HomeMy WebLinkAbout028-220-019228-220-019 02.-0055
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CONT:
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AG >ELECTRIC SERVICE
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COUNTY OF BUTTE
AUDITOR'S CERTIFICATE AND TREASURER'S RECEIPT
OROVILLE, CA
y RECEIVED FROM TREASURER
j CREDIT DEPOSIT
i
I
I FUND FUND DEPT
I DESCRIPTION TITLE CODE CODE
I
' DEPOSITOR / DEPARTMENT
CHECK #1 NAME
CHILD SUPPORT SVGS
_
(20.00)
2907 / BUSH
FAM SUPP TR
1150
"t" 1 EGGER
FAM SUPP TR
1150
13451 COTTRELL
FAM SUPP TR
1150
l
101001
(350.00)
17131 VILLARREAL
FAM SUPP TR
1150
16367 / MAO MILLAN
FAM SUPP TR
1150
I '
TAX COLLECTOR
fI 8321 CARRASCO
CURR SEG
1001
I
_DEVELOP 5VG BLDG
I. 06221 RAMIRE2
BLDG INSP
0090
� cec. �#,a
C� � w
ATR NO 41055
DATE 1128/2002
ACCT CASH
CODE CODE AMOUNT
280
101001
(20.00)
210
101001
(378.00)
284
10101
(103.22)
280
101001
(20.00)
284
101001
(350.00)
280
1015810
(279.29)
4210504
101001
(66. oo )
f TOTAL $ (1,216,51)
jE
APPROVED BY: RECEIVED BY:
AUDITOR -CONTROLLER TREASURER
I
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` Bv: 4W BY:
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I
white=treasurer pink=auditor canary --de o itor golden rod=file
MEMORANDUM
TO:_!�eve/`vjceS -elW
FROM: EARL LEE
BUTTE COUNTY TREASURER
DATE: %/i �— I—
SUBJECT: CREDIT DEPOSIT CHECK
A check deposited by your department has been returned by the bank and cannot
be re -deposited. A copy of the check is enclosed. It will be charged back to you
on a credit deposit within the next week.
Within the next three (3) working days, please provide all information as to which
funds to charge. If we are not provided with the information from you, we will
charge the check to a fund we feel is correct. You can then verify the credit
deposit when received and if the fund is incorrect, process a transfer with the Auditor's
office. This procedure has become necessary because of the lack of response to
this memo by some departments and the time involved in making follow-up
telephone calls.
Reminder: There is a $25.00 special handling fee on all returned items.
Per County Ordinance #2967.
If you have any questions please call me at 538-7576. Also, you may FAX this information
to us at 538-7648.
TO: EARL LEE
BUTTE COUNTY TREASURER
DEPARTMENT AND NAME
FROM: _D.eVF
DATE:
CHECK NUMBER:
c &Ag
Thank you for your cooperation.
FUND TITLE OR )i
DESCRIPTION:
FUND CODE: 0o 9
DEPT CODE:
ACCOUNT CODE: 4a I US t-0
CASH CODE: 10 10 01
AMOUNT: (9 (, Cb
rye
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PROOF OF SERVICE BY MAIL
I am a citizen of the United States and employed in the County of Butte; I am,
and was at the time of the service hereinafter mentioned, over the age of eighteen
years and not a party to the within action. My business address is Department of
Development Services, Building Division, 7 County Center Drive, Oroville, California
95965. 1 am readily familiar with the County's practice for collection and processing of
correspondence/documents for mailing with the United States Postal Service and that
said correspondence/documents are deposited with the United States Postal Service in
the ordinary course of business on the same day.
On April 11, 2002, 1 served the foregoing Letter for Returned Check on the
person(s) named below by placing a true copy thereof in a sealed envelope, with first
class postage thereon fully paid, addressed as indicated below, and by placing said
envelope
In the appropriate place within the Department of Development Services
where mail is collected for mailing with the United States Postal Services
/ on the same day. -
In the United States Postal Service Mail in Oroville, California.
Carlos Cuevas Sanchez
34 Darby Road
Bangor, CA 95914
I declare under penalty of perjury under the laws of the State of California that
the foregoing is true and correct and that this declaration was executed on April 11,
2002, at Oroville, California.
