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005-394-002
Building code viol; �3 pro of l - . 1 0 March 2, 2001 Thomas and Cindy Steffen 8960 Goodspeed Durham, CA 95938 RE: Building Code Violation 1306 Boucher Street A.P. # 005-394-002 Dear Mr. and Mrs. Steffen: butte count, LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA. 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for the construction of a garage and deck. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization- cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However; you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. cerely, Mich el Vieira Manager, Building Inspection MCV:dm cc: Assessor June 6, 2001 Mr.Thomas & Mrs. Cindy Steffen 8960 Goodspeed Durham, CA 95938 RE: Formal Warning Notice Building Code Violation 1306 Boucher Street A. P. # 005-394-002 Dear Mr. Mrs. Steffen: B E A U T Y DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE. CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated March 2, 2001, notifying you that you are. in violation of the BCC, and 1998' California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the construction of garage and deck is a violation of the 1998 California Building Code adopted by Section 26-1 of the Butte County Code as follows: (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). June 6, 2001 Page 2 Should you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira in this office at the address or telephone number listed above. Mel C. Vieira, B.O. Manager, Building Inspection MCV:tp PROOF OF SERVICE BY MAIL 1 I am a citizen of the United States and employed in the County of Butte; I am, and 2 was at the time of the service hereinafter mentioned, over the age of eighteen years and 3 not a party to the within action. My business address is Department of Development 4 Services, Building Division, 7 County Center Drive, Oroville, California 95965. 1 am 5 readily familiar with the County's practice for collection and processing of 6 correspondence/documents for mailing with the United States Postal Service and that said 7 correspondence/documents are deposited with the United States Postal Service in the 8 ordinary course of business on the same day. 9 On June 6, 2001, 1 served the foregoing 10 -Day Letter on the person(s) named 10 below by placing a true copy thereof in a sealed envelope, with first class postage thereon 11 fully paid, addressed as indicated below, and by placing said envelope 12 In the appropriate place within the Department of Development Services 13 where mail is collected for mailing with the United States Postal Services on 14 the same day. 15 X In the United States Postal Service Mail in Oroville, California. 16 Mr. Thomas Steffen 17 Mrs. Cindy Steffen 18 19 1 declare under penalty of perjury under the laws of the State of California ne 6, 2001, 20 at Oroville, California. 21 ammie Powell 22 23 24 25 26 27 ' 28 Tll X20©''0 scL'Q;8f"0'..000�6�1T�4'$pM p !COUNTY OF BUTTE,.,.-.,.�,1.1.1." ._i.i.I;i BUILDING DIVISION - - `. DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 Y 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �� P6ZIe /a 1-36F6 D ov cN W s%. i'X// o Date— R /— Inspector REV 10/92 3a-elr w ; V,f,�,. _ v" .. .. .t, ... ;�7� ^Y;t ,.: yw!tis w "Y.:%yvv+:._m��:t:vcra�...a>..i:.•v�:•�c.h}jl.•'�w+T �t•.�yy r. 0.05,-394-002' 02-0719 STEFFCN;'GU�n, G 1306 BOUCHER ST., CHICO' „ CONT: TOM NORMAN,- RCPAIRS TOiDECK I'CR CODELTR . _ 1 • q F � 7 INALED r r 4 i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILD.INGIDIVISION "'- 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75;41 PE MIT NO. ' (Rev. 12/96) APPLICATION AND PERMIT r ` --" ASSESSOR PARCEL NUMBER r� ZO� BUILDING PERMIT A OWNER TELEPHONE �4$ 3-U) SO. FT. OCC.1 BUILDING VALUATION 0004Ertl .OWNER'S MAI ADDRESS CONTRACTOR'S NAME /j vti•�; TTTEEELEP}H�ONE , CONT; O MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $. (o ARCHITECT OR ENGINEERS MAILING ADDRESS 1...t Plan Checking Fee $ BUILDINGADDRESS ('• �'-•- X'v Energy Plan Checking Fee $ $ PERMIT FEE S 'I 1919 LOT NO. sUBDrvIS NAME F!. PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome % Other f spECIFv Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 ' TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ t ,��n,. Describe Work: _ .a._,0QL� �-/ cit .'