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HomeMy WebLinkAbout025-020-048ti oas- o � o �-4-���:�� a 'N CAR ON CARLOS JOHNSON LOS 3 4 1 Highway 3416 Highway 70, Oroville g F6H qUBSTANI %SUBSTANDARD HOUSING COMP 25-021W NEWOVM EW OVINER N JOHNSON 0 ON JOHN 3416 Hwy 7.0, Oroville /cl Permit#1583-84P,E(repair as per H.D. let 5/9/84) 025.-020-048 04-3473. JOHNSON, KRISTINE 3416 HWY 70N, OR0 VILLE Cont: SE LIG CONST. VINYL SIDING 13 SQ oas- o � o �-4-���:�� a �� r�Y��7 1583-84P E PERMIT NO. PERMIT EXPIRES 5/22/85 OWNER DON JOHNSON CONTR.. owner ASSESSOR PARCEL 25-0'203 LOCATION 3416 Hwy 70, Oroville Temp. Power Pole Called PG&E Temp. Elk. Service Called PG&E Temp. Gas Service Ca11edPG&E JOB FINALED (Date Signatur V = OK O = Not OK = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -.Easements r 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 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; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except p's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date 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 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/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-1 Date Card -BI Date Card -BI Date Card -BI Date 1. r e 1. = OK ► = Not OK = Not Applicable = Not Ready RESIDENTIAL (Singlb and Duplex) 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. 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. O.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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date 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 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. 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 Card -BI Date Card -BI Date 64. 65. Elec. Outlets at Wood Panel; Int. & Ext. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 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 Al 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 ❑No 75. Followinginstld.: Drive ❑Yes ❑ No; Walks ❑Yes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI 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. 86, Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 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 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 k'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 j Ir 41. 42. 43. 44. 45. 46. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thn_q.-Rfn_g_. _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 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 WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville -- Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. 14116 -4 h 7Z> u S AE Q� /�u•� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ^� ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'SMArLING AD RESS acm CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS D PLUMBING- PERMIT9 Filin Fee 10.00 23 Each Trap 2.00 Solar Water Heater 20.00 © r' Water piping 5.00 LOT NO. SUBDIVISION NAME' PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 ,�_� USE OF STRUCTURE SFU Duplex ❑ Mobi lehome ❑ Other ' SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e u S C E TYPE OF WORK New ❑ Additi E:1Remodel ❑ Utilities ❑ Installation Other Describe work: �•� �' Permit Fee $ r Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1DOA OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (/ DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus ness and Professions Code and m license is in full force and effect. y n 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 CONSTRU TI.OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR POWER APPARATUS &') NON-RESID. SINGLE OUTLET CIR. Ex. Occu TS OR FIXTURES 20e50e P�oX BAL030 IED Ex. Occup. OUTLETS PR (RESID.)EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 r Misc. Wiring 15.00 /9,00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 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 1 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 liabiliti , judgments costs, and expenses which may in any way accrue against County in on eque a of the granting of this permit. Signature of Applicant — Owner El Contractor ❑ Agent An OSHA permit is y quired for excavations over 5'0" deep and demolition or construct- ion of structures 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ •— OCCOP. GROUP I TYPE OF CONST. PARCEL PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D CTOII F PUBLIC By PERMIT EXPIRES