Alice Mefford
NEW
COUNTY OF BUTTE Pm LO -
BUILDING DIVISION s y
DEPARTMENT OF DEVELOPMENT SERVICES 1- 11 AHR
7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965-3397
_4
5
RETURN SERVICE REGIUESTED
C E D V
APR 1 9 2002
BUTTE COUNTY
PLANNING DIVISION
Carlos Cuevas Sanchez
34 D a rib �.r� : : �.-:�;;u, .... , .: F : il•::'.. _Ir.. iCJi u y� u' al. �.. �i::::o " r :,, II'�=- V-41 I[:::p a:: -ire,: ., .
Bangor, ',( )'No, Such Numbers '( )-IUnc1aimed'
')) No Mail Receptacle Illegible
( ) Insu'f'ficient Address ( ) Refused
Ilia „ �1,11tifl3liil�!!li:�i,:ll�ftll,,,1,!1!�!
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This is to inform you that your electrical service permit #02-0055 has been revoked for
lack of payment.
Check number #0522 which was-written�by Gabriel Ramirez on January 10, 2002, was
returned to us and can not be redeposited.. You were mailed a notice on February 25,
2002 concerning this matter with no response.. ,We have no choice but to turn this matter
over to Butte County Central Collections.
Should you have any questions concerning*this matter, please contact this office Monday
through Friday at (530)538-7541.
Sincerely,
Alice Mefford
Supervisor, Staff Support Services for.
Michael C. Vieira
Manager, Building Inspection .
cc: Gabriel Ramirez, 18900 Possum Lane; Woodland, CA 95695
'9t� . '=^"
.utte
1
= M. . .
ount
L:AND GF NATURAL WEALTH AND BEAUTY
C
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
-
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
April 11, 2002
Carlos Cuevas Sanchez
RE: Returned check
34 Darby Road
Location: 34 Darby Road, Bangor, CA
Bangor, CA .95914
::-- AP#: 028-220-019
Dear Mr. Sanchez:
This is to inform you that your electrical service permit #02-0055 has been revoked for
lack of payment.
Check number #0522 which was-written�by Gabriel Ramirez on January 10, 2002, was
returned to us and can not be redeposited.. You were mailed a notice on February 25,
2002 concerning this matter with no response.. ,We have no choice but to turn this matter
over to Butte County Central Collections.
Should you have any questions concerning*this matter, please contact this office Monday
through Friday at (530)538-7541.
Sincerely,
Alice Mefford
Supervisor, Staff Support Services for.
Michael C. Vieira
Manager, Building Inspection .
cc: Gabriel Ramirez, 18900 Possum Lane; Woodland, CA 95695
PROOF OF SERVICE BY MAIL
[.am a citizen of the United States and employed in the County of Butte; I am,
2
and was at the time of the service hereinafter mentioned, over the age of eighteen
3 years and not a party to the within action. My business address is Department of
4 Development Services, Building Division, 7 County Center Drive, Oroville, California
5 95965. 1 am readily familiar with the County's practice for collection and processing of
6
correspondence/documents for mailing with the United States Postal Service and that
7 said correspondence/documents are deposited with the United States Postal Service in
8
the ordinary course of business on the same day.
9 On April 11, 2002, 1 served the foregoing Letter for Returned Check on the
10
person(s) named below by placing a true copy thereof in a sealed envelope, with first
11
class postage thereon fully paid, addressed as indicated below, and by placing said
12
envelope
13
In the appropriate place within the Department of Development Services
14
where mail is collected for mailing with the United States Postal Services
15
16
on the same day.
In the United States Postal Service Mail in Oroville, California.
17
18 Gabriel Ramirez
189oo Possum Lane
19 Woodland, CA 95695
20
I declare under penalty of perjury under the laws of the State of California that
21
the foregoing is true and correct and that this declaration was executed on April 11,
22
2002, at Oroville, California.
23
24
25 Alicefor
26
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:I
PROOF OF SERVICE BY MAIL
am a citizen of the United States and employed in the County of Butte; I am,
and was at the time of the's4rvice hereinafter mentioned, over the age of eighteen
years and not a party to the within action. My business address is Department of
Development Services, Building Division, 7 County Center Drive, Oroville, California
95965. 1 am readily familiar with the County's practice for collection and processing of
correspondence/documents for mailing with the United States Postal Service and that
said correspondence/documents are deposited with the United States Postal Service in
the ordinary course of business on the same day.
On April 11, 2002, 1 served the foregoing Letter for Returned Check on the
person(s) named below by placing a true copy thereof in a sealed envelope, with first
class postage thereon fully paid, addressed as indicated below, and by placing said
envelope
In the appropriate place within the Department of Development Services
where mail is collected for mailing with the United States Postal Services
on the same day.
