Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
025-030-022
HUMES, DAVID & JANELLE 59 OAKWOOD LNJALERMO. ' Cont: OWNER PROPANE TANK AND LINE 025-030-022 • 02=2105 HUMES, DAVE 59 OAKWOOD LN., PALERMO NEW ELEC. SERVICE PANEL McCOURRY, Melvin 138-68B* '863-67E {' - 107-68E*' � A - ` rigs Oakwood Lane 750' east of Hwy. 70,0rov'i.l- CONTR: Se ton & Gipe ' 863-67 ( j'addition) 1 i. I' 'STORM DAMAGE , REPORT 'OMPLAINT GIVEN - L TO BUIL`DING'INSP. t7A15=G� y . HUMES, DAVID & JANELLE 59 OAKWOOD LNJALERMO. ' Cont: OWNER PROPANE TANK AND LINE 025-030-022 • 02=2105 HUMES, DAVE 59 OAKWOOD LN., PALERMO NEW ELEC. SERVICE PANEL McCOURRY, Melvin 138-68B* '863-67E {' - 107-68E*' � A - ` rigs Oakwood Lane 750' east of Hwy. 70,0rov'i.l- CONTR: Se ton & Gipe ' 863-67 ( j'addition) 1 i. I' L IIIIin 9r2j Butte County Department of Development Services. 0urrf. RREA �- N ® T E S 7 County Center Drive, Oroville, CA 95965 F (530) 538-7601 www.buttecounty neudds I r RESIDENTIAL APN:' 025=030-022 _ ' � i" -� - ---05-3331-- Owner: HUMES, DAVID & JANELLE } —59 OAKWOOD LN; PALERMO`T"—""� Site Address: Cont: OWNER PROPANE TANK AND LINE Contractor. Type of Permit: OFFICE COPY Address GAS � Meter Da ELECTRIC Meter v Date �'k � _ I 1L- L SPECIAL CONDITIONS SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE r DATE JOB FINALED: SIGNATURE: v CHECKED BY I1 "r k�k's n. t a J1 1 r RESIDENTIAL APN:' 025=030-022 _ ' � i" -� - ---05-3331-- Owner: HUMES, DAVID & JANELLE } —59 OAKWOOD LN; PALERMO`T"—""� Site Address: Cont: OWNER PROPANE TANK AND LINE Contractor. Type of Permit: OFFICE COPY Address GAS � Meter Da ELECTRIC Meter v Date �'k � _ I 1L- L SPECIAL CONDITIONS SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE r DATE JOB FINALED: SIGNATURE: v CHECKED BY = OK = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION " SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fa11/C/0-Concrete 4 Wtr; Loctn-Test-Easement Needed-RegulatorStairs-Guard/Handrails 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat 0 or LPO Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test -De man d-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers -Breakers -Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S`C O V E R S'C A R P O R T S `GARAGE S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel 3 Decks, GirderslJoists-Dcking-Brcing 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors . 7 Electric 8 Frmg; S ills -An chrs -Studs -Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls o �`s` �• 0s DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel -Cnnctns-Th ickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFl 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes-Enclsrs-pniboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide �1 o, ds Pool Drawing l = OK 0 = Not OK RESIDENTIAL (Single & Duplex) DATE 1UNDERFLOOR DATE IPLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Eiec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel -Blockouts -Wrapped 57 Test Tub & Shwr, 2nd fir - Tub, Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frpic Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test41 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-Rgitr-Service Test 12 Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16. Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 72 Elec Trim & Subpni, Breaker Sis & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop4ns Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Clrnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One T -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rfir Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 Insultn-Foam-Looked in Attic 38 Insultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters ❑Yes ONO 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frpic-Clrnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr Clmc4ns Prtctn 91 Ext Elec Trim, GF1 Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz sa ❑ CU or ❑AL 98 Address Posted AC Wire Sz sa ❑CU or ❑AL 99 Fire Sprinkler 48 Range Circ ga ❑ Cu or ❑AL Oven Circ ga ❑ CU or ❑AL Insulated Neutral ❑Yes ONO o+`" 0•�c o� o`s 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnis-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt .52 Smoke Detector 41 s COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE by 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 call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional. explanation, please contact the Building Inspector as indicated below. �_..c - �-�-. tr`-.... - �' 6 r/h•' / �. Pte_ .. S (moo !