( vvl. 0. z tPb-,C"r''"1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ ELECTRICAL -PERMIT Fling Fee 20.00 800V OR LE Main Service 200" OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION -- I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class I Lic. No. , OWNER -BUILDER DECLARATION -� I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: _ ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A To 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( a A;c. BLDs. 3.5Q�; NON-aESIDMULTI.OUTLET 97,50 , APPARATUS 8 SINGLE OUTLET CIR. 20 Q 1.00 Ex. OCCu OUTLET OR FIXTURES BAL@ .50 Ex. Occup. OUTFIXEIETSR� o) OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirino 23.00 PERMIT FEE $ -. WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one," of the following declarations: ❑ 1 have and'will maintain a certificat-of consent to self -insure -for workers' compensation, as provided for by iedon 3700 of the Labor Code, for the performance of the`twork for which this permit is issued. ❑ I have and will maintalnworkers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need] not be completed if the permit is for work of a valuation less.) �\ of one hundred dollars ($I 00) or�tannerj * I certify that in the perform nye oI he work'for w i ich this permit is issued, Ishall not employ any person It aJrly so as o become subject to workers' II compensation laws of Cal' ornia, and agree that I should become subject to the workers' compensva Ikon provisions o$ section 333 oo of the Labor Code, I shall forthwith comply wt thou provisions. VT /T ' -` — Da� l� �•- Signature of Applicant - 0, �Owner ❑ 13ontractdr-EJ Agent? C 14JAn OSHA permit is requiredi jor a cavations over deep and demolition or construction of structures over 3 storiesC�n�height. ) MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation - PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ o c -3 CONST. TYPE TOTAL FEE $ 1445. ao HA2. D. F,Es MP FLOOD cOF PARCEL PD HD ISSUE y+ his permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated 'bove for which fees have been paid. By .? Date �� PERMIT EXPIRES ON `,•� �d I Date �e Receipt No. 9�3? 7_7' 1 7N '.moi WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �► COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone( 30) 538-7541® nP' MI T (Bev. 12/96) APPLICATION AND PERMIT g" ASSESSOR PARCEL NUM ER 39a =GNxG 2 BUILDINGPERMIT OWNER TELEPHONE y3- g S11. FT. OCC. BUILDING VALUATION OWNERS MAILING ADORES CONTRA O 'S NAME T LEPHONE 8 CONI TOMAILI17jGj ADDRESS t UK CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ Q.G. 0o ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS / !�/1/"D � 30. Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUB SNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome X Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installatwn�❑ �Otthher ❑ Describe Work: r to .o &J- C ti onr7 Gas piping system t - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service zoos oa .os 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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, 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 lOooA 46.00so NEW CONST. DWELLING OCCUP. 3.5QF°: OR cDNS. ON MuuCourLEr NON RESID. @7.50 APPARATUs 8 SINGLE OVILE'T CIR. OUTLET OR FIXTURES 20 Q 1.00 Ex. Occup.BAL @ .so Ex. Occup. DurLEEDTSA RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation 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.) ertify that in the performance of the work for which this permit is issued, I shall employany person in any manner so as to become subject to workers' ompensation laws of California, and agree that 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2i of Applicant - ❑ Owner ❑ Contractor Agenermit is required for excavations over 5'0"deep and emolition or construction over 3 stories in height. r Mobile Home Installation Fee $ Energy Inspection Fee $ c 3 Co TYPE TOTAL FEE $ot HAZ. pEs MP FLOOD CDF PARCEL PO HD�'cnc This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicate ove for which fees have been paid. B Date ��s Y PERMIT EXPIRES ON Date Receipt No. Y' OD WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Name ISTEFFEN THOMAS D &CINDYL Addr1 P§6—OGOODSPEED Addr2 I DURHAM CA 95938 Addr3 Addr4 Comments 10539400200 CONVERTED 09/08/88 Creating D oc#1 19808 2519574 Dake Current D ac# 11994R 30008 Date 08/25/1994 Filling Doc# Date Asmk D esc 1308 B O U CH E R ST S uplCnt Zoning JAR D well F Acres 1 0.20 N C 005 Asmk # 005-394-002-000 Fee # 005-394-002-000-'. Status ACTIVE Status Date] Tax [00-0 INORMALOWNERSHIP TRA 082-011 Situs 11306 BOUCHER ST CHI BaseDk Land Structure Fixtures Growing Total L&I Fix. R P MH PP PP E xemptl Net AgPres 0 Ekal j� N okes 0 B ands 0 multi Situs 1 33,441 Flag1 Flagg Asmt PP Pen Tax PP Pen Appeal Pending Split Pending Land Structure Fixtures Growing Total L&I Fix. R P MH PP PP E xemptl Net 33,441 0 0 0 33,441 0 0 0 0 1 33,441 Ric#r T!R DtI R!C Stat PHY I OWN I EXP I TAX I H O N I AT T I SIT I ,SPR. I PCL I NJ 2FE Find June 6, 2001 �41 LAND OF/ NATURAL W E A L T H AND BEAUTY L� BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 Mr.Thomas & Mrs. Cindy Steffen 8960 Goodspeed Durham, CA 95938 RE: Formal Warning Notice Building Code Violation 1306.Boucher Street A. P. # 005-394-002 Dear Mr. Mrs. Steffen: This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated March 2, 2001, notifying you that you are in violation of the BCC, and 1998 California Building Code (CBC), at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for the construction of garage and deck is a violation of the 1998 California Building Code adopted by Section 26-1 of the Butte County Code as follows: (a) Section 106.1 Permits Required (b) Section 108.1 Inspections Required (c) Section 108.4 Inspection Approval Required Before Use or Occupancy (d) Section 3405 Change in Use Requires Conformance to Code The above violations(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. This is your final warnin. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). June 6, 2001 Page 2 Should you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira in this office at the address or telephone number listed above. qc el : Michael C. Vieira, B.O. Manager, Building Inspection MCV:tp PROOF OF SERVICE BY WAIL 1 I am a citizen of the United States and employed in the County of Butte; I am, and 2 was at the time of the service hereinafter mentioned, over the age of eighteen years and 3 not a parry to the within action. My business address is Department of Development 4 Services, Building Division, 7 County Center Drive, Oroville, California 95965. 1 am 5 readily familiar with the County's practice for collection and processing of 6 correspondence/documents for mailing with the United States Postal Service and that said 7 correspondence/documents are deposited with the United States Postal Service in the 8 ordinary course of business on the same day. 9 On June 6, 2001, 1 served the foregoing 10 -Day Letter on the person(s) named 10 below by placing a true copy thereof in a sealed envelope, with first class postage thereon 11 fully paid, addressed as indicated below, and by placing said envelope 12 In the appropriate place within the Department of Development Services 13 where mail is collected for mailing with the United States Postal Services on 14 the same day.. 15 X In the United States Postal Service Mail in Oroville, California. 16 Mr. Thomas Steffen 17 Mrs. Cindy Steffen 18 19 1 declare under penalty of perjury under the laws of the State of California ne 6, 2001, 20 at Oroville, California. 21 /amr, ammie Powell 22 23 24 25 26 27 28 March 2, 2001 Thomas and Cindy Steffen 8960 Goodspeed Durham, CA 95938 RE: Building Code Violation 1306 Boucher Street A.P.# 005-394-002 Dear Mr. and Mrs. Steffen: L A N D O F N AT U RA L W EA L T H A N D BEAUTY PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA, 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530)538-7785 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for the construction of a garage and deck. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. cerely, Mich el Vieira Manager, Building Inspection MCV:dm cc: Assessor ... �'� • r a - ..:- _ .,a a `� y- f+»v-y'; i� �. va'+ ;iy' "C' - •'r. ' .. r wY ., — iC.".t(c=FY�7-at.74'.'� r. a�y� -- 3A:. R•.: 005 394'-002ti` ' "02 ;0704' STEFFEN, THOMAS'i- . �j 1306 BOUCHER ST., CHICO t, ,. DEMO DETACHED_ GARAGE t • • • i e I7t C INALED { X E 1. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County.Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 M T NO. (Rev. 12/96) APPLICATION AND PERMIT C Ld) ASSESSOR PARCEL I BERzON1 f BUILDING PERMIT OWNER �a�f .-f .._ �.j TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING AD6R' S 96 6 CONTRACTOR'S NAME - TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ► )(� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNVN/SNAME ^ PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 V& USEOFSTRUCTURE SF Duplex ❑ Mobilehome 'C Other Zn Zct. J SPE Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel0 Utilities ❑ Installation 0 Other Cha Describe Work: Com\ 1 ,� l,_ h .(�,i' ', ! lll(T! C Gas piping system 1 - 5 outlets 15.00 Buildin sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service . ' OR LLEESS 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.PSING License Class Lic. No. i OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: .,❑ 1, as owner of the property, or my employees with wages as their sole compensation, 9/+will do the work, and the structure is not intended or offered for sale. 1 as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation /of one hundred dollars ($100) or less.) M I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700*of the Labor Code, I shall forthwith comply with those provisions. X ✓ „ Daate� 'rC "' D __ Signature of Applicant - ❑ Owner ❑ Contractor Ly Agent An OSHA permit is required for excavations over 60" deep and demolition or constructionDate of structures over 3 stories in height. Main Service TO as. CCU000A NEW CONST. DWELLING OCCUP. Y OR ADONS. ( a ACC. S. so SO 3.52Fr. "R°�,pT MULTI -OUTLET 97.50 OUTLET COWELER APPARATUS 8 IR. Ex. Occup. OUTLET OR FDRUREs zu ,.� BAL so Ex. Occup. DflxuT>ETS R oGEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Gc �� TOTAL FEE $ 35, OV HAZ. D FE IMP FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated°above for which fees have been paid. By V.f� ��,�li� PERMIT EXPIRES ON 3 46 t 3 Dere ReceiptNo. ?L% ' c,i.