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028-320-007
A Gv 7,11 AP 28-32-7 Moline Goff Southeast of intersection of Grubbs Rd. and Dunstone Dr.,Oroville ~s- `.(HOUSING INSPECTION 28-32-7 t MOLINE GOFF 515 Dunstone .` ve �Orov�le Permit ##7243- s� as per housing• *nspet I n i 28-32-07 Contr: M H Electric Veu-GIS' 15 1.".'e mit#3065-83E(ele ser/SF)_ _ 754-90 •... GOFF,. Moline ,515. Dunstone Dr, Oroville ` CONTR: Don C. George (reroo /sf) 028-320-007 PERMIT#96-2 1 GOFF, Moline/►G<,//_ y 515 Dunstone Dr., A, Oroville Repair Util/MH _ 028-320-007 PERMIT#96-2 2 GOFF, Moline FIvn L 0-/F - C1 }S 515 Dunstone Dr., B, Oroville Cont: Harold Balaz Repair Util_/MH 028-320-007 PERMIT#96-2593T GOFF, Moline 01'wz- 6 --If -9g 515 Dunstone Dr., C, Oroville Cont: Harold Balaz Repair/SF 028-320-007 PERMIT#96-2594 GOFF, Moline 515 Dunstone Dr., D, Oroville Cont: Harold Balaz Repair/SF C/M.L , 6 "-/'f - f 28=32-07 MOLINE GOFF LETTER FROM PLANNING DEPT.'&~ENV HEALTH 7/26/91 -. oa v e� ,Q � ,(• C C �� � � '1 I �.� V � � � �i �. a� ��. _. __ __ � -.J Oq D .A�m''A� ' � Q � _ ... � ... Q(i- {v 1 .r''"1,� 0 Butte CountyDepaMnent ofDevelopment Senices . 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone. (530) 538.7785 Facsimile 29 April 2004 Moline Goff 515 Dunstone Drive' Oroville, CA 95965 Re: Request for Fire Department Documentation of Date Mobile Home at 515 Dunstone Burned Down F, Dear Ms. Goff: I understand that you have been trying to reach me by telephone and came in today to speak to me regarding replacing a mobile home that burned down. I regret my busy schedule has not permitted me time to return your call as of yet, but staff have kept me informed of your issues and concerns. Instead of returning your call, or meeting with you at this time, I am having this letter written to clearly outline the steps you need to now take. My understanding is that you say it has not been a year since the mobile in question burned down. Please provide Droof to this department as to the date the mobile burned down. This can be obtained from the fire department that responded to the fire. If you have other questions or concerns about this issue, please contact Joe Baker, Planning Manager at 538-6572. He will be back in the office on Monday, May 3rd Yvonne Chris opher ` Director of D velopment Services DSD:dsd cc: Building File Joe Baker, Planning Manager BUTTE COUNTY DEVELOPMENT SERVICES Phone NumpeG Other Comments: Additional Comments from Inspector. 2 "4 028-320-007 PERMIT#96-2591 GOFF, Moline. 515 ' Dunstone Dr., A, Oroville Repair Util/mH �(o aS9., c;2a 3 Work, (Ie&+) '4-F-0' OFFICE Copy Address GAS Meter By ELECTR Date Meter 8 Dat OFFICE Copy Address GAS Meter Date ELECTRIC Meter By Date OFFICE Copy Address GAS Meter By --------- Date ELECT IC Meter B ate Y , r Y. �r ^t •-r ' lel - r i `. r 171 COUNTY OF BUTTE- DEPARTMENT O.P8EVELOPMENTSERVICE=.BUILD'INGDIVISION . 7 County Center Drive - Oroville, California 95965 - Tele -W&., 16)5.38-75 . - PERMIT NO. APPLICATION AND PERMIT - I'll, ASSESSOR PARCEL NUMBERZONING'' 028-320-007:. \J 1 " I BUILDING PERMIT I ,�t, . - OWNER - •Moir I1� 00FT, TELEPHONE '`.SO. FT. 'OCC. BUILDING VALUATION -.-- OWNERS MAIUNG'ADDRESS 5L5 D W, I' I � )DNIT DR OROVILLE� 95965 -•a ` _ CONTRACTOR'S NAME ` .'-AAiZOLD tY11UZ . � . ff/•/ 17tf LJJ iJfit+[YL+ TELEPHONE _� * -+e• Vii.. � •.yam "''r► ±, M ' CONTRACTOR'S MAILING ADDRESS. ,4 + i -•.. -- Fireplace „ CONSTRUCTIONLENDER'_ fy 7,TOl.Y(7 ! ``� `' •-� NONE UNIwo.WN Total Valuation $ Filing; Fee 20.00S $ ` P LENDERMAILING ADDRESS , - �� � y ; - d 1' Permit Fee $ ARCHITECTOR ENGINEER-,�,'xj�iT'� • ; �.., 11�StV/ 11 GG LICENSE NO. �j,.. Plan Checking Fee I $ Energy Plan Checking Fee b$ `r ARCHITECT OR ENGINEER'S MAI NG ADDRESS Penalty _ $ BUILDINGADDRE§S 51'5..I •I,.. 'SMIMr DR- ..•• ,,,q 9 ''. v , .. `_ f PERMITFEE -•S (' ' OR ViLLE _ } `'`1'1� PLUMBING PERMIT Filing Fee 20.00 Each Trap I 7:.o0 LOT NO. SUBDIVISIONS NAMEI x ,p} PARCEL MAP Solar or heat pump water heater 23.00 r ISSEOFSTRUCTURE) ' - SF, ❑ # 6Uplex ❑ Mobilehome Of, Other SPECIFY - Water piping 1.5.00. j' Each gas water heater or vent Gas piping system 1 - 5 outlets BUllding sewerTYPE N,620. OF WORK New ❑. Addition ❑ Remodelj ❑ Utilities ❑: Installation ❑ Other ❑' Desciibe' Work: RRPRc CTfi �tAn + �a-,� : Mobile Home ti� Vtl� 0�_ , po c " s PERMITFEE g i +'{ ,Contractor r ELECTRICALPERMIT Til n' ,Fee.:.' 20:00 ' i i rMain ServiceOoOV OF IEss ( 2ooA oR UES s ) .00 23 Main Service ( 200A TO 1000A ) „ 146.00•' 4 ^ 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 Profess ions Code, and -my license is in full force and effect. ��. License Class r Lic. No. L OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law fo[I.the following reason: sq ❑ . 1, as owner of the property; or my employees with wages as their sole.compensation, will do the work, and thes(`ucture is not intended or offered for sale. p 1, as owner of the property, am exclusively contracting with licensed contractors )� to construct the project. �E _ r ❑ `I am'exempt under Sec. Business and Professions Code for this reason NEW CONST., D WI:LLir4G OCCUP. SO. ' ORADDNS. , ( aACC,BLDS. ) 3.5¢'FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET;OR FIXTURES) 20 @ 1.00• BAL .50 Ex. Occup. FIXED APPWS. OR , p (OUTLETS (RESID.)rEA ) 5.00•'- " Temporary Service ',23.00; Mobile Home Facilities N20.00 Misc. Wiring- 1 23.00 , PERMITFEE $ . Contractor •t 1 -- WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations:_ O I have and will maintain a certificate of consent to self-insuLe, for workers' coinpehsation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have andl'will;maintain workers' compensation insurance, as required by Section ' 3700 of the Labor Code, for the performance of work for which this permit is iss'Ued. My workers'Icompensation insurance carrier and policy number are:•, t Carrier ` MECHANICAL PERMIT Filing Fee 20.00 llating - -_...; .' 6.50 A,entilation I 1- A PERMITFEE $ ai ',g0ptractw �` } Policy Number ' r.� R e above s ctions need not co p(etetl i th r t i r work of a valuation /,�0 one'hLndredCdollars)$iba 6r less: VYj. ' l,El I certify that in the,performance c��.f the, work for which this permit is'ssued, I shall ✓ " pd employ,,ariy person i 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„ •provisioras('f section 3700 of the Labor Code, I shall' fort iith'compl`y with those provisions. X J 1 (T(c� jl� l�'�!1 LDate ��%— / ! rf' _ Sign�ure of Applicant - ❑ Own'e`r"t7• Contracfor- l7�Ag�ent An O 1A�permit is requlr'ed.for excavations over-5'0"-deeand demolition or construction of structuresover3 stories in height. \� Mobile Home Installation Fee $ e!gy Inspection Fee - _ $ , � OCC CONST. TYPE TOTAL, FEE $ 143.00 t HAZ. D. FEES IMP FLOOD CDF PARCEL . �� PD HD ISSUE y This permit is hereby issued under the applicable provisions of the Butte CountyleCode and/or Resolutions to do work indicated above,for,T"Which fees have been paid. � � /�"� By Date PERMITEXPIRESON /t /yE�/y, (Date) Recei tNo. , r� + ! �• , WHITEpD.D`S'.-B:O. ,/ CANARY=ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . .max. � r<�,72i'," "HJ. •"{'7., COUNTY OF BUTTE- DEPARTMENT ,OF DI=VELOPMENTSERVICES- BUILDING DIVISI 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-320-007 ZONING BUIL171NG PERMIT OWNER MOLINE GOFF TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 515 DUNSTONE DR OROVILLE, 95965 CONTRACTOR'S NAME HAROLD BALAZ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is Fling Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ n ARCHITECT OR ENGINEER NON NONE LICENSE NO. LICENSE Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 515 DUNSTONE DR PERMITFEE $ OROVILLE PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Q( Other SPECIFY 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 ❑ Utilities EX Installation ❑ Other ❑ Describe Work:—pppATgs—aITE "All Mobile Home b9d R" 11 @20.00160.00 PERMITFEE S 80,00 Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service a0OV OR LESS ( 200A OR LESS ) 23.00 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 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. ) s0. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES) 20 Q 1'00 BAL @ .a0 EX. Occup. (OFIXEEDTS PLNS..OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 63.00 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, 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 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 wit those provisions. /� )� /' X Date �L–= /� � I _ Signature of Applicant - 40e—r ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 143.00 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the Code and/or indhich fees have of tW�CZ� ` By PERMITEXPIRESON // /V` I applicable provisions Resolutions to do work been paid. 11/1 tF - Date V/-? 97 (Date) Receip141 t No. 206764 WHITE•D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ..,,�.:.jy'nPi}4iisidj+'P!• �''�'� �":r`'``"�•.r'^pw�rlva:y'r � r COUNTYOF BUTTE -DEPARTMENT S_F;DE/ELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMITAPPLI ATION DATASHEET OWNER Ale ne P No. 04�U 1p -D Proposed Building Use J 0 Q i YS Building Inspector Date �3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan appro al/fees......................... 13. Flood elevation letter (100 year flogdJ_ by C�1� nia Engineer . ................. . 14. Sanitation and plot plan approval V / Health Department . ........... . 15. City of Chico plumbing permit . ......................................... 16: Plot plan and business license approval from City of Biggs/Gridley............... 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. tnre st 20. Pre -inspection for required. to Buildig Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner .......... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ............................ . 33. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for 6ickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant /' Date V Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance 1. Index permit for above items No. 2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works r 2) The water supply for the mobile homes and cabins is unknown, and runs to the mobile homes in buried garden hose. Provide Environmental Health Department approval for the water supply to the mobile homes and cabins. Install approved material for both the underground and above ground water lines. 3) Provide verification that all plumbing fixtures are trapped and vented, and otherwise properly installed. 4) The electrical feeders to the smaller cabin do not have the required clearances from the roof, and are run in triplex, which is not an approved wiring method. The sub -panels and electric meter panels for both units are hazardous, with no dead fronts, open knockouts, improper grounding, and an accumulation of wasp nests, mud, and debris. Provide verification that the electrical system is properly installed including grounding and bonding systems at the service and receptacles, bonding of interior metal piping, wire and breaker or fuse size, and approved wiring methods. 5) Install smoke detectors per 1994 Uniform Building Code. 6) Provide a safe water heater installation. 7) Provide an approved heating system capable of providing a temperature of seventy (70) degrees three (3) feet above the floor. 8) Remove and dispose of the refuse and debris. 9) Make both cabins weather tight. Repair or replace the broken windows and deteriorated or damaged siding. Make all doors and windows fit weather tight. 10) The deck on the larger cabin is badly deteriorated and must be repaired or removed. 11) The gas piping and appliances to both cabins were installed without permits and inspections sometime between January 1995 and August 1996. Expose the piping and appliance vents for visual inspection, and provide a gas test and proper installation. The two mobile homes have been determined to have been installed prior to building permit requirements, and appear to conform to the intent of Title 25 California Code of Regulations with the following exceptions which must be completed or resolved: 1) Both mobile homes lack a septic system and sewage appears to run into a small holding tank and then directly onto the ground. Provide Environmental Health Department approval for sewage disposal. 