- k t :.L •i'r 3 ry{ '4y yLi �y ry ,c Date ?� Inspector REV 4/05 Phone # L, G OR RE -INSPECTION CALL: 538-7636 R 891-2834 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 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 the Business and Professions Code, and my license Is in full force and effect. License Class : License Number: Date: Contractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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 to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of 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 she is exempt therefrom and the basis for the alleged exemption. Any 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).): If 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 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 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.). ❑ I am EExxeemppt�,un�der Article 3 of the Business and Professions Code Date: t` Caw Owner: 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. ❑ 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: Policy I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: I' 3C��0�� 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. . PERMIT NO. BP053331 Issued Date: 12/30/2005 APN: 025-030-022-000 Site Address: 59 OAKWOOD LN PAL Map Index: Description: propane,tank and line Owner: HUMES DAVID P & JANELLE 725 W RAY CT OROVILLE, CA 95966-4447 Applicant: HUMES DAVID P & JANELLE 725 WRAY CT OROVILLE, CA 95966-4447 Contractor: License #: Architect: Engineer: Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: CONSTRUCTION LENDING AGENCY This permit is he y is I hereby affirm that there is a construction lending agency for the Resolutions t do work performance of the work for which this permit is issued (Sec 3097 Civ.) PERMIT EXPIRES ON: Address: �/ 1 e provisions of the Butte County Code and/or h fees have been paid. Date: /2-30--aG ❑ 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 ButteCountyto enter upon the above mentioned property for inspection purposes. .) Print Name:/ `"7� /l-1 Signature: l' Date:. ❑ Contractor ❑ Agent for Owner O Agent for Contractor B. C. Building Permit 01-16-04 pg 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION M. (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP053331 B. C. Building Permit 01-16.04 pg 1 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under Issued Date: 12/30/2005 APN: 025-030-022-000 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. Site Address: 59 OAKWOOD LN PAL License Class : License Number: Map Index: Date: Contractor: Description: propane tank and line 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 Owner: HUMES DAVID P & JANELLE permit to construct, alter, improve, demolish, or repair any structure, prior 725 W RAY CT to its issuance, also requires the applicant for such permit to file a 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 95966-4447 7000) of Division 3 of the.Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any 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).): 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: HUMES DAVID P & JANELLE Code: The Contractors' State License Law does not apply to an 725 WRAY CT owner of property who builds or improves thereon, and who does OROVILLE, CA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for 95966-4447 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: 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.). ❑ I Exempt under Article 3 offtthe and Professions Code )aim ,Business v 2� Date: Owner:�v License #: 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 Architect: Labor Code, for the performance of the work for which this permit 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. Valuation: $0.00 Policy #: Census Code: 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 O become subject to the workers' compensation laws of California, Iv^ 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. !J Date: I '�� 30 `o St Applicant: WARNING: Failure to secure workers' compensation coverage is. unlawful, and shall subject an employer to criminal penalties and one I 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. . CONSTRUCTION LENDING AGENCY This permit is he y issuedAfinder the a icable provisions of the Butte County Code and/or - I hereby affirm that there is a construction lending agency for the the for this is issued 3097 Civ.) Resolutions t do work i abo a or w ' h fees have been paid. performance of work which permit (Sec / BY Date: Name: PERMIT EXPIRES ON: Address: (Date) ❑ 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. ),, Print Name: `✓/i"7�% e, Signature: C/C�"�i `y Date:.__L wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor B. C. Building Permit 01-16.04 pg 1 BUTTE�COUNTY ~,�^-x►! PERMIT DEPARTMENT OF DEVELOPMENT SERVICES NO. BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS gpp �_ 3� 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 BIN # A FEE WILL BE REQUIRED AT TIME OFAPPLICATION "PLEASE PRINT CLEARLY2 -,_ —0 3 C) ©�2 APPLICANT NAME OWNER Last Name v First a/rte Address City City O Jf LC State Zapg Phone Fax Fax E-mail 090 01 APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT NAME Name �wA Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X` For office use only: Zoning operty Address Flood Zone Cross Street SRA I Yes I No Occ. Type Const Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS LOCATION AP# operty Address City Cross Street Bldg 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 Name Address Description or Scope of Work: de C SNE ,e , ) Sq. Footage ❑ Structure Built without Permits ❑ 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. Received by: Amount Bldg v SRA Receipt #: -�� 0b Sheri# V � SUP Other Date: I (� Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE LEGIBLE AND ININK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ .2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION ,----.-.. RFV 9-19-M lasOIDOINQ:Assessor In q Jul 152002 Name U S BANK NATIONAL ASSOCIATIO-N �� Asmt # - J Fee # 025.030-022-000 -- ---- --- - —�-- Status ACTIVE � Status Date I_.___-___-_-J Addr1 CIO EQUICREDIT CORP OF AMERICA Tax 000 NORMAL OWNERSHIP JTRA 092_000 Addr2 PO BOX 53077 _- - - Situs 59 OAKWOOD_-N _PALERMO Addr3 JACKSONVILLE FL 32256 Base Dt 01!08!2001` IBM Addr4-- -- _ Land 20,302 Timber Preserve 'Structure 2_6,508, AgPres Fixtures _ 0 ,Comments 2503002200 CONVERTED 09!08188= Etal i' Growing 0' Creating Doc# 198819999999JI Date �;' 1 Notes - �� •Total L&I 46,810' Current Doc# 200180001250 Bonds Date O1111l2001J;� Fix. RP 0 Killing Doc# Date F-]I Multi Situs MH PP s 0 - 1 Q Flagl Asmt Desc OAKVJOOD LN � SuplCnt�' Flagg PP 0 Zoning � Dwell o - - j 910 MH Exempt Acres/Sq Ft �J NIC 025 � Tax PP Pen x PP Pen 171 A RNC# 46,810 TaA _. Appeal Pending 'T!R Dt� �j� LO Split Pending {R/C Statr�� SPH W OWN EXP TAX HON r ATT T SIT. IA�PRR-,- PCL j 3► fad 11 lFind jIQ6 7�_ 1 il2001 AUpton; 02J04!2002 1:19:33 PM STORM DAMAGE REPORT McCOURRY, Melvin 138-68B* 863-67E 107-68E* n/s Oakwood Lane 750' east of Hwy. 70,Orov CONTR: Se ton & Gipe 863-677-1A9 ("addition),�c Ce - .fi�'t:; i A f McCOURRY, Melvin 138-68B* 863-67E 107-68E* n/s Oakwood Lane 750' east of Hwy. 70,Orov CONTR: Se ton & Gipe 863-677-1A9 ("addition),�c Ce - .fi�'t:; i A 1 1 T Assessor Name U S BANK NATIONAL ASSOCIATION' ,' Asmtr Fee # 025 030'022,000 Status ACTIVE Status Date