� �. WHITE-D.D.S.-B.-B.-DT CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V, COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, Calsornia.,95965 • Telephone6 530) 538-7541 N I-m7M �N (Rev. 12/96) 1 APPLICATION AND PERMIT T4 ASSESSOR PARCEL NU BER ZONIN BUILDINGPERMIT OWNER n TELEPHONE SO. FT. OCC. BUILDING VALUATION .OWNERS MAILING CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. Flirt Fee $ 20.00 Permit Fee $ ► �� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESSEnergy Plan Checking Fee $ $ PERMIT FEE LOT NO. SU ONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE V16 SF Duplex ❑ Mobilehome Other — ✓ ECIFJ J C1 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Rem el ❑ Utilities ❑ Installation ❑ Other Describe Work: �, c / C,� yi(M 1 .�9A Gas piping system 1 - 5 outlets 15.00 Building sewer . 15.00 Mobile Home S G W +��20.00 PERMIT FEE1i S U ELECTRICAL PERMIT Fling Fee 20.00 LEss Main Service '.,v,z000ORoR tESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: '❑ I, as owner of the property, or my employees with wages as their sole compensation, ♦/will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Dat 10 Signature of Applicant - ❑ Owner ❑ Contractor EYAgent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To t000A 46.00 NEW CONST. DW EWNG OCCUP. 3.5QFQ OR AD orS. ( MULACC. NON-RESID. 07.50 POWER APPARATUS .11N.OUTLET CIR. 20 p 1.00 OUTLET OR FIXTURES Ex. Occu BAL @ .sa NS Ex. Occup. OFIX�ELErs(RES p,OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirin 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ c� TOTAL FEE $ 00 5Z.DMP ROOD COF PARCEL Po HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicat above for which fees have been paid. A 17 By Gi Date crrJ PERMIT EXPIRES ON 3^;Co.63 Date Receipt No. CID WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT L 2B ql%)7C D G ou 1 -Dtv XTI, OIy 10 I :. f .•4 :t iy /�s�. %� s � •4 Demolition Permits Asbestos Notification Statement Date AHM5-3914- 00�;L. 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 OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. Signature of Applicant 2/19/91 MAIL TO ASBESTOS NOTIFICATION EPA/NESHAPS Region IX 1235 Mission St. A-3-3 San Francisco, Ca. 94103 DATE: PROJECT JOB # (Please see reverse side) ASBESTOS DEMOLITION/RENOVATION NOTIFICATION Agencies ALTO Notified: 1,0c� 0 C.Ufc» Air aosot>sces Board 0 Cal OSML 0 BaUdimg DeparUoent T17QT10T7l-TTAwQ nm RF•.VFRSF S please check one: Renovation Demolition requiring 10 day notice Demolition requiring 20 day notice Revision of Original (Form on reverse side) IDE—PLEASE READ BEFORE USING THIS EPA USE ONLY DateRec Pstmrk School Del/ND ADQUTE? Code#: Doc#: FORM 1. OPERATOR: 3. FACILITY NAME: (Contractor) ADDRESS STREET ADDRESS CITY STATE CITY STATE ZIP PHONE( ) COUNTY ZIP 2. OWNER 4. FACILITY DESCRIPTION ADDRESS CITY STATE AGE SIZE ZIP PHONE( ) PRIOR USE S. Project Start Date: Completion Date: 6. Estimate of Friable Asbestos: ON PIPE: Linear Feet SURFACE OF OTHER COMPONENTS: Square Feet Nature of Materials: 7. DESCRIBE METHODS OF REMOVAL: 8. PROCEDURES USED TO COMPLY WITH 40 CFR 61.147 & 152: 9. NAME i LOCATION OF DISPOSAL SITE: ANY FURTHER PERTINENT INFO CAN BE INCLUDED BY ATTACHING ADDITIONAL SHEETS QUESTIONS??? FOR FURTHER INFORMATION CALL (415) 556-6415 8am/4pm M -F INSTRUCTIONS FOR USE OF ASBESTOS DEMOL•TTION /RENOVATTOig NOTTrTC T:roN FORM -6 RENOVATION: means altering in any way one or more facility components. NOTICE MUST BE POSTMARKED AS EARLY AS POSSIBLEBEPROJECT DEMOLITION: means the wrecking or tFORE taking out -of load -supporting structural members of a facility together with any related handling* operations 10 Day notice for MORE than 160 sq.ft.or 260 linear ft. asbestos 20 Day notice for LESS than 160 sq.ft.or 260 linear ft. asbestos, includes facilities which contain no asbestos. FACILITY: means any institutional, commercial -or industrial structure, installation, or building. Renovations on single family residences and apartment buildings with 4 units or fewer are exempt from notification to EPA. - PROJECT JOB #: Your OWN IN-HOUSE I.D. for a specific jobsite..Optional, but expedites communication -concerning notifications. LOCAL AGENCY: Most areas in Region 9.have local NESHAP delegated agencies. In these areas notice must be provided to both EPA and the local agency. . 1. OPERATOR/CONTRACTOR: Full.information concerning person doing the work. 2. PROPERTY OWNER: Complete in full. 3. FACILITY NAME: Must have complete address OR directions to the jobsite. 4. FACILITY DESCRIPTION: Current use of building. Project location in the facility. Other descriptive information as necessary. 5. START AND COMPLETION DATE: Provide month, day and year. Must be revised if dates change. (see revision form below) 6. Estimate of amount to be removed (must be in square or linear feet). Revisions(see form below) must be made for additional amounts uncovered. 