2) As stated in number two (2) above, the water supply for the mobile homes and cabins is 2 unknown, and runs to the mobile homes in buried garden hose. Provide Environmental Health Department approval for the water supply to the mobile homes and cabins. Install approved material for the underground, and above ground water lines. 3) The electrical to one mobile home is provided by an agricultural panel. Provide a separate service and disconnect for this mobile home and remove the open splices, extension cords, and incorrect wire sizes. The electrical to the other mobile home is provided by the panel on the main residence by overhead wire. The service at the main residence does not appear to be properly grounded, and the mobile home lacks a proper disconnect. The overhead wire to the mobile home is not the proper designation, has open splices, lacks a ground, and is supported by trees. Provide verification that the electrical system of both mobile homes is properly installed including grounding and bonding systems at the service and receptacles, wire and breaker or fuse size, properly sized disconnects, continuity per Title 25, California Code of Regulations, and approved wiring methods. 4) The water heaters have been moved outside the mobile homes and have hazardous electrical, lack a weather tight enclosure, and a properly installed pressure temperature relief valve (PTRV) and line. Provide water heater installations per 1994 Uniform Plumbing Code. 5) Remove and dispose of the refuse and debris. Inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness of said conversion. It is now in order for you to apply for the required permits, and pay the appropriate fees for the above work. The permits must be obtained prior to any work being done. Should you have any questions concerning this matter, please contact Gary Brown, Scott Rutherford or Michael Vieira at the number above. Sincerely, ��Y Scott Rutherford Supervisor, Building Inspection COUNTY OF BUTTE ' BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 r CORRECTION NOTICE OWNER 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. z� � t E� rlv�� JrW 'erAi7 eac V Date Y 7 Inspector Cu!;5-e REV 10/92 ` j�u«.yraarK'+•?e►-w '_- a'�;+�.c'=.�'bs.�C'',:J�r-�..i}-��'-� i p -C f.:a..�.'�.i COUNTY OF BUTTE ! , `= ;,BUILDING DIVISION DEPARTMENT &DEVELOPMENT SERVICES ' 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 �f 96_ass� CORRECTION NOTICE OWNER 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 f: is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. JD I g Date REV 10/92 Inspector ^` COUNTY OF BUTTE BUILDING DIVISION ``" DEPARTMENT OF DEVELOPMENT 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 r- CORRECTION NOTICE .R NER PERMIT O. 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 „a is completed. If you have any questions pertaining to this matter, or need additional explanation, please ntact this office/immediately. '- /tel / S. /JN/LA , 1, ,P r Ol I r .o It IAFO'4 ..v_5� Date-5—al-47-2 Inspector _&!5�;e_)( e2 REV 10/92 CORRECTION NOTICE � 0 9Z.-�2 `K OWNER PERM 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. W Date 5' (��� Inspector REV 10/92 y,' r.,. COUNTY OF BUTTE I -P BUILDING DIVISION ' DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 :-. 7 County Center Drive, Oroville, CA - (916) 538-7541 k0i 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE � 0 9Z.-�2 `K OWNER PERM 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. W Date 5' (��� Inspector REV 10/92 BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 1469 HUMBOLDT ROAD 7 COUNTY CENTER DRIVE 747 ELLIOTT ROAD CHICO, CALIFORNIA 95928 OROVILLE, CALIFORNIA 95965 PARADISE, CALIFORNIA 95969 (916) 891-2727 (916) 538-7281 (916) 872-6308 APP�"A ATION FOR PERM TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM _ d Owner's Name_ � �o 6" -� Assessor's Parcel No. Applicant's Name s4 4, — phone No. SO % Mailing AddressLAI f7`�—� 1. Construction Site J 4 Y>\ -- (Street and number or direction and distance to nearest crossroad) BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEWAGE DISPOSAL PERMIT 1469 HUMBOLDT ROAD 7 COUNTY CENTER DRIVE CHICO, CALIFORNIA 95928 OROVILLE, CALIFORNIA 95965 Telephone (916) 891-2727 Telephone (9166)) 638-7281 Date Issued_ l EXPIRES O E YEAR FROM DATE OF ISSUANCE Permit Issued to / / --N, if s BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH. DIVISION OF ENVIRONMENTAL HEALTH SEPTIC SYSTEM INSPECTION CERTIFICATE T 1469 HUMBJQLDT ROAD 7 COUNTY CENTER DRIVE CHICO, CALIFO1iNIA.95928 OROVILLE, CALIFORNIA 95965 Telephone (916) 891-2727 Telephone (991166) 538-7281 The Sewage Disposal System.was inspected atS-%S _0 74 FOR �. '" / •�%' ��,�f .. Material SEPTIC TANK O Gallons BLEACHING FIELD Length feet Width 2 inches No. of lines -� Rock Under Pipey inches t The. above dimensions meet the minimum requirements of Butte County Code, Chapter 19. Additional leaching area will be required if experience shows it to be necessary. u Remarks: bate: S2 - 778R (Rev. 6/94) ENVIRONMENTAL HEALTH SPECIALIST. BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 1469 HUMBOLDT ROAD CHICO, CALIFORNIA 95928 (916) 891-2727 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 (916) 538.7281 747 ELLIOTT ROAD PARADISE, CALIFORNIA 95969 (916) 872-6308 APPUATION FOR PE MIT TO CONSTRUCT A SEWAGE DISPOSAL SYSTEM Owner's Name o ' /' ` 9- r-� � O Assessor's parcel No. � Applicant's Name �If �u �-� phone No. S PT -27 te� Mailing Address S � _0 L,-�o44—n 0— 1. Construction Site `` (Street and number or direction and distance to nearest crossroad) Permit Issued to BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEWAGE DISPOSAL PERMIT 1469 HUMBOLDT ROAD 7 COUNTY CENTER DRIVE CHICO, CALIFORNIA 95928 OROVILLE, CALIFORNIA 95965 Telephone (916) 891-2727 Telephone (916) 55338-7281 Date Issued y EXPIRES ONE YEAR FROM DATE OF ISSUANCE C] BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEPTIC SYSTEM INSPECTION CERTIFICATE 1469 HUMBOLDT ROAD 7 COUNTY CENTER DRIVE CHICO, CALIFORNIA 95928 OROVILLE, CALIFORNIA 95965 Telephone (916) 891-2727 Telephone (916) 538-7281 The Sewage Disposal System was inspected at S2 -7,0 cZM I� FOR SEPTIC TANK Size C6 Gallons Material C G )A « "` `�- LEACHING FIELD Length f feet Width �"� inches No. of lines Rock Under Pipe inches The above dimensions meet the minimum requirements of'Butte County Code, Chapter 19. Additional leaching area will be required if experience shows it to be necessary. Remarks: Date: ? ' S2 778R (Rev. 6/94) �� ENVIRONMENTAL HEALTH SPECIALIST N74 E.H. USE ONLY Plot Man Attache4- Floor Plan A had Sent to 8.0 ar ment t. Health TRW, .-nv.,, a ., SUBj,E'CT:*" ''San'itation Clearance DA/ Owner Location"' AP# Plan Approved for: Sewage Disposal ater Supply: Public Private Well Clearance for — dwelling. Other 0 Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Mite 8/96 im 2) The water supply for the mobile homes and cabins _is ;unknown; and runs to" the mobile homes in buried garden hose. Provide Environmental Health Department approval for the ` water supply to the mobile homes and cabins Install approved material for both the "Underground and a bove ground water lines... , Provide verification that all plumbing fixtures, are trapped and vented, and othervinse, properly installed. . The electrical feeders `to the smaller cabiii do not liave the`required_ clearances from the roof, and are run in triplex, which is not i►n approved:wiring method. The sub-pariels'and electric meter panels for both units are hazardous, with no dead fronts, open, knockouts, } ' improper grounding, ' and an accumulation of wasp nests; 'mud; and debris:. Provide ' verification that the electrical system is properly installed including grounding and bonding ~ r f systems at the service and receptacles, .bonding of interior metal piping, wu a and breaker '. or a size; and_approved wiringmethods. .r0.-.:'. .. 5 Install smoke detectors per.1.994 Uniform Building Code. _ Provide a safe water heater installation. ��Provide an approved heating system capable of providing a temperature of seven 70 seventy ( ) degrees three (3) feet above the floor. Remove and dispose of the refuse and debris. ake both cabins weather tight. Repair or replace the broken windows and deteriorated or damaged siding. Make all doors and windows fit weather tight. The deck on the larger cabin is badly deteriorated and must be repaired or removed. The gas piping and appliances to both cat)ins were installed without permits and inspections sometime between January 1995 and August 1996. Expose the piping and appliance vents for visual inspection, and provide a gas test and proper installation. The two mobile homes have been determined to have been installed prior to building permit requirements, and appear to conform to the intent of Title 25 California Code of Regulations with the following exceptions which must be completed or resolved: Both mobile homes lack a septic system and sewage appears to run into a small holding ` tank and then directly onto the ground. Provide Environmental Health Department approval for sewage disposal. 2) As stated in number two (2) above, the water supply for the mobile homes and cabins is 2 d ,6 S unknown, and rains, to the mobile homeslin buried garden hose Provide Environmental Health Departments approval for the water supply to the moble homes and cab'ms { ;y, :approved mat"forthe underground, and above ground water lines'`' The electrical to one mobile home is provided by an agricultural panel Provide a separate sernce and disconnect for this mobile home and remove the open splices; extension cords, a { Yr�R„max z and_incorrect wire sizes The electrical to'the other mobile home is provided by,the;panel on the main residence by overhead wire.:M6 -service at the main residence does not -appear to.be properly r grounded; and the mobile home lacks a proper disconnect.. The overhead wire to the” mobile home is not:the proper designation, has open splices' lacks a ground, -and is supported by -trees Provide "verification that the electrical_ system of both"mobile homes is roperly installed including grounding ani bonding systems at the service,'and receptacles,= wire and breaker or;fiise size, properly sized disconnects, continuity per Title 25, Y ' ' California Code of Regulations, and approved wiring methods The water heaters have been moved outside the mobile homes and have hazardous electrical, lack a weather tight enclosure, and a properly installed pressure temperature relief valve (PTRV) and line. Provide water heater installations per 1994 Uniform Plumbing Code. Remove and dispose of the refuse and debris. Inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness of said conversion. It is now in order for you to apply for the required permits, and pay the appropriate fees for the above work. The permits must be obtained prior to any work being done. Should you have any questions concerning this matter, please contact Gary Brown, Scott Rutherford or Michael Vieira at the number above. Sincerely, Scott Rutherford Supervisor, Building Inspection 3' �>l ,`�. ..�r,..j.3:�,.:•�x:i: s�r'R=�P'4P:7�f= .;-s"�`��t�n� f COUNTY OF BUTTE- DEPARTMENT OFDEVELOPMENTSERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 5" a54 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-320-007 ZD"I"� BUILDING PERMIT' !