Dat ^ the applicable provi- resolutions to do fees have been paid. WORKS �!! qqD^ateS�'�2 -L cC — &cl'_ )ov,�r Receipt No. / F%Sr- WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT V Billie VQ o i9 i1Y �y G; NA LUP...A': `id FAL T H A:r U S,EAUI'Y DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH f�[7 County Center Drive ❑ 747 Elliott Road Oroville, California 95965 Paradise, California 95969 Telephone: 916/534-4281 Telephone: 916/872.2961, Ext. 58 May 9, 1984 Don Carlos Johnson 2950 Lewis Avenue Oroville', CA 95965 RE: Substandard Housing Complaint - 3416 Highway 70, Oroville, CA/AP# 25-02-023. Dear Mr. Johnson: This department received a complaint alleging Health and Safety hazards in the above listed rental dwelling. The Butte County Assessor's records indicate you own the property. On April 24, 1984 1 visited the property and the tenant's mother permitted me to inspect the house. The following conditions were observed which are in violation of the California Adminis- trative Code, Title 25, Chapter 1, Subehap-ter'l.; State Housing Law Regulations; and the California Health and.Safety Code, Section 17920.3 (a), (c), (d), and {e); and which pose health or safety hazards to the tenants.. 1. There are numerous electrical hazards including unsafe wiring.to front porch light, electric water heater, and the. swamp cooler. Wall receptacle behind the stove is unsafe. There is.no cover panel over the breakers in the -breaker -box. Cover plates are missing on wall receptacles andswitches throughout.the house. 2. Water heater doesn't work. 3. Faucets are leaking in kitchen sink, and has rotted out cabinet bottom below sink and around drainboard. 4. Bathroom lavatory drain plumbing leaks. 5. Cabinet below lavatory has hole in wall and allows rodent entry. 6. Toilet does not drain properly, and flush valve does not operate properly. 7. Wood fired space heater is not a proper installation and is a fire hazard. i N'y L A, '.i D Address ❑ 196 Memorial Way - Reply to Chico, California 95926 Telephone: 916/891-2727 V Billie VQ o i9 i1Y �y G; NA LUP...A': `id FAL T H A:r U S,EAUI'Y DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH f�[7 County Center Drive ❑ 747 Elliott Road Oroville, California 95965 Paradise, California 95969 Telephone: 916/534-4281 Telephone: 916/872.2961, Ext. 58 May 9, 1984 Don Carlos Johnson 2950 Lewis Avenue Oroville', CA 95965 RE: Substandard Housing Complaint - 3416 Highway 70, Oroville, CA/AP# 25-02-023. Dear Mr. Johnson: This department received a complaint alleging Health and Safety hazards in the above listed rental dwelling. The Butte County Assessor's records indicate you own the property. On April 24, 1984 1 visited the property and the tenant's mother permitted me to inspect the house. The following conditions were observed which are in violation of the California Adminis- trative Code, Title 25, Chapter 1, Subehap-ter'l.; State Housing Law Regulations; and the California Health and.Safety Code, Section 17920.3 (a), (c), (d), and {e); and which pose health or safety hazards to the tenants.. 1. There are numerous electrical hazards including unsafe wiring.to front porch light, electric water heater, and the. swamp cooler. Wall receptacle behind the stove is unsafe. There is.no cover panel over the breakers in the -breaker -box. Cover plates are missing on wall receptacles andswitches throughout.the house. 2. Water heater doesn't work. 3. Faucets are leaking in kitchen sink, and has rotted out cabinet bottom below sink and around drainboard. 4. Bathroom lavatory drain plumbing leaks. 5. Cabinet below lavatory has hole in wall and allows rodent entry. 6. Toilet does not drain properly, and flush valve does not operate properly. 7. Wood fired space heater is not a proper installation and is a fire hazard. X Page 2 Don Carlos Johnson Continued These conditions shall. be corrected as follows, and 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. Replace all hazardous wiring, eliminating open splices and exposed wiring to the front porch light, to the electric .water heater, and the swamp cooler. Repair.or replace the unsafe wall receptacle behind the stove. Provide a. cover panel over the breakers in the breaker box. Replace all missing cover plates on electric receptacles and light switches.. 2. Provide a properly installed, functioning water heater with clearance from combustibles, temperature -pressure relief, valve and discharge line. 3. Repair or replace leaking kitchen faucets. Repair or replace rolled kitchen cabinets and drain boards. 