7. Examples of methods: glovebag, scrape, remove in sections, etc. - 8. Examples: Adequate wetting prior to and during work, double bag, etc. DRY REMOVAL MUST RECEIVE PRIOR WRITTEN APPROVAL FROM EPA OR THE LOCAL DELEGATED AGENCY IF MORE SPACE IS NEEDED THAN PROVIDED, ADDITIONAL SHEETS SHOULD BE ATTACHED TO REVISE A NOTIFICATION ALREADY ON FILE WITH EPA, USE FORM PROVIDED BELOW PROJECT NAME PROJECT JOB 4 ORIGINAL NOTIFICATION DATE -- Revision Notice #1 2 3 4 5 please circle This is to advise that the above referenced notification presently on file has been revised. Please note the revised portion listed. CHANGES FOR THIS REVISION: 1. NEW Location 2. NEW Scope of Work 3. ADDITIONAL Quantity of Asbestos 4. -NEW Start Date 5. NEW Completion Date 6. NEW Disposal Site PROJECT ( ) CANCELLATION C COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 P RMIT NO. (Rev. 12/96) APPLICATION AND PERMIT &--// 5P, ASSESSOR PARCEL NUMBER 005-394-002 ZONING XXR R1. BUILDINGPERMIT OWNER STEFFEN TOM TELEPHONE 894-1546n(%jj�� SO. FT. OCC. BUILDING VALUATION 'S MAI OWNERS ADDRESS 2. I— ` LV P.0—BOX 693 FOREST RANCH CA 28 0 89,(0-00 CONTRACTOR'S NAME NAME TELEPHONE UWL CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Val Ion $ 896.00 ARCHITECT OR ENGINEER LICENSE NO. Filin F $ 20.00 Perm' ee $ 23.00 ARCHITECT OR ENGINEERS MA UNG ADDRESS Pl*fChecking Fee $ 23.00 BUILDING ADDRESS 1306 BOUCHER ST. CHICO orgy Plan hacking Fee $ $ PERMIT FEE $ 66.00 LOT NO -14 SUBDrv1s1OBUeF 5-33 PARCEL MAP PLUMQ& PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑X Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap tuN, 7.00 SolarftheAump water heater 23.00 Water g 15.00 a water heater or vent 15.00 TYPE OF WORK llation Oth New ❑ Addition ❑ Remodel [3Utilities ❑ Instaer Describe Work: s i in system 1- 5 outlets 15.00 Bui in sewer 15.00 ile Home I S I GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service 6.00.voa mss 23.00 LICENSED CONTRACTOR'S D RATION I hereby affirm under penalty of perjury that I a sed under provisions of h er 9 (commencing with Section 7000) of Division 3 t usiness and Professi s C e, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER CL TION I hereby affirm under penalty of perjury thata exe om th tractors license Law for the following reason: ❑ I, as owner of the property, or my em a wages as ei ole compensation, will do the work, and the structure I tint dad or, er for sale. ❑ I, as owner of the property, am clusl ly co ractin Icensed contractors to construct the project. ❑ 1 am exempt under Sec. usin fessions Code for this reason ATION I hereby affirm under penalty perjury one of thdeclarations: WORKERS' MPENSA OV3of ❑ 1 have and will mein In a certificate of o self -insure for workers' compensation, as p vided for by section the Labor Code, for the performance of the ork for which this permit is Issued. ❑ 1 have and will ma in workers' compensation Insurance, as required by Section 3700 of the limbo de, for the performance of work for which this permit is Issued. My workers' c pensation insurance carrier and policy number are: u er v sections need not be completed if the permit is for work of a valuation ndred dollars ($100) or less.) at in the performance of the work for which this permit is issued, I shall loy any person in any manner so as to become subject to workers' laws of California, and agree that if I should become subject to the compensation provisions of section 3700 of the Labor Code, I shall comply with those provisions. /of Date jf Jo Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. .11 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( e ACC. Lit S.3.50FT. NON-RESID. ITSMULTI-OUTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. 20 OUTLET OR FIXTURES @ 1'00 Ex. Occup.SAL .� Ex. Occup.. DURETS RE41U,°� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring_4__23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEPE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. fEES IMP X FLOOD AO CDF PARCEL X PDHD X ISSUEsation This permit is hereby issued under the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Oate ReceiptNo. % - 00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR INK -INSPECTOR GOLDENROD -APPLICANT ` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION TCOUNTY CENTER DRIVE - OROVILLE,,1�ALIFORNIA 95965 - TELEPHONE (530) 538-7541 PE"IT "PLICA TION DATA SHEET OWNER: J `� i' - ASSESSOR PARCEL;Ur: : t15 3 49 Proposed Building Use: jZ61le Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: - ❑ 1. All items have been submitted.