y Addrl. CIO EQUICREDIT CORP OF,�AMERICA r w= _ " Tax 0001 NMAL OWNERSHIP ;JRA'�-092—;000—! i OR_ Mit Addr2 PO BOX 53077 - _ x _ - Sd`us 59 0i4KW00D�LNPALERMO _ Addr3 ;JACKSONVILLE FL 32256. ! x ,� _ ,; ,P-�=r �•p v- ` Base Dt 01!,08/2001, Addr4 r: r Timber Preserve Land 20;302' -09/08/88 F Ag"Pres "Structure 26 508'' Fixtures Comments 1250300220000NVERTED r' Etal Growing "0 ' 3 Dat- Creating Doc# 198819999999+ e r Notes " 01/ Current Doc#2001R0001250 Date1172001 r Bonds Total L&I 468.10 Fix..RF 0 +� r Multi Situs Killing Doc# I Date l r Flagl MH PP 0 Asmt Desc OAKWO0D LN Sup1CntF1 r Flagg PPI 0 Zoning Dwell F 910 MH Exempt 0 Acres/Sq Ft FO- N/C 025 r Asmt PP Pen Net Fr " X46;81'0 r Tax PP Pen R/C#F r AppealPend;.g T/R Dtl- j- Split Pending R/C Stat PHY OWN EXP TAX HON ATT I SIT I APR PCL ?001 JAUpton, 0210412002 1:19:33 PM 025-030-0222,,,� AR -1 aj� ,rte STORM DAMAGE REPORT i • McCOURRY, Melvin 138-68B* 863-67E 107-68E* 5-03-2 f n/s Oakwood Lane 750' east of Hwy. 70,Orov / COIVTR: Se ton & Gipe CCC � 863-67 (;;addition) �,,��c - ���%' cc �`2.,•..Lr�,.-C, ._ 5mW i t I Fa-s0100/NQ: Assessor 00 Asmt # I Fee # 025.030-022-000 Name JU S BANK NATIONAL -ASSOCIATION 1� Status ACTIVE �� Status.Date Addr-I CIO EQUICREDIT CORP OFAMERICA, o - - - Tax 000 NORMAL' OWNERSHIPS TRA 092 0_00_ Addr2 PO BOX 53077_ Situs 159.OAKWOOD�111N PALERMO Addr3 JACKSONVILLE FL 32256 'f R Base Dt- 01!08!2001 91MR, r Addr4 r Land X20 302, - mber Preserve Structure 26,508 ` - - fgjPre s- - Fixtures 0 Comments 2503002200'CONVERTED 09708188 i i� 'Etal' Growing 0; Creating Doc# 198819999999 j Date i� Notes. Total L&I 46,810; Curr6nt'Doc# 200180001250 - Date 01!11!2001 CI),Bonds Bonds E Multi Situs Fix_RP 0; Killing Doc# ] " D0 atei MH PP _ - -- �---'� rJ Flagl : - Asmt'Desc OAKWOOD LN j SuplCnt 1 PP � � � 'FIag2 � � -� , 11 Exempt 0 Zoning U Dwell 0 --!`910 MW }Asmt PP'Pen ;I Net `46 810, Acres/Sq Ft ,[NYC 025 `,R7C#� '1� Tax PP Pen , 10i Appeal Pending'; T/Rpt f Split Pending RIC Stat �PHY ` OWN` EXPJT = TAX HON ATT t SIT APR. PCL rulFQ IF I �� Find - - - - — - - _ fir. _ _ -_ - �I 2001 I AUpton, 02 j04 j2002 1:19:33 PM 9 I ,I I I I, I { r- - - - - -- - - - O I I I I I I i O I O i I I I I I I I I II I -•--------- i----- ----- ----------------- -- i t i I O O I I O i 1 I I I i I I I i I I { ° I 025-030=022 AR -1 i I I I I I I --I---- i ---------i ---- -- { I O I I I ' O ' I I I , i i I O ---- --- - 't -- - � I I I I I I � I { I I I I I ' I I I I I � I I I I I I � i � COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P IT (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARC0. NUMBER 025-030-022 ZONING BUILDING PERMIT OWNER TELEPHONE OWNERS MAILING DAVE R SS 725 WRAY CT., OROVILLE, CA 95969 SO. FT. OCC. BUILDING VALUATION CONTRACTORS ORR'7NAME OWLVM TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 59 OAKWOOD TN_, PALERM0 Energy Plan Checking Fee $ PERMIT FEE $ LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF N Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other iR Describe Work: NEW M EMIC:AT. SFRV PANFT. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service p A 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. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Lawthe following reason: I, as ow( _ ner of the property, or my employees with wages astheir 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. ❑ lam 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: I have and will maintain a certificate of consent to self -insure• for workers' compensation, as provided for by section 3700 of the Labor Code, for the 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 0 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 to �0 I'gnature of Applicant- Owner ❑ ontractor ❑ Agent An OSHA permit is requir for excavations over 5'0" deep and demolition or construction of structures over 3 stori s in height. Main Service TO 46.00 NEW CONST. DWELLING OCCUP. SO WCU OR ADONS. ( . NEW ONN-RESD. MULTI.O CIRCUITS 97,50 POWER APPARATUS & SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 620 @ I: 0 Ex. Occup. ouTEiFrs RESID.OEA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 Pre—Inspection 123.00 PERMIT FEE $ 66.