^ I OWNER Ii MONS, GO„ • TELEPHONE FSQ.FFr.OCC. BUILDING'VALUATION„--- OWNEA'�MAIUNG ADDRESS515 DUNSTONE DR OROVILLE* 95965 CONTRACTOR'S NAME f+ TELEPHONE Cf l,N._ h' r. ,• CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER f NONE f ' UNMOWN ! Total Valuation $ s' Filing Fee $ - 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER O`�„ LICENSE NO. Plan Checking Fee $ Energy -Plan Checking Fee $ . ARCHITECT OR ENGINEER'S MAILING ADDRESS r , . i Penalty $ BUILDWG ADDRESS 515 DUNSTONE- DR c••5 PERMITFEE •S / ” OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. f r SUBDIVISION'S NAME st:� PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE • � � " SF ❑ '(�uplex ❑ Mobilehome3 Other . , $+; SPECIFY Each gas water heater or vent 15.00 - Gas piping system 1 - 5 outlets 15.00 Building sewer 1 15:00` -p t TYPE OF WORK ' I , .. r New ❑ Addition ❑'-Remodel'❑ Utilities O Installation ❑ Other ❑`Y Describe Work: REPAIRS SITE "B"- 4 Mobile Home S yY @20.00130.00 -+'I °.. ' . PERMITFEE $ ."A Contractor t .- ELECTRICAL PERMIT Fiiin "Pee 20.'00 l ' Main ServiceOR LESS ( 200A OR LESS ) 23.00 • Main Service ( 200A TO 1000A ) , [NEW 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 -Prof signs Code, and my license is in full force and effect. 'z ` License Class: Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: , 4 =`' ❑ 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. . 1 I, as owner of the property, am exclusively contracting with licensed contractors / -to construct the project. ar ❑ 1 Am'exempt under Sec. Business and Professions Code for this i ' NEW CONST. EWNG OCCUP. OR ACDNS. ( & ACC. ) SO. 3.S¢ FT. UTLE CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLEDUTLET CI R. ) EX. Occup. ( OUTLET OR FIXTURES ) 20 Q I.- BAL .50 Ex. Occup. ( UTLEEDs RESIoj EA ) OT 5.00 Temporary Service — 23.0b' -- Mobile Home Facilities.0.00 .20.00 ♦ Misc. Wiring '23.00 " PERMITFEE $ 63.0. Contractor _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 afe: f Carrier MECHANICAL PERMIT Filing Fee 420.00 seating §61ing od 6.50 d.Ventilation PERMITFEE $ `,,Qgntractor k Policy Number (The above sections need not be completed, if the'-perrriit I or work of a valuation I 6 -one hundred dollars ($100) or less.) lC�T I certify that in the performance -of the work for which this permit'is'issued, Ishall %i hot 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`co'mpensation` �,pro_visions of section 3700 of the Labor Code, I shall forthwith, comply withtlibse pr&iiions. Xt_,. �. - t �? Signature ofwppl{cant - ❑�Own6r ❑ Contractor ❑ Agent �.If An OSHA permit is required for excavations over 5'0deep end d1molition or construction of structures over 3storiesNin height. jMobile Home Installation Fee $ }Energy Inspection Fee _ $ +occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. I D. FEES IMP FLOOD r CD PARCEL Po HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above -for -Which fees have r Byx�� PERMITEXPIRESON �� � I applicable provisions Resolutions to do work been paid. Date /'7 (Date) Receipt Nov \JZU0 b4 -: WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT a arr .. rt•,1 c" �.i.lN , COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ON 7 .County Center Drive - Oroville', California 95965 - Telephone (916) 538- 41 4Z _ �P� APPLICATION AND PERMIT (p oL ASSESSOR PARCEL NUMBER 028-320-007 ZONING BUILDING PERMIT OWNER �10LINE GOF�' TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 515 DUNSTONE DR OROVILLE, 95965 CONTRACTOR'S NAME kdJ QS. TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 515 DUNSTOi�iE DR PERMITFEE $ OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN 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 ❑ Utilities b Installation ❑ Other ❑ Describe Work: REPAIRS SITE "B" Mobile Home 1 XI CqW @20.00 0 , 00 PERMITFEE S 80.00 Contractor ELECTRICAL PERMIT FilinQ Fee 20:00 Main Service OooA o0VA OR LESS ( zOR LESS ) 23.00 23.00 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 NEW CONST. DWELLING OCCURO. OR ADONS. & ACC. BLDS. ( ) 3.50 F ST. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET US Ex. Occup. (OUTLET OR FD(TURES) 20 Q 1.00 BAL 0 .SO Ex. Occup. ( OUTELETS(RESID.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMITFEE $ 63,00 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, 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 MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) 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 pomply with those provisions. X Date/��__ Signafu f ppl c Ow r ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 143.00 HAZ. I D. FEES I IMP I FLOOD I CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica bove for hich fees have been paid. B Date Y PERMITEXPIRESON ��I 14 (Date) Receipt No. 206764 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT `����OIIF�iY��R�KA►�ii�'f�l��`!����;r, A , j .I l Z + ��4�°Y�R'�"^`'.+e`Par rRa`P"'4.,yrs.�.car"7ht0M'�v�kP�Ti;��HJ�'r�`(r� COUNTY OF BUTTE - DEPARTMENT-4PSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLIC TION DATA SHEET OWNER n e94 A. P No. Proposed Building Use AO -19a i f S Building Inspector Date c� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ....................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5, Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation. ......... ; ....... . 7. Statement of Intent for Non -Heated and A/C Buildings . ....................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule . .............................. . California Department of Forestry plan approv I/fees. ....................... . 13. Flood elevation letter (100 year floo� b Cal�f�ypia Engineer ................... 14. Sanitation and. plot plan approval CJf/i Health Department. 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development.about (A) Improvements (B) Drainage. .......•... . 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. to Building o (Date) 21. Contractor's license information. No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner , Mail to owner. . ......... . 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. , 33. 34. When you issue the permit, process as follows:Mil too ngr. il to co actor. Telephone and hold for pi kup at ffice. fiver 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.t Other i / ly t_ b / By The following data must be submitted"pfiorf to perm t issuance"��Circle new item not checked above). 1. Index permit for above items No. 4 u, V r 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 Gory ..,Department of Public Works COUNTY OF BUTTE= DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, Calo'rnia 95965 -Telephone (916) 538'7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-32 zoNinc, .: f,""BUILDING PERMIT _ OWNER r f � / rr � 'OWNERS TELEPHONE � .. SD. FT. OCC. BUILDING VALUATION «.4C M • ° w MAILING ADDRESS ., c./ 51-5 DIRISTONF, DR olz VI11,1z, -,4 •: CONTRACTOR'S NAME/ } f { o Z_ TELEPHONE -,. - CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER • UNKNOWN Total Valuation is Filing Fee $ 20,00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER yCIVIR LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS f F Penalty _ $ BUILDING ADDRESS • > •,,,�,;v •,+T 1C PERMITFEE $ .3 . /.i A. 95965 _. / - PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. / i SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE • ( f 4 {t. SF1Q,(1Duplex ❑ Mobilehome ❑ Other SPECIFY r- Water piping 15.00' ' Each gas water heater or vent 15.00- . �. Gas piping system 1 - 5 outlets 15.00+ Building sewer 1 15.00 154,00 TYPE OF WORK 'I ^• . New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O� Describe, Work: REPAIRS PER ATI'ACHF.D LETTER "� — 1 n tt Mobile Home SI G I W 920.00 PERMITFEE g 00j I Contractor ELECTRICAL PERMIT Filing Fee20.'00 000 OR LESS Main Service ( 200AORLESS ) 23.00. .. – Main Service ( 200A TO I ... A ) 46.00 - - LICENSED CONTRACTOR'S DECLARATION I herebiy.affirm;under penalty of perjury that I am licensed under provisions -of Chapter 9 (commencing with Section 7000 of Division 3 of the Business an&P ofessions Code, • ( g ) S and m license is in full force and effect."'"'', Y LicensetClass Lic. No. .r OWNER -BUILDER DECLARATION I hereb affirm under penalty of er u that I am exempt from the Contractors License Y. P tY P 1 rY p Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole�c mpensation, will do the work, and the structure is not intended or offered for sale. ;1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. 'I ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.SO. OR ADDNS. ( a ACC. BLDS. ) 3.52 FT. + NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS f ( & SINGLE OUTLET S ) Ex. Occup. (OUTLET OR FIXTURES ) 20 p 1.00 BAIL 50 Ex. Occup. ( OUTLETS PPLNS.RESID.)EA) 5.00 Temporary Service 23.00 ' Mobile Home Facilities 20.00 » Misc . Wiring 23.00 PERMITFEE $ •00 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, 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 -Brie': Carrier MECHANICAL PERMIT Filing Fee 20.00 9 ;'Heating � 61in "" g I ood 6.50 Ventilation PERMITFEE $ Contractor ' Policy Number ti (The above sections need not be completed if the permit islf r work of a valuation of -one hundred dollars ($100) or less.) •' / .AaN� G] I certify that in the performance of the work for which this permit is Issued, I shall T' not employ any person in any manner so as to become subjecf–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. '/ ( (,f X /2 / 1. 1./.: lr J Date �s�j Sigria'ture of Applicant ;7 Owfir ❑Contractor ❑ Agant An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. ` _ i Mobile Home Installation Fee $ Energy Inspection Fee Is ' OCC CONST. TYPE I TOTAL FEE $ 149900 HAZ. I D. FEES I IMP I FLOOD I CDF 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 above for which fees have been paid. B� Date Y PERMITEXPIRESON /1111,q % (Date) ReceiptNo. 206764' y WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT eloj 028-320-007.-, '-.-,APERMIT#96-2593 �-!W' GOFF, Moline 515 Dunstone Dr.,•C, ','C, Oroville Cont: Harold,,Ba.laz Repair/SF COUNTY OF BUTTE- DEPARTMENT OF DFWLOQ.MENT SERVICES -BUILDING D (SION 7 .County Center Drive - Oroville, Callfornit 95965 - Telephone (916) PERMIT NO. APPLICAT16 ND PERMIT !� -2q� ASSESSOR PARCEL NUMBER 028-32 = ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS H CONTRACTOR'S NAME :Pii re Z T ONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNI(NOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 515 DUNSTONE DR PERMITFEE $ 35.00 PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNIS10NS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF 0X Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN Describe Work: REPAIRS PER ATTACHED LETTER — SITE LLCLL Mobile Home IS I GI W1 920.00 PERMITFEE g 80,00 Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service a OV OR LESS ( 200A OR LESS ) 23.00 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 1 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 NEW CONST. DWELLING OCCUR OR ( 8 ACC. BUDS. ) 1 /. • 00 3.50s?- F CNS. NEW CONST.MULTI.OUTLET NON-RESIO. ( BRANCH CIRCUITS ) @7.50 (8 POWER APPARATOUTLET S US ) SINGLE Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL .00 EX. Occup. (oFIXEEDrs PLNS. EnR) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 34.00 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, 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.) 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_ SignaLhe of Applicant - 0 0whyr ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 149.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD SSUE This permit is hereby issued under tale applicable provisions of the Butte County Code and/or Resolutions to do work indic e bove for hich fees have been paid. B Date �� 9G Y PERMITEXPIRESON (Date) Receipt No. 206764 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 4N4Via77H*W11x+ ;- 4, "1��!'�. iM't� tf�7, :�inww"ji ."7 p i ,�'t ^w'ter-r'"a�,r+�rnsrwzleY�'-•M'rKr'+�.w•F7�itj by+iGwv.kra'r 4 `COUNTYOF/BUTTE - DEPARTMENT,ORDE`ZPMENTSERVICES -BUILDING DIVISION T ;T COUNTYCENTER DRIVE - OROVILLE, CACI hyRNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER /'!� l�17 (go _ A. P r 9 _13 �O D j Proposed Building Use Cici (S Building Inspector Date 111113 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted........................................ . 2. Plot plans, 3/4 sets, signed by preparer of plans. ........................... 