------------------------------------------------------------------------------ Date Received By -- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown•on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No fazes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ----------------------- / ------------------------ El 7. Statement of Intent for Non -Heated and A/C Buildings. -------------------------- ;------------- :------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------- ' ------------------ ❑9. Manufactured Home data and installation instructions including Tie Down Specifications.-----. ❑ 10. Fees of $---------------------------------------------`-------------------------�`! ❑ 11. Impact fees as shown on the attached schedule. ------------------- r------------------ '!=''�___ ❑ 12. California Department of Forestry plan approval/fees.-------- !------------------- v � ------- r ❑ 13 . ood elevation certificate.---------------------'---------------.'--------------------=-{----------- 4. Sanitation and plot plan approvalC( d Health Department --------------- =;------------- ep ; ❑ 15. City of Chico plumbing permit.-----------------------------------------1--------------------- ❑ 16. Plot plan and business license approval from the`'City of Biggs. /-------------------------- '❑ 17. Planning approval for (A) Use: �!)(B) Parking;` ",.------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Dramage,'�_(Legal Parcel. ----------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy) - --------------- ❑ 20. Pre -inspection for ° 021. Contractor's license information. (Numbe 022. Workers' Compensation carrier and'p,oliq El 23. Owner -Builder Verification (Giver to.Owi 024. Letter of signature authorizations ------ �^. 025. Recorded copy of Agricultural Acknowl& 026. Letter of intent on building use. ----j------- 027. Manufactured Home utility clearance. -. 028. Existing violations and/or expired permit's r ❑29. 0433 A, ❑GrantDeed, ❑ M.H. Title, ❑ 1 required. Request to Building Inspector on Name Style, Classification). ------------------------------------ mum,\ber. -=:s --------------------------------------------------- r ❑, Mailedho owner 0) - -------------------------------------- .. to H.C.D $ S -22-o% (Date) ❑30. 'her: _______ you issu e e p t, rocess/as follows ❑Mail to owner, ❑�M+ a/il t contractor. 2Telephone Y % S� to and hold for pickup at . C�(�/� office. ❑Deliver with inspector. Applicant: Date: 7:5 - Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, I] kir Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: 1. Index permit application for the above items numbered: l ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, b Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Rivision counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Bu� oiVision counter, by Date: Plans reviewed by: Date: Plans approved by: G7'- Date - Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: n ... IA:..,. r-N:.a,.:,._ 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 tP .. NO O > . . 2. I HAVE P HAVE NOT O signed an application for a building permit for the proposed work. 3. I have contracted with the following person. (firm) to.prQvi# the .proposed construction: NAME.. *�,► . r. •fit. ADDRESS: CITY:_ . PHONE: CONTRACTOR'S LICENSE NO. . 4. I plan to provide portions of this work, but I have hired.the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY:m PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work'but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: <--7 PROPERTYOWNER: ' l 0 v4 SOCIAL SECURITY NUMBER: DATE:— / NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to Issue the permit. , OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and, to have' a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If yoJ pled, to ddyour own work„ with the exception of various trades that you plan to subcontrecf, 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 5300 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 Governments 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 for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obfiphons under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "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 contracting the Contractors State License Board in.your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder information is required by Section 19830 of the California Health and Safety Coda OVER 00 2 PLANNING DIVISION -BUILDING PLAN APPROVAL Use: C� K Date: �`ZZ U 1 Parking: - Landscaping: Other: ®, Signature: AL -T,•.� '.:. jai* CLEAR Of AWE; AND De ®gar S �:-r. i �► T" LVNEs A14D GEN u ,Ecce FOR C'14 b 1,40u� i17e alt ``''` aches ir�ms des 20 �4 oNG r A PAFM �� I c;2&g1��o PERMIT NO. 2687=80P,E 3041-801�II: PERMIT EXPIRES 6/9181 OWNER Marjorie White CONTR. owner LOCATION (A.P. 46-114=2 / 1306 Boucher.Ave., Chico r{ 6' :J 5 ` r Temp. ower Pole C'lled PG&E TB Elec. Serv. tINALED PG&E s-Serv. r PG&E (Date) (Sig Ature I c;2&g1��o PERMIT NO. 2687=80P,E 3041-801�II: PERMIT EXPIRES 6/9181 OWNER Marjorie White CONTR. owner LOCATION (A.P. 46-114=2 / 1306 Boucher.Ave., Chico r{ 6' :J 5 ` r Temp. ower Pole C'lled PG&E TB Elec. Serv. tINALED PG&E s-Serv. r PG&E (Date) (Sig Ature COMITY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the Cali,{ornia Administrative Code, Title 25, ,Chapter 5, under permit number for the following location: Owner Owner's Address Mobilehome Mfg ' �� ' %-��'% ' Model Year Insignia No. G� r ?%' Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director, -o£ -Public Works Date By , THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White- Owner, Yellow- Installer, Pink - D.P.W. COUNITY•Or. BUTTE — DEPARTMENT OF PUBLIC'WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage F.dn. Vents Fixtures Footings _- Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport - Footings Prov. for physically handicap ed Conformance of ex. structure Appliances Gas PI ing & Test 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 Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTI TIES Elec_ Service ' Elec. Pedestal Water. Piping bdQB16EHOME INSJALLATIQN Sewer Support Gas Piping i Continuity o Water Piping DATE ot,Elec. Drainage REMARKS OR CORRECTIONS Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) CQ'JNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211 ,,,Ext. 70 7 County Center Drive, OroviIle�— Phone 534-4541' j Skyway and E I'I ion Roads Paradise,= Ph 877-3435 CO RR E I 4 +,E `r BUI:EDING OR,PROPERT:Y ADDRESS A routine insp ctlonindicat�s tha. -the ollowing violations of County Ordinance exist at the above dress btu be corrected. Please notify this office' yi when correction f nr m leted. If you have an I p y y question p rtaining to this matter, or ne addI lonal.,explanation ease contact this icg.immediateiy. 0V�-- l� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 Countyienter brive - Oroviile, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSE S PARC L N MBE zONING BUILDING PE ow TjH C SQ. FT. OCC. BUILDING VA UATI OWNEMAiLIADDRZL © moi/ CO ACTOR'S NAME T LEPHO O TRAP' RR'S M NG ADDRESS CONSTRUCTIOM LIENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS o - 0(1(0 c) C PLUMBING PERMIT Filing Fee 3.00 Each Trap 1 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF [I Duplex[] Mobilehom&A Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti ties ❑ stallation Other E]Contractor Describe work: /tipe�c7��� _ gf7 Permit Fee $ ELECTRICAL PERMIT Filing Fee 3.00 0OV OR LE Main service 100 AMP ORSLESS 5.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare rider 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. /� j License No. S D 7.Z 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. LTI.OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. eo @ 25C Ex. Occup(o OR FIXTURES gqL Ly tOQ XD FIXED A PPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 3.00 WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. LrJ 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 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 agr a to save, indemnify and keep harmless the County of Butte against all Iiabi I es, judgments, costs, and expenses which may in any way accrue against s d Count 'nnsequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Contractor ❑ Agentff 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 $ e ®(� Land Development Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PO ND SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE F PUB By t PERMIT EXPIRES Date the applicable provi- resolutions to da fees have been paid. IC WORKS Date ��� Receipt No. ���� WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPLICAN TPINN-INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P IT NO,r� — \ ASSESSOR PARCEL NUMBER --/& —//4ly� ZON G Z BUILDING PER OWNER - i TELEPHONE SO. FT. OCC. BUILDING VALU N OWNER'S ILING ADDRESS GlG CONTRACTOR' S NAME APt TE EPF.ONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS — Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty - $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDLbOe ADDRESS PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 G� �G Water piping / /0,C? /0,00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets4f2.00 00 p ,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome� Other SPECIFY Building sewer Q Lawn sprinkler system TYPE OF WORK —� New ❑ Addition [:3Remodel [—]Utilities L� Installation ❑ Other Describe work: — /Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP ORV OR LESS/ 5.00 Main service EA. ADD'L 100 AMP , 2.50NEW CONST DWELING OR ADDNS. ( ACCLBLOGS.CCUP,&) 20 sq ft CONTRACTORS LICENSE LAW . declare under penalty of perjury. (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business5D@2ga 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 MULTI -OUTLET 2.50 ea NON -RES,., CIRC ITS NEW CONSTSL ( POWER APPARATUS &) NON.RESID. SINGLE OUTLET CIR. Ex. Occup(o XED TS OR FIXTURES BAL@ICC Ex. Occu FIXED APPLES, OR p•( OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 1 15.00 /Slop Misc. Wiring 6.25 