In the United States Postal Service Mail in Oroville, California.
Carlos Cuevas Sanchez
34 Darby Road
Bangor, CA 95914
I declare under penalty of perjury under the laws of the State of California that
the foregoing is true and correct and that this declaration was executed on April 11,
2002, at Oroville, California.
4 1 ,
April 11, 2002
Carlos Cuevas Sanchez
34 Darby Road
Bangor, CA 95914
Dear Mr. Sanchez:
,Butte Co
L A N D O F N A T U R A L W E A L T H A N D B E A U T Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
RE: Returned check
Location: 34 Darby Road, Bangor, CA
AP#: 028-220-019
This is to inform you that your electrical service permit #02-0055 has been revoked for
lack of payment.
Check number #0522 which was written by Gabriel Ramirez on January 10, 2002, was
returned to us and can not be redeposited. You were mailed a notice on February 25,
2002 concerning this matter with no response. We have no choice but to turn this matter
over to Butte County Central Collections.
Should you have any questions concerning this matter, please contact this office Monday
through Friday at (530)538-7541.
Sincerely,
Alice Mefford
Supervisor, Staff Support Services for
Michael C. Vieira
Manager, Building Inspection
cc: Gabriel Ramirez, 18900 Possum Lane, Woodland, CA 95695
i
February 25, 2002
Carlos Cuevas Sanchez
34 Darby Road
Bangor, CA 95914
'eutte count,
LAND OF NATURAL WEALTH AND BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
RE: Returned check
Location: 34 Darby Road, Bangor, CA
AN: 028-220-019
Dear Mr. Sanchez:
This is to inform you that your. electrical. service permit #02-0055 has been revoked for
lack of payment.
Check number #0522 written by Gabriel Ramirez, was written on January 10; 2002, was
returned to us and can not be redeposited.. In , order to re -instate the above mentioned
permit you will need to replace the amount of the check plus a service charge within ten
days of the date of this letter. Replacement of this check ($66.00 + $25.00 service charge
_ $91.00) must be in the form of cash, money order, or cashier's check. Unless payment
is received within that time this matter will be turned over to the Butte County Central
Collections Office.
Should you have any'questions concerning this matter, please contact this office Monday
through Friday at (530)538-7541.
Sincerely,
Alice Mefford
Supervisor, Staff Support Services for.
Michael C. Vieira
Manager, Building Inspection
cc: Gabriel Ramirez, 18900 'Possum Lane, Woodland, CA 95695
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE
OROVILLE, CALIFORNIA 95965-3397
RETURN SERVICE REQUESTED
I
)b XPAIIF.
Carlos Cuevas Sanchez
34 Darby Road
e�
PM
26 F E 9vt,
<,noq-
MAR 5 2002
BUTTE COUNTY
—
A-M—INGDIVISION
Bangor, UA IE: 111LAIT-R.11,41 -*[1 11:3 If al:
... ...... Irlal Ir...ai Ic-:::
X Such Number Unclaimed
No Mail Receptacle
Illegible
—T -n s utfici-e.nt—'Ad d r -e -s s— (),,Refu s -e -d
�� ��� w•�t. ���• :` Y �ICliiliiilllliifli9f31lIl7lI1•ift111lilililiilllsii�liillilll�
D TAND
i iiy�s ii� fl iet
1 S;?I
'?s 2 -
February 25, 2002
Carlos Cuevas Sanchez
34 Darby Road
Bangor, CA 95914
Dear Mr. Sanchez:
u Suite CO,
L A N D O F NATURAL WEALTH A N D B E A U T Y
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
RE: Returned check
Location: 34 Darby Road, Bangor, CA
AP#: 028-220-019
This is to inform you that your electrical service permit #02-0055 has been revoked for
lack of payment.
Check number #0522 written by Gabriel Ramirez, was written on January 10, 2002, was
returned to us and can not be redeposited. In order to re -instate the above mentioned
permit you will need to replace the amount of the check plus a service charge within ten
days of the date of this letter. Replacement of this check ($66.00 + $25.00 service charge
= $91.00) must be in the form of cash, money order, or cashier's check. Unless payment
is received within that time this matter will be turned over to the Butte County Central
Collections Office.
Should you have any questions concerning this matter, please contact this office Monday
through Friday at (530)538-7541.