3. Complete plans, 3/4 sets, signed by preparer of plans. ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. .............. 5. Hazardous Material Form............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non-Heated and A/C Buildings. ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. .............................. 12. California Department of Forestry plan approv I/fees. ........:.............. . 13. Flood elevation letter (100 year floadi bD Calf nn Engineer.. . 14. Sanitation and plot plan approval Urn, f/, / C-Health Department . ............ 15. City of Chico plumbing permit.......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . . 20. Pre-inspection for required. .. oBuild 9 �speao (Date) 21. Contractor's license information. (No., Name Style, Classification). ............. . 22. Certificate of Workmans Compensation Insurance. .......................... 23. Owner-Builder Verification (Given to owner , Mail to owner ) ............ 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization........................................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use......................................... . 28. Mobilehome utility clearance: .................. ....................... 29. Documentation of legal access . ..................... 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............... 31. Existing violations/expired permits....................................... 32. Plan check list . ..................................................... 33. 34. When you issue the permih.,process as follows: Mail to owner. Mail to contractor. Telephone and hold for pio up at office. Deliver with inspector. Other Parcel Creation GN/' 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 permit issuance: (Circle new item not checked above); 1. Index permit for above items No. 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 X028=320-007 ' PERMIT#96-2594 GOFF, Moline'' t 515 Dunstone Dr.,' D, Oroville Cont: Harold Balaz Repair/SF "' i COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Orovfile; California 95965 - Telephone (916) 53 4PERMIT NO. APPLICATION AND PERMIT e n-5? ASSESSOR PARCEL NUMBER ZONING - LDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS Q CONTRACTOR'S NAME 7 TELEPHONE WN" IL 14, CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER F UNIWOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER F LICENSE NO. Plan Checking Fee $ Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILINGEnergy ADDRESS _ Penalty $ BUILDINGADDRESS TAINSTIM DR PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 OROU1 _T� Each Trap 7.00 LOT NO. SUBDfYISIONS NAME LOT No. SUBDNIS X)NS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Qy Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 0 5. Building sewer 15.00 115 00 TYPE OF WORK v New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other O Describe Work: REPAIRS PER ATTACHED LETTER — SIM "D11 Mobile Home S G W @20.00 PERMITFEE , $80 Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service000V OR LESS ( 200A OR LESS / 23.00 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 1 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 NEW CONST. DWELLING OCCUR OR ( 8 ACC. BIDS. ) SO. 3.5Q FT. • CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS @7.50 ( POWER APPARATOUTLETUS ) 8 SINGLE CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 209 1.00 BAL 0 .50 Ex. Occup. (OFIX E A PLN D.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE s 34.00 Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation 7 of one hundred dollars ($100) or less.) • p 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. ( f % X!; A,+�0 _i{i! d Date �S� Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent,��,,. An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 114.00 HA2. 1 0. FEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE 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. B�II/� " �'`' �– Date y / PERMITEXPIRESON 1V ,r7 1 / I (Date) Receipt No. LW /b4 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIV N 7 .County Center Drive - Oroville, California 9*5965 - Telephone (916) 538-7 PERMIT NO. APPLICATION AND PERMIT QS ASSESSOR PARCEL NUMBER 028-320-007 ZONING ILDING PERMIT OWNERMOKI\T E r TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 9 15 PIT T+ nR OROVILIE,95Q CONTRACTOR'S NAME I Irl cn Id A h4 TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NONE UNW40WN Total Valuation is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 515 T PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF -EX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 709 5. Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other J Describe Work: REPAIRS PER ATTACHED LETTER — SITE I'D" Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service a OV OR LESS ( 2000A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 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 1 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 NEW CONST. DWELLING OCCUP. OR ( 8 ACC. BLDS. ) SO. l /.. 00 3.5Q FT. L F CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. EX. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .50 EX. Occup. (oFI ELETS PUNS. OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 34.00 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, as 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 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.) / 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. X Date Sign t re o App' Ow ❑Contractor ❑ Ag nt An OSHA permit is required for excavations over 5'O" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing 9 Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 114.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indic d above for which fees have B �(/� PERMITEXPIRESON �1 �)" applicable provisions Resolutions to do work been paid. p D to /1//1 !6 / (Data) ReceiptN0. 206764 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 'w1`v'1'►`.w.�'t-�'NSY�i(f+.+^v..s•Fi,i•.-.JuiY'la..-�s+7'Y4.^n.�.�rY' j4Y•'"„�Tr`�,%-n..^.1"^.rwnH,...f.�rt,..ri•.-... .n,r,_,--... ;..-. Y .._ -. .. ... t+-- , COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLEvCALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMITAPPLIC, OWNER / e �D Proposed Building Use e Q ; Y F TION DATA SHEET v1 `8 CJ�0Building Inspector?,�XDate// % 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. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. Hazardous Material Form . ............................................ Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... Impact fees as shown on attached schedule. ............................. . California Department of Forestry plan approval/fees. ....................... . Flood elevation letter (100 year flo ! by C?)iJrnia Engineer . ................. . Sanitation and plot plan approval C ���� Health Department . ............ City of Chico plumbing permit . ......................................... Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: .e ......... Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). .. .. . Pre -inspection for Pre Inspection reques- p required. . . to Building Inspeaor (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . ......................... . Owner -Builder Verification (Given to owner , Mail to owner ) ............ Recorded copy of Agricultural Acknowledgement Statement . ................. . Letter of signature authorization . ........................................ Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... Letter of intent on building use . ......................................... Mobilehome utility clearance . .......................................... Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... Plan check list . ..................................................... W en you issue the permit, process as follow���ail t o ner. Mail to contractor. Telephone and hold f up at ib V I office. Deliver with inspector. Other Parcel Creation �j�t - z Acreage Applicant / / Date ! �J Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 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 VIOLATION CHECK LIST A.P. # ,Z�jO --3,Z 7 . Address ,-/5— /% Q Owner Owner's Address Owner's Phone -No. q — 3 Supervisoral District Tenant's Name Phone No. - Type of Violation in Detail with Code Section Priority No. Specific Plot Plan with C/V Noted _yes no Penalties Required lst. Notice Sent 2nd. Notice Sent ate Date Co ents and/or Determination v� Disposition,—� For Citation Citation (Date) (Date) Department Recommendation to Court Court Action Notice of Violation Recorded (Date) Address Reply to July 26, 1991 y10 1 i ne S .. Gof f 515 Dunstone Drive Oroville, CA 95966 .......... 0 196 Memorial Way Chico, California 95926 Telephone: 916/891-2727 RE: Properties near Grubbs Road & Assessor Parcels Numbers: Dear Mrs. Goff: ,butte Co DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH �(7 County Center Drive 0 747 Elliott Road ( Oroville, California 95965 Paradise, California 95969 - Telephone: 916/538-7281 Telephone: 916/872-6308 Dunstone Drive, Oroville 027-160-002 10.9 Acres 027-160-013 110 Acres 027-160-014 50 Acres 028-32-0=0-07 329::-9�Acres� 028-200-002 350 Acres 028-200-008 160 Acres The Division of Environmental Health coordinates with the Plannino and .Building Departments with the Processing of building Permits and is concerned with the Proper sizing and placement of water and sewage systems in conjunction with the Planning and Building Departments permits and authorizations. Environmental Health concerns as they relate to your properties referenced above are: Your request for us to authorize the expansion of use from a one bedroom to a three bedroom site may not have the endorsement of the Planning Department (refer to David Hironimus' .letter dated March 6. 1991). This concern can be eliminated by providing written authorization -from the Planning Department so that we may consider your request. On February 13, 1991 you were convicted in the Gridley Municipal Court (CR02054-G) for violations occurring on parcel # 027-160-002. The Butte County Code violations charged were 24-38(a), Camping Limitations & Prohibitions and 19-3, Sanitary Sewage Disposal System Required. You have not cleared these violations as of this date. It is your responsibility to prohibit violations of the camping or sanitation regulations on properties under your ownership or control by your brother, Ford Shipman (or anyone else). '! 1 Moline S. Goff July 26, 1991 Page 2 We also have a concern about an apparent unresolved problem from 1978 with your residence and two nearby dwellings (see attached letters). We formally request that you schedule an inspection of your residence and the nearby dwellings with this office to determine compliance with the 1978 sub- standard housing letter. YOU. are aware that Butte County has entered into a Code Enforcement program that seeks_ voluntary__coTpliance with the ------------- -- Butte County Code, but provides an affective means of enforcement if compliance is not obtained. Please respond and request the inspection within TEN (10) DAYS to the above concerns so that additional &-d-e— nforcement procedures involving the issuance of citations, fines, and recording_ Notices of Violation will not be initiated. If you have any questions regarding this matter, please feel free to contact Thomas Hughes at the above listed address or telephone number between 8:00 - 10:00 A.M. Tuesday through Friday. Very truly yours, Thomas Reid, Director Division of Environmental Health TR/JM/mlf cc: Planning Department Buildinq Department Code Enforcement JDM Attachments: Copies of letters dated November 28, 197e April 6, 1979 February 14, i9e4 X November 28, 1978•.; Ms. Moline S. Goff.,,P 515 bunstone,Drive Oroville, California 9S96S 3Moline S.. Goff's Property - South east -of `the intersection ,. of Grubbs RoadWand 74i -tone Road'% Assessor Parcel Number 28-32-7 Dear Ms. Goff: On a recent date, an inspection was made of the above premises. The property is identified as Assessor's Parcel Number 28-32-7 and you are listed as the assessed owner. At the time of the inspection, the following conditions were observed that are violations of the California State Housing Law and/or the Code of Butte County: 1. Waste water and/or sewage was being discharged onto the surface of the ground. 