The URL can be used to link to this page

Home My WebLink About028-230-035AP 28-23-2*j*&s"- inl: 1. ie Romin "r s Los ekes, 8/10 mi. W. county line, Bangor boat storage area w/o permits 28-23-0"' Permit #2314- P,E(u�-t^il. ELEOO !�- ✓Y SU - STRURE RTQ 1461PACTION TE REQ, 28 -23 --?mac' Permit#2541-80B,E(new private garage & ;tor ge sI XAs -rl 28-23-246T� Contr: S erior obile Name N. H g c � 8 Permit 2 {—,-8� �o ' MHI Isis 1 28-23-24jr'- contr: Holmes Mobile Home Serv.,Bangoi Permit #5481-8pB(new open decks/MH) 28-23- Permit #6034-80B(new awning/MH) 8728-23-35 Permit#3498-85B,1?P,E(new cabana -/NH), 28-23-35- r653 ROMINGER Verjeles Rd, Bangor 2333-87B,P,E(repair- per_hsg insp 028-23-0-035 93-725 B ROMINGER, WILLIAM 653 LOS VERJELES, BANGOR COMPLETE/87-2333 028-230-035 03-1212 ROMINGER, LES" ,.653 LOS VERJELES RD., BAN Al CONT: OWNER ^'-E DEMO SF �2�CIL-t Q 28-23-35 ROMINGER, W.E. C,D-!� 653 Los Verjeles Rd, Bangor AgExemption PPrm;t (pole barn for hay horses) B07-0619 028-230-065 MISCELLANEOUS Electric Panel ELECT FOR LOT DEVELOPMEN 653 LOS VERJELES RD F/N4Ly�11,�� ROMINGER, LESLIE A 4 'i 01W- 02T -Z30-035 Alow - '' /,, o 65" MUNTY FIRE INCIDENT L INCIDENT NUMBER 14774 DATE 1214/20041 - EVENT NUMBE 14904 LOGGED B -CF I ...................... .......... I I I REPORT TIM FIRE NUMBE RO FLAGG STATE FIRE NUMBERBI CASE NUMBER MEDICS LOCATION 1997 T OS VERJELES RD PRA ECC LJ RP HOPE PHONE NUMBER 679-0787 REPORT METHO 911 WILDLAND FIRES 11 ESTIMATED ACRES 0 FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL FIRE INFO SENT HO EMAIL I BY Fig TO r OTHER FIRE 7 -DAY LOGGED D INITIALS TB MEDICAL AIDS ............... 'INCIDENT NAM r!,-AFORTUNE PSA/OTHER START DATE 12/4/20041 START TIME . ... . ............ HAZ MAT DIAMOND # COMMENTS CAUSE SMOKING FIRE EXT BY LAND USE DOMESTIC LOCALS ACRES 0 TYPE OF ACRE DIAMOND 5 ONLY $ DAMAGE TYP DOLLAR DAMAGE r 5 SAVE r 001 INJURIES/FATALITIE 1-1 # CIVILIAN INJURIES # CIVILIAN FATALITIES EMD ❑ OES ❑ # FF INJURIE 0 # FF FATALITIES 0 FC -40 INFORMATION .......... New Incident FC -40 DATE OF FC -40 INC AGENCY INC # INC P# FC -40 COMP DATE FC -40 COMP BY County Notifications n./ EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ EZ 3 t BUTTE COUNTY AREA DEPARTMENT OF DEVELOPMENT SERVICES 1 INSPECTION CARD MUST BE ON JOB SITE 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico) Office: (530) 538-7541 Fax: (530) 538-2140 Website:www.buttecounty.net/dds Permit No: B07-0619 i Issued: 03/27/2007 Address: 653 LOS VERJELES RDS Area: BANGOR Owner: ROMINGER, LESLIE Al, APN: 028-230-065 Applicant: ROMINGER, LESLIE A Map Page: Permit Type: Electric Panel Description: ELECT FOR LOT DEVELOPMENT Flood Zone: A SRA Area: Yes SETBACKS Front Setback: Side Setback: Rear Setback: Other Setback: Minimum Setback From Centerline of Street: ALL PLAN REVISIONS MUST BE APPROVE BY THE COUNTY BEFORE PROCEEDING Inspection Type IVR INSP DATE Setbacks 132 Foundations / Footings 111 Pier/Column Footings 122 Grade Beams 114 Eufer Ground 216 Forms/Steel/Holdowns 122 Do Not Pour Concrete Until Above are Signed Pre -Slab 124 Gas Test House 404 Gas Test Yard 404 Masonry Grout 120 Masonry Bond Beam 119 Underfloor Framing 149 Underfloor Ducts 319 Shear Transfer 136 Under Floor Plumbing 412 Under Slab Plumbing 411 Gas Piping 403 Do Not Install Floor Sheathing or Slab_Until Above Signed OFFICE COPY Address�� v ��/'el�� M Above Signed GAS �_ M Meter By Date M ELECTRIC 5F. 3 Meter By — Da0� Shower Pan/Tub Test 408 Fire Sprinkler Test 702 Fire Sprinkler Final 702 Building Final 80 Electrical Final 803 Mechanical Final 809 Plumbing Final 813 Pool Final 802 Mobile Home Final 802 Inspection Type IVR I INSP DATE Do Not Insulate Until Above Signed Wall Insulation 117 Ceiling Insulation 118 Do Not Cover Until Above Signed T -Bar Ceiling / RC 145 Stucco Lath 142 Stucco Scratch 143 Stucco Brown 144 Swimming Pools Set acs 132 Pool Plumbing Test 504 Gas Test 404 Pre-Gunute 506 Pool Elec/Bonding/Light Nitch 502 Pool Fencing/Alarms/Barriers 503 Pre -Plaster 507 Manufactured Homes Setbacks 132 Blocking/Underpining 612 Tiedown/Foundation System 611 Site Utilities/Trench Insp. 137 Gas Test Yard 404 Manometer Test 605 Continuity Test 602 Skirting/Steps/Landings 610 Coach Info Manufactures Name: Date of Manufacture: Model Name/Number: Serial Numbers: Length x Width: Insignia: PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSIjANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PR -'OR TO EXPIRATION Inspector Copy I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 653 LOS VERJELES RD Owner: Permit No: B07-0619 APN: 028-230-065 ROMINGER, LESLIE A Issued Date: 03/27/2007 By GLB Permit type: MISCELLANEOUS PO BOX 1 Subtype: Electric Panel BANGOR, CA 95914 Expiration Date: 03/26/2008 Description: ELECT FOR LOT DEVELOPMENT (530) 679-2507 Occupancy: Zoning: Contractor Applicant: Square Footage: ROMINGER, LESLIE A Building Garage RemdUAddn PO BOX 1 �. BANGOR, CA 95914 (530) 679-2507 Other Porch/Patio Total FEE INFORMATION DBE Single Phase Service-Resid $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B2355 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 also requires the applicant for such permit to file a signed statement that he or she is licensed (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the X basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to 03/27/2007 a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date FZZA I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE Ln COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements ❑ I 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 are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by ❑❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; The Contractor's License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with'a contractor(s) licensed pursuant to the Carrier. Policy Number: Exp. Date: Contractor's License Law.). (This section nee not be completed if the permit is or one hundre dollars ($100) or less.) ❑ IAM EXEMPT under Section B. 8 P.C. for this reason: ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' 00, Compensation laws of California, and agree that if I should become subject to the workers'X 03/27/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions. X 03/27/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City County Signature Date and ordinances, rules, regulations, and State laws relating to building WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND he is including death, and property damage caused t is arising out of, a in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the ATTORNEY'S FEES. use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte rty for inspection purposes. I hereby certify that I am the County to enter the above me�ton property owner or am uthorizhe prbperty ownersbehalf. CONSTRUCTION LENDING AGENCY 03/27/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Na of Permittee [SIGN] Date the performance of the work for which this permit is issued. (3097 civ. code) Owner ❑ Contractor OR; MAgent for Owner Agent for Contractor FILE COPY Lenders Address City State Zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not cavy out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. I PERSONALLY PL - O PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY lMPROVEMENE,(YZS R NO) 2.(HAVE VE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: ADDRESS CITY PHONE CONTRACTORS LICENSE NO I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: ELECT FOR LOT DEVELOPMENT Reference Number: B07-0619 Applicant Name: ROMINGER, LESLIE A Owner's Name: ROMINGER, LESLIE A AP # : 028-230-065 Signature of Property Owner: Date: Permit#87 William Rominger 653° Los Ver(\jeles Rd, Bangc V y Jam' e 7 3 d A Y 4 d•/ t GAff lam' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviller California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. F� ..`2 ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER.. 0);�/ /)/1MA & N4iI TELEPHONE SO. FT. OCC. BUILDING VALUATION IC 4- OWNER'S MAILING ADDRESS , CONTRACTOR'S NAME f/ / IAI n f0 1r TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER /f %N F UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Wl7 ki F LICENSE NO. 4 Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS _ Penalty $ BUILDING ADDRESS e, V r �tJ Permit fee $ i c' PLUMBING PERMIT Filing Fee 10.00 ti _ Each Trap 2.00 l��i � /, T r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP V Water piping 5.00 Each qas water heater or vent 5.00 rA:. USE OF STRUCTURE SFJ4 Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 S . (,e' Building sewer 5.00 �; r Mobile Home S G W 0.00 ea TYPE OF WORK New F-1 Addition ❑ Remodel❑ UtilitiesInstallation❑ Other Describe work: N) A a Ir S � ►� �n ri r r n "i _ �— r r .; In �-t ,� t r /� , ✓ Permit Fee $ ,eor, Contractor ELECTRICAL PERMIT Fili FilingFee Fee 10.00 service 100V 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): ❑NON-RESIDCIRCUITS)BRANCH 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. 1 License No. Classification ,Q 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 OCCUR.&) OR ADDNS. ACC. BLOGS. t/zQsgft NEW CONSTR. MULTI -OUTLET 2.50 ea (POWER APPARATUS e) SINGLE OUTLET CIR. Ex. Occu IN@50c p OUTLETS OR FIXTURES eAL030 FIXED APPLNS, OR Ex. OCCUp- OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 tjr9 Permit Fee $ 7 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. OI 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X u� -- • •u Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP, CO.ST.TYPEJ FLOODPARCEL PD HD t,3sur This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which r' DIRECTOR OF PUBLIC V�/ BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date/3 /� A Receipt No. 8e75 /Z WHITE -D. r. W•. YELLOW-ASe ES3011, PINK -INSPECTOR, GOLDENROD -APPLICANT Wiliam E. Rominaer or Florabelle Rominaer JT Mav 21, 1987 Paae 2 7. Front porch light is hanging by wires. 8. Water heater flue discharges into stairwell to basement. Water heater does' not have temperature -pressure relief valve and discharge line. 9. Clothes dryer vents into basement stairwell. 10. Bathtub wall enclosure is not watertight, lacking seal between tub and enclosure panels. 11. Lavatory sink in bathroom backs up and does not drain properly. Water lines in the house have been repaired with plastic pipe. 12. Basement stairs lack handrails. 13. Propane gas service line consists of copper and galvanized pipe presenting electrolysis potential and leak hazard. 14. Basement is not vermin proofed and is subject to flooding during wet weather. To comply, make the following corrections within THIRTY (30) DAYS from receipt of this notice. Obtain all required permits from the Butte CountyiDepartment of Public Works, 7 County Center Driye.�, Oroville, CA,' prior to making repairs. Eradicate all rodents from the building. Make building rodent proof. Repair gnaw hole in ceiling in cabinet over kitchen sink. 2. Repair or replace rotted out rear exit door frame. Make door r ent proof and weathertight. Repair damaged wall behind toilet, and by doorway into bathroom. Repair or replace all damaged, dry -rotted window sash and frames. Make windows openable for ventilation and closable for weather protection and security. Clean up electrical wiring, eliminate open splices, unprotected wiring, exposed wiring (left side of cellar door) throughout loin house and bagement . ' v Provide cover plates on switches and wall receptacles where 'hissing throughout the house. �roperly install front porch light. COUNTY OF BUTTE r 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 CORRECTION NOTICE � � �►�,6 E X3..33 R7 OWNER PERMIT6NO. 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. C Y41 4I V6lt1ZI' YOe I- A 1J, 4-- 41n U- -r--'p . REV 10/92 William E. Rominaer May 21, 1987 Paae 3 or Florabelle Rominger JT 08 -Provide proper installation for -water heater with approved flue to utside, clearance from combustibles, and with a temperature -pressure relief valve and discharge line to the outside. / 09-. Provide a proper vent for the clothes dryer. 