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66.00 HAZ. D. FEES IMP FLOOD CDF I PARCEL I PD HD S This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By L00- PERMIT EXPIRES ON applicable provisions Resolutions to do work been paid. Date • 0 :7, Data ReceiptNo. 360857 $66.00 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD.APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 P RMIT C (Rev. 12/96) APPLICATION AND PERMIT - �•-�TrT ASSESSOR PARCEL .... NUMBER CJJ� -- C7 Q 20NN0 ' BUILDING PER SO. FT. OCC BUILDING VALUATION OW R. TELEPHONE r3 q� OW7;S MAA1N AO S dos-_ COMM(-, NATE U TELEPHONE CONTRACTORS MAUP40 ADDRESS Fireplace _ Total Valuatlon S ' CONSTRUCTION LENDER IENOER'S WUUNG ADDRESS ARCHITECT OR ENGINEER ucENSE No. Filing Fee E 20.00 Permit Fee b ARCHITECT OR ENGINEERS MAUNG ADDRESS BUILDING ADDRESS W004Energy Plan Checkin Fee S - Plan Checking Fee S S PERMIT FEE S LOT NO SUBDIVISION'S NE PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other s�crr Each Trap 7.00 Solar or heat pump water heater23.00 Wnter i in 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utlfrties ❑ Installation ❑ Other Describe Work: n � .�Q n q t -X Q V Each gas water heater or vent 1 5.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 . ��; SRA >� Sanitr 0 OEM J a / /1 `LJ V Mein Service O00V OR LESS tow OR LESS 23.00 3 •Cl Main .Service 200A To 1000A 46.00 NEW CONST: ( ONELLING OCCUP.SO. OR ADONS. A ACC. BLDS. I 3.5¢FT. CONST.NtW MULTI.OUTI.ET NON-RESID. wANcm cIgcurTs1 (P7.50 POWER APPARATUS i SINGLE OUTLET 01R, EX. Occup. OUTLET OR FDCTURES B 20 I.w I EX. OCCU FIXED APPLNS. OR OUTLETS ESID.) EA 5.001 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc.-,W' ' 23.00 l� It' ►�J��� PERMIT E S ^_ MECHANICAL PERMIT Fling Fee 20.00 Heating Coolin Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. PE TOTAL FEE $ HAz. O. FEES IMP FL000 COF PARCEL Po HD i 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 Date _ PERMIT EXPIRES ON - �•-�TrT dtj,�#��"�"ya"�i�'t'�7�41�1rtn;,{•�'"r*r-,.r--•,.-v..r..aa ao��'�Iie"7.�, COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET G/ ^� OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use:�� n Q _ Counter Technician: Date: S G� Items required in order to apply fora permit. All boxes MUST be checked OR ma ed NA in order to apply. ❑ 1.. Plot plans, 3 or 4 sets, signed,ity the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations, ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instruciions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ 9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings ....... :.................................................. ❑ 11. Detached Accessory Building Form filled out by the owner ..................................... ❑ 12. Hazardous Material Form............................................................................... _ ❑ 13. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.) ❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... ❑ 15. Statement of Intent for Non -heated and A/C Buildings ............................................. ❑ 16. Sanitation and plot plan approval from the Environmental Health Department in ❑ 17. City of Chico Plumbing permit......................................................................... ❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ...................... ❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check: ❑ 20. Contact Land Development about ❑ I'nprovements; ❑ Drainage .......................... .......................' 02 Encroachment Permit for driveway om`e Public Works Dept. (construction approval prior to 6ccupancy). 22. Pre -Inspection for �.?lo �-j��' required ................ ❑ 23. Contractor's'license information. (Number, NmSyle, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. ❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... ❑ 26. Letter of Signature authorization.................................................................... ❑ 27. Recorded copy of Agricultural Acknowledgment Statement .................................... ❑ 28. Manufactured home utility clearance............................................................... ❑ 29. Existing violations and/or expired permits......................................................... ❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: f When issued Telephone ' - } - and hold for pickup. I have been informed of the above items and requirements for obtaining a building permit. Applicant: > Date: -0-IS70 2 1. Index permit application for the above items numbered: 2. Additional items required Contractor, designer, owner, was advised cf the above data by Contractor, designer, owner, was advised of the above data by Plans reviewed by: Date: Structural reviewed by: Date: Note transfer by: Date: a -10 Plan Check Letter phone, ❑ mail, ❑ counter, by Date: phone, ❑ mail, ❑ counter, by Date: Plans approved by: Date:_ _Structural approved by: Date:_ a I I Yellow: Building Division O`VNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your Vie, Please complete and return this information at your earliest opportunity to avoid uoneoeasae�rdri�p► in processing and issuing your building permit. No building permit will be issued ung." verification is received. 1 personally plan to provide the major labor and materials for construction of the proposed property improvement: YES NO O I HAVE O HAVE NOT O signed an application for a building permit for the proposed vNo L 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: DRESS: ONE: A. I pl to supervi NAINIE: PHOirT: CONTRACTOR'S LICENSE NO. provide portions of this work, but I have hired the following person to coordinate, Land provide the major work: I will provide some of the the work indicated: NAME CM: CONTRACTOR'S LICENSE NO. rk but I have contacted (hired) the following persons to provide ADDR�S PHONE TYPE OF WORK SIGNED:�� nn PROPERTYOWNER: 14 ` / G<- .9 S OCIA.L SECURITY NUMBER: �' DATE: NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 4f*8 California Health and Safety Code. This verification must be eor»pk d wed returned to our office before we are permitted to issue the permit OVER REQUEST FOR INSPECTION Permit 1Li' LocatiL=r e-4, \—r A /1 C� Owner: TV -fl Contractor: Comment: BLDG. PLUMB/MECH ELECTRIC M.H.I./M.H.U. PRE - INSPECTION Form Rough Rough Fnd/Ftg Frame/Underfloor Top Out Temp. Service Job Status Stucco Lath Gas Pipingfrest Main Service Corrections Permit Renewal Stucco Brown Temp. Gas Underground Final Woodstove Sewer Piping Well Circuit x Mobile Site Brace Panel Water Piping POOL Insulation Shower Pan Nailing Gunite Demo Bonding Light Niche Corrections Corrections Corrections Final Final Final Corrections Ready for llnspec.on: Final Date: 7_8 Call Phone: COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 tRev`2/96) APPLICATION AND PERMIT PERMIT N ASSE"°R.ARCOQWrsETL a :owwo 'YCI.[hgN! �3 BUILDINGPERMIT SQ. Fl. OCC. BUILDING VALUATION Fireplace Total Valuation E Flin Fee S 20.0; Permit Fee b Plan Checkino Fee S Energy Plan Checking Fee S 5 PERMIT FEE i PLUMBING PERMIT Fling Fee 20.0c Each Trap 7.00- .00 Solar Solar or heat um water heater 23.00- Water piping 15.00 _ Each as water heater or vent 15.00 CONTRACTOR'S NAA UW TS LEPHONE CONTRACTOR= MAUNO ADDRESS CONSTRUCTION LENDER LENDER'S "LANG ADORES$ AACNITECT OR ENOINEEA LICENSE NO MCNrrECT OR ENOwEERS wvLNo ADDRESS 8U0.pwG ADDRESS LOT NO SUBMISION'SNUtE PARCEL MAP USEOFSTRUCTURE SF(16) Duplex O Mobilehome O Other aPEcsv TYPE OF WORK New O Addition O Remodel ❑ UtlGties ❑ Installation O Other Describe Work: �n moi) _Ae ,(I 0 n Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE ! ELECTRICAL PERMIT I Fling Fee 20.00 ; SR A women s� iL�ltl� memo c/ i loc., �� tY .Q 1 t Main Service am OR LESS 200A OR LESS 23.00,-')3 ^(j Main Service 200A TO IOLwA 46.00 NEW