4. 'Repair or replace leaking lavatory sink drain plumbing. 5. Repair cabinet below lavatory sink, eliminate holes in walls and make area rodent proof. 6. Repair.or replace toilet and drain plumbing so toilet will drain properly, repair or replace toilet flush valve. 7. Provide a' -proper installation for the wood fired stove, with . proper hearth, separation from combustibles and proper flue. A reinspection will be made. Failure to comply with this notice will result in the Franchise Tax Board being notified of your noncompliance, 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 sub- standard. 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. Very truly yours, ibward Sn d� R.S. Division of Environmental Health HJS/lda cc : blit Works -Jim Glander I , % BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION At: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE At: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP043473 LICENSED CONTRACTORS 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 Issued Date: 12/08/2004 APN• 025-020-048-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 3416 HWY 70 ORO Date: �Z -2,yr ontractor: Map Index: Description: vinyl siding 13 sq. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: KRISTINE JOHNSON to its issuance, also requires the applicant for such permit to file a 3416 HWY 70 signed statement that he or she is licensed pursuant to the provisions of OROVILLE CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95965 she is exempt therefrom and the basis for the alleged exemption. Any (530) 534-3189 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Applicant: KRISTINE JOHNSON Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor:. SELIG CONSTRUCTION not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 3851 MORROW LN ❑ 1 am Exempt under Article 3 of the Business and Professions Code #7 95928 530-893-5898 Date: Owner: License M 711042 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 Architect: is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: ,p 05 -do -0,0 I'D I Z Y Valuation: $0.00 Census Code: EII certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. q �, Date: /Z g_ " Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 1 / J I / j �//� w'n44 i Aff (pp�licabllee CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the This permit ithhereby tissued undee he provisions of the Butte County Coda anrVor Re lutio to do work indicate bov for whichfees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) .- Name: By: Date: PERMIT EXPIRES ON: Date Address: ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. M /a Print Name: 1 / L A Signature: c/ Date: 2 ❑ Owner ❑ Contractor ❑ Agent for Owner Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION **PLEASE PRINT CLEARLY** OWNER Last NameG First Noe n +P� Address 3 / 1& 1 /0 City (0v G le, State` City Phone Fax E-mail APPLICANT NAME CONTRACTOR Name S City Address — 17 City to ' 22 —Phony _ l Zip E-mail Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Lot # Fax E-mail Date Approved: State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: AP# Zoning Flood Zone SRA Yes No Occ. WORKER'S COMPENSATION Type Const. Subdivision Name If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT nNO BIN # LOCATION AP# Property Adres . / 6 City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY -Nam Address Description or Scope of Work: Sq. Footage ❑ Structure Built without PftiitS ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. vL K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 Received by: Amount: v o Bldg SRA / Receipt #: 6 Sheriff SMIP Date /_�j� Other Gd Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 7-27-04 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxesl ❑ 4. Energy compliance design and supporting documentation in duplicate. (Note: Not required for additions to mobile or modular homes.) ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie "down or fnd plans, all in duplicate. ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Detached Accessory Building Form filled out by the owner (if required). ❑ 12. Hazardous Material Form (for Commercial Buildings only). —J]93___Sanitatio�and_site _j3-Envlr��maDiaLtiealth-Depadment" Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner (for 433A's). If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530)538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 7.27-04 3•j-/Vt/LVV9 v,.10 rn-a JJV VOJ J400 CHICO 3851 Morrow Lane M7 LL 113; Chico, CA 95928 1-800-886 -5898 SACRAMENTO CORPORATION . 