN) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
I PERMITFEE
$ 83.95
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, asl provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier i
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
2 4.50 9.00
PERMITFEE
S 29.00
Contractor
Policy Number I
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
/
Date '-
X C �_neonl
gnature of Applicant- Oractor ❑Agent
An OSHA permit is require for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is 46.00
OCC
CDNsr. TYPE
TOTAL FEE $ 516.40
HAZ.
D. FEES
IMP FLOOD
-i
COF PARCEL
PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
Receipt No. 185361
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I
-� a�'s.��"�i*''Vr�'�l�'S'.Ft::�i'�n.f`aa.s'r�::nl�S1`�r'.-:t"Jar►+1�.tia."`-rT�c">„�YM.%T'r.'^'`�,'{L">nl��Wl'���'�'•!Inikdlti.�('F'\'�rfi�i�j�7h:r0{ir.�N�Ij'i'T
COUNTYOFBUTTE - DEPARTMENTOFDEVELOPMENT SERVICES -BUILDING DIVISION
«... _4
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
OWNER 9jek
Proposed Building Use
PERMIT APPLICATION DATA SHEET
Building
MUM
Date
At time of permit application, I was advise 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 s t signed Ipreparer of plans. ..................... .
3. Complete plans 3/4 sets, sign�d by preparer of plans . ..................... .
4. Engineered plans and calcs, 3PNets, with wet signature on plans . .............
5. Hazardous Material Form. .....
6. Energy Design Compliance and sup
7. Statement of Intent for Non -Heated an�A/C Buildings. ... `............... .
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's inst kation instructions, 2 sets. ...........
10. Fees of $ . .........\........... . .
✓ 11. Impact fees as shown on attached schedule. R�. .
12. California Department of Forestry plan approval/f s.........................
13. Flood elevation letter (100 year flood) by California ngineer. ................. .
14. Sanitation and plot plan approval Hea th Department . ............
15. City of Chico plumbing permit. .......... .................... .
16. Plot plan and business license approval from Ci of Big /Gridley . .............
17. Planning approval for (A) Use: /(B) Parking: .........
18. Contact Land Development about (A) Improvements (B) ainage............
19. Driveway permit (construction approval req�rired prior to occi ncy). . .
Pre.4nsp* don re Jues
20. Pre -inspection for req fed. . . to Building Inspector (Date)
21. Contractor's license information. (No., N�rme Style, Classification) . ..............
22. Certificate of Workmans Compensation�lnsurance.............. ............
23. Owner -Builder Verification (Given to oker , Mail to owner �........... .
24. Recorded copy of Agricultural Acknowledgement Statement.
25. Letter of signature authorization.
.% ................................ .. .
26. Copy of recorded deed of parcel coeation 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% subdi vision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . .............. .
31. Existing violations/expired permits . ......................................
32. Plan checklist . .......... I
............................................
33.
34.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
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 pert issuapce: (Circle7ew item not checked above).
1. Index permit for above items No. Jo l ,
2. Additional items required:
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 Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works 9 e4o �2t /j��'✓tJ� pO" Ll" -C
?A,
O.B.-1
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. .
1. I personally plan to provide the ma'or labor and materials for construction of the
propose o rty improvement S ] NO[ ].
I HA HAVE NOT ' srgned an application for a building permit for the
proposed o ,
3. I have contracted with the following person (firm) to .provide the proposed
construction:
NAME: �
ADDRESS: C=:
PHONE: CONTRACTOR'S 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: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide'the work indicated:
NAIL ADDRESS PHONE TYPE OF. WORK
SIGNED:
PROPERTY OWNER:
. xSOCIAL SECURITY NUMBER:_
DATE: L 2—
NOTE:
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
Ji '.
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible 'party of record
on such a permit: Building permits are not required to be signed by property owners unless they are personally.
performing their own work If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family,' *,`and the work (including
materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding; federal social security takes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks. are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract - the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit, erroneously implying that the property owner is providing his or her own labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
` }� .► ; 1 �. �. �. -\ Sincl:rel ; -
\
Michail C. Vierra, C.B.O.
—. Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER `'
ZONING
•-BUILDING PERMIT
OWNER
%f9'iZo G1� /� zA 5
TELEPHONE
(07
SO. FT. OCC. BUILDING VALUATION
O
no
OWNERS MAILING DRESS
CONTRACTOR'S NAME Q
l�
NE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ ..
Fling Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ S
ARCHITECT OENGINEER / , _
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ 3
ARCHITECT OR ENGINEER'S M41UN0 ADDRESS
W
?
Penalty
$
SURDINGADDRESS
PERMITFEE
$ s
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00 Ajta
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00 "
Gas piping system 1 - 5 outlets
Gas
15.00
sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel 19,
Utilities 13Installation 13Other [I {
�-Wr��
Describe Work: Cl/
�
Mobile Home ISI GI W1
@20.00
PERMITFEE
$ �-
Contractor
ELECTRICALPERMIT
Flin Fee 20:00
/��/��. /n �'V - ^ �,, ^
l - a'J I T V 2 W ll G�(SL.CrD I'�SbI (V (, �-�'S
Main Service ( aoov OR LES s )
YOGA OR LESS
23.00 23
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed R the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signa ure of Applicant - ❑ Owner ❑ ConU or ❑ Agent
An OSHA permit is required for excavations ov 5'0" deep and demolition or construction
of structures over 3 stories in height.
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 8 ACC. BLOS. )
SO.
3.52 FT.
NEW CONST. MULTI -OUTLET
NON•RESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS
( a SINGLE OUTLET CIR. )
Ex. Occup. ( OunEr OR FIXTURES) B20 @ 1.000
FIXED APPLNS. OR
EX. Occup.
p' ( OUTLETS.(RESID.) EA.) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation oZ
PERMITFEE S
Contractor
Mobile Home Installation Fee $ .
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ S'
HAZ.
1 0. FEES
I IMP I FLOOD
I CDF PARCEL
PD
�..-.E
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
BY
PERMITEXPIRESON
the applicable provisions
Resolutions to do work
been paid.
Date
(Date)
Receipt NO.a3in tt
WHITE-D.D.S.-B.D. CANARY -ASS S OR PINK -INSPECTOR GOLDENROD -APPLICANT