2. There was an accumulation of refuse and debris on the property. 3. The rental dwelling was not weather tight. Windows were poorly fitting, there was a broken window and the exterior siding was not weather tight. 4. The rental dwelling heater was improperly installed and vented and was not provided with a source of fuel. S. The rental dwelling kitchen sink drain -board was deteriorated and uncleanable. 6. The rental dwelling's hot water heater was not provided with an approved pressure and temperature relief valve combination. 7. The rental dwelling's attic space was not vermin proof. S. The rental dwelling's electrical system was substandard. There were insufficient electrical outlets to serve the basic needs of the residence. Us. Moline S. Goff Oroville, California 95%5 November 28, ..1978 -- � -. ..._--..- .-.._..--- __ .. - _ _....__ --... - --- — ...._- Page Two To comply with the California State Housing Lary and/or the Code of Butte County, you are directed to correct the above conditions in the following manner: 1. Discontinue the discharge ,of xaste water and/or sewage ^onto 'tha e surface -'Of ._the gro�md. a Provide legal annd,,sanitu�!„waste .water and sewage disposal -for each dwellin o'the� g property.; 2. Remove and dispose of the refuse and debris.,----- 3. ebris.,-----3. Make the rental dwelling weather tight. Repair or replace the broken windows and deteriorated or damaged siding. Make all `S�� o doors -and windows fit weather tight. 4. Provide an approved source of heat for the rental dwelling.- If SCO' the existing heater is utilized, properly installed, vent and provide it with a source of fuel. S. Repair or replace the deteriorated rental dwelling's kitchen sink drain -board. 6. Provide the rental dwelling's hot water heater with an approved pressure and temperature relief valve combination.. 7. Make the rental dwelling vermin proof. SQ 8. Provide a safe electrical system. Do electrical clean up work as --3'00 necessary. Provide sufficient electrical amperage, fusing and S, Z7 4f electrical outlets to supply the basic electrical needs of the �•Z-S� residence. Note: The out building located southerly of the rental dwelling is not approved as a residence unless it is made to comply with all applicable codes and standards. Permits will be required for most of the above corrections. These may be obtained from the Butte County Department of Public Works, 7 County Center Drive, Oroville. A reinspection will be made within thirty (30) days to aseertairk compliance with this letter. If you have any questions or if I can be.,of:,�► assistance, please contact me at the above address and telephone numbgr. '” A Very truly yours, Thomas Reid, R.S. Division of Environmental Health TR:bws cc: J. F. Glander Chief Building Inspector-Oroville .,6utte coun LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH ❑ 695 Oleander Avenue, P.O. Box 1100 50 7 County Center Drive ❑ 747 Ell,on Road Chico, California 95927 Oroville, California 95965 Paradise, California 95969 Telephone. 9167=X-) 3=X9QX= Telephone. 916/534.4281 ' Telephone: 916/ 8722961, E:s. 58 891-2727 April 6, 1979- Mrs. Moline Goff 515 -Dunstone; Drive Oroville, California 95965 A. P. No. 28-32-7' Dunstone Road",'' Oroville, CA Dear Mrs. Goff: 'I have discussed your request for a special inspection of a vacant structure on the above premises with Mr. J. F. Glander, Chief Building inspector, Department of Public Works. In lieu of a special inspection your best option to provide for minim um code compliance.appears to be the following: 1. - Submit a permit application to the Department of Public Works for the rehabilitation or conversion of structure. Application will require the submission of two copies each of all construction details and a plot plan. (See attached sheet.) (�� _ �1,� 2� j .Ft_ �„ ,-w 4 2. Provide verification with an approved affidavit that the structure is to be used for agricultural employee housing. Nin_r 11U,,4 e::�e 44---,� 3. Provide verification that an approved sewageisposal' system may be installed on the property. Mr. Glander is holding the check you submitted for a special inspection and would like to return it to you at your earliest convenience. You may wish to discuss the issuance of a building permit with him at that time. Mrs. Mcline Doff Oroville, California 95965 April 6, 1979 Page Two If I can be of assistance or can answer any questions, please contact me at the above address and telephone number. cVery —truly yours, � Thomas Reid, R.S. Division of Environmental Health TR:bws cc: J. F. Glander Chief Building Inspector r A` 7 CERTIFIED MAIL Moline Goff 515 Dunstone Drive Oroville, CA 95965 Dear Ms. Goff: February 14, 1984 RE: Permits AP #28-32-07 With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits, inspections, and approvals for a single family dwelling you constructed on your property located at 515 Dunstone Drive, Oroville. The above parcel is zoned A-5 which does not permit an additional dwelling unit, without the approval of the Planning Department. Either obtain a demolition permit and remove the dwelling or contact the Planning Department for approval within ten days of the date of this letter. If Planning Department approval is obtained, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees, including penalty fees. Since permits and inspections are required by both State and County laws, unless you do the above stated items, the matter will be referred to the proper authorities for appropriate action. Should you have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry Director of Public Works Arilinal signed bZ �i J. F. Glandes !1. J.F. Glander JFG:aj Chief Building Inspector cc: Building Inspector - Oroville Planning Department Assessor P 367 1..�=J ; 0J-0 j Moline Goff j 515 Dunstone Drive Oroville, CA 95 65 I jr..l. ,.r .. . r 2/24/84 ..&P_28 -32L -Q7 I:Nlllilt: Cnlnplrte Ilcnts -1 , 7.,mld 1._. Add your nt5rlrexs'tRTia "ki"IURN TO" apace on --._�.. Icvcrre. 1. The follov:hig service is requested (cGcek one.) Ll Shove to whom gad date dclivcrc:l............ --4 M Shot: to v.hoin, dnte and addrcs of dehvcry..._4 LI REST ICi'ED DELIVERY Show to whom and dstc delivered ............ _ 4: ❑ RESTRIC'iEDDE'I.IVGP.Y. Show to whom, date, and add.css of dclivery.E— (CONSULT POSTMASTER FOR FEES) 2. ARTICLE ADDRESSED TO: Moline Goff 515 Dunstone Drive Oroville, CA 95965 3. ArtTtC - OESCRIr: (Ori: REGISTERED NO.CERTIr1EDNO. I1sunra Ko. LP367193810 _ _ (Always obtain s:,iwtaro of cs !dre .ee or agent) 1 ha. -i recci:ed tl_e elle described above. r dd:cssee OAulhorld agcnl v. r LIYEItY r MARK 5. O.DCRES� fCamrlats ar.1y it requetud) "�, 6 UNABLE TO DELIVER EECAUSE: CURK S INITIALS h-7 - *GPO: 1979-300-459 2/24/84 28-32-07 I ilr No 1111111 cr,tlrlrY (1 nl /trtinn 1. 2,31 1 nr Inlnnl�;tliM1 ✓) Pulllir WO. 1"S D 1 1 n c t n 1 Dell. oir. - Sec. rRN:A. MtcP. r+ Yards R Grnds. Bldg. Admin_ Eng` --- Engr. Env - g• Land Dev. Ding. /$.I. Sub. & Pcl- Maps Permits Addr. 7.ZSV 1D ,: +' ), r ui t,.. i .� n,•a '?=c tisk.. • ':: "_. - I I,p• 1. Y'• • �G'{. T ;+ � r�-: ,�/ is . r •.: �i e ,A. L M Jaid' t 01 %VEr.%RQ, Zzwwx 71 ........... .. . ...... . . . .... .................... + .. � t .�r,d5• ,� 11'rlt+ �i Z � r'� ,o � _ " `:7.'� 1 � •l 3i'. ; � i STONEY ti , �� � • �, r-. i j { . .._�#;r��.-_-...___.-.-_..-. ...;. _..__.per ._ .�.�_.:.__. ....___... .h...•' '�"; N ' •'''1-Ytr,r'". .., , .•+fa , a �'. fir,,+. Y`'y,..2k �MwyS.�'tt :tl � � , ,� ©�f 6(I�.,�p ' u VI 5 �2Y3— �apa��s @ F(,�usrn5 ler- sstu,e e c(¢ xc Il -q) 3066 =�3 k Spl1 ��tL S ervtu Cfl o f Srs� -7- f0 3— 07 -,1Z JI -9-S-76 3-2y-92- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use Permit No. A. P. No. -.111 1�2- 3t� ` 0 Building Inspector ,Date 3 —2 "l -j.02- At time of permit application, I was advised .the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. vy 2. Plot plans in d , signed by preparer of plans. single 3. Complete plans in duplicate/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and AC Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome installation data including manufacturer's installation instructions. 10. Fees of $ 11. Chico Urban Area fees paid. 12. Park fees paid. 13. School District fees paid. 14. Sanitation approval from Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: 18. Improvements may be required. Contact Land -Development Section of DPW. 19. Driveway permit (construction approval required prior to occupancy). 20. Pre -Inspection for required. 21. Contractor's license information (No., Name Style, Classification). 22. Certificate of Workmans Compensation Insurance. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑). 24. Recorded copy of Agricultural Acknowledgment Statement. 25. Letter of signature authorization. —cx 26. Uer Fv 60 fiance c., -his 9,1. Se e C So 4-, 1Jc4,ed 7- Z6- 9/ When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date GENERAL INFORMATION BUILDING DEPARTMENT OFFICES HEALTH DEPARTMENT OFFICES Chico . . . . 196 Memorial Way Chico . . . . 196 Memorial Way Phone: 891-2751 Phone: 891-2727 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. Orovi I le . . . 7 County Center Drive Orovi Ile 7 County Center Drive Phone: 538-7541 Phone: 538-7281 Hours: 8:00 a.m. - 5:00 p.m. Hours: 8:00 a.m. - 10:00 a.m. Parad i se . . 747 Elliott Road Paradise . . . 747 Elliott Road Phone: 872-6307 Phone: 872-6308 Hours: 8:00 a.m. - 12:00 a.m. Hours: 8:00 a.m. - 9:00 a.m. PLANNING DEPARTMENT - 7 County Center Drive, Oroville - Phone: 538-7601 - Hours: 10:00 a.m. - 3:00 p.m. Original — Applicant Y. COUNTY OF BUTTE - DEPARTMENT. OF,, PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER lA O� �� A. P. No. -3� 9 Proposed Building Use,da/ � M Building Inspector ,Date - I At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1 All items have been submitted. ........ ..................... 2. Plot plans in daot t197'trtyhi�, signed by preparer of plans.s!retl 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. r r' 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid. .............................................. !. 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A)Use: (B) Parking: ...... 18. Improvements' may -be required. Contact Land Development Section DPW M. 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization .. . L 26. 04---Fv ("0'"n)14" &0 e 7 - z,6- 4/ When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date Copy of Hdz-Mat form sent Health Dept. Fire Dept. _Air Pollution Date Copy,'of plans sent Health Dept. Fire Dept. Other Date By. ' The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 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 —mai l—counter by date Plans checked by Copy -DPW Sets of plans on hold in Date Plans approved by Fi.le cabinet AP folder i Date E Department of the Treasury—Internal Revenue Service 1@771 U.S. Individual Income Tax Return c First name and initial ,(if joint return, give first names and initials of both) I Last name Your social security number CL 0; ti G Prisent home address (Number anstreet, including apartment bl t number, or rural roue) to v, ddNband For Privacy Act Notice, see I Spouse's social security no. page 9 of Instructions. 0 t City, town or post office, State and ZIP code r Yours ► Spouse's ► Presidential j Yes No Note: Checking"Yes" will not lai n Do you want $1 to go to this fund?. . . . . . . . . . . . _ increase your tax or reduce Cam p g Fund If joint return, does your spouse want $1 to go to this fund? Yes No your refund. j '1 1 `•Single 2 [:] Married filing joint return (even if only one had income) Check Only Married filing separately. If spouse is also filing', give spouse's social security number in the space above One Box 3 F7] and enter full name here ►.............................. 