Sincerely,
Alice Mefford
Supervisor, Staff Support Services for
Michael C. Vieira
Manager, Building Inspection
cc: Gabriel Ramirez, 18900 Possum Lane, Woodland, CA 95695
COUN'T'Y OF BUTTE , � �O V IC
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE ,`;; CaIFEB' 2��` : 0 .3 6 * ,�
OROVILLE, CALIFORNIA 95965-3397 ��serea k
70346801 U.S. POSTAGE
RETURN SERVICE REQUESTED
A ro Ee j Carols Cuevas Sanchez
SEItOFq 608 Second Street
,. NO 8uCM ADpgESs Woodland, CA 95695 '
-RUMP *m
February 11, 2002
Carols Cuevas Sanchez
608 Second Street
Woodland, CA 95695
Dear Mr. Sanchez:
V-1-1– r –
LAND OF NATURAL W E A L T H AND BEAUT`.
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530)538-2140
RE: Returned check
Location: 34 Darby Road, Bangor, CA
AP#: 028-220-019
This is to inform you that your electrical service permit #02-0055 has been revoked for
lack of payment.
Check number #0522 written by Gabriel Ramirez, was written on January 10, 2002, was
returned to us and can not be redeposited. In order to re -instate the above mentioned
permit you will need to replace the amount of the check plus a service charge within ten
days of the date of this letter. Replacement of this check ($66.00 + $25.00 service charge
= $91.00) must be in the form. of cash, money order, or cashier's check. Unless payment
is received within that time this matter will be turned over to the Butte County Central
Collections Office. ;
Should you have any questions concerning this matter, please contact this office Monday
through Friday at (530)538-7541.
Sincerely,
i
t \
Alice Mefford
Supervisor, Staff Support Services for
Michael C. Vieira
Manager, Building Inspection
cc: Gabriel Ramirez, 18900 Possum Lane, Woodland, CA 95695
February 11, 2002
Carols Cuevas Sanchez RE: Returned check
608 Second Street Location: 34 Darby Road, Bangor, CA
Woodland, CA 9569.5 AP.#: 0287220-019
Dear Mr. Sanchez:
This is to inform you that your electrical service permit #02-0055 has been revoked for
lack of payment.
Check number #0522 written by Gabriel Ramirez, was written on January 10, 2002, was
returned to us and can not be redeposited. In order to re -instate the above mentioned
permit you will need to replace the amount of the check plus a service charge within ten
days of the date of this letter. Replacement of this check ($66.00 + $25.00 service charge
_ $91.00) must be in the form of cash, money order, or cashier's check. Unless payment
is received within that time this matter will. be turned over to the Butte County Central
Collections Office.
Should you have any questions concerning this matter, please contact this office Monday
through Friday at (530)538-7541.
k- Vefford
Supervisor, Staff Support Services for.
Michael C. Vieira
Manager, Building Inspection
cc: Gabriel Ramirez, 18900 Possum Lane, Woodland, CA 95695
u eCounty
LAND
OF NATURAL WEALTH AND BEAUTY
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
February 11, 2002
Carols Cuevas Sanchez RE: Returned check
608 Second Street Location: 34 Darby Road, Bangor, CA
Woodland, CA 9569.5 AP.#: 0287220-019
Dear Mr. Sanchez:
This is to inform you that your electrical service permit #02-0055 has been revoked for
lack of payment.
Check number #0522 written by Gabriel Ramirez, was written on January 10, 2002, was
returned to us and can not be redeposited. In order to re -instate the above mentioned
permit you will need to replace the amount of the check plus a service charge within ten
days of the date of this letter. Replacement of this check ($66.00 + $25.00 service charge
_ $91.00) must be in the form of cash, money order, or cashier's check. Unless payment
is received within that time this matter will. be turned over to the Butte County Central
Collections Office.
Should you have any questions concerning this matter, please contact this office Monday
through Friday at (530)538-7541.
k- Vefford
Supervisor, Staff Support Services for.
Michael C. Vieira
Manager, Building Inspection
cc: Gabriel Ramirez, 18900 Possum Lane, Woodland, CA 95695
- .. _ —„- i . ,.:.aw* w �;r. *,.v ..�dfiF%Y✓+"«i ..yHlr. 4'it •:.,y,6 Vi Pr".�"` a,�
7
X028-220-019 02-0055
SANCHEZ, CARLOS CUEVA-S
34 DARBY RD, BANGOR
CONT;v k;'iC1�c�i.