10 Make bathtub enclosure watertight, seal all seams at tub - enclosure panel juncture. 11. Repair or replace,bathroom—lavatory,sink _and shower waste drain plumbing--s-o -they_ will , drain , properly' and not . backiiip . 12. Provide proper handrails on basement stairs. _ Provide approv?d gas line for propane service. Make basement vermin and rodent proof - seal openings, and make weathertight so it will not flood during rainy season. If this dwelling is vacated by the current tenant do not rent, occupy, or use the structure for human.habitation until all repairs, are completed. i A reinspection will be made. Failure to comply will result in the Franchise Tax Board being advised of your non-compliance. 'You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the - property as long as it remains substandard. This notice is given -to you pursuant to Sections 17299 and 24436.5 of the California Revenue and Taxation Code. If you have any questions concerning this notice, contact me at the above listed address or telephone number. Sincerely, S;�4Howard J. Sn r R. S. Supervising Sanitarian Division of Environmental Health HJS/mlf cc: Public Works - Jim Glander ,«.,.. � � -.�.•, .x,..,y,,,.�•+,'�f �r-•.-^ =,-".r.,Ed1,�+„-.^�,r:� �r.,`�'�;� ::k t.� � -'ux. �r.;�,^ .. :.-r-=,y+�-" COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ., 7 County Centel Drive - Oroville, California 95965 - Telephone: 916/538-7541 .�,.- APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBEi 028--230-035 ZONING BUILDING PERMIT OWNER Wi113am Bomin of TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 214 Bangor 95914 , t �'�•� CONTRACTOR'S N AME Omer TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER lV P UNKNOWN Total Valuation • LENDER'S MAILING ADDRESS ECT OR ENGINEER - -_NSE NO. ARCH: �TTE `,None ons Filing Fee $ 155.00 Permit Fee $ 15.00 Plan Checking Fee ARcHi rEcT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 30.00 613 AQ f? P P_.A1tSxdr PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF [X Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation[] Other® Describe work: C©wletion of items started Under B.P. #87-2333 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): am licensed under provisions of Cha t. 9, Div. 3 of the Business p and Professions Code and my license is in full force and effect. License No. Classification ®' I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200A TO 1000AI. 37.50 NEW CONST. DWELLING OCCUP.&\ 3.6gsq.ft. OR ADONS. ACC, BLDGS. // NEW CONSTR.MULTI-OUTLETI NON•RESID BRANCH CIRC ITS @ 5.00 ( POWER APPARATUS 6) (PO OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 20 @ 76 Ex. Occup. OUTLETS ED APPIRESID.)REA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -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. ❑ •1 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. My 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 Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permlt Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X �irl� '—a�'� -- L �s' Date of Applicant — -Owner �] Contractor ElAgent1:1 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 S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $30,00 HAz I CI FEES I IMP I FLOOD I CDF PARCEL PO I HO I ISSUE This permit is hereby issued under the applicable provi- sionssignature of the Butte County Code and/or resolutions to do work indicated ab )velfor which fees have been paid. I 1 DIRICT,OR OF PUBLIC WORKS �• 7 BY ate on EXPIRES Date q Receipt No. NIC -D. .W., YELLOW-A58E330R• PINK -INSPECTOR. GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH Division -of Environmental Health,-, 7 County Center Drive Oroville, CA 95965 . (916)538-7281 May 21, 1987 CERTIFIED MAIL - RETURN RECEIPT REQUESTED William E. and/or Florabelle Rominger JT P.O. Box 214 Bangor, CA 95914 RE: Housing Complaint- 653 Los.:Verjeles Road, Bangor, CA AP# 28-23-35 Dear Mr. or Mrs. Rominger: t This department has received complaints alleging health and/or safety hazards in the above listed -rental dwelling. The Butte County Assessor's records indicate you are the owners of the property. On May 19, 19$7, I visited the property and the tenant permitted:me to inspect her rental dwelling. The following conditions were noted which are in violation of the California Health and Safety Code, Section 17920.3 (a) (12) (13)-, (b) (4) (6) , (d) , (e), (f) , (g)(2), and (1); and which pose -health and safety hazards to the tenants and render the house substandard. 1. There is' evidence of a rodent infestation in the house with droppings observed in kitchen cabinets, gnaw hole in ceiling in cabinet over kitchen sink.. 2. Rear -exit door frame is rotted out, allowing entry of vermin, and is not weathertight. 3. Wall is rotted out behind toilet from previous water leakage. Wall is damaged outside bathroom door near large cabinet. 4. _Windows and sash have deteriorated badly and are not weather- tight, and in several areas cannot be opened for ventilation including in bathroom. Windows cannot be locked. 5. Electrical wiring is unsafe with many open splices in cellar area, open splices, exposed and unprotected wiring in area by fuse box, unprotected wiring in front bedroom closet; and unprotected wiring with open splices in laundry area. 6. Light switch- by rear exit door lacks cover plate. Wall receptacle in laundry area lacks cover plate. ,• 0 } PRESIDENTIAL 028=21-0=050' —93=2676 B DAVIDSON, LOREN 64 ERLER RD, BANGOR ' COVERED DECK/MH CONTR: PETE' S MR SATES c JOB FINALED (Date) Signature V= OK O r Not OK - = N Readyable MOBILE HOMES Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Teat -Easement Needed ,(Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L"ft. / /"Nat. or/ /" L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -fell -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posta-Beams-Rftrs: Connectors Shthg :Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel boards- Ins. to Mein in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V=OK O = Not OK - = Not Applicable RESIDENTIAL = Not Ready Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd. / P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nail Protection 18. D.W.V.; Test -Fittings & Anchor-Naii Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors _Date/initials ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Single & Duplex) Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Bmc-Truss-Shthng.-Ring. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mash -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Wells -Windows Date/Initials FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector • 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes & Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit.Fixt. & Appliance; Grnd: Alr Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation Throughout House 87. Glass Protection 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates Commonts at Final: ,�-�.� f�... .r.T,".. �A--•..•:. .. R-.�v.- ^:�+r +"y*.+a;W.+.w. �� .:<��7�f�..�-+j ,'.-� o R� _ �-(:-.j.�.�"'..y::p....+r.:.�v'ly;,.w,.--.r.a..7` Y�.;Sy }p`++..^�c'NV'.,T7 *"""`.7-<,ir.... h. >, Y•bfrOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION yew, J 7 CuntyhCenter Drive - Oroville, California 95965 -Telephone (916) 538-7541 PERMIJ 00L.r.�. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 028-210-050. . ' ZONING A-5 BUILDING PERMIT OWNER LOREN DAVIDSON TELEPHONE Q. FT. OCC. BUILDING VALUATION 240 C A3.0 OWNER'S MAILING ADDRESS I 405 EAST FAIRVIEW #19. GLERDALE. CA C)1207;, CONTRACTOR'S NAME ! PETES MOBILE HOME SALES I TELEPHONE ' 922-6538 CONTRACTOR'S MAILING ADDRESS 6 1101 EL CAMINO AVENUE SACROENT0. CA 95815 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 3,120 LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ !. Qq Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ IL G ADDRESS ER ROAD PERMIT FEE $ 123.95 BANGOR. CA 95914 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 1.55,00 LOT No. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex ❑ Mobilehome i]j( Other ' SPECIFY Gas piping system 1 - 5 outlets-- 15.00 Building sewer 15.00 Mobile Home S G W @20.00 t TYPE OF WORK { New ❑ Addition PX Remodel ❑ Utilities ❑ Installation ❑ Other ❑ COVERED `DECK �� r r Describe Work: J PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service 1 BOOV OR LESS 200A OR LESS 23.00 Main Service 1 200A TO IOOOA 1 46.00 ' NEW CONST. DWELLING OCCUP. OR AODNS. ( & ACC. BLDS. SO, 3.50 FT, t CONTRACTORS LICENSE LAW I dgclare under penalty of perjury (check one) 0 I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and �jm/�y license is in full forceWnd�ffeA . LicenseNoJM Q6 C� Classification Cr— �/ / O 1, as the owner, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec 7044) ❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. 1 BRANCH CIRCUITS @7.SO ( POWER APPARATUS , a SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES , e2 @ 00 Ex. Occup. FIXED APPWS. OR p' ( OUTLETS IRESIO.) EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring. 1-23.00 ' WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 sts, and expenses which may in any way accrue against said County in c,onsequ nce of the granting of this permit. p X ` Date 0 ^ �� -3 Signature o 'Applicant - ❑ Owner ❑ Contractor 0 Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 223.95 HAZ• D. FEES IMP FL000 CID PARCEL PO N Issu 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. s DIRECTOR O NU_BLIC WORKS j BY •V `/ "% Date/1 //.r PERMIT EXPIRES ON l IDatel " Receipt No. 14831 i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r 1,03,1212.`x. . ,r COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 4 17 County Center Drive • Oroville, California 95965 • Telephone (530) 538 -7541 -PERM I N0. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 02,S-210-015 ZONING BUILDING PERMIT OWNER C RMlM.i.FS TELEPHONE' SO. FT. OCC. BUILDING VALUATION . .OWNER'S MAILING ADDRESS '`-'•'•`" PO i RANCOR chat , CONTRACTOR'S NAM r W TELEPHONE CONTRACTOR'S MAILING ADDRESS - CONSTRUCTION LENDER d LENDER'S MAILING ADDRESS Fireplace Total Valuation is ARCHFrECT OR ENGINEER T LICENSE NO. Filing Fee $ 20.00 Permit Fee $ Ca ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 653 Las �n a: Energy Plan Checking Fee $ � $ PERMIT FEE $ 9_00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF)U; Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Qt Describe Work: DEMO LOUSE (28 x -97) Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600V UE Main Service zo.A OR IESS 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 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. 'O. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00NEW CONST. DWELLING ocCUP. OR ADONS. ( a ACC. Bins. so 3.50FT: Noµa°SID. MULTI -OUTLET @7,50 OWER APPARATUS a SINGLE OUTLET R. Ex. Occup. OUTLET OR FIXTURES j 20 BAL @ 1.50 Ex. Occup. oU�TI.EE°S Ro °ew 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S 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 Heating , Cooling Hood 1. 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.) �occ � I certify that in the performance of the work for which this permit is issued, I shall 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 thoseprovisions. X Date Signature of' Applicant - ❑*O her ❑ Contractor ❑ Agent An OSHA permit is required for, z avations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ CONST.'TYPE , TOTAL FEE $ 35.00not HAz. D FEES IMP FLOOD COF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have 'By PERMIT EXPIRES ON � 4//.2 the applicable provisions Resolutions to do work been paid. , f Date � It, ' f ID— ReceiptNo. .`3 ' �l� ) S _ " WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � ..w . N r � +�- �" � .