Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
025-220-018
c y 025-220-018 PERMIT#95-00 7 LANGE, Jean & Paul 330 Stimpson Ln., Gridley MHI Ex Site 025-220-018 PERMIT#96-0500 LANGE, Jean & Paul 330 Stimpson Ln., Gridley MH On Perm Fnd 025-220-018 PERMIT#97-1395 LANGE, Jean F„„ „ p gbo /clr 330 Stimpson, Orovi le Demo/SF 10 t f - . REeORDING REQUESTED BY: AND WHEN RECORDED MAIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE.CA 95965 97-024998 I97-024998 97-024998 9 7-0G49 9 8 1 :Rec Fee .00 I Total .00 Recorded Official Records. County of Butte Candace J. Grubber Recorder 9:28am 8 -Jul -97: COMS _ XX 1 4 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. PAUL C. AND JEAN C. LANGE MANUFACTURER'S NAME 1886 EAST 5TH STREET MAILING ADDRESS BENICIA, SOLANO, CA 94510 330 STIMPSON LANE GRIDLEY, BUTTE, CA 95948 CITY COUNTY STATE ZIP SAME UNI F OWNER (if also property owner, write SAME BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE MAILING ADDRESS OROVILLE, BUTTE, CA 95965 CITY COUNTY STATE ZIP 96-0500 (916) 538-7541 BUIXIGERMITN TELEPHONE NUMBER 7/2/97 SIGNATURE OF LOCAL IAL DATE NONE DEALER NAME (if not a dealer sale, write 'NONE') MAILING ADDRESS DEALER LICENSE NO. Leffillf O1T_, UNIT DESCRIPTION CELESTIAL 1974 CELESTIAL S1182U/X 48'X20' MH 88605/88606 RIAL NUMBER(S) LENGTH X WIDTH L NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION ASSESSOR'S PARCEL NUMBER A.P. # 025-220-018 SOUTH HALF OF LOT 6, 'ACCORDING TO THAT CERTAIN MAP ENTITLED, "MAP OF WATT'S GRIDLEY COLONY", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCTOBER 9, 1911, IN MAP BOOK 7, PAGE 34. HCD FORM 433(A) REV. 8/91 WHITE - County Recorder CANARY - HCD PINK - Applicant GOLDENROD - Building Dept. Address or location of unit: Legal Description of Real Property: BUILDING PERMIT NUMBER: 96-0500 330 STIMPSON LANE, GRIDLEY A.P. #025-220-018 SOUTH HALF OF LOT 6, ACCORDING TO THAT CERTAIN MAP ENTITLED, "MAP OF WATT'S GRIDLEY COLONY", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, OCTOBERS, 1911, IN MAP BOOK 7, PAGE 34. (x) Mobilehome/Manufactured Home ( ) Commercial Coach Has been affixed to the real property above by installation on a foundation sytem pursuant to Health and Safety Code Section 18551. Owner's name: PAUL C. AND JEAN C. LANGE Owner's address: 1886 EAST 5TH ST., BENICIA, CA 94510 INSIGNIA OR HUD NUMBER: MH 88605/88605 SERIAL NUMBER OR V.I.N. S1182U/X MANUFACTURER'S NAME: CELESTIAL YEAR: 1974 OFFICIAL APPROVING INSTALLATION: DATE: 7/2/97 PHONE: (916) 538-7541 H.C.D. 513C STATE Cif" CALIFORNIA - DEPARTIVENT OF HOi1SING AND COMMUNITY DEVELOPMENT REGISTRATION `CAR'D MOBI'LEHOME DECAL0. I ex^aoo ?'.�BF;:C'i:?Kit TRADE NAtJE MODEL 001A OOT DFS SPC EXPIRAN3i7 CELESTIAL/ CELESTIAL 00/00/74 001'00/74 138 STIMPSON U: SERIAL NUMBER NUMBER I S1132LJ 88605 M0G0110T0 0JNGTH D576 WIDTH 000120 GS 06!U!6 CC 04 EXEMPT 15E SFD '1FILAE-ELONSIGNIA. LPT 2 51182X HH88606 000000 000576 000120 — L U S SMALL BUSINESS `' ...... ....... , TOTAL ADMINISTRATION 3 c `RE DLB82757530 07 4 Bit 13795 �a r L FEES i i o SACRAMENTO 'gL CA 95853-4795 a{i w FAD I �R s 973.00 R A LANGE PAUL C/ D JEAN C JTRS D 1886 E 5TH ST R BENECIA CA 94510 e s T'L E BENECIA `'"' Ci4 94510 o s 138 STIMPSON w u GRIDLEY �` '•'. CA- 95968 :- .......... .......�.. .5.. L U S SMALL BUSINESS `' ...... ....... , E ADMINISTRATION c `RE DLB82757530 07 A Bit 13795 �a r L 1� �Yd• 3 ! i i o SACRAMENTO 'gL CA 95853-4795 a{i w DATE: 03/15/4•12:10:00 I �R R ei le U F N I I R O 5 R T L I E N S H E O C L O D N E D R I jig 'aq 9 c :ka 391 .; .s.. "'CS;+,S dL�E IMMTA14T 03-155-01602 THE OWNER INFORMATION SHOWN ABOVE MAY NOT REFLECT ALL LIENS RECORDED WITH THE DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT AGAINST THE DESCRIBED UNIT. THE•CURRENT:. _T"RTg1 ATus OF THE UNIT MAY BE CONFYRMED THROUGH THE DEPARTMENT, .030027:0. -RECORDING REQUESTED BY BIDWELL'TITLE AND ESCROW COMPANY ORDER # 139684 AND WHEN RECORDED MAIL TO F_ -� Name PAUL C. LANGE AND JEAN C. LANGE Street 1886 E. 5th Street Address Benicia, California 94510 Slav $ stere L J MAIL TAX STATEMENTS TO Name Same as Above Street Address State LAP # 25-22-0-018 SPACE ABOVE THIS LINE FOR RECORDER'S USE Individual Grant Deed THIS FORM FURNISHED BY TICOR TITLE INSURERS -6727346 RECORDED BUTTE COUNTY OFFICIAL RECORDS f ,DWELL TITLE CO. ia91 JUL 29 PjA 12* 09 CANDACE J. GRUBBS CLERK -RECORDER FEE �1 8'7_2'73,16 CAT. NO. NNO0582 TO 1923 CA (2-83) The undersigned grantor(s) declare(s): z Documentary transfer tax is $ 60.50 7PANSF. a d (XXX) computed on full value of property conveyed, or T ��' ( ) pQ!