RETAG ELECTRIC EkVICE
ma
t
OFFICE COPY
i
i
Address
GAS
Meter By Date
ELECTRIC
Meter By Da0-�
t�•
COUNTY OF�BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 Couhty Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT No.
(Revd /96;) APPLICATION AND PERMIT ^�
ASS ESSORPARCELNUMBER
m-► 1: Q
ZONING
AS
BUILDING PERMIT
OWNER "1% C CIS
YGIWAS
TELE HONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAIUNG. DRESS
nA
TELEPHONE_-
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
4 KC-
Energy Plan Checking Fee
$ '
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.0023.00
USEOFSTRUCTURE
SF fl Duplex 11Mobilehome ❑ Other
SPECIFY
Solar or heat um water heater
Water piping
15.00
Each gas water heater or vent
15.00 .
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Ulilifiesi❑ Installation ❑ Other ❑
"'
Describe Work: WAG ME IO S'ERViCE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
OOOV LES
Main Service p A OR LESS
23.00 -23#00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class 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
❑ 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.
d 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service zooA To I000A
46.00
NEW CONST. OW NG OOC
OR ADDNS. ( a ELLIACUP. C. S.
So
3.50FT,
NEW
R61DT' MULTI-CIRCUTITS
@7,50
APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
2O
SAL p I. 0
Ex. Occup. oFIx�E RE�s D OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE ZNSPECTiON
23.00
PERMIT FEE
_ __65,UU
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 permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
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 f 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 t/'-^ r%L% — d L
Signature of'Applicant - ❑ •Owner ❑ Contractor ❑Agent�1.
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3stories in heiJgoght.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 66.00
HAZ.
D. FEES IMP
FLOOD
COF
PARCEL
PD
HD
I U
This permit is hereby issued under
of the Butte County Code and/or
indicated abode for which fees have
B t.e
y '
PERM TVEXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date ! ' ! ►' V"
Date
Receipt No. r �
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. -12/96) ;, APPLICATION AND PERMIT 92-9955
AS SESSOR PARCEL NUMBER
Ogg-990—niq
ZONING
AS
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
. L NtR'SIUNG ,_KESS —
TELEPHONE
. CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
SUILDINGADDRESS
24 DARBY RD, BANGOR
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF '] Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities X] Installation ❑ Other ❑
Describe Work: RETAG FLECTRIC SERVICE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G IW
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service OOOR LESs
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
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.
C� I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A To 1000A
46.00
NEW CONST. DwELUNG Occup.
OR ADDNS. ( a ACC. BLAS.
so
3.50FT.
RESDNEW OT MULTI.OUTLET
97.50
OWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. OCCU OUTLET OR FIXTURES
@''00
SAL @ .50
Ex. Occup. DF g R.�,D) E
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.00
PRE INSPECTION
123.00
PERMIT FEE
$ 66.00
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.)
�j 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 r1'�iii Date / ^ '6 — O L
Sig�e�plicant - ❑ wner ❑- ❑ wner ❑ 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
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee Is
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 66.00
HAZ.
I D. FEES IMP
I FLOOD
CDF
PARCEL
PD
HD
This permit is hereby issued under
of the Butte County Code and/or
indicated ab a or which fees have
y
PERMI XPIRES
the applicable provisions
Resolutions to do work
been paid.
,
Datte� ,,
Date
Receipt No. UU
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
'cv 12196)'
vsessoed:AcaNUMea
L
i
my Center Drive • Oroville, California 95965 •Telephone (530) 538-7541z$ICN
APPLICATION AND PERMIT PERM N0
BUILDING PERMIT
l / 3 r � SO. FT. OCC. BUILDING VALUATION
-------------
,O N! rni.CT1ON tE/C E11
.140 EAS LwV+O ADO RIt
OR ENO'P(EA
ACr ECT OA EK1064M1 VUJNO ADORES,
'V E. ma ADOA(SS
3r'4 I 8usaveK*-8WA[
USEOFSTRUCTURE
F O Duplex ❑ Wbilehome ❑ Other
:— O Addition ❑
`escribe Work:
TYPE OF WORK
W ❑ Wees ❑ In
(/ 7,
"PERJ{AIT FEE PAM
SRI .
SHERIFF
OTHER
AAOl1N T RECExWb
W
❑ Other
*FtEaRx" waim -537t�qg —
" TO !E SVT lNTo COMwaR
Fireplace
Filln Fee 20.00
Mein Service •00V oil LESS
»w OR LESS
Main Service 200A To i000A
Total Valuetlon S
NEW CONST. ( OWFI, OCCUP.