4j Unmarried Head of Household. Enter qualifying name ► See page 6 of Instructions. a r Enter numberof Always check 5a Yourself 65 or over Blind boxes checked D the "Yourself"on 5a and b ► box. Check other boxes if b Spouse 65 or over Blind they apply. ic First names.of your dependent children who lived with you ► .......................................: ❑ Enter number of ' children listed ► d Other dependents -(3) Number of (4) Did dependent (5) Did you provide more (2) Relationship months lived have income of than one-half of � de- Enter number ❑ • ()) Name, in your home. E750 or morel pendant's supporta of other _ rt dependents ► 3 �'t Add numbers entered In E 6 Total number of exemptions claimed boxes above ► E 7 Wages, salaries, tips,' and other employee compensation. (Attach Forms W-2. If unavailable, P c see page 11 of Instructions) , . '. 7 _ 8 Interest income (see page 4 of Instructions), .. 8 0 9a Dividends ............ ............... t ....... 9b Less exclusion ................................. Balance ► 9c _ a (See pages 4 and 11 of Instructions) 10 Adjusted gross income (add lines 7, 8, a d 9c). If under $8,000, see page 2 of Instructions on f d "Earned Income Credit." If eligible, enter child's name 11111.10 a--------------------------_----_--_-_----------_--_--_--_--_- lla Credit for contributions to candidates for public office: II — j Enter one-half of amount paid but do not enter more than $25 ($50 / if joint return) , . . , . , .. . . . . . . . ala . . IF YOU WANT IRS TO FIGURE YOUR TAX, PLEASE STOP HERE AND SIGN BELOW. b Total Federal income tax withheld (if line 7 is larger than $16,500, see page 12 of Instructions) . . . . . . . . . . . . . llb _ d c Earned income Credit (from page 2 of Instructions) 11C I d 12 Total (add lines lla, b, and c) . 12 13 Tax on the amount on line 10. (See Instructions for line 13 on page 12, then find your tax in Tax oTables on pages 14-25.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 i Y 14 If line 12 is larger than line 13, enter amount to be REFUNDED TO YOU .......: ► 14 d 15 If line 13 is larger than line 12, enter BALANCE DUE. Attach check or money order for full amount v payable to "Internal Revenue Service." Write social security number on check or money order ► 15 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best to of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which a preparer has any knowledge. y 1 M ba r' Paid prepares signature and 1clentifying number (see Instructions) d In /Your signature Date N ` M d i d 'Spouse's signature (if filing jointly, 80TH must ,Paid preparer's address (or employer's name, address, and identifying sign even if only One had Income) number) {T U.S. GOVERNMENT PRINTING OFFICE :1977-0-235-235 80-0220-906 a ._ '"4 ti .P : ...� i-:-•.. erx:ytri�' -+4.x'1'.•; ti.. �i":kT[I%: 754-90B GOFF, • Moline '515`Dunstone Dr,•Oroville ; Contr; 'Don C'. George ' (reroof/sf ). —i —ff. .. ,a i f i „r. . - _,9F*W' s . ". is �' �q>Id ' !�ssl!�1Pi! *` r, a - ^COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERAMIT•NO.* 7 County Center Drive - Orovil le, Califorliia9596, - Telephone: 913/538-7541 APPLICATION AND PERMIT Q�! ASSESSOR PARCEL NUIVMER ` fr ' —/16 t) --IIA ZONING BUILDING PERMIT OWNER MOLINE GOFF TELEPHONE 5$9-3945 r SO. FT.OCC. BUILDING VALUATION '{R `� `� comp 7980.00 OWNER'S MAILING ADDRESS 515 VUNSTONE OROVILLE CA. 95965 CONTRACTOR'SNAME VON C. GEOR-RE INC. TELEPHONE 533-6393 CONTRACTOR'S MAILING ADDRESS P.O. BOX 729 OROVILLE CA. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ . ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 515 VUNSTONE OROVILLE Permit tee $ a PLUMBING PERMIT Filing Fee 10.00 r , Each Trap 2.00 .1�0Y- * Solar or heat pump water heater 20,00 LOT NO. .,.''A 3� SUBDIV'SION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE " SF® Duplex❑ Mobilehome❑ Other SPECIFY I Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK I New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ (Other ® Describe work: _ RF-R110F COMPOSITION SHINGLES Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 1 Main service e0v OR LESS 1000 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneSS and. Professions Code and my license is in full force and effect. License No. 4 5 2 2 6 6 -Classification Ir -39 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 ❑ I am exempt under Sec. Business and Professions Cafe for this reason NEW CONST. DWELLING OCCUP.tr` OR AODNS. ACC. BLDGS. / , /2(tsgft NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea /POWER APPARATUS tr \SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES Zoesoe sAL030 Ex. Occup. our R LE((RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Mis . Wrinig 15.00 Permit Fee $ - Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ® I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said -C u :ty n consequence of the granting of this permit. X/ MARCH .L4,199 Date � Signature of Applicant — Owner ConfPactor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct. ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection. Fee $ occ CONST TYPE TOTAL FEE $ 42. 50 HAz CUA PARK SCHL FLD PAR PD Ho ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which fees n DIRECTOR OF PUBLIC By AA PERMI1r EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date - _ S, Receipt No. . �r7 � WHITE-D.r.W-, YELLOW -ASSESSOR, PIN •INSPECTOR• GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Or6vijle, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMSER (--A ZONIN BUILDING PERMIT OWNER MOLINB GOFF TELEPHONE 589-3945 SO. FT. OCC. BUILDING VALUATION 33 comp. 1980. OWNER'S MAILING ADDRESS 515 DUNSTONE OROVILLE CA. 95965 CONTRACTOR'S NAME DON C GEORGE INC. TELEPHONE 533-6393 ' CONTRACTOR'S MAILING ADDRESS P.O. BOX 729 OROVILLE CA. 95965 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is _Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ 3 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ _ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 57 5 DUNSTONB OROV LLLF Permit fee $ . PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: _ RE -1200F COMPOSITION SHINGTES Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 C11 -r T Main service SOOV OR LESS 100 AMP OR LESS 10.00 Main Service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. 4 59 2 A Classification C- 19 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCP.� OR ACDNS. ACC. BLDGS. U , /x¢sgft NEW CONSTRESID, MULTI -OUTLET NON•R ESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES SAL SOC BALs 30 Ex. DCCUp. OUTLETS FIXED P(RESID iREA.) 2.00 Temporary service 1 10.00 Mobile Home Facilities 15.00 Misc. bYirin 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. © I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT' FiIingFee 10.00 Heating Cooling g Hood 3.00 Ventilation. permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgme ts, costs, and expenses which may in any way accrue against sai u consequence of the granting of this permit. X Date MARCH .1.4,299This Signatu a of Applicant — Owneron ❑ Agent An*OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 4 2 . 5 0 HAz CUA PARK SCHL FLD PAR PD HD ISSUE permit is hereby issued under of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERM EXPIRES Date the applicable provi- sions resolutions to do have been paid. WORKS Date Receipt No. —> WHITE-D.P.W., YELLOW -ASSESSOR, PIN -INSPECTOR, GOLDENROD -APPLICANT ��� ��. � . �� .. ; ,,rr � � : I �� n `J wv � '�1 �-� COUNTY OF BUTTE $�10 OFFICIAL RECEIPT 1 N°� 'el—,e- tJlal�It_ c..%b.S ,sr r OFFICE OR DEPARTMENT ISSUING RECEIPT Received from 'f- 61e' The Sum of %� - e,�.> :✓a, 4 .,. a For A�t•�• L s . c /. e� t^� Received: Received R�r — �—�--• - />' `�--- CASH ❑ f/ Title CHECK By COUNTY OF -BUTTE.— DEPARTMEIgT 0F'pUBLIC WORKS — BUILDING DIVISION 7 County Center Drive 2V�0roville-, California 95965 —4 Telephone: 534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER8l-yam f A.P. No. (5;-S — 3®Z—% Proposed Building Use Permit fee based upon: Complete Contract Price � PW Valuation X. (explain) i/_ Building Inspector -%� Date At time of permit avolacation, I was advised the 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 & AC Buildings ..................: 8. Fees of $ 9. Letter of signature authorization............................................................ 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre•inspec. request to 16. Other bldg. -inspector (date) When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone_ _ and hold for pickup at office. Deliver w/inspection. Other /04' L' J va / S_ �v si of�� Al2- , < Applicant /�/ i>� �a� Date&— — `% 9 Copy of plans sent Health Dept., Fire Dept., Other Date Dur ng t e plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date OTHER: COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive.- Oroville, California 95965 Telephone: 534-4541 APPLICATION FOR S PEC IAL INSPECTION Owner A.P. No.229-30`7— 7 Mailing Address[ ar' L-rl- �G�� Telephone No.15'9�/__57ys^ C�12b vc LLQ Applicant jl Telephone No. Mail Building Location Sp •-S 1�1 Lam{ .Zi��i �25<<c�. �� �'/`� �l�c��/�s , ��i o(� I hereby request a special inspection of the following building: 1. Dwelling (if only a portion, specify) 2. Apartment House (if only a portion, specify) / / 3. Commercial (specify present occupancy) / / 4. Other (specify) I am requesting a special inspection for the purpose of: / / 1. Moving the building. / / 2. Financing (specify agency) / / 3. Change of occupancy to Case No. /K 4. Other (specify) %O ,�Qs/�e �y� %b Cls4(5- I hereby certify that I will obtain the necessary permits and make any necessary corrections, alterations, or repairs required by the County of Butte, as a result of this inspection, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within thirty (30) days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection urposes. Date Si nature o Owner T Fee paid $ Receipt No. 1st -DPW - 2nd -Inspector - 3rd -Applicant COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION FOR SPECIAL INSPECTION Owner /V/ !, AA.P. No. Mailing Address % L-, Mf j ... Telephone nJo L Z c= ("-t L,t� Applicant <.f'04 !o Telephone No. ess Building Location I hereby request a special inspection of the following building: 1. Dwelling (if only a portion, specify) / / 2, Apartment House (if only a portion, specify) / / 3. Commercial (specify present occupancy) / / 4. Other (specify) I am requesting -a special inspection for the purpose of: / / 1. Moving the building. / / 2. Financing (specify agency) / / 3. Change of occupancy to Case No. 4. Other ( specify) I hereby certify that I will obtain the necessary permits and make any necessary corrections, alterations, or repairs required by the County of Butte, as a result of this inspection, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within thirty (30) days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. f., . 71 Date Signature of Owner2 Fee paid $ Receipt No, i 5� 1st -DPW - 2nd -Inspector - 3rd -Applicant C, 9v ,Z7 ,4 P 0 .43-:78B P E 1, PERMIT EXPIRES 12/1879 r. OWNER MOLINE GOFF r CONTR. owner LOCATION (A.P. 28-32-7 ) -515 Dunstone Drive, Oroville i ' / L 2--6 Zp T 3O�g?/ n Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E 1 Temp. Gas Serv. 111 Called PG&E JOB FINALED (Date) (Signature) I COUNTY OF BUTTE — GE`PAFiTMENT-OF PUBLIC WORKS ""ANG INSPECTION.RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall - Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers ' Roofing Sewer Garage Fdn. Vents Fixtures " Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Slab Prov. for phsically handicapped Conformance of ex.