® computed on full value. less value of liens and encumbrances remaining at time of sale. (XXX) Unincorporated area: ( ) City of , and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, PATRICIA ANN SNYDER, A Married Woman, as her sole and separate property, who acquired Title as PATRICIA ANN SMITH, A Widow. hereby GRANT(S) to PAUL C. LANGE AND JEAN C. LANGE, Husband and Wife, As Joint Tenants the following described real property in the County of BUTTE , State of California: Ali tlza'c e;ertain real PrOperty siZL.aie iai tki y_^ Ba:cte, State of Cali Lorna ' described as follows: South half of Lot 6, according to that certain Map entitled, "Map of Watt's Gridley. Colony", which Map was recorded in the office of the Recorder of the County of Butte,, State of California, October 9, 1911, in Map Book`7, page 34. .w Dated: tL STATE OF GAHF - C7 VUNTY OF J SS. --- On ,(,y !'�, before me,-th nder ned, a Notary Public in and for said...State,..-_ personally appeared t ��� personally kdown to me or proved to me on the basis of sat- isfactory evidence to be the person whose name CJo subscrib to the within instrument and acknowledged that executed the same. WITNESS my hand and official seal. ow"y�I Signature Title Order No. Patricia•Ann Snyder pi (This area for official notarial seal) Escrow or Loan No. MAIL TAX STATEMENTS AS DIRECTED ABOVE END OF ..Y 25-22-18 ' 1.2761-89B BLAIR, Cathy ) , 318 Stimpson Rd,.Orgville (reroof/SF). y©ve4 f t-� ` -Yq iS r� 3 a S s�" �.. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 19,5911S - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSOJ§E PARC!�N.`MBER ( 1 zON N UIL BDING PERMIT O NER +, i TELEPHONE g SO. FT. OCC. BUILDING VALUATION J � WNIR' 'MAILING ADDRESS � - ` � C N ACT S E TELEPHONE CON C OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ -- ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESSv� {/C(� Permit fee $ PLUMBING PERMIT Filing Fee 10.00 y Each Trap 2.00 ,. Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF b] Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FG JW 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other. Describe work: l� 4SC� (7n,lA Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification AN 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) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.5i, OR ADDNS. ACC. BLDGS. h2sgff NEW CONSTR U TI -OUTLET NON -RE SID BRANCH CIRCUITS2.50 ea t POWER APPARATUS e %SINGLE OUTLET CIR. ) EX. OCcup(OUTLETS OR FIXTURES 20®506 eAL980 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of, Butte to enter upon the above-mentioned property for inspection purposes. 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 agai st aid County in consequence of the granting of thi permit. X Date (M Signature of Appli an — Owner ' Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demo I on or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $.: Occup' CONST*TYP1J SCHOOL FLOOD PARCEL PD 1 iEsu t This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By, L HMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS / Y Date �v Receipt No.����� WHIT!-D.P.W.. YELLOW-Asels'•✓IOR. PINK -INSPECTOR. GOLDENROD-APPLICANT COUNTY OF BUTTE_- D PARTMENT OF PUBLIC _ WORKS Pf MIT 7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541 APPLICATION AND PERMIT A556b�Oji PARCF..r NUM B ER ZoN N BUILDING PERMIT Or NER TELEPHONE SO. FT. OCC. BUILDING VALUA ION / •indqr W ER' MAILING ADDRESS � CON ACTO S TELEPHONE CONT C OR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ /16 ARCHITECT OR ENGINEER LICENSE N0. Plan Checking Fee .$ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 1 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home SnELI 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other,] Describe work:__ Ac e_ms-- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eoov OR LESS 100 AMP OR LESS 10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑I am licensed under p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. { License No. Classification 1X1 I , as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUPAW) , OR AODNS. ACG. BLDGS. / /20sgft NEW CONSTR. TI -OUTLET NON-RESID BRANCH CIRCUITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex.Occu o pUTLETS OR FIXTURES 20050e5AL030 