- .+w -r-.-•. �. V � � � � �-.�.r+..sr� � .�.'w+-v.+' �...•r'�.....• � .r � �+- � � �ti� .+++r -...r+ �.- -. � ... �.� � . � .� - r -... _- .- -- COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 E N0. (Rev. 12/96) APPLICATION AND PERMITS-t� ASSESSOR PARCEL NUMBER 021q-930-035 _ ZONING BUILDING PERMIT OWNER - T` TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS PQ T) CONTRACTOR'S NAM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee —15-00 $ BUILDINGADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFS.R Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 97, Describe Work: DEMO HnO.SF ( 9 2 X 57 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 000V OR LESS 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P License Class Lic. No. OWNER-BUILDER DECLARATION 1 hereby affirm under penalty of perjury that l 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. 1� 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 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 Mein Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. SO 3.5QFT. NEW-REOSID T. MULTI -OUTLET N (a 7.50 OWER APPARATUS 8 SINGLE OUTLET CR. Ex. Occup. OUTLET OR FIXTURES BAS @':50 Ex. Occup. s A OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ 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 Ions of section 3700 of the Labor Code, I shall forthwith comply with rovisions. Xf .Z� Date Si ure of Applicant - ❑ ❑ Contractor ❑Agent An OSHA permit is required 4LWcavations 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 $ HAZ. D. FEES IMP I FLOOD I CDF PARCEL pp HD ISSUE This permit is hereby Issued under of the Butte County Code and/or. indicated above for which fees have B PERMIT EXPIRES ON UJ I the applicable provisions Resolutions to do work been.paid. C� ate �4J IDat ReceiptNo. 372 WHITE-D.D.S.-B.D.CANARY-A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Demolition Permits Asbestos Notification Statement Date �`�"� ��✓ AP# OZ -ZJU 635 Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demoli project. 6 gnature of ,plicant 2/19/91 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. s n ASSESSOR PARCEL NUMBER • 028-230-035 ZONING�.a. -- T \". 1 BUILDING PERMIT OWNER William Romin er TELEPHONE $Q. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 214 Bangor 95914 T Est. 500.00 CONTRACT ORS N11 Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER None UNKNOWN Total Valuation 1$500.00 LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 15.00 Permit Fee $ 15.00 Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS Permit fee $ 30.00 693 Las VpripIps Rd-- Bangor PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF D Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW I @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[]' Other ® Describe work: Completion of items started Tinder B P #87-2333 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I� �j 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 Main service 200A TO 1000A). 37.50 NEW CONST. DWELLING OCCUP.81 3.64sq.ft. OR ADDNS. ACC. BLOGS. / NEW CONSTR-MULTI-OUTLET _NON ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS tl SINGLE OUTLET CIR. I EX, OCCU OUTLETS OR FIXTURES 20 76 P� FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring -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 Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X ^�Date Si�gnature of Applicant — Owner ntractor ❑ 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 $ 30.00 HAz I DFEES I IMP I FLOODcOF PARCEL I PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do or which fees have been paid. woWindiyYa� fR'OFPUBLIC WORKS ByP EXPIRES Date ZG g Receipt No.. 135793 WNITE-D.P.W., YELLOW-A58(930R, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Canter Drive - Oroville. California 95965 - Telephone: 916!538-7541 APPLICATION -AW -PERMIT r PERMIT NO. BUILDING PERMIT SO. FT. OCC. BUILDING VALUATION c I p I New ❑ Addition Q Describe work• TYPE-.OF•WORK- iei Q U ilities Q Itallation Vw so ' .n 071, 1J tA R4 9 Other Permit Fee.. Contractor ELECTRICAL PERMIT' Main service o'OOV OR LESS 200A OR LESS M CONTRACTORS LICENSE'LAW-- - I declare under penalty of perjury (check onet: ❑NON.RESIO 1 am licensed under provisions of Chapt. 9. Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Clas 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 an service 200ATO1000At i Fireplace NEW CONSTR UL. -OUT ET SRANCH CIRC ITS CONST UCTI N LENDER Ex. OCCUO(OUTLETS OR FIXTURES UNKNOWN Total Valuation ( $ Home Facilities Mobile ileVirin LE OER'S MAILING AGOREss Filing Fee S 15.00 Permit Fee S 4,�- ARC"IjrpCT OR ENGINEER LlGZNSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS - d f �^ Permit fee s - PLUMBING PERMIT" Filing Fee I 15.00 Each Trap Solar or heat pump water heater I 5.00( 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE•OF•STRUCTURE'_ SF K] DuplexQ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.001 Buiidina sewer 15.001 Mobile Home S 1 G I W @ 15.001 New ❑ Addition Q Describe work• TYPE-.OF•WORK- iei Q U ilities Q Itallation Vw so ' .n 071, 1J tA R4 9 Other Permit Fee.. Contractor ELECTRICAL PERMIT' Main service o'OOV OR LESS 200A OR LESS M CONTRACTORS LICENSE'LAW-- - I declare under penalty of perjury (check onet: ❑NON.RESIO 1 am licensed under provisions of Chapt. 9. Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Clas 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 an service 200ATO1000At i NEW CONST. DWELLING OGGUP.E11 OR AOONS. ACC. BLOGS. / NEW CONSTR UL. -OUT ET SRANCH CIRC ITS (POWER APPARATUS s ,SINGLE OUTLET CIR. Ex. OCCUO(OUTLETS OR FIXTURES Ex. Occuo. FIXED LETS RAPPESIO IREA.) Temporary service - Home Facilities Mobile ileVirin g Permit Fee WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for 5100.00 (valuation) or less. t I have placed on file with the County of Butte Building Department u 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 sucn provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Heating Cooling g Hood Ventilation permit F ee 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 Countyor Butte to enter upon the above-mentioned property for Inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities. judgments, costs, and expenses wnicn may in any way accrue against said County in consequence of the granting of this permit. X _ Date _ Signerure of Aopliconr — Owner l--, contractor _ .Agent I. An OSHA oermir at enoweed for excavations over 5.0" !eea one demoist,on or construct - .On or structures over J tronas in nmont. Mobile Home installation Fee Fling Fee 18.50 37.50 3.r tw K, @ 5.00 15.00 I 3.001 15.00 15.00 I '15.001 S FiliTngFee Ie IS= I I 5.50 S S Energy Inspection Fee $ acc I CONST TVP' I TOTAL. FEE $ ':%n f)n nAc I u rtto 1 imp I FL000 I WF I PAgCEL I PO i n0 I i55Uc This permit is hereby issued under the applicable provi- sions or the Butte Countv Code and/or resolutions to do .vorK indicated above for ,vnicn fees have been pain. DIRECTOR OF PUBLIC WORKS By Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drivel.0roville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner.: 'An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit: No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of ,the -proposed property improvement (yes or no) 2, 1.(have/have not) signed an application for a building permit for the proposed work. M I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: , Name Address / / City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Aodress Phone Type of Work Signed: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 -of the, California -Health .and Safety -Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO Ju� ASSE&SOR PARC L NU BER JJ ZONING BUILDING PERMIT 0wp TELEPHONE SQ. FT. OCC. BUILDING VALUATION O N©MAILADORE SS "'! CO TRACTOR'S NAME Mr TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CON RUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 1000 LENDER'S MAILING ADDRESS Permit Fee $ AR ITECT OR ENGINEER i ont LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS C .^ L/ I Permit fee $ ` PLUMBING PERMIT FIIingFee 10.00 Each Trap 2.00 no (j Y1 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PA L MAP Water piping 5.00 Each qas water heater or vent 5.00 1 0(22 USE OF STRUCTURE SFA Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 $ Building sewer 5.00 S`p Mobile Home S I G I W 110.00 ea TYPE OF WORK New❑ AdditionRemodel[:]Utilities❑ Inst Ilation❑ Other Describe work: r & � rn Z 4a Permit Fee $ 5`L0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service UOOV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'L 100 AMP 2.50 CONTRACTORS LICENSE LAW penalty I declare under perjury p y of p I y (Check.One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification III�UU111 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 OCCUP.&.) OR ADDNS. ACC. BLDGS. 2yZQsgft NEW CONSTR. ULT'.OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. ) Ex. Occup(OUTLETS OR FIXTURES 200e0Q DALO 30 FIXED APPLNS. R Ex. Occup. OUTLETS (RESID.)EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. Signature of Applicant – Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ I OCCUP. CONST.TYPEJ FLOOD PARCEL PO I NO ISSUE This permit is hereby issued under sions the Butte County. Code and/or work i Gated a ove for which IR CTOR OF PUBLIC ByALI-- PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. (S�j�7— WNITE-D.P.W., YELLOW-ASOCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department.of Public Works 7 County Center Drive,.Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An '"owner -builder" building permit has been applied.for in your name and bearing your signature. Please complete and return this information' at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will. be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a.building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed- construction: roposedconstruction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this.work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: , Property Owner L_ Social Security Number Date 7 - / 3 , 9-'-7 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS L� 7 COUNTY CENTER DRIVE - ORbOLLE, CALIFORNIA 95965 - TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT ERMITNO. ll4 0— 9 C) 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. CgO �oL1 FLOOD ZONING OWNER Om' ISSUE PHONE NO. OWPER'S ADD�ss I LO ATION OF BUILLD�ING L -o l n9 0✓` USPF rILDIN CL r ®P` Cc <4—©r C SIZE OF STRUCTURE 4 41 X = SQ. FT. TYPE OF CONSTRUCTION: WOOD FRAME X_STEEL CONCRETE OTHER (Specify) TYPE OF SIDING � ROOF CORING FLOO YP . c ESTIMATED COST OF CONSTRUCTION $ v 0 AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows-— Of FRONT C) c* (R/SIDES t S REAR 5— 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. 1 Date Signature of Owner q Permit Fee - $25.00 Receipt No. � .,I / The above described AG Building is exempt from a building permit. White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant Director of Public ks By Date FLOOD PARCEL P.D. ROOFIN ISSUE I Director of Public ks By Date - ' - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE -6R CALIFORNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLIC,ATLOWDATA SHEET Permit No. OWNER KA. P. No.��3 Proposed Building Use''A 41 6190BuildingLInspector Date At time of permit application, I "s advised the fd9owing 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, signed by preparer of plans ........ 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 DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ............... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... . 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. ,r 27. 