CONST: OR ADDNS. & AOC. SUP, I 3.5c'FTO NON•RESID. MUM -OUTLET SicuffsI @7.50 POWFA APPARATUS i SSVOLE OUTLET 010. EX. OCCU OUTLET OR FDLTLRES BAL O 1.00 1 Ex. OCCu pFUEDs E DOR 5.00, Temporary Service 23.00 Mobile Home Facilities 20.00 Esc. W 23.00 PERMIT E t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt ! Moble Home Installation Fee i Energy Inspection Fee E occ TOTAL FEE S CONST:I- IMP fLAOD CDf PMCFI-O 65vE 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 Date PERMIT EXPIRES ON BUTTE COUNTY BUILDING OFFICIALS0 3.:a.Z-- DICTION Block Parcel No. S ' Ll /ll �T fl�M apicl Evaluation Safety Assessment Form {, BIITLDING ESC ONO euC-7— Name: Address*- dr4 No. of stories: Basement: Yes ❑ No ❑ . Unknown ❑ Primary Occupancy: Dwelling ❑ . . Other Residential ❑ Commercial ❑ Office ❑ Industrial ❑ Public Assembly ❑ School ❑ Government ❑ Emer. Serv. ❑ Historic❑ Other OVERAT L RAMG. (Cleeek One) ITNSPECTED (Green) ❑ _ Exterior only _ Exterior and Interior LIMITED ENTRY (Yellow) ❑ UNSAFE (Red) ❑ IINSPECiOR: Inspector ID Affiiiation _G INSPECTION -DATfi. j6 Mo/day/year Time 10 ,' ai ! pm Instructions: Review structure for the conditions listed below. A "yes" answer to'2, 2, 3, or 5 is grounds for posting entire structure UNSAFE. If more review.is needed, post LITTrffED=?�1'T`RY. A"yes" answer to 4 requires posting AREA UNSAFE and/or barricading around the hazard. Hazards such as a toxic spill or an asbestos release are covered by 6 and are to be posted and/or barricaded to indicate AREA UNSAFE. Condition More Review Yes No Needed 1. Collapse, partial collapse, or building off foundation ❑ ❑ ❑ ❑ 2: Building or story noticeably leaning ❑ ❑ ❑ ❑ 3. Severe racking of walls, obvious severe damage and distress ❑ ❑ 4. Chimney,.parapet or other falling hazard ❑ ❑ �. 5. Severe ground or slope movement present.,. ❑ ❑ ❑ ❑ 6. Other hazard present . Recommendations: ❑ No further action required ❑ Detailed Evaluation required (circle one) ❑ Barricades needed in the following areas; ❑ 0Uier. Structural Geotechnical Other Posted at this Assessment . Cl Yes ❑ No !Q ;�Z, GCI ' s F , I DAA,14 46 •' c� : -1390 Name Reporting Address/Location Telephone Numb PUBLIC INFORMATION OFFICER 538-6953 REPORTDAMAGE FLOODFOR INITIAL ASSESSMENT JANUARY 1995 1 - ' ^, A^ Why. Calling? O (Note: Medical Emergencie Refer to 911) Buildina Description Comm rcial/Usage Residential Type nds� Currently Occupied/ se bandone Sanitation Plumbing working Running water Well Flooded Obvious Problems Structure On/Off F�tion Floodin a ove elow floor V eS Obvious leaning, tilting Y�p Gas Severe Damage/Collapse V\110 Debris Hazard M.e.a. - - Natural/Propane Obvious problems (odor, leaks, leaks, propane tank floating/submerged) Electric Any electrical submerged i'l\.O Obvious damage (failure, downed wires, arcing) I_I1--q5 396 Name Reporting Address/Location Telephone Numb —12 PUBLIC DAMAGE REPORT FOR INITIAL ASSESSMENT FLOOD JANUARY 1995 OFFICER P / n AA Why. Calling? O (Note: Medical Emergencie Refer to 911) Building Description Commercial/Usage Residential Typi-'?nd C rently Occu�Use Abandone Sanitation Plumbing working Running water — Well Flooded Obvious Problems Structure On/Off F�tion Floodin a ove below floor �S Obvious leaning, tilting .�p Gas Severe Damage/Collapse Y\10 Debris Hazard V0, -A , M -Q- -Q_.- Natural/Propane Obvious problems (odor, leaks, leaks, propane tank floating/submerged) Electric -_�_ Any electrical submerged. Obvious damage (failure, downed wires, arcing) Chemical/Fuel Wet, flooded, lost chemicals Type pesticide, fertilizer, other chemicals Amount Fuel tanks (above or below ground) Obvious hazards Agriculture Loss Crop Damage a" Livestock Lost Building Damage Roads (Public) Road Name Obvious Damage/Hazards Location/Landmarks Traversable (Sedan, 4 wheel) _ Involved Utilities (downed wires) Levees Waterway Name Location of dama�_, r. __._... By Obvious hazards Nearest Landmarks Overflow/freeboard .11 10 Copies: 1. OES 2. Health 3. Building 4. Agriculture 5. Fire 6. Sheriff