Ex. OCCUp. OUTLETS FIXED P(RESID.)REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte againstOCCUP. all liabilities, judgments, costs, and expenses which may in any way accrue agai st aid County in con equence of the granting of thi permit.. Date Signature Of Appli n — Owner IKJ Contractor ❑ Agent ❑ An OSHA permit is required f 'excavations over 5'0" deep and demo 1 on or construct- ion of structures over 3 stori s in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 46 1 CONST.TYP[ SCHOOL FLOOD PARCEL PD H 39U This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By MIT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date`X'�A V v^ O Receipt No. WHITE-D.P.W.. YELLOW-ASe(SSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT A COUNTY OF BUTTE - Department of Public Works_ 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 ` OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1.. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an app ication for a building permit for the proposed wor . 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address "Phone Type of Work Signed: Prope Socia Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 4 O O = Not OK = Not Applicable Not Ready RESIDENTIAL ' = Date UNDERFLOOR (Plans) OK except k's 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main;'Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ft,g., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Brockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date ,Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except n's 16. Water Htr.: Vent -Access -Combustion Air -Baffle - ------------------------------------ 17. Water Pipe: Test & Anchor -Nail Protection - -------------------- 18. D.W.V : Test -Fittings & Anchor -Nail Protection -------------------------------- -------------------- 19. - --- Shower Pan; Test. First Floor -Tub Access ---------------------------------------------- 20. Test Tub & Shower. Second Floor -Tub Access ---------- - - ------------------------------------------ 21. Gas Pipe Size & Anchors ------------- ------------------------------------------------------------------ Date Card B -t Date Card B-1 ------------- _... -- ---- - ------------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except n's 22. Fixture & Transformer Clearance -Ins. -Protection ---------------------------------------- -- ----- --------- ---- -- --- _ 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes 8 No. of Conductors -Stapled -------------------------------------------------------------- ------- -- 25 - Romex Installed Close to Edge of Studs & C.J. --------------------------------- 26. Equip Ground made-up wrMech. Fastners-Bond Gas &- Water 2r 2 Appliance Circuits in Kitchen & Conductor S1ze,GFI ------------ -- --- ------------- _...... - 28. ---- Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. -------------------- Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Cu or At 29. Range Circ ga. Cu or AI -Oven Circ. ga. Cu or Al. , - - 57. Insulated Neutral ❑ Yes ❑ No 30. Service -Riser Conductors & Ground -Main Disconnect _ 31. Equ p_Clearances Panels_ Motors_ Mech. Equip. - -- -- 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector ------------------------.. ... -- ........._............ ........ - - ....... . Date Card B-1 Date Card B-1 ------ -------- - ------------------- _...... ... . Date Card B-1 Date Card B-1 Date MECHANICAL,(Permit) OK except if's 34. A.C. Ducts Insulation & Support -=-------------- -- --------- ...................-- ................. 35. Vent Fan: Exhaust above insulation ---------- .. ............... ... ... ....... ... ... .. 36. Condensate Drain & Overflow: Size & Grade - ....... ................ ....................... ....... . 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---------- ............... 38 Attic Access & Platform f Furnance in Attic ------........ ................ .. ... .... ......... ..... ... .. Date Card B-1Date Card B-1 - ------ ------------- ----- _.. ... ... .. Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except P'S 39. S Is. Proper Material & Anchors 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound 41. Bearing Walls ..............over Girders & Floor Nailing ... ... .. 42. Draft Stop in Walls (rat proof) _......... 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------- ......_ ..._._.....-...._............. .. ......... .. ... ... .. 