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 +` Appl icant,&)r, 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: t 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 —ma ll—counter by date Plans checked by Date Plans approved by Date - Sets of plans. on hold in File cabinet AP folder Copy—DPW BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH Division of Environmental Health 7 County Center Drive Oroville, CA 95965 (916)538-7281 May 21, 1987 CERTIFIED MAIL - RETURN RECEIPT REQUESTED William E. and/or Florabelle Rominger JT P.O. Box 214, Bangor, CA 95914 RE: Housing Complaint - 653 Los Verjeles Road, Bangor, CA AP# .28-23-35 - Dear Mr. or Mrs. Rominger: This department has received complaints alleging health and/or safety hazards in the above listed rental dwelling. The Butte County Assessor's records indicate you are `the owners of the property. On May 19, 1957, I visited the property and the tenant permitted -me to inspect her rental dwelling. The following conditions- were noted which are in violation of the California Health and -Safety Code, Section 17920.3 (a)(12)(13), (b)(4)(6), (d), (e), -(f), (g)(2), and (1); and which pose health and safety hazards to the tenants and render the -house substandard. T 1. There is evidence of a rodent infestation in the house with droppings observed in kitchen cabinets, gnaw hole in ceiling in cabinet over kitchen sink. - 2. Rear • exit door frame is rotted out, allowing entry of vermin,_ and is not weathertight. 3. Wall is rotted out behind toilet from previous water leakage. Wall is damaged outside bathroom door near large cabinet. 4. _Windows and sash have deteriorated badly and are not weather- tight, and in several areas cannot be opened for ventilation including in bathroom. Windows cannot be locked. 5. Electrical wiring is unsafe with many open splices in cellar area, open splices, exposed and unprotected wiring in area by fuse box, unprotected wiring in front bedroom closet; and unprotected wiring with open splices in laundry area. 6. Light switch by rear exit door lacks cover plate. Wall receptacle in laundry area lacks cover plate. r— . Wiliam E. Rominger or Florabelle Romina_er JT Mav 21, 1987 Pace 2 7. Front porch light is hanging by wires. 8. Water heater flue discharges into stairwell to basement. Water heater does' not have temperature -pressure relief valve and discharge line. 9. Clothes dryer vents into basement stairwell. .J 10. Bathtub wall enclosure is not watertight, lacking seal between tub and enclosure panels. 11. Lavatory sink in bathroom backs up and does not drain properly. Water lines in the house have been repaired with plastic pipe. 12. Basement stairs lack handrails. 13. Propane gas service line consists of copper and galvanized pipe presenting electrolysis potential and leak hazard. 14. Basement is not vermin proofed and is subject to flooding during wet weather. — To comply, make the following corrections within THIRTY (30) DAYS ---- - from receipt of this notice. Obtain all required permits from the_ Butte .County Department of Public Works, 7 County -Center Drive,. Oroville, CA, prior to making repairs. _ 1. Eradicate all rodents from the building. Make building rodent i proof. Repair :gnaw hole in.ceiling in cabinet over kitchen -_ sink. 2. Repair or replace rotted out rear exit door frame. Make door rodent proof and weathertight. ; 3. Repair damaged wall behind toilet, and by doorway into bathroom. 4. Repair or replace all damaged, 'dry -rotted window sash and frames. Make windows openable for ventilation and closable for weather protection and security. - 5. Clean up electrical wiring, eliminate open splices, unprotected wiring, exposed wiring (left side of cellar door) throughout the house and basement. 6. Provide cover plates on switches and wall receptacles where - missing throughout the house. 7. Properly install front porch light. TPaae m E. Rominaer or Florabelle Rominaer JT , 1987 8. Provide proper installation for water heater with approved flue _ to utside, clearance from combustibles, and with a- - temperature -pressure relief valve and discharge line to the outside. - 9. Provide a proper vent for the clothes dryer. 10. Make bathtub enclosure watertight, seal all seams at tub - enclosure panel juncture. + 11. Repair or replace bathroom lavatory sink and shower waste drain _ plumbing so they will drain properly and not backup. - 12. Provide proper handrails on basement stairs. — 13. Provide approved gas line for propane service. 14. Make basement vermin and rodent proof - seal openings, and make weathertight so it will not flood during rainy season. If this dwelling is vacated by the current tenant do -not rent, - occupy, or use the structure for human.habitation until all repairs are completed. _ -- A reinspection will be made. Failure to comply will resul-t-in-the---- Franchise Tax Board being advised of your non-compliance. 'You will -- - - then be prevented from claiming state tax deductions for taxes-,-_ depreciation, amortization, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given._- _ ,to you pursuant to Sections 17299 and 24436.5 of the California �- Revenue and Taxation Code. If you have Any `questions concerning this notice,. contact me at the above listed address or telephone number. s Sincerely, -' Howard J. S�r R.S. Supervising Sanitarian - Division of Environmental Health HJS/mlf cc: Public Works - Jim Glander lie BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH Division of Environmental Health 7 County Center Drive Oroville, CA 95965 (916)538-7281 May 21, 1987 CERTIFIED MAIL - RETURN RECEIPT REQUESTED William E. and/or Florabelle,Rominger JT P.O. Box 214 Bangor, CA 95914 RE: Housing Complaint - 653 Los Verjeles Road, Bangor, CA AP# 28-23-35 Dear Mr. or Mrs. Rominger: This department has received complaints alleging health and/or safety hazards in the above listed rental dwelling. The Butte County Assessor's records indicate you are the owners of the property. On.May 19, 19.87, I visited the property and the tenant permitted me to inspect her rental dwelling. The following conditions were noted which are in violation of the California Health and Safety Code, Section 17920.3 (a)(12)(13), (b)(4)(6), (d), (e), (f), (g)(2), and (1); and which pose health and safety hazards to the tenants and render the house substandard. 1. There is evidence of a rodent infestation in the house with droppings observed in kitchen cabinets, gnaw hole in ceiling in cabinet over kitchen sink. - 2,.' Rear exit door frame is rotted out, allowing entry of vermin, and is not weathertight. .. 3. Wall is rotted out behind toilet from.previous water leakage. Wall is damaged outside bathroom door near large cabinet. 4. -Windows and sash have deteriorated badly and are not weather- tia.ht, and in.several areas cannot be opened for ventilation including in bathroom. Windows cannot be locked. 5. Electrical wiring is unsafe with many open splices in cellar area, open splices, exposed and unprotected wiring in area by fuse box, unprotected wiring in front bedroom closet; and .unprotected wiring with open splices in laundry area. 6. Light switch by rear exit door lacks cover plate. Wall receptacle in laundry area lacks cover plate. E 0 William E. Rominger or Florabelle Rominc_7er JT Mav 21, 1987 Paae 2 7. Front porch light is hanging by wires. 8. Water heater flue discharges into stairwell to basement. Water heater -does not have temperature -pressure relief valve and discharge line. 9. Clothes dryer vents into basement stairwell. 10. Bathtub wall enclosure is not watertight, lacking seal between i tub and enclosure panels. 11. Lavatory sink in bathroom backs up and does not drain properly. Water lines in the house have been repaired with plastic pipe. 12. Basement stairs lack handrails. 13. Propane gas service line,consists of copper and galvanized pipe presenting electrolysis potential and leak hazard. 14. Basement is not vermin proofed and is subject to flooding during welt weather. To comply, make the following corrections within THIRTY (30) DAYS from receipt of this notice. Obtain all required permits from the Butte County Department of Public Works, 7 County Center Drive, Oroville, CA, prior to making repairs. 1. Eradicate all rodents from the building. Make building rodent proof. Repair gnaw hole in ceiling in cabinet over kitchen sink-. 2. Repair or replace rotted out rear exit door -frame. Make door rodent proof and weathertight. 3. Repair damaged wall behind toilet, and by doorway into bathroom. 4. Repair or replace all damaged, dry -rotted window sash and frames. Make windows openable for ventilation and closable for weather protection and security. 5. Clean up electrical wiring, eliminate open splices, unprotected wiring, exposed wiring (left side of cellar door) throughout the house and basement. 6. Provide cover plates on switches and wall receptacles where missing throughout the house. 7. Properly install front porch light. William E. Rominaer or Florabelle Rominger JT May 21 ,- 1987 Paae 3 8. 'Provide proper installation for water heater with approved flue to utside, clearance from.:combustibles, and with a -temperature-pressure relief valve and discharge line to the outside. 9. Provide a proper vent for the clothes dryer. 10. Make bathtub enclosure watertight, seal all seams at tub- � enclosure panel juncture. 11. Repair or replace bathroom lavatory sink'and shower waste drain plumbing so they will drain properly and not backup. 12. Provide proper handrails on basement stairs. , 13. Provide approved gas line for propane service. 14. Make basement vermin and rodent proof - seal openings, and make weathertight so it will not flood during rainy season. If this dwelling is vacated by the current tenant do not rent, occupy, or use the structure for human habitation until all repairs are completed. A reinspection will be made. Failure to comply will result in the Franchise Tax Board being advised of your non-compliance. 'You will then be prevented from claiming state tax deductions for taxes, depreciation,'amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given. to you pursuant to Sections 17299 and 24436.5 of the California Revenue and Taxation Code. If you have any questions concerning this notice, contact me at the above listed address or telephone number. Sincerely, How�dJ Sn- r ., R. S. Supervising Sanitarian Division of Environmental Health HJS/mlf cc: Public Works - Jim Glander v I f',. PERMIT NO. 3498=858,P,E PERMIT EXPIRES OWNER W.E. owner CONTR. r ASSESSOR PARCEL,28-,23- -,, 35 . LOCATION E S -Lo s cV6 r j e I e s,,r, 8/10 ihi`v cz-i County Line, Bangor Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E -Temp. Gas Service Cal led PG&E JOB FINAL Signati J = OK * , t. O = Not OK - = Not Applicable MOBILEHOMES MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size-Depth-Spacing-Connectors- ize-Depth-Spacing-Connectors3. 3.Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L" ft./, /"Naga/. /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI + Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except U's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date I Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date I b J - OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s 1. Zoning requirements -Setbacks -Easements Main; Soils-Steel-Elec. Grnd.- / /" Fig. Depth Ftg., Garage; Soils -Steel- / /" Fig. Depth Ftg., Porches & Decks; Soils -Steel- / /" Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Datefft PLUMBING (Permit) OK except q's 14. W ter Ht.; Vent -Access -Combustion Air �-Vater Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI Date Card -BI Date Card -BI Date Card -BI Date I�i� DateELECTRICAL (Permit) OK except q's 20. fixture & Transformer Clearance -Ins. Protection I� %1! E c. Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors -Stapled ex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2_&ppF4an'6e ircuits in Kitchen & Conductor Size 26. Sn4teod-144e-6mize / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or 27. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, In ulaled Neutral ❑Yes ❑No 28. Ser7l'CM-Riser Conductors & Ground -Main Disconnect 29. EAH ip- 4earances; Panels-Motors-Mech. Equip. 30. Cleibl:s-Closet Light -Shower Light Card Card -BI Date Card B-1 Date Card -BI Date Date/rf CHANICAL (Permit) OK except q's _ 1. A.C. Ducts; Insulation & Support 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRA G Plans OK except p's S' Is; Proper Material & Anchors Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39 t proof) 4 urred Ceilings -Stairs -Chases -Tub _ er & seamS. & Bearing H�rtgers-Post Caps -Ars -Connectors 4r3-Cing. Joist-Rftr. ' s-Purlin-Root Brac.-Truss-Shthnp_.-Rfng_._ les or T lue-Fireplace Throat _ 4 Size & Romex Protection -Draft Stop -Ins. Battles Bdrm. Windows or EAUiag_geors-Sill Hgt. & Dimensions ire -Protect ion Framino LAMING (Continued) ,petty Line Firewall & Openings ,.'Ext. Doors -One 3' -Check Garage -3rd story, 2 exits ea room- ise-Run-Landing-Fire Protection ,-Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer r-�llineoe Mash-04p.Screed-Fdn. Vents-Underflr. Access lazing Area -Glass Protect ail'ng-Bolts Card -BI Date Card -BI Date Card -BI Date Date Card -B I Card -Bl s -Plastic Date Date Gard -BI Date F L (Plans) OK except q's 6. Ext. Steps -Door & Sidelight Protection -Landings 92-4 elector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 9, Bedroom Exiting F.I. & Bath Fixtures & Tub Access t�6r' Elec. Trim & Subpanel; Breaker Sizes -Labels 6?. ft 63 Stove- Clearances -Hearth 64. ood Panel; Int. & Ext. II 65 i*t s Annliwn Grnd.-Alr Gap -Cooking Clearance 66.. FIPr_ nutlPra a RPCPotacles at Kit. Counter (.�69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection n0. Plb., Elec. & Mech. Equip. Listed for Location 71.-4tpr_ Receotacles in Garage; (G.F.I.)-Romex Protec. 72or+"m0&Hvn-4-oam-Looked in Attic ❑Yes 7Z__ " ^ Q""' " Deck Construction -Post Caps wl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes E4.w -Walks ❑ Yes o; Planters ❑Yes FJTTo- Pe Stucco; Brown -Finish 77. onnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. ect, Electrical, Plumbing 80.j- ; G.F.I. Receptacle -Underground 81.--Venf4&Waa.t�[pughout House 82..-Gk-*sa-Q;aWct.ipn 6$e --Corrections from Previous Inspections 8 agged; Gas -Electric 85, cted-C/O to Grade -HD Approval lance Certificate -Other Certificates Card -BI Dat Card -BI Card -BI Date Card -BI Card -BI Date Card -BI Comments at Final: JCOUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT NO r 7 County Center Drive - Oroville, Caliltctmia 95965 - Telephone 916/5 JW APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING 6 BUILDING PERMIT OW7,0 rF�L PHO E SQ. FT. OCC. BUILDING VALUATION OWN 'S AI `X ADDR SS .^ V CON RAC TOR*S NAME iTELEPHONE Il r CON R CTOR'S MAILING ADDRESS Fireplace CONS RUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LEN ER'S MAILING ADDRESS Permit Fee $ ARCH] ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDIN RESSPermit t y ,t [,---c, fee $ PLUMBING PERMIT Filing Fee 10.00 i ` Each Trap 2.00 ske�r y1_ Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME P CEL MAP Water piping 5.00 J 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 I S I GJWJ 0.00ea TYPE OF WORK New Q( Addition ❑ Remodel /❑❑tilities ❑ Installation❑ Other ❑ Describe work: 01_. Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 110.00 Main service 1 000V OR 0 AMP ORLESS10.00 Main service EA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions Of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I ElI, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OC New ADDS.A CC.BLOGS. 2 yz0sgft ULTI OUTLE NON.RESID BRANCH CIRCUITS2.50 ea POWER APPARATUS b SINGLE OUTLET CIR. ) Ex. OCcup(OUTLETS OR FIXTURES eALo 30 30 SAL0 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESIO.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 Permit Fee $ f e WORKMEN'S COMPENSATION INSURANCE I declare under penalty of.perjury (check one): The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. r 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 becomesubject 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 Coolin g Hood 3.00 Ventilation penrlt F $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction; and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. XDate �.�-��® ��'S Signature of Applicant — Owner Contractor 11Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ , / OCCuP. CONST.TYPEJ 11`LDOD PARCELJ PD N I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC / � BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. L� 121�i WNIT!-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF, -PUBLIC WORKS - BUILDING.DIVISION. 7 COUNTY CENTER DRIVE .- OR.OV;JLLE, CAI, IFO�INDZ 95965 - TELEPHONE.:9 6/534-4541 "�� PERMIT APPLICATION DATA SHEET _ 1 1_ Permit No. OWNER l.. h . VI'I vl G 0 1/ _ y A. P..No. C� /// /_ Proposed Building Use C._.'aba/'t61 Permit Fee Based Upon: Complete Contract Price u DPW Valuation Other (Ex/plla�ii,n) Building Inspector Date f,20 8J_ 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./triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . � ��9. Letter of signature authorization. f . . . . . . . IT1 10..Sanitation approval from �i`1(1) 11 t4 Health Dept. . . 1 '- —I I- 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner0, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . .. 17. Pre -Inspection for •Pre-Inspec. request to Required. Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19, Other DRIMAY PERMIT & CONSTRUCTION APPROVAL REQUIRED. PRIOR TO OCCUPANCY (Date) Wh\e/n you issue the permit, process as follows: Mail to owner. Mail to contractor. — Telephone—6 3 4and hold for pickup at -)�� office. Deliver w./inspector. Other ApplicantDate 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, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Plans approved b,, Other: Copy—DPW Date _ Date ' .2 ` ! v To: Building Department -r From:T�invironmental Health Subject Sanit on Clearance Owner Loc ion �'f� Plan Approved for: .. Sewage disposal water supply Hold final for: water supply Final clearance O.K. for: water supply Clearance for �_ bedroom mobile home. OtherP(LO-)4q NO Tr *x. Sanitarian Date s. COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1, I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) — 2. I (have/have not) signed an application for a building permit for the proposed wort: 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will 'provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner g1/li Social,Security Number , < Date /nL- %!I — 9--e NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Moble Nowt r -1- I-J- -vw k over ckyl A 4C 12- SiAe Vi e,.2 1A ey" Provi4e 1/2" x 10" anchor bolts 6' O.C. max. and within reaf teys �-P— —ICq 12" of joints. 2, Y 6 BUTTE COUNTY __- 1 BUILDING DEPARTME6k APPRIOVED COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ERMI pN ASSESSOR PARCEL NUMBER 28-23-35 ZONING BUILDING PERMIT OWNER W E TELEPHONE 679-2304 SO. FT. OCC, BUILDING VALUATION MAILING DDR OWNER'S ESS P.O. CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER nonp- UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 1000 Permit Fee 1 $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee$ ARCHITECT OR ENGINEER'S MAILING ADORESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Cnjintj; Line Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAR EL MAP Water piping 55,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome® Other 681 GIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1st renewal of nermi t #8498-85 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OV OR R LESS 10.00 CONTRACTORS LICENSE LAW rtvyfC I declare under pensperjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 Of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for thit r ason Main Service EA, ADD'L 100 AMP 2.50 NEW CONST, DWELLING OCCUP.a , OR ADDNS. ( ACC. BLDGS. /20sgft NEW CONSTR UL I.OUTLET NO N.R I -SID BRANCH CIRC 1 5 2.50 ea POWER APPARATUS a) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FI%TURES 200500 e ALe so FIXED APLINIS EX. Occup. OUTLETS (PRESID )REA.� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ — IsContractor —71�W_ORKMEN'S COMPENSATION INSURANCE I declare under i5eRalty 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 shal I 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 y 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 nst said County in consequence of the granting of this permit. XThis Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 53.25 acct; P. CON5T.TY1 I IFLO:IARCELI PD ND ISSUE 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 _. 12-1.2-87 the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT . f 2314-8OP,E P.Ei�M1T N0: PERMIT •EXPIRES W. E: Rominger OWNER CONTR. owner LOCATION (A.P. 28-23-24 E/S Los Verjeles Rd app.2 mi.S.of Bangor Bangor z . } Temp. Power Pole Called PG&E Temp. Elec. Serv. 3O i Called PG&E Temp. Gas Serv. Called PG&E E JOB �. t FINALED 0 d 1 (Date) (Signatu ) t C COUNXY OF BUTTE 10 DEPARTMENT OF PUBLIC WORKS, 7 COUNTY CENTER DRIVE ORQVIj_L'E, CALIF. - 534-4541 ' CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number " G ca for the following location: Owner %t J•y-,fr,,z'�--, t �- Owner's Address Az,T�a�� Mobilehome Mfg. Modely Year aO Insignia No. f Z ` CP`1' 7,0 Serial No.�//2 -2/ It is hereby certified for occupancy at the above described location and may be occupied. { DirectorofPublic Works Date %L!%f?�"3 By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. -COUNTY. OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, (YIico — Phone 343-4211,,Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and ElliZt Road, Paradise — Phone 877-3435 CORRECTION NOTICE BUILDING OR PR RTY ADDRESS A, routine inspection Indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining.to this matter, or need additional explanation, please' contact this office immediately, e r lea r . Inspector �014 Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ,BUILDING INSPECTI6N RECORD BUILDING BUILDING (Cont'd) APLUMBING F ewall Zit Piping Par ets Tvt Floor Resthorn Finish 2nX Floor Windo 3rd Xloor Sidin To out Roof Shealbina Water PAng Roofing Sewer Fdn. Vents ' Fixtures Garage Vents Insulation Y Water Htr. Heaters Prov. for phsical handica e. Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Final Sanitation ratty A FIREE!kACE Final Footin s Footing E ECTR AL Masonry Wal Throat Rou h Reinf. S el Final Fixtures Bond B am FIRE SPRINkILENS Motors Framin Test i Water Htr. Stucco,/ Final Sub anel Mq1h MECHANICAL Grd. F it Prot. S ratch Heati z Servi rown Cool g {. T p. Pole finish Du is ( nder round 1 terior Lath V Illation I Permanent oor Closer Ina1---).(Final OBILEHOME UTILITIE----------------- Elec- Servi Elec. Pedestal Water Piping 7 SewerQ iL Gas Piping E M I TA LAT N Support Elec. Continuity Q Water Piping 6 ' Drainage Gas Piping ff i If DATE REMARKS OR CORRECTIONS_ J 20 "'9f 102 XY, j . i t' i �a 1 `0 (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located wit required separation from lot lines and buildings and generally conform to plot plan? Yes No_ 2.' Does the mobilehome,have'required clearances above ground? (Sec.5085) Yes ✓ No 3. Are footings and supports properly sized, spaced, and braced as pe approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No_ 4. Is the mobilehome level? (Sec. 5088) YesINo_ yIfmor than a single unit, are crossover connections properly installed? (Sec. 5088) . Yes7NO l 6. Water A. Is !