ADONS. & ACC. Otos.
OA
3.5¢F°
Flir Fee
S
POWDit APPAAATLA
MW 0 n-" d0.
Ex. OCCU D. OUTLET OR nxTLAiC9
20 oo
Permit Fee
S
TemporarV Service
Plan Checking Fee
S
20.00
Energy Plan Checking Fee
S
�P RMI FEE] [=j!
MECHANICAL PERMIT
t
Heatin
PERMIT FEE
_
PLUMBING PERMIT
8.50
Fling Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 . 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE I $
ELECTRICAL PERMIT
Filln Fee 20.00
Mein Service •00V oil LESS
»w OR LESS
Main Service 200A To i000A
23.00
18.00
NEW CONST. ( OWFI, OCCUP.
ADONS. & ACC. Otos.
OA
3.5¢F°
NOttae MULn•OUTLET
@7.50
POWDit APPAAATLA
MW 0 n-" d0.
Ex. OCCU D. OUTLET OR nxTLAiC9
20 a r•00
SAL 0 so
Ex. Occup. OUnE-1 ESIO EA
5.00
TemporarV Service
23.00
Mobile Home Facilities
20.00
i W' n
23.00
�P RMI FEE] [=j!
MECHANICAL PERMIT
Fling Fee 20.00
Heatin
Cooling
Hood
8.50
Ventilation
PERMIT FEL: S
Mobile Home Installation Fee S
Energy Inspection Fee $
occ CO~T Tree TOTAL FEES '1
NAZ D. n!E7 WP0 1 COI I MAGEL I PO 1 0O 1 6Ut
This permit is hereby issued/under the applkable provisions
Of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
Alt C•.'f' ; r�.--l'�'f �� T\{..irri �h~W'R%-LL�vti....- i�.rY-.e.4V T ..j+. kt'.'..i!l .G �+.- . ,. �. • �: .^ ' ' ..
t:
"t. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
' PERMIT APPLICATION DATA SHEET
OWNEI," : ASSESSOR PARCEL NUMB R
1
Proposed Building Use4V",—Counter Technician- Date: /
Items required in order to a ly for a permit. All boxes MUST be checke O marked NA in order to apply.
❑ 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7.. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ '13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ Contact Land Development about ❑ Improvements, Drainage ...............................
-1-641 1 Encroachment Perm d ve y e ubl'c tr.� cf� nst�ruction approval prior to occupancy).
Pre -Inspect for t uired................
p � � L��q
❑ 23. Contractor's license information. (Number -,,Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, El Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits..`......................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been informed of the above items and requirements for obtaining a building permit.
r
Applicant: � f� � G� Date: / ` /O ^ 00
1. Index permit application for the above items numbered:
2. Additional items required
Contractor, designer, owner, was advised of the above data by
Contractor, designer, owner, was advised of the above data by
Plans reviewed by: Date:
Structural reviewed by: Date:
Note transfer by: Date:
a
phone, ❑ mail, ❑ counter, by
phone, ❑ mail, ❑ counter, by
Plans approved by:
_Structural approved by:
Yellow: Building Division
Plan Check Letter
_Date:
Date:
Date:_
Date:
Jan. 09, 2002
I Carlos Cuevas Sanchez am Landlord and owner of
said property authorize Tenant Esperanza G. and Isidrio
Felipe to obtain permits for any necessary repair and or
maintenance to.. my home, located at 34 Darby Rd. Ban-
gor, Ca.
Carlos Cuevas Sancchez
t
N
OWNER:
LOCATION:
CONTRACTOR:
PRE-INSPETION FOR:
DATE TO
Building Description:
."PRE -INSPECTION.. REPORT
// 140- / PERMIT HISTORY:(
Commercial/Usage:
Residential/# of Units:
DATE: 19
A.P. # O�k �;
ZONING:
( ) AS FOLLOWS:
BUILDING INSPECTOR'S REPORT
Currently Occupied
AbandonedNacant
Electric:
Yes No Electric currently On_ OffLz
Condition of Electric AA TA f
Gas: Natural Propane None Currently On
Off
Obvious Problems:
Sanitation:
Plumbing Working
Well Working Potable Water
ObviousSewageProblems I----
Ar -
ACTION RECOMMENDED: ISSU1 : HOLD FOR
I �-
Inspector4g--. Date z
Sketch buildings on reverse and indicate location on property.