44. Headers & Beam -Size & Bearing Single & Duplex) Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ ---- --- 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance _ 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions - --------------------------- 50. Garage Fire Protection Framing ----------------------------------- 51. Property Line Firewall & Openings 52.- Ext.-- Doors -One 3' -Check Garage -3rd Story. 2 Exits ---- --------- ------- 53. -------------------- Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer ------------------------------------------ - 56. Stucco Mesh _Drip Screed -Fd. Vents-Underflr. Access - - 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls. Nailing -Bolts 59. -- Insulation -Walls -Ceilings 60. ----------------- ------- Infiltration -Walls -Windows 74. ....--•----------------------------- Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. Date - --- - ---------------------------- Date Card B-1 Date Card B-1 Card B-1 Date Card B-1 Date FINAL (Plans) OK except n's .. - 61. Ext. -Steps -Door & Sidelight Protection -Landings 62. ------------------------------ Smoke Detector - - -------------- 63. Furnace: Vents -Clearance -Comb. Air -Connector - ---------------------------------------------- In Garage: Above Floor -Ducts -Meth. Protection 64. ..---- -- ---------------------------------- Bedroom Exiting ----------65. 65. G.F.I.& Bath Fixtures & Tub Access-Spa - 66. -------------�----- Elec Trim & Suh anel: Breaker Sizes & Labels ---------------------------- 67. Stairs & Rails ------- -------- 68. Fireplace or Stove: Clearances -Hearth ---------------------------------- 69 Elec. Outlets at Wood Panel: Int. & Ext. --------------------- ..... ------------------ 70. ce Kit.Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance -------------------------- -- - ..._ ....-------------- 71. Elec. Outlets & Receptacles at Kit. Counter ------ --- ................ 72. .. _.. _ ... ....------------------------- Garage Fire Door: Swing -Landing -Closer .......- 73. A.C. Duct in Garage -Damper ---- 74. ....--•----------------------------- Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage_ Above Floor-Mech. Protection - 75. Plb.. Elec. & Mech. Equip. Listed for Location ---------------------------------- 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection 7 Insulation -Foam -looked in Attic ❑Yes - --- 78. Guard Rails & Deck Construction -Post Caps _ ----- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. - -------------------- Following instld.t, Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No ------------------ - 81. _._.....--------------------------------------------- n- Stucco: Brown -Finish ------------------------------------------- ... ... 82. A C. Unit: Disconnect. Electrical, Plumbing ------------------------------------------ -- ----- .. 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings -......--------------------------------- 84. Water Well: Disconnect. Electrical. Plumbing . .....----------------------- ------------- - 65 Exterior Elec. Trim: G.F.I. Receptacle -Underground ---- .---- - ----- ---------------------------------- 86 Ventilation Throughout House -- -- - --- ------------------- 67 Glass Protection -- --------- ----------------- --------------86. 86. Corrections from Previous Inspections 89 Gas Test -Meters Tagged: Gas -Electric ------- -------------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval - _.....---------------- 91. Energy Compliance Certificate -Other Certificates -- -- -- ------------------------ Date Card 8-1 ._.. ----Date --------------Card-- t----------- .. e .. Date Card B-1 Date Card B_t Date Card B-1 Date Card B-1 Comments. at Final: RESIDENTIAL - 025-220-018 PERMIT#96-0500 - LANGE, Jean & Paul 330 Stimpson Ln., Gridley MH On Perm Fnd 3/y/9g OFFICE COPY Address GAS Meter By Da2__ ELECTRIC Meter B Da THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWI HAVE BEEN TURNED IN TO THE BLDG DIV: (1) LICENSE PLATE(S) (2) LICENSE DECAL (3) STATEMENT OF FACTS i �f SINGLE FAMILY MUST BE DEMOLISHED-- BEFORE EMOLISHEDBEFORE MH FINALED (\ , - NEED DEMO PERMIT y , L , �3 6 f 6, g36os� I P --`7 7 JOB FINALED te) - signature I ` t f . f 1 V'= OK O = NorOK = Not Applicable - Not Ready MOBILE HOMES Date 14081LE HOME UTILITIES(Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements (_--?.—Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete ( 4.'Watdr. Location -Test -Easement Needed (Sketch) 11 - 5. 