1500 W. EI Camino Ave Su 382 CA Lie.# 711042 Sacramento, CA 95833 s 17S 1-888-8846626 VVIJ.• rSAW,/- ADDRESS ADDRESS 4 t Cm► HOMEPHONE t S034" 31$!j WORK PHONE I,) E-MAIL EST START DATE���404 EST. COMPLETIONOATE��� SPECIFICATION: SELIG CONSTRUCTION CORPORATION OFFERSTO,FURNISH AN,D INSTALLTHE.FOLIOWING:' ' I - i r' • W�-IdW4 Em Ail Raw '-- J T. 'AL 77 1 This proposal may be withdrawn ff. not acce ed within of th ate shown above. All agreements, or understandings must be set forth in writing DOWN PAYMENT BALANCE DUE ---0, PMMME in this proposal. Payment due upon Completion of the job. At -L CHECKS MUST Or: tiiene n' IT In �,L IG coNSTFIUCTIQN CORPORATION � CAUTION: DO NOT SIGN THIS•PROPOSAL UNTIL YOU HAVE READ THE CONTENTS OF THE REVERSE SIDE. ACCEPTANCE: ALL PRICES, SPECIFICATIONS AND CONDITIONS ARE SATISFATORY AND HEREBY ACCEPTED. Authorization Is given to SELIG CONSTRUCTION CORPORATION, it's empw4es and assignees for all rights and access to accomplish the work commissioned. SELIG CONSTRUCTION CORPTION is not response r-eyAt,'ng structural detects. Code violations, or conditions existing beyond their control. J/ a CUSTOMER'S suaMITTED DAT DATE DATE il-13--04- LO 0C ACCEPTEO FOR SEUG CONSTRUCTION CORPORATION OATS Contractors are required by law to be licensed and regulated by the Contractor's State Low Ucense Board. Any questlons concerning a contractor may be referred to the registrar whose gummas in: CONTRACMWS STATE LAW DOMD, 9th COETHE ROAD, SACRAMENTO, CA 95M OR P.O. BOD( moo, SACRAMENTO, CA 95826. You may cancel this transection, without any penalty or obHostlon, within three business days from the date of the contract. To canal this transaction, mall or deliver ■ notice of cancollatlon to song Construction Corporation, 3851 Marrow Lane, #7. Chico, CA 95922 iciVii4w4 u1:10 me aau OVJ 00a6 L.YALU-SLUG CONST. H4ISHA 4005 COMPLETION CERTIFICATE AND ACKNOWLEDGMENT OF RIGHT TO CAN NOTICE TO BUYERS: Do not sign this document until the work has been completed. The undersigned buyers hereby: A. Certify that all goods and/or service (property Improvements) sold to us by r� (Seller) under a home improvement installment contract dated 'r , have been furnished and performed completely in accordance with the terms of said contract. B. Acknowledge and understand that: (1) a home improvement Installment contract evidences our indebtedness under said contract, and (2) we had the right to cancel said contract, without penalty, after receiving notice from Seller of our right to do so and that we did not exercise said right. Buyer Date Buyer Date SELLER'S CERTIFICATE AND MECHANIC'S LIEN WAIVER The undersigned herby represents and certifies to any assignee of said contract that: A. All goods and services provided for in the above described home improvement installment contract have been delivered and performed in a workmanlike manner and in accordance with the terms of said contract. B. The buyers named in said contract did not exercise their right to cancel said contract after having received, prior to the delivery of any part of the goods and/or performance of any part of the services contracted for, due and proper notice of the existence of their right to do so. C. All debts for labor, material, license fees, permits, inspection fees and other bills pertaining to said contract have been or will be within 30 days paid in full. All liens or claims or rights of lien arising out of the home improvement installment contract have been waived and released and there is no outstanding indebtedness which might result in a lien on the property improved as a result of said contract other than the mortgage or deed of trust, if any, executed by the Buyers. Cc Seller By 1 Name(s) of Buyer(s) , 41S4�-aA � a`"'' �— This form may be faxed to Vision Financial at 916-636-1741 lZ/uticuue u4:15 r'AA Diu ova *Ova E.PALU-SELIG CONST, MISHA 11009 59 Ea R 1 1 C 0 R P 0 R A T 1 0 N CONTRACT CHANGE CUSTOMER NAME: k_q\ -A VR- JOB NO.: ADDRESS: r�)L �k u tUI L DATE: CITY, STATE, ZIP: WLNU,�Q J��s 10 PRODUCT SOLD: i n DESCRIPTION OF CHANGES: '�- r AMOUNT OF ORIGINAL CONTRACT CHANGE AMOUNT: (+ (- )) NEW CONTRACT AMOUNT DOWN PAYMENT: BALANCE DUE @ COMPLETION AUTHORIZED CHANGE $1q.-1?SV S 00 0 S s �91 ODD ;TCMMSIGNATURE / DAT ;TOMER SIGNATURE / DAT 3851 Morrow Ln., #7 • Chico, CA 95928 • CA. License # 711042 - (530) 893-5898