�� le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)' Yes No_ B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes�o Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes w`�N o_ B. Does it have minimum 4" per foot slope and is it properly supported? Yes &- No_ C. Are any leaks detected in drainage system after runningZ3-allons of water through each fixture including washing machine standpipe? .Yes_ If coach is not State of California approved, does station have required trap and vent? Yes_ No Gas Piping and Gas Vents Connector - Is obilehome con e ed to the gas supply with an•approved 3/4" minimum mobilehome conne for not mor than 6 ft, long? Note: All piping is to be at 'least as large as the mobi home gas ine inlet withsut•reductions other than the mobilehome connector. Yes c B. Test OK as per follow . 1, Open all applianc 2. Shut off applia procedure? Yes_ No onnector valves. er and pilot valves. 3. Air test with anomete to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum oz.) cali rated in tenth pound increments. Test for 10 min, without drop. . 4, Connect��ga meter to mobileho with connector, turn on gas, test connections with soapy wat C. Are all appliance vents properly installed? Yes_ No 9. Electrical A. Is service large enough to provide adequate amperage -to mobileltomd ' ('must equal-�at'�ng of mobilehome with a minimum of 0 amp),and other facilities on lot, i.e., water pumps,~ garage, cabana, etc.? Yes No_ B. Is therep roper clearances around panels? Yes_ 1 C. Is power supply cord or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per the following procedure? Yes�f 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all brea`kgrs and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the ~ mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. �� MOBII,EHOME DATA Manufacturer and/or N,;IL A Length Width 7 Vehicle Serial No. State Identification No. Additional Information or Comments: ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroviile, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER — — Z NING — � -. BUILDING PERMI OWNER TELEPH E SQ. FT. OCC. BUILDING LUATION OWNER'S MAILING ADDRESS CONTRACTOR'S NAME Su �n d rAA1+0.rVI C_e TELEPHONE CONT ACTOR'S MAILING D ESS CONSTRUCTION LENDER UNKNOWN L/ Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING D R SS Permit fee $ BurDl G AD RESS ^ItoaS S PLUMBING PERMIT Filing Fee 3.00 r Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PAR EL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeK?000�Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK / New ❑ Addition ❑ emodel ❑ Utilities [I Instal lationC Other ❑ Describe work: — _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 8000 AMP ORV OR LE LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLOGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p f y (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.� �/i Classification �—l0( ❑ 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 CONSTR U TI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea ` NONNEW-RESIT R. (SINGLE OUTLETTUS &/ Ex. Occup( OUTLETS OR FIXTURES BAL@m BAL�tos EX. OCCU FIXED APPLNS. OR Occup. (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 3.00 Heating Cooling Hood 2.00 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 a to save, inde nify and keep harmless the County of Butte against all li ili es, ju ent , costs, and expenses which may in any way accrue agai st s Id101::;Wi sequence of the granting of this permit. 14 X Date k--A---5e29 nature 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 $ Land Development Fee $ TOTAL PERMIT FEE OCCUP. GROUP TYPE OF CONST. PARCEL PD D ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC BY PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date &^-270J a iG —`-7—,pI Receipt No. �� !Lf ,q WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive. Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: ky .E k6/LI//lI�E 2. Installer's name': �('�®/5/1�D%L /`7 s 3. Is:the site currently under permit? Yes/ No (If yes, furnish"permit number !:?3/(1- FO �, C_) OR Is the site an existing site? Yes / / NoC (If yes, furnish two (2) plot plans.) • 4. Will the mobilehome be located at least 5 ft. away from septic tank and -leach fields and _ clear of.all setbacks and easements? Yes 5a No / / ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? -------------------- -Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other.electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No X-77 _(If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas,demand?------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) g BUTTE COUNTY BUILDING DEPARTMENT . APPROVE® I MOB ILEHOME SUPPORT DATA�� If other than single wide, Mobilehome Mfr. "d,&90' furnish Setup Model No. �� Year r 0 Width �'„c_(ft.) Box Lengtt%n�i _(ft.) Tagalong or Expando Size -1L0 ft. x ,/e,? ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All eenter•supports measured from front of mobilehome unless otherwise specified. *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. Footings (check one) Typical Support Single 1. Wood either AA pressure treated or J-1 foundation grade. (ft.)(in:) (in.) (in.) E2. Other (specify) Center -.support Center support Max. Pier Spacing locations* footing sizes Supports (check one) (in.) No 11 Concrete block. p x 3� SQU�� 2, Other (specify) (in.) (in.) Tagalong or Expando, show support details. (in.) (in'.) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. Typical Support (in.) (in.) Footing Size J-1 (ft:)(in.) (in.) (in.) Max. Pier Spacing ) rft. -- Max. Overhang (in.) (in.)) *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. V -COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT e ASSESSOR PARCELNUMBER ZON'" .BUILDING PERMIT OWNIER w,U.� TELEPHONE _z SQ. FT. OCC. BUILDING VALUA T N OWNE MAILIN ADDRESS .v. o ZI &a (A-9591 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER 1-5 C) UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER P o ki-C LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS" Permit fee $ BUIL ING A DRESS PLUMBING PERMIT Filing Fee 3.00 62 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping I8, ac> LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeX Other SPECIFY Building sewer IQ - Oa Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities �4 Installation ❑ Other ❑ Describe work: Permit Fee $ -Z ofa Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 ,Oa Main service EA. ADD'L 100 AMP 2.50 JSD NEW CONST. OR ADDNS. ( ACC. BLDGS.LING CCUP,&\ / 22 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury ) p y p i y (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of theBusiness and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NE w CONSTR U TI.OUTLET NON•RESID BRANCH clRc ITs 2.50 ea NEW CONSTR POWER APPARATUS &) NON.RESID. (SINGLE OUTLET CIR. Ex. Occup(ouTLETS OR FIXTURES 50@250 BAL@10Q FIXED APPLES, OR Ex. Occu p•(DUTLETS (RESID,) EA,) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , 0 Misc. Wiring 6.25 210% Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 FiIingFee 3.00 Heating Cooling Hood 2.00 Ventilation _++ permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X_�h��° c�'I - Date .S`— Sr' 6-40 Signature of Applicant —wne'I� 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 $ Land Development Fee $ TOTAL PERMIT FEE $ 157< <j<D OCcUP. GROUP I TYPE OF CONST. PARCEL Ir PD ple HD ssu This permit is hereby issued under sions of the Butte County Code and/or work indicated above, for which DIRECTOR OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Z J ^ ��0 Receipt No. 6� = WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ONO. 5481-80B PERMIT EXPIRES— !OWNER XPIRES OWNER W. E. Rominger Holmes Mobile Home Serv., Bangor CONTR. t 28-23-24 ASSESSOR PARCEL d LOCATION E/S Los Verjeles Rd., app. 2 mi. a So.of LaPorte Rd., Bangor E a Temp. Power Pole r } Called PG&E a Temp. Elec. Service ¢ Called PG&E 3 Temp. Gas Service r Called PG&E a I JOB FINALED (Date)— Signature Date)_Signature V = OK O = Not OK — = Not Applicable * = Not Ready MOBILEHOMES 1 MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's 1, Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4, Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7: Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 5. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panelboards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK j = Not Applicable RESIDENTIAL )Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except N's Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except p's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except O's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61, Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Perrrit OK except H's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails &Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. 76. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish 28. Service -Riser Conductors & Ground -Main Disconnect 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 31, A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Date Card -BI Date Card -BI _Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors Comments at Final: 37. Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. _Walls; Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _ _41. 42. 43. 44. Header _& Beam -Size _& Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF`BUTTE - DEPARTMENT OF PUBLIC RKS PE T N0. 7 County C.gnter_ Drive - Oroville, Califorriiia 95965 - Telephone 6/534-4541 APPLICATION' AND PERM SSOR PARCEL NUMBER ZON G — % oZ BUILDING MI f (p NEWTELEPHONE r � .lh — SQ. FT. OCC. BUILDING VALUATION 4 ER ,S M ING ADDR SS T E CACTO 'S NAM TELEPHONE P,Nbf1,46T 0 R'SMA T ING ADD ESS 1 Egli L CONSTRUCTIO LENDER UNKNOWN Fireplace Total ValuationESS '✓' LENDER'S MAILING ADDR Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ r O Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ c� BUILD[ G ADORES , S PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME P CEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeRR"�Other SPECIFY Building sewer Lawn sprinkler system 2.00 �/ TYPE OF WORK New❑ Addition [SJ Remodel❑tilities Installation❑ Other ❑ Describe work: — S e,LESS Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service i°Do AMP ORS 5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 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 ful for a nd effect. �s License No. -3:2/ 37/ Classification �T ❑ 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 CONSTR. ULT[ -OUTLET NO N.RESI D. BRANCH CIRC ITS 2.50 ea NEW CONSTR POWER APPARATUS 6 NON RES D. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES BAL@1 BAL�tOQ FIXED APPLNS. OR Ex. (FIXED (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 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 FiIingFee 3.00 Heating Cooling Hood 2.00 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 liabili e , ju - ents, cos1s, nd expenses which may in any way accrue against s ou in c pigs e e of the granting of this permit. X Date 16�� , g�.J Signature of Applicant — Owner ❑ Controctopo�& 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 $ Land Development Fee $ TOTAL PERMIT FEE la OCCUP. GROUP �_ I TYPE OF ONST. V -V PARCEL &000o_ PD HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC PERMIPT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ate AI -4— If Receipt No. 3 `-I" 7 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT 40AC 24 , 0 2 6.5 AC. shi Shall Be in �- BANGOR NOTE:—All Materials & Wo p > Accordance with Recognized Good Practices and T OS o f a quality prescribed for th Specified uCodes and Uniform Building, Plumbing & the National Electrical Code. 2 This set of plans and specifica ions MUST be kept on the job at all times and i is unlawful to make any changes or altercations c n some without written permission from the Depcu rment of Public Works, County of Buff e. 50AC 30AC 9 24 AC IO 160AC A setback of 5 ft. from the property lines and a setback . of 50ft. from the road eel terline shall be clear of sti ctures or equipment except fo a 2 ft. eave overhang. 681 6 12 0 10AC `` 9.4 I�I '0 14 31 AC 8415 1254 f D 5� 1fi5• /89 AC. i - 18 394AC '2 O � Sr -231 g-� LW4 r tib oc>r,��ap a 24/. 