- structure Final Appliances Gas Piping & Test Temp. Gas Sanitation Patio I FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Sub anels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal - Water Piping Sewer Gas Piping OBILEH IME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE M 3-�) REMARKS OR CORRECTIONS (NOTE: An entry must be made on -this form each time you visit the job site.) Owner 'YID Mailing Address `S i < &,A t o Contractor 00 1 1 PI Mai I i ng Address Building Address 3- COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 -County Center Drive — Oroville, California 95965 > / Telephone: 534-4541 APPLICATION AND PERMIT Telephone No. elephone No. A. P. No. P 8 a — Zoning & Planning FSW Fire Dept. Fire Zone Use Permit Parking Parcel EQA Plans I Declaration I Parcel Map 1 60' R/W I Improvements BIdg4PtdRT-REtLd-. I Parcel Approval I Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ZI r Single Family Duplex ❑ Mobil Home ❑ Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: License No. Classification I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner o as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date _ Signature of perm tee %or Aglnpr Receipt No. /S76 -gas White-D.P.W. — Yellow.Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace UX41,4-r' _ Total Valuation ELECTRICAL No. Permit Fee PERMIT FILING FEE Plan Checking Fee &/or Penalty Main service 8000 AMP OR ORSLESS Permit Fee Main service EA. ADD'L loo AMP PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 Repair drainage or vent pipipg 1.50 .� Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No. @ PERMIT FILING FEE $3.00 a Main service 8000 AMP OR ORSLESS 5.00 Main service EA. ADD'L loo AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Main service( EA. ADD'L 100 AMP 1,00 NEW CONST. OR AODNS. C ACCDWELBLDGS.=TLING sk 20sgft NEW CONSTR. MULTI-OUTL T NON-RESID BRANCH CIRCUITS 12.50ea NEW CONSTR. (POWER APPARATUS &Jj NON-RESID. (SINGLE OUTLET CIR, Ex, Occuo(OUTLETS OR FIXTtIRES' SAL OQ FIXED APPLNS. OR EX. OCCU P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 Permit Fee $ ' MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ Land Development Fee $ TOTAL PERMIT FEE $z� / 17S 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. D ECT R F PIUBf WORKS B D at Building permit expires Date s+ �'F � %2- r .. " . �`� �' x° i� n .. .. i ra � ��� it � � � �'� _L �� _ � ����. { � . _ � y _ . { . ,, ' � h x November 28, 1978 FIs. Moline S. Goff SIS Dunstone Drive Oroville, California 95965 Moline S. Go£f's Property South east of the intersection . of Grubbs Road and 9-r,:tone Road Asses';orf. Parcel Number 28-32-7 Dear Ms. Goff: On a recent date, an inspection was made of the above premises. The property is identified as Assessor's Parcel Number 28-32-7 and you are listed as the assessed owner. At the time of the inspection, the following conditions were observed that are violations of the California State Housing Law and/or the Code of Butte County: I. baste water and/or sewage was being discharged onto the surface of the ground. 2. There was an accumulation of refuse and debris on the property. 3. The rental dwelling was not weather tight. Windows were poorly fitting, there was a broken window and the exterior siding was not weather tight. 4. The rental dwelling heater was improperly installed and vented and was not provided with a source of fuel. S. The rental dwelling kitchen sink drain -board was deteriorated and uncleanable. 6. The rental dwelling's hot water heater was not provided with an approved pressure and temperature relief valve combination. 7. The rental dwelling's attic space was not vermin proof. 8. The rental dwelling's electrical system was substandard. There were insufficient electrical outlets to serve the basic needs of the residence. Ms. Moline S. Goff Oroville, California 95965 November 28, 1978 Page Two To comply with the California State Housing Law and/or the Code of Butte County, you are directed to correct the above conditions in the following manner: 1. Discontinue the discharge of waste water and/or sewage onto the surface of the ground. Provide legal and sanitary waste water and sewage disposal for each dwelling on the property. 2. Remove and dispose of the refuse and debris. 3. Make the rental dwelling weather tight. Repair or replace the '500o C/ broken windows and deteriorated or damaged siding. Make all doors and windows fit weather tight. 4. Provide an approved source of heat for the rental dwelling. If 5 0 the existing heater is utilized, properly installed, vent and provide it with a source of fuel. S. Repair or replace the deteriorated rental dwelling's kitchen sink drain -board. 6. Provide the rental dwelling's hot water heater with an approved 4&44 -- pressure and temperature relief valve combination.. 7. Make the rental dwelling vermin proof. SQ ©c� 8. Provide a safe electrical system. Do electrical clean up work as 3 'OC) necessary. Provide sufficient electrical amperage, fusing and .SZ?ef electrical outlets to supply the basic electrical needs of the (P.-7L_S residence. Note: The out building located southerly of the rental dwelling is not approved as a residence unless it is made to comply with all applicable codes and standards. Permits will be required for most of the above corrections. Those may be obtained from the Butte County Department of Public Works, 7 County Center Drive, Oroville. A reinspection will be made within thirty (30),ays to ascert$n_compliance with this letter. If you have any questions or if I can be ofariy assistance, please contact me at the above address and telephone numbgr.. ^ � Very truly" yours, .• r Thomas Reid, R.S. Division of Environmental Health TR:bws cc: J. F. Glander Chief Building Inspector-Oroville �n PR�a 40i9 ` 3•c0 Address Ryply to . `.. _� Durre coun, LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH ❑ 695 Oleander Avenue, P.O. Boz 1100 7 County Center Drive ❑ 747 Elliott Road Chico, California 95927 Oroville, California 95965 Paradise, California 95969 Telephone: 916XD*X-XX CFJQa(= Telephone: 916/534.4281 Telephone: 916/ 872-296 1. Ext. 58 891-2727 April 6, 1979 Mrs..Moline Goff 515 Dunstone Drive Oroville, California 95965 A.P. No. 28-32-7 Dunstone Road Oroville, CA Dear Mrs. Goff: I have discussed your request for a special inspection of a.vacant structure on the above premises with Mr. .T. F. Glander, Chief Building inspector, Department of Public Works. In lieu of a special inspection your best option to provide for minimum code compliance.appears. to be the following: 1. Submit a permit application to the Department of Public Works for the rehabilitation or conversion of structure. - Application will require the submission of two copies each of all construction details and a plot plan.'- lan:(See (Seeattached sheet.) G_ „� (�/�-C _ ��„/�1'._, ,.�,,•r c s -('t�� ; '' --� ,> 2. Provide verification with an approved affidavit that the structure is to be used for agricultural employee housing �lraY 3. Provide verification that an approved sewageisp al' system may be installed on the property. Mr. Glander is holding the check you submitted fora special inspection and would like to return it to you at your earliest convenience. You may wish to discuss the issuance of a building permit with him at"that time. Mrs. Mc line, 'off y Oroville, California 95965 April 6, 1979 Page Two If I can be of assistance or can answer any questions, please contact me at the above address and telephone number. Very truly yours, 'Phomas Reid, R.S. Division of Environmental Health TR:bws cc: J. F. Glander Chief Building Inspector 4 t�IZIT MIIR`IAI6107A INTER -DEPARTMENTAL MEMORANDUM TO: ' Wanda Munsinger FROM: Scott Rutherford SUBJECT: Moline Goff Inspections on January 31, 1995 DATE: February 7, 1995 On January 31, 1 visited assessors parcel numbers 028-320-007, 027-160-014, and 027-160-002 with Phil Nelson and Jerry Tarmann of the Environmental Health Department, and Wanda Munsinger of Building Division Code Enforcement. All parcels are owned by Moline Goff. We first inspected A.P. # 028-320-007. The main residence is on this parcel, but is assumed to be an existing non -conforming building, and our attention centered on two small substandard dwellings, and two mobile homes. The two small wood frame buildings are in an advanced state of disrepair and are vacant, but were apparently lived in until recently. There are numerous major electrical, fire, plumbing, and structural hazards, and both buildings lack a septic system and sewage appears to run into a small holding tank and then directly onto the ground. One of the mobile homes is an 8 x 40 and is presently occupied. Electric power is run from the main panel at the house through the trees with numerous hazards evident. The second mobile home is approximately 8 x 50 and is not presently occupied. It is partially blocked, and has hazardous electric. The water supply for both mobile homes is run in garden hoses in a ditch filled with cow manure and stagnant water. Both mobile homes lack a septic system and raw sewage runs directly onto the ground at some point. The second parcel inspected was A.P. # 027-160-014. A mobile home was legally installed on this property, and remains occupied. The present tenants informed us that they live on the property without electric power, and therefore without water. Although the mobile home was installed with permits, the electrical service has been tampered with and is hazardous. There is also a second mobile home on this property directly adjacent to the first. It is approximately 12 x 60, is unoccupied, partially blocked, and does not have utilities at this time. The final parcel inspected was 027-160-002. On this parcel there is a single 10 x 60 mobile home and septic system, both installed without permits. The septic system is not hooked up and the tenant stated that until the day before, she had not had water. A water line had just been run without permits in unapproved piping and there is no electric or gas. :z There were sixteen dogs chained to trees in knee deep mud and excrement, and more under the mobile home in cages. A garbage can heaped with dead chickens was approximately twenty from the front door of the mobile home, and a large goat with hooves which were so long that it could not stand were also on the site. Both the tenant and animals exist in deplorable conditions. Upon returning to the Oroville office, all parties agreed that the S.P.C.A. and Humane Society should be called. Wanda Munsinger did this the following day. I c Id 0 n COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT N0. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place, used by the public. ASSESSOR PARCEL NO. ZONING , -32- '7 — OWNER ly �� PHONE NO. �j J ' 3 % �fS' AO .Sid OWNER'S ADDRESS S— /Da S -f o ,0_trc- LOCATION OF BUILDING c USE OF BUILDING SIZE OF STRUCTURE y� /l O X l dy =co 0c) SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME)Q STEEL CONCRETE OTHER (Specify) TYPE OF SIDING / ROOFCOVERING •, FLOOR TYPE Ce ESTIMATED COST OF CONSTRUCTION .� d0 ° $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Permit Fee - Sb.00 Receipt No. Signature of Owner The above described AG Building is exempt from a building permit. Director of Public Works FLOOD PARCEL I P.D. I ROOFING ISSUE By Date White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shaft not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place. used by the public. ASSESSOR -PARCEL NO.ZONING - 32 - '7 - :S'� OWNER Mall-� PHONE NO. 39�s� o�� OWNER'S ADDRESS � � s' a � Seo .•..e. r , trc- LOCATION OF BUILDING S D USE OF BUILDING SIZE OF STRUCTURE __' X / CSI V _ OUB SO. FT. TYPE OF CONSTRUCTION: WOODFRAMESTEEL CONCRETE -OTHER (Specify) TYPE OF SIDING / ROOF COeERI NG `�C � FLOOR TYPE\ f P s ESTIMATED COST OF ONSTRUCTION $ ©0®O AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: I - FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Permit Fee - $_25--V9#.4 .;-0.0 Receipt No. Signature of Owner The above described AG Building is exempt from a building permit. Director of Public Works FLOOD I PARCEL I P.D. I ROOFING 1 ISSUE By Date White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant �T. ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �. 