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 3.00 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 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 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 consequ c of the granting of this permit. .C— X !ra Date � '��_ �.0 Signat re of pplicant — OwnerN 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 $ " 0 TOTAL PERMIT FEE $ , �� occUP. GROUP I TYPE OF CONST. I I PARCEL I PD /HD 1.SSU� ,✓// This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC By PERM EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ` Date r✓���� Receipt No. WHITE-D.P.W., YLLOW-ASSESSORPINK-INSPECTOR, GOLDENROD -APPLICANT E , M w 4 COUNTY OF BUTTE — DEPARTM,ENT OF PUBLIC WORKS— BUILDING DIVISION 7 County Center Drive — 0roville, California 95965 — Telephone 534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER ALAI .C72iZ/,4-E U/x/Z t; A. P. No. Proposed Building Use M//T1G/ �&i S Permit fee based upon: Complete Contract Price L/DPW Valuation Other (explain) Building Building Inspector i-�� 1� �I/ s Date 15 —XZ0A? O 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 & AC Buildings ................... 8. Fees of $ 9. Letter of signature authorization...............:............................................. 10. Sanitation approval from /_`'�i�rC D Health Dept.... / �U 11. Planning approval for 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors,L-icense Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Dpvelnnmpnt Section of Dpnt. Puhlic Works (Sap - - -. - - - - - , - -- - ---- •--- address below) ...................................... ................ _CM)/ 15. Pre -inspection for 5/ �` required. Pre-inspec. request to �� v 16. Other bldg. inspector Whenyou'Issue the permit, process as follows: Mail to owner Mail to contractor. r%Telephones/d3— -5�5f / and hold for pickup at office. Deliver w/inspection. Other 4 Applicant P1L 1/) // .� Date S .z P - R'7) v V v 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: r-, (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by — Date OTHER: r.nnv oPW To: Building Department From: Environmental Health Subject: Sanitation Clearance, IN Owner Location AP Plans approved for: Sewage Disposal . Water Supply Hold final for: Water Supply Final Clearance O.K. fora Water Supply Clearance for bedroom mobil Chomeo Other Clearance for addition of ?dote** ani ar n Date r Ltj C.. 00 Uti Qtz y _MOBILEHOME INSTALLATION.JNSPECTION' CHECK LIST 1. Is the mobilehom"e located with quired 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 Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec.5082 & 5083) Yes— No 4. Is the mobilehome level? (Sec. 5088) Yes_!//No_ 5. If more an a single unit,'are crossover connections properly installed? (Sec. 5088) . Yes No� ' 116. /Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)' Yes, No B. Test -,Does water piping w'thstand working pressure or 50 lbs, air test? Yes` _ o C. Backflow - If coach e of California approved, does station have backflow device and pressure-relie a es_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each oend? Yes '`l B.' 4 p Does it have minimum " per�foot slope and is it properly supported? Yes ._No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No` Oe D. If coach iso S California approved, does station have required trap and vent? Yes No .. 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with`an approved 3/4"••minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at'least as large as the mobi�lehoo gas line inlet without reductions other than the mobilehome connector. Yes ` 4, . ' ` B. Test.OK as per following procedure? Yes 1. Open all appliance connector valves. Shut off appliance burner and pilot valves. 3�r test with manometer to 10"--14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connectg as meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_— No. 9. Electrical A. Is service large enough to provide adequate amperage -t mbilehoffid'(must equal rating bf- mobilehome with a minimum of 1 0 amp);and other facilitie on of water pumps, � �sb 4 >i�3/�'' a p` �P, garage, cabana, etc.? Yes_ No_ 1 �. B. Is there proper clearances around panels? Yes C. Is power supply cord or feeder assembly properly fused? Yes C-�O_ D,C-P6 continuity test satisfactory as per the following procedure? Yes_ No 1. De -energize electrical wiring system of the mobilehome at the pedestal. C-2 Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. Switch all breakers and switches in the mobilehome to.the "on" position. . Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. —'ell 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. , g 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 fpr energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services, MOBILEHOME DATA Manufacturer and/or Namestyle rA Length WidthA Vehicle Serial No. State Identification No. Additional Information or Comments: me