23 Ac. . 1 0 019COU P� 5 2OAC B 1NG 80AC. DEPARTMENT 060's Map No NOTE --ASSESSOR'S PARCEL BLOCK County o , V Applicant Address (Prese Telephone Name of Owner. Address /. "A-3" AG:.I.CULTURAT_, WORKER AFFIDAVIT 2. Assessor's Parcel �Parccel2 No.. on which mobile hozne is to be located: 3. When purchased_p Rate/D�ri�� Nun�er 4. Please read the following carefully before signing: "A-3" (Agricultural) Regulations, Section 2.1--d allows: "d. Housing facilities (including mobile. homes) to accawx..idata _praLy. agricultural employees and thein farailies employed by the awne.,s ar operator of the premises; a.nd provided further. that such housi,XX facility shill be considered accessary tt-) the Main building outs. shall.: confona to ti°ie provision. pertaining to rE::ly. red yard and oprta syaxa. ' for dwelrlings .." Ordinance No. 1439 states: Ill.. a. AGRICULTURAL EMPLOYEE: An individual who verifiesr: by perscunal.. . affidavit and by affidavit: of his eRrployer, That he is, or will ba, employed at least 32 hours: per week for a laast. 1.6 wee s per: yeax , or that his primary source of annual income is, or is anticipated to- be,. derived from, any of the following described occupations (1) The preparation, care, and treatment of farm :unci:, pti�tMe.;ia, fir citche;s, including leveling for a}grri,cul:t.ural purposez, plowing, discing, and fertilizing the soil.; (2) The sowing and. planting of any agricultural of horticultural commodity; (3) The: care of any agr-i.cul.tural or horticultural coamdacii.ty-. As used in this subdivision., "care." i.nc:i.udesi, but is not, limite.cl to, cultivati,ch, irrigation, weed, control, thinning, heating, pxuai.ng, or tieing, fumigat ing, spraying, and dusting.; (4) The harvesting of any Agriculti al _or horticu tural commodity, i..nc;ludiaig but; not limited to, picki-ng, cut:t:.i.ng, t ires:h?-nc,Y, ma -w) -rig" knocking off, field chapping, bunching, baling, bal.l,i.ng, field packing,,' packing; and placing in field coiata.i..n,ers or in the vehicle in which the commodity will be hauled ciii the farm or to the place of first processing; (5) The assembly and storage of any agricultural or horticul- tural commodity, including but not limited to, loading-, roadsiding, banking, stacking, binning, and pil.i,n.g; .- (6) The raising, feeding and managcumentc of livestock, fur bear- ing animals, fish, frogs. and other aquatic -animals, and bees, including but not limited to, heading, housing, hatching, milkirr, shearing, handling eggs, and extracting honay . (7) The oparation, conservatiOrL, improvement or maintenance of such farm and its tools and equipment." 5. I, _,,do declare, subject: to the penalty of perjury, . that I reside at and that the.permit applied for under th this app]ication,,for housing facilities on property identi..fied in Section 2, does conform to Section. 2.1-d as identified in Sectiod. 4 of this application and.Agridulturab - of this application and Agridultural Employee. as defined in. Ordinance No. 1439.- 6. 43°.6. Permit descripti.®n and number' Date issued— °._ _ - -By-..... �.....�.��.� -2- 0�"wner: Address: Tenant: Building Loca Type of Inspe BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL IN$PECTYON REPORT ,fz A.P. #e.��'--�-ay Date of Inspection Inspector) 1. Housing / / 2. Financing 3. Change of Occupancy to 4. Other (specify) 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: - 6. Heating facilities: 7. Natural light and. ventilation: 8. Room and space requirements: 9. Bedroom window or.door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Con ments• 1 B. Structural 1. Piers 2. Floor 3. Wall 4. Ceil 5. Firer aces. 6. and footings: construction: construction: ing and roof construction: Ge e X` yet �y 1 " C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumb in 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: (continued on back) E. Other - y 1. Maintenance and repair: Y 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments• F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: ield Problems or Violations 1. Problem orviolation give complete description): c� 2. What action take (give complete description): 3. what action recommended: 77 A. Information only - file. B. Hold for test (10) / / C. Write letter. 7 D. Other: n write letetr?�, 0 PERMIT NO. PERMIT EXPIRES OWNER W. E. Rominger k CONTR. owner LOCATION (A.P. 28-23-24 t E/S Los Verjeles,Rd.,app. 2.mi.S.of LaPorte Rd. Bangor i 6 1 i f 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E t Temp. Gas Serv. Called PG&E i JOB FINALED ' (D e) 0— (Signature) '��' /9 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback -- 2' 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 Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Prov. for physically handica ed Conformance of ex. Appliances Gas Piping &Test Footings structure Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each. time you visit the job site.) (dash) - = OK 0 Not OK` X =-Not Applicable (blank) = Not dealt with RESIDENTIAL,(Single and Duplex) yet r )uta UNDERFLOOR Pte OK'exe t k's Date FRAMING Continued 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg. Main; Soils-Stael-Elec. Grnd.- " Fig. Depth 49. Ext. Ooors-One 3' -Check Garage -3rd story, 2 exits Fig„ Garage; Soils -Steel- epi 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Ftg., Porches & Decks; Soils -Steel- " Fig. Depth 51. Plywood on Roof Overhang -Attic Access -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouls-Virapped-Slab 6. Stemwails, Garage: Steel-81ockouts-Wrapped-Slab 52. Siding -Nailing -Veneer ' 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access `^ 7. Piers -Fireplace Fig. -Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. Q.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shea., Walls: Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. 11, 12. 13. Water Pipe; Test-Anchors-Regulator-Seryice Test Electric; Underground Plenums & Ducts; Clearance -Material -Support -ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI - Date r Z,%3Fd-BI Dale - Card -81 Data Card -BI Date Card -BI Date Card -BI Date ;ard 81 Date _$ Card -BI Date Date FINAL (Plans) OK except p's ;ard-81 Date Card -BI Date )ate PLUMBING (Permit) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. Water Ht.; Vent -Access --Combustion Air 58. Furnace; Vents -CIearanco-Comb. Air-Cannector- In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. 17. D.W.V.; Test-Ftings & Anchors -Nail Protection Shower Pan; Test, First Floor -Tub Access 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanei; Breaker Sizes -Labels 19. Gas Pipe: Size & Anchors 62. Stairs & Rails - 63. Fireplace or Stove; C learances+: earth 84. Elec. Outlets at Wood Panel; Int. & Ext. ;ard-BI ,ard-81 Date Card -81 Date Date Card -81 Data 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Gap-CookingClearance 66. Elec. Outlets & Receptacles at Kit. Counter )ate ELECTRICAL (Permit) OK exce t p's 67. Garage Fire Door; Swing -landing -Closer 68. A.C. Duct In Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wir. Hir.; Vents -Clearance -Comb. Alr-Connector-P.R.V.- In Garage; Above Floor -Mach. Protection 21. Receptacles Spacing -Lights Switches at Doors 70. Plb., Elec. & klech. Equip. Listed for Location 22. Size Sire Boxes & No. of Conductors -Stapled 71. Eloc. Receptacles In Garage: (G.F.1.-Rome'x Protoc. 23. Romax Installed Close to Edge of Studs & C.J. 72. 73. Insulation -Foam -Looked in Attic ❑ Yes Guard Rails & Deck Construction -Post Caps _ 24. Equip. Ground made up w/1Aech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits In Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & flood -Earth Clearance Looked under Floor ❑ Yes - 26. Suble&d Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes ❑No 75. Followinginsild.: Drive El Yes ❑ Na; Walks ❑ Yes ❑ No; Planters ❑Yes CD No; Creating Drug. Problems ❑ Yes Q No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances: Panels -Motors -Meth. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size --115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance--Firepl.-Clearance to Op s. _ 79. 4later Well; Disconnect, Electrical, Plumbing ;_ard B-1 Date Card -81 Date e0. Exterior Elec. Trim; G.F.I. Receptacle-Underanound 81. 82. Ventilation throughout House Glass Protection ;ard B•I Data. Card -BI Date !ate MECHANICAL (Permit) OK except q's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. _ Water & Sewer Connected -C/0 to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate --Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform it Furnish in Attic Card -BI Date Card -BI Data 'ard-81 Oata Card -81 Date Card -81 Card -BI Date Card -81 Date Date Card -BI Date :ard-81 Data Card -81 Date tate FRAMING(Plans) OK exceptg'S 3 � Comments at Final: 36. Sills; Proper Material & Anchors 37. _ 1'rall3: Studs -Nailing, Spacing & Bracing -Plates -Sound 33. Bearing 1'ralls o•rer Girders & Floor Nailing 39. Stop in Walls (rat proof) 40. _Draft Fire Sto1s: Furred Ceilings -Stairs -Chases -Tub Hr: der & Dea za Bearing _ 42. H.tnaers-Post Ceps -Anchors -Connectors 4.. 44. Clog. Joist-Af1r. Ties -Purling -Roof Brac. cuss hthng.-Ring_ F real,ice Ties or Type A Flue-Fireplact..- Throat 45. Attic Access: Size & Rome< Pro!eclion-Draft Stop -Ins. Ballets 46. Bdrrn. 1'lindows or Exiting Docrs-Sill Hgt. & Dimensions 47. Gnrage Fire Protection Framing Signal 3,1 V ria �. PERMIT NO. 6034-80B /Z ��L PERMIT EXPIRES" —: OWNER W.A. Rominger r CONTR. Owner r� t ASSESSOR PARCEL _ 28-23-24 LOCATION awaux E/S Los Verjeles Rd., 5 app.2 mi.S.of Bangor, Bangor is rr t t .�7 1� '/ .,r ffR t j` .I i' t Temp. Power Pole 1 Called PG&E r Temp. Elec. Service i T Called PG&E Temp. Gas Service r Called PG&E Y JOB FINALED (Date) Signal J = OK O = Not OK = Not Applicable MOBILEHOMES ; * = Not Ready i MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except it's Date DEC , CO S, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements V ZopKg Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete s; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) Wood Awn.; Rests—Bei—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. ' Card -BI Date Card -BI Date Card -BI Date (—(3 'PCard-BI Date Card -BI Date Card -BI Date Card -BI Date/.. '; - Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK except it's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch + 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Cerd-BI Date Card -BI Date Card -BI Date n i I = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) e Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. 4. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 50. 51. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date _ Date Card -BI Date PLUMBING (Permit) OK except N's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. 16. Water Pipe; Test & Anchors -Nail Protection D.W.Y.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except N's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. 70. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic [3 Yes Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. 79. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 82. 83. 84. Glass Protection Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors _ 37. 38. 39. _ _Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. 47. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE:Anentrymust be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS 'i County Center Drive - Oroville, Californ495965 - Telephone 916/534-4541 APPLICATION AND PERMIT PER�IT/NO. ASSESSOR PARCEL NUMBER Oo,` ZO ING % BUILDING PE OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION - O R'S MA LING ADDRESS CO'NTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ &4(00 A CHITECT OR ENGIN ER ?,,/FSA- kJ /� LICENSE NO. X28' Plan Checking Fee $ Penalty $. ARCHITECT A MAILING ADKp�t/IOC7c�/�7aA%{�.