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR. PARCEL NO. �2. - 32 -• 0'7 ZONING -- OWNER _ (� r PHONE NO. c, no//A'o 0 OWNER'S ADDRESS /S- 0 O "r- 4-1S- ce 1 Lr'C- LOCATION OF BUILDING 9 USE OF BUILDING SIZE OF STRUCTURE ^ /00 X 0 = go SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE —OTHER (Specify) TYPE OF SIDING /<1e- l ROOF COVERING - FLOOR TYPE e -r44 e ESTIMATED COST OF CONSTRUCTION 5 $ 0ooeo AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Permit Fee - $25M Sb,pO Receipt No. Signature of Owner The above described AG Building is exempt from a building permit. White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant Director of Public Works By FLOOD I PARCEL I P.D. I ROOFING 1 ISSUE Date �. COUNTY OF BUTTE '=' DEPARTMENT` OF PUBLIC WORKS 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7531 h_.. AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shal'I not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. ZONING 4�1. -32- 0 7 /)-,4 OWNERPHONE � NO. / 11 � O OWNER'S ADDRESS LOCATION OF BUILDING r i &_t USE OF BUILDING , { SIZE OF STRUCTURE 0 X /00 = 00 SO. FT. � TYPE' OF CONSTRUCTION: WOOD FRAME'K STEEL CONCRETE OTHER (Specify) TYPE OF SIDING l1<1e,—/ ROOF COVERING /G / / FLOOR TYPE ` b (>0G �P ..S/,,Cf rid ESTIMATED COST OF CONSTRUCTION ° $ . 000 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT SIDES REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date Permit Fee.- 1 t Receipt No. Signature of Owner The above described AG Building is exempt from a building permit. Director of Public Works By White - DPW, Yellow - Assessor, Pink - B.I., Goldenrod - Applicant FLOOD I PARCEL I P.D. I ROOFING ISSUE Date V ; , COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orol.ille, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 3e9 6 s-- ASSESSOR PARCEL NUMBER G i ^0 72 r �J ZONI G —�� BUILDING PERMIT OWNERA)n I I VN e TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING DRESS/ 1)0 14-- v�ie CON ACT R'S ATELEP•ONE 'fes C_ (431 31 CONTRACTO MAIL - NG A D ESS I v— r r Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 1�1 �Q V ee7� © PLUMBING PERMIT FilingF 10.00 A �•` ru Each Trap 2. Solar Water Heater iA .0 0 ro Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or,4entC, 5.00 Gas piping system 1,-t o tlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ In Ilation❑ QQther Describe work: s (Qi C_ S lPwV 1 C e �- S c>>Y �. Com_ �'PIC'll f Ce ��'►� P SCI $` 1 N� � (9S p� Permit Fe $ Contractor ELEC RICAL PERMIT Filing Fee 10.00 Main service 800V OR LESS 100 AMP OR LESS 10.00 ' 0 fa Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ( ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): © I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full) for ^a and effect. J3YG— (.f License No. � Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTIR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. (POWER APPARATUS &' NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(o OR FIXTURES BAL®30 BAL@30 FIXED . Ex. OCCUp. OUTLETS P(RESID )LNS REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 S p I Permit Fee $ O Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai st said Cou y ' co quence f the granting of this permit. X � e Date '~� ��� NI'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 33 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCuP. GROUP I TYPE OF CONST. PARCEL PD HD SSUE 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. 0 7D �h WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OFJB'UTYE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET "�--- Permit No. OWNER A. P. No. _ r 32--D7 Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation 6xplain) Building Inspector Date? – 3 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2 Plot plans in duplicate' Ian. . . , , , , , , , , 3 Complete plans in duplicate/trip+it'ate- . . . , . , . 4. Complete engineered plans and calcs. . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . r I; 6, State Energy Forms No./\ 7 tatement of Intent for Non -Heated and AC Buildings. A --48./Fees of $ , , , , , , , 1 I 9. Letter of signature authorization. . . . . . . . . . y 10 Sanitation approval from Health Dept. 1 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) �h 14. Owner -Builder Verification (Given to owner, Mail to owner ❑.) 15. Improvements may be required. . , , , , , , , , , 16. Mobilehome Installation Data. . . . . . . •Pre-Inspec. request to *&17.Pre-Inspection for o Required Bilding I epecror(Dote)Other vD � i e When you issue the permit, process as follows: Mail to owner, to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other In Applicant,a 4LA Date 7r 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 of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer jownerfw dised of above required data by By Telephone Mail Other &�4 idl, Date Plans checked by Date / LN J.,_K�/ Plans approved by Date Other: Copy—DPW " ... COUNTY DEPARTMENT OF SO4)1:.. BUTTE PUBLIC SPECIAL INSpECT'ION _REPORT WORKS .:.:.; . ,� .. s. zD Owner: A.P.. Address: Date of Inspection Ste' Tenant: Inspector Building Location:' . Type of Inspection requested: ..:t '17L Housing' 2. Finane ing .3. Change of Occupancy to N'4,!- Other ( specify) 01 Present use. of building: A. Sanitation (Housing) .1. Water closet:. 2. Lavatory: 3. Bathtub.or shower: 4.: Kitchen sink:' 5. Hot and cold water to fixtures: ..60 - Heating' facilities: ' . 7.' Natural light and ventilation: 8.'- Roam and space requirements: ." 9. Bedroom window or door for second exit: . 10.. Infestation of insects, vermin, or rodents: 11. Connectior..'to sewage disposal: 12. Connection to•water'.supply: 13. Rubbish and garbage facilities: 14. .Comments• i B. structural 1. Piers and footings 2. Floor construction T Wall construction: .4. Ceilinb and:roof c.,..�__�___.,... 5. Fireplaces: 6. . Coimnentsc C. Electrical.. 1.. Service and ground s 2. Receptac: es• ' 3. Fusing: 4. Comment s: D. Plumb ing . 1. FLitures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4... Comments E. Other •,; 1. Maintenance and repair: 2. Fire hazards:- 3. azards: 3. Safety hazards: " 4. Weattzer protection: 5. Underfloor and attic ventilation: 6: Comnents F. Commercial Buildincs 1. Roof covering: 2.' Disrarce to property lines: 3. Pliysically handicapped: 4. Rests-oora floors and Walls: 5. Exits: 6: Improvements: 7. Z or ing : _ 8. Comment -i: G. Field Problems or Viclatiur,.s 1. Problem o--!- -riolation (give Complete. description): 2. What action taken (give camplate-Jescription) : .3. What action recommended: ~ �� 77 A. Informiation only - filc2. B. Hold for ten (10) days, then wri-e letter. C. Write letter. �'/%� D. Other: r � Ivo 7, r � a CERTIFIED MAIL February 14, 1984 Moline Goff ' RE: Permits 515 Dunstone Drive AP #28-32-01 Orodille, CA 95965 Dear Ms. Gaff: With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits, inspections, and approvals for a single family dwelling you constructed on your property located at 515 Dunstone Drive, Oroville. The above parcel is zoned A-5 which does not permit an additional dwelling unit, without the approval of the Planning Department. Either obtain a demolition permit and remove the dwelling or contact the Tanning Department for approval within ten days of the date of this letter. If.Planning Department approval is obtained, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees, including penalty fees. Since "Permits and inspections are required by both State and County laws, unless you do the above stated items, the matter will be referred to the proper authorities for appropriate action. Should you.have any questions concerning this matter:, please contact this office. Yours very truly, Clay Castleberry Director of Public Works OrIgiml signba tz -� J. F. Glander, � J.P. Glander JFG:aj Chief Building Inspector cc: Building Inspector - Oroville Planning Department Assessor FA 0 File No. ' BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information ✓) D irector r.DDi Sec. & Br. Mt,,. Shop & Yards [FRd. ldgs. & Grnds. dg- Insp. Admin, Design Engr, Bridg— Constr, Engr, Surveys Mapping Trans p. ------------- oSENDER: Complete items 1, 2, and 3. Add reverse. our �'ddress in "RET -URN TO' � space on The folloR, g Service is requestedchec ❑ Show to whom and date delid k one,) -a .Show to whom, date and address of `O ESTRICTED DL ra Show to Whom and asdelivcry,,,_a E3 P. e delivered........, ❑ RESTRICTED DELIVERY. ••• —a Show to whom, date, aid addr.css of delivery,$_ (CONSULT POS -n, (ASTER FOR FEES) Z. ARTICLE ADDRESSED TO: In Moline Goff 1 i 515 Dunstone Drive Oroville, CA 95965 3, ART( n EGISTEREDOESCRIPTIOf { h0, CERTIFIED NO. #INSURED NO, 1 _M P367193810 ± cl (always obtain s:.gnaturo of to addrez,-ee or aganti I m I have received the •--" a described above. m SIGNATURE ddressee CAU th orild agent z -C 4• cLIVERY \' : ORES.. 5' ADa ^ (-ornptate cnlY if questedl ' •'1 �� Le ndA m I \ i r O. s UIIABLE TO DELIVER F+ECAUSE: g -Lill INITIALS r 2/24/84 28-32-07 *GPO: 1979-300.459 PV4 O Q IL —J K L aQ Ln CS9 .G0 A 0 0~C a 4-4 �$v ��. a Qp oLLLLl tom'+:L y �Lito A e CU. N.Qi LL LO A Z A ; gog O �t cNr1 M ca 9 O U1 cc ° � � S �-It 04 o �� � � �� OC 0 till L4 cc $ ¢ t5 I- LL 6 2861 AM 10018 Wood Sd 4n-1 kzrA 1-4 9 VCF T I AN I 11 64 / !iG o 4A C� ltJ 6 l i I'1 G(J �S e Gly. GUGI Q!, q- la -S>3 a, 4-4 5� /W/ 5- S 4� -7 el� �ti �l'ite-4 a15s ltlp s !r (�) e Ir X o iCe - tz45�Io Ae� �� --l-4VO d4eVe- w Ile,®h a VC ��� yt la45 !/is -tea' i `l Ze Ilew V-- "A" ep ;-hut,(e o� -ro dU-� 9- lq� -'Xf eg 14e 1,014 y 9-3 aoAt G? e -d, sevd�ee "vw e d &s , sev�i �� e r� ti de c T P3 �'s Gaf-'F &ta.Kko / it2Y &� �C4- &oes 0-0 A49A-1E5- (S-WeE- If -36 /,o 0.&?-eue�vccs '04S�6s) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR '—~ 7 County Center Drive - Oroville, California 95965 - Telephone 916/53 ?# APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING B ILDING PERMIT OWNER <� TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING DRESS' CON AST R'S A i� - Q r EPKONE TEL% t 9 CONTRACTO MAIL - re. NG A D ESS r. 'r -O ro W Fireplace CONSTRUCTION LENDER ` UNKNOWN Total Valuation $ .Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ �. ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee _ $ BUILDING ADDRESS 1�1 �O�a 1PS PLUMBING PERMIT Filing Fee 10.0 --y- j .lam tfS<'_ �b ru Each Trap 2.00 p1. Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S I G I W I el __10-00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ In I lation ❑ Other Describe work: �.0 SC'riVf !'_F' -- �F'40c,.y F4 1 P._ C lr 1M, P II ) G? /' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 M 'n service soov OR LE LESS 100 AMP OR LESS 10.00 , 1 C NT TORS LICENSE W declare under penalty of perjury p y p l y (check one): / 9 1 am licensed under provisions of Chapt..9, l'�v. 3 Xft KBu ness and Professions Code and my license is in full fore and effect. _ License No. 133 SS 7 Classification C o r, or my ploy s with wa s as their sole coAf=, sati wl o ,a str r not intend or o ❑ I, as owF�X al' 7t ❑ I, as the ow, am exclu ively ntracting with licensed contract- ors. Sec. 7044Q I �jx m t u d r c. Business a ofe s' s Code rtl4ls a 52 al sPrVji A 'L 1,P0 AMP 2.50 DW A ONS AC 21/22Sgft NEW CONSTR U LET 2.50 ea R 5 " C IT w ER RATUS e ID, SI L ET CIR. 20@50e Ex. Occup(o OR FIXTURES eA�@30Q FIXED FIXED APPLNS, OR \ A Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Tempor y service 10.00 Mobi aFacilities 15.00for ring 15.00 JS—_ti'� Q r '7 � 1_6 =� Permit F e antr o MEC A CAL PERMIT $ FilingFee .00 WORKMEN'S COMPENSA ON INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you becorle 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 QS_ _ Hood 00 Ventilation Permit Fee $ Contractor —J 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 Lavas relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue said:CourKy i, co quence f the granting of this permit. agafitk(_ X C � ` 7 h Date ,��_� Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PAPCEL PD NO ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC Y B.-.,...� the applicable provi- resolutions to do fees have been paid. WORKS Date r Receipt No. �L� f��`