�.�y�� ^, //'/� I G LJ�C.11lr/V ENGINEER'S 3AsZ7A / (0A)1 4$ Permit fee BUILDING ADDRES �, }� K PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PAR L MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomeL�J�Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Rem del ❑ Utilities ❑ Installation ❑ Other Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2',50 NEW CONST. DWELLING OCCUP.aJ OR ADDNS. ACC. BLDGS. 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. .OU L T 2,50 ea NO BRANCH CIRC ITS NEW CONSTR. I POWER APPARATUS 6) NON.RESID, SINGLE OUTLET CIR. Ex. OCCUp OUTLETS OR FIXTURES 50@25 IXED APPLNS, OR EX. OCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department 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. 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. alaiso I abilit es ree j dgmen sto save, e mnifcosts,nandeexp nsels ess which may in any wayButte aacc ue ainstoccuP. said County in consequence of the granting of this permit.'7V/ X �� ' Date %�—� Q —g� 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 $ %ROUP TIP,��ONST. IP_AR_CFL i j ✓/ 95against This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By P P T EXfRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date J � eceipt No. ��Zc�� F-� ITE-D.P.W., YELLOW' -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT • • • • ' {� ` 4a ' • .COMPOST"%TUN IKODF• ny)ooz> '�'u,!/?/ /Z CDX-•i . C APos-- ON 2, c. y A) 4 Ktk' R I p R/ PL SIDING i It ' ROOFING do •• ON BUTTE,COUNW : Bu! DING DEPARTMENT APPROVE'D �' ` •. . . .. � . .i ... _ r .. • (, y,. .. �.•.. +. +... . ...I. -.a• ..ti♦++.►-+r:h1M�:w�...rr.-.. �. -s.,c .. .. ..-.:a !4INIMuM CRADE OF LUMBER TOP CHORD 2X 4 NUMBER OF BOTTOM CHORD 2X 4 NUMBER 2 OF i WEB MEMBERS 2X 4 STANOAA9 OF OR AS NOTED -ON DESIGN LOADING A aN E 77 6 Sts C 5st O 77 LOADING 1 nl c 1�2 o n2 FORCES Al -2880 A-E 2827 0-E -608' a -C -2547 E F 1814 E -C 727 C-9 -2547 FORCES 1-9-1278 A-E 1264 DIE -122 6-9 -111 E -O 125 E -C 444 C -O -1413 This set of plans and specifications MUST 6e TION TAKEN FOR AXIAL _ SPACING— 24 0. 0-C ALLOWABLE STRESS INC_ FOR SHORT TIME LOADING COED- IS X STRESS ONLY . F •''� Q ' _�'�fa*Kir'� BOSTITCH TRUSS PIATES ARE 2C GAi1Gt G&LVANIZED STEEL WITH ALL MARKINGS PER ICDO REPORT no. 2277 AND SBCC REPORT' 17410-78 ARE NOTED WITH PREFIX S. MINIMUM N� OF -CL]]aM 1E.ZILS. PER MEMBER ARENOTID IN .(."• ). STAGGER MAILS TO PRSIElfT SPLITZDNG OP HOOD_ GENERAL NOTES kept the times and it is unlawful to • PLATES SHAM BE COED on job at all any changes or oltern+ions on same without Ile— a62lid G -E- EACH Jonr! ON EATS rACE Or (IhIDTTION I f-- TROSS DN1.L4L Ol�zc. REACTIONS Top chord live 40.0 ria Ffc, ).,•�;� ? OI1lr.SIOA>T�. • -1x„ Top chord dead 10.0N ` � �' INxNDN PLATE SIZES ARE Bottom chord 5.0 "- "' ^` NOTED BY DIGITS, xx ZNCMZS Total 55.0 . '�i• TCPYt • ALL. IaTERAL BRACZ=, �lPOF - Q�r OF Cn��F� ARY AND PEiR um*T. SBAES. BE • ' (6) -� DESIGTID AND PROVIDED DY REACTIONS CONDITION II �4.0 OTHERS. A--su TOP CHORD LIVE 0.0 PROPER WOOD TRUSS INSTAL'.4- i TOp chord dead 10.0 O TRUSS DESIGN >iDpo-I ES 1:3 Bottom chord 15.0 (4) CONTINUOUS TATERAL DRACM - 6 WJEE3M NOTED D7 ASTERIC K (•) Total 25.0 - This set of plans and specifications MUST 6e TION TAKEN FOR AXIAL _ SPACING— 24 0. 0-C ALLOWABLE STRESS INC_ FOR SHORT TIME LOADING COED- IS X STRESS ONLY . F •''� Q ' _�'�fa*Kir'� BOSTITCH TRUSS PIATES ARE 2C GAi1Gt G&LVANIZED STEEL WITH ALL MARKINGS PER ICDO REPORT no. 2277 AND SBCC REPORT' 17410-78 ARE NOTED WITH PREFIX S. MINIMUM N� OF -CL]]aM 1E.ZILS. PER MEMBER ARENOTID IN .(."• ). STAGGER MAILS TO PRSIElfT SPLITZDNG OP HOOD_ • sl%AM 01G OR LATERAL DRACIliG IS5 RBCBCOlOCOMID kept the times and it is unlawful to SH°'°' on job at all any changes or oltern+ions on same without Ile— a62lid G -E- • DESIGN ASSUI= TDA: made permission from the Department of Public 11Rwritten MR SPA Is PROVIDED AT 1012, lAilll SPACING Or 3'-0' A,I�tf. __r-_ /► W�� Corvfv Of Butte. TRUSS STMMETRICAL ABOUT � �. TOP CHDRD AND 1D'-0' ALONG ' CENTER LINE EXCEPT AS SHOWN BOTTOM SID' S 1 - tet( . DESIGN ASSUMES TEAT ADMUAT4 6" DRAINAGE IS PROVIUM. L - - BSx6 f ' (6) 1 2 • THE BUILDER OR ERECTION Can-, ' �4.0 TRACWR IS RESPONSIBLE MR Z PROPER WOOD TRUSS INSTAL'.4- i O TION. B2x4 (4) - 6 • PROVIDE 34` MIX- DF•1RING VID7f7 iT SUPPORTS uNL SS MIXERVISE NOTED - 12 4.0 I• \ DESIGN IN ACWjuxV M WITS 1977 34x14 4 L/lOt �\ < NDS AND TPI -78 h SPECIFICATIONS. 9y (4) • (3) (9) 1osr. tcw 20 c.. not w►•to VAw2t0 ILATI t.C■ smt aACut .to..* F PRIUNAT.C&L" 11 Ct C"�A.E C18) '2 B4x6 E (7i" B3x8 spl. boft ��t * 0445.• a.A.-! .. Tw L1 oast - .0.1ii'tlw.n A.14.aEa/ o■ nowt tlnt ` N 3[CT1011 T1fRU TZPIC.L JOINT S LBS. CEILING REDUI LOADING (PSF) CHORD LIVE 40.0 TOP CHORD. DEAD 10.0 '90[tOMCHORD - - 5.0 TOTAL 55.0 • TION TAKEN FOR AXIAL _ SPACING— 24 0. 0-C ALLOWABLE STRESS INC_ FOR SHORT TIME LOADING COED- IS X STRESS ONLY . F •''� Q ' _�'�fa*Kir'� BOSTITCH TRUSS PIATES ARE 2C GAi1Gt G&LVANIZED STEEL WITH ALL MARKINGS PER ICDO REPORT no. 2277 AND SBCC REPORT' 17410-78 ARE NOTED WITH PREFIX S. MINIMUM N� OF -CL]]aM 1E.ZILS. PER MEMBER ARENOTID IN .(."• ). STAGGER MAILS TO PRSIElfT SPLITZDNG OP HOOD_ . Camber to L/10001 BBSTiiCH o BiasYc110wasonot T•.ron Auc P.O. Box 147 ( 6 CaJOn, Calif , .92022 �i G DESIGNED BY /LTA 1 CHECKED BY T% � Rev 3/26180 DATE I 9/25779 �iTA �_� t DRAWING NO. P-24-4-55 -4/3 FILE 90. BR -15- 5 Zk Z 5 Ile— a62lid G -E- BUTTE COUNTY =- - BOLDING DEPARTMEI , - _: APPROVED COUNTY OF BUTTE — eE—rAkTMENT OF PUBLIC WORKS 7 County Center Drive ,— +uroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT QLit Or'Z6 ICFIIe5eI1Lat1VVb UI the wunry o1 t5uiie io enler upon me above-entioned property for inspection purposes. X (�= �`»?M�cA=-�, Date //' / '%/,, Signature of Perm eiitte/ee r Agent —i Receipt No. �<cY 3 3 Z White-D.P.W. — Yellow�-Aissessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By bate' ,�/.�� Building permit expires Date RK BUILDING Owner SQ. FT. I OCC. BUILDING ALUATI /0 6193 Mailing Address eX/LC(:)i S 6 T 7y Aiwo - Qp Telephone No. G7 Fireplace Contractor Total Valuation O Y� Mailing Address Permit Fee_ Plan Checking Fee &/or Penalty Telephone No. Permit Fee {3 Building Address -040.5 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 -77Z. Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 s Z 3 �Z A. P. No. Z & Zoning Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FektWk SMtion Fire Dept. r Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans P el60' De parcel Map p R/W Im ro ments P Lawn sprinkler system 2.00 Bld .Plans Rec' Parcel Approval Plans Approval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3.0 Main service 6OOV OR 00 AMP ORLESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ❑ Others Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 yn2 Q /��rw{ cAp/�� r-" ��y///,fffaA'/� •� Lf ^ / ' `� A z ( !'• �"7 C�� / v/ x'(76^ ��'7 �'/ NEW CONST. OR ADDNS. (ACCLBLOGS.LING C U ) 20sgf 0 NEW CONSTR. MULTI -OUT ET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON -RES,D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@25¢ BAL@1 Ex. Occu FIXED APPLNS. OR P.( 2.00 OUTLETS (RESID.) EA) Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 21 l am exempt from the Contractors License Laws of the State of California. Permit Fee $ OT W WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE C QLit Or'Z6 ICFIIe5eI1Lat1VVb UI the wunry o1 t5uiie io enler upon me above-entioned property for inspection purposes. X (�= �`»?M�cA=-�, Date //' / '%/,, Signature of Perm eiitte/ee r Agent —i Receipt No. �<cY 3 3 Z White-D.P.W. — Yellow�-Aissessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By bate' ,�/.�� Building permit expires Date RK i ,66c�"Z SIG • �vu- . - �cr �clvEre- �1/� �,4G1c�7' Cs��E� �,FI ttz-/) V//� T ISN.R. 5 E. M.D._B. a M �. z8-2 3 p I ` .V GcA/ .. 90 t V L ct 21 AC. C � 40AG. _ AC VE i o 26.5AC. N�,,0 RK y�'J- BANGOR Q� I X404 .o.c. 9.30 • V _. :-, .,,-., ...,., •.._ - d ,-. ,.. ..,..., -vas. .. ...... ...:.:.... .7 7.G J N ® (01 R1° v o '41.18 LU PM/21-95yy�i' 40.SAC. 661.6 RS78-69 112L a 9 135W co- 1650 990560 753.39 I (off; ., " c12 36 I �, 7O modo - I • .0 li 581.17., ...:.. .. .. ...... ._ 2 812.66 'RS90-11 30AC. atr 17 , 1 i 3 3 150.579 ac , w tO 14 Oo �> O a n W 1 240AC. Sar 31AC. 20.08., 20AC9 rruo• nrn0W ar_ e41.s 740.,8 18AC /8 Q. X94 6.C.Ac 394AC. 27 ^ .K 38 v ' Irn.n 2 10 X46 216 C. �20AC p 1604C. 1330.32 n74.rs r (D5 3 n39 OAC 039 ao '..... ; , . 1046.8K, .� e 20AC 1 4 m r n ^ O m o 13 20AC ^ N 43 IDA C "2.34 19 ©0 `�I6eo.e� 12 I 5 90AC. 52AC. • 49 Ioac;'I 48 zox �o Assessor's Map No. 28-23 I 11534.23 '`PMIII-4L (SEE Pr.09 FOR;44EMAINING I - � .1 - County of Butte, Calif OJ PARCELS OF 4RCE4 MAP) REVISED:2-9. s •F � , f7l,L_E �X _ COUNTY OF BUTTE Department of Public Works • AN INSPECTOR CALLED ON r - I AND WAS UNABLE TO GAIN ADMISSION. iPLEASE NOTIFY UNDERSIGNED INSPECTOR AS TO WHEN AN (INSPECTION CAN BE MADE. ' __ �LlhvyvG/i • BUILDING INSPECTOR 4 r1` . y e I' - r N. R. R. 5 E. A �D. B. & M z8-2 3 T 08 Tax Area Code 52-03 o::.. 52-04 415,52 AC 2 6 AC. 14 5 AC. 6 UJ '2w O 2 I A C U C 40AC. �� 24 Phis set of plans and specific fions MUST b apt =, 2 on the job at all Mmes and it is unlawful to O 2 6.5 AC. make any changes or altery+ions n same' without written permission from the Depa rfmen+ of Public Works, County f B outts. o ` �GpR pARK y�y BANGOR 8 A � �. �1• 4 - NOTE:—Alt' MOUriak & Wor"shlp atlr fig ire Z Accordance wj16 Recognized C ood Prac ices and J J quality pros of a nalit tribed f9r the'•Specified se in irie O 2 5' Plumisirtg $ iijechanical es' and a , Uaform 6.4iWing. „ :.. Q••ncal ITT a / tltl1Q - `,r pr rty lines anda setback W _ of 50ft. from the maid � Q s81 s — be leap Of 1650 I 990 580 753.39. STrUdures`br egt1JUMp ,e11i 21 Pt r 12 36 I 3 1 C 1O AC 20.15 do 1 $sora 2 ft. eave ov rhan 3 AC 78U.74Pi�Li: NOR YS < 50AC. 30AC. ert.c o �\ 150.579 AC 14 f. kit Lv r�� 3'Ac 31AC 2'�A C.16 2 18AC �8 71F:^1'(. !jl'-1�I'?131 j 5; CC evil 5 4 6 6Ac 394AC. . AC s254 o 4: 43 9PY45 160acffo BUTTE COUNTY ' 33 BUILDING DEPARTMENI� N 215.28AC. � APPROVED « M JUL 22 t882 80AC. _ 52AC Assessor's .Map No. 28-23 NOTE-ASSESSOR'S PARCEL BLOCK County of Butte, Calif ��. b LOT NUMBERS SHOWN J "Ji cz > 0 fi A L7 cr < C.) CAI C3 • 42 tj Co 0 - & zo fr, J --AJ > 0 fi e XMe 0 VN Sh.Q - ed 40 <o,\ fdGOR O BOAC. O 2404C sT �� o{ laps and spei{ications M w{ul to This set P it es unl Wf ko kept on the eob at a!1 times and � t { pu6lre Or fa �'r"+;c"S c1t, S 'n ( ' mrs � any c fistcl �.he pepartmen �►rstfen permission from Works, County o{ Butte. ve O 30AC „T I N. R. 5 E. . M .D.D. a M ' O 404C 24 O 26.5 AC. Ll m 1604C P�p��y lies an2� � `sb��i�12 of soft, from the i`oa6 �,t�terllt�e shah �� `clear a� 681 6 O Lc.12 IOAC 9.4A �M qD 14 31 AC 841 5 y 1254 on 0 v 23 4(3.52 AC (B I 24L 2.i Ac. Tax Area Code -52-03 52-04 O 264 AC 14 5A . J J Utility onnettions shall be wr*1n 0 0 4 ft. o the mobilehome, either V � do behind or within the rear ha.p,# of, tl Ir si (lefP) of. the mob& home. Ljj � • 2r N'lo�i/e 33AG Co P@►'Mit s va>, r will be'required taliartion .v the 135.IB9 AC. Mobile m� 16 18AC n aw .M 06 19 90AC. 52AC 060 15 NOTE—ASSESSOR'S PARCEL BLOCK d LOT TIUMSSERS SHOWN 1!1 C1cIrI rs 28-23 200 bpp SQ. FT, MWIMUM AOR MQBILES 2 BUTTE COUNTY BUILDING DEPARTMENT; APPROVED Assessor's Mop No. 28-23 6' 0010, County of Butte, Coif. MAR,/95/ 6 QNGpw, . -- y�3�KBAfdGOR COs �F �F. O 50AC O 240AC O 30 A C T 18 N. R . 5 E-'.` M . D.B. a M O 404C 24 2 h 0 2 6.5 AC. 33] to 1604C 6816 12 O IOAC' 9.4 41Z S � 14 ' 31 AC e41 5 1254 1 ` 28,2Z _ `�. Tax Area Code < F21 52-03 52-04 13 _ 4 265 AC, r 4/3.32 AC 14 5 AC. 41 9 L+./ 21 AC f 200 U 2 t -) "j 33 AC J - CO P >— fo F(D 24/.23 Ac. BUTTE COUNTY M r. BUILDING DEPARTMFNI 1920 804C. 52AC APPROVED 1.060.15 .. Assessor's Mop No. 28- 23 NOTE—ASSESSOR'S PARCEL SLOC-K County of Butte, CO'If. 113 .9 LOT NUMBERS SHOWN AeAR 195 r•i rinrt cc