1 city; Location-Clearances-Gmd-/ /Amp -Concrete a ; Location -Test -Wrap; / J'Uft. /Nat: or/ PLIQ /LPG 7 I Clearance & Disconnect 8. Utility Clearance i Date- Date f Date MO 4' 1. Card B-1 Date Card B-1 Card B-1 Date Card B-1 HOME INSTALLATION Plans OK except #'s Zpning Requirements -Setbacks Easements Footings; Si pacing -Marriage Line Date as; MH t -Dema d Valve -Connector _ icit'* MH Test -Crossovers -Breakers -Clearances rain; M. Tes - all -Flex Connector 6' fer;est-Regulator-Connector 7•.' ater and Sewer Connected -C/O to Grade -HD Approval }8• as and Electricity Tagged wns-Type•Installation Cert. 1. xits; insp.-Sketch 11. Cert of Occupancy Date Card B-1 V,0 � Date Card B-1 Date50_'Z!::Zarc1 13-1 ate Card B-1 1 fi i t { f 1 ' MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-DepthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI ! 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5 Circulating Equip. -Pool LBhtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test d ' I ,;Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - 7 .County Center Drive-t`O'roville, California 95965 :4 -Telephone APPLICATION AND PERMIT BUILDING DIVISION (916) 538-754,1-3, _ D � © W.CJ ASSESSOR PARCEL NUMBER ZONING 025-22-0-018 A - BUILDING PERMIT OWNER TELEPHONE JEAN AND PAUL LAN745-0410 SO. FT. OCC. BUILDING VALUATION 60 R 51,840 OWNER'S MAILING ADDRESS 1886 EAST 5TH ST, BENEM CA.945in CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNIOJOWN Total Valuation $ 51,840 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit F $ 211.75 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS 130 STIMPSON LANE- GRIDLEY PERMITFEE $ 254.75 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome IX Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 on Building sewer 15.00 15 oo TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Y1 Describe Work: INSTALL MOBILEHOME/PERM FDN EX SITE — Mobile Home I S I GI W 1 @20.00 PERMITFEE g 6500 Contractor ELECTRICAL PERMIT Filino Fee 20.'00 Main Service / 00OV OR LESS 200A OR LESS ) 23.00 23 00 Main Service ( 200A To 1000A ) 46.00 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: i� I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. O I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BUDS. ) 3.50 FT.'.. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .SO Ex. Occup. (oFIXEDrs PLNS..j ER.A) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ " Contractor 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 PERMITFEE $ Contractor 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 V a provisions. Date (' / 9� Sig tan ure of - wner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE OTAL FEE $ 62.75 HAZD. F IMP FLOOD COF PARC PD HD SU This permit is hereby issued under the applicable provisions of the Butte CountCode and/or Resolutions to do work indicat bove fo whiFh fees have been paid. By ate PERMIT EXPIRES ON 3 �J8 I (Date) t ReceiNo. o p z1 ;JR WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ��G.+�..`�"'wch*.++ww;::�.rr �r.�...:.,.r.�ysn.nwa�.no.�.�. �•:.,�;,.i�(avvr: �+��[,*1•�,�f'���1 r%�.r.,grvn.�7K'�'.'ICS't't"'�_�*�1i,�1'�t�„µ'iiiiiiEy..ai7%�.^'�' . 1 4- COUNTYOF BUTTE - DEPARTM,ENT„OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER -�eo•.ti '�Fa- v.l LaAv ..C. Proposed Building Use m)�VoN ,0•`4" • uu Building Inspector_ A. P. No.,;? 5 - ;L ! d Date 3—/1 - Copy "/1 - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted.......................................... Plot plans, 3/4 sets, signed by preparer of plans. ...................... . Complete plans, 3/4 sets, signed by preparer of plans . ...................... Engineered plans and calcs,-3/4 sets, with wet signature on plans . ............. - 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. .......... . Fees of $ . ................ . . —0� 1j. Impact fees as shown on attached schedule. . ..... o j . o^! �1.............. 12. Calif is Department of Forestry plan approval/fees.......................... 13. F od elevation letter (100 year flo d b lifornia Engineer ................... Sanitation and plot plan approvals ����`e- Health Department . ............ 15. City of Chico plumbing permit . ......................................... -' 16. Plot plan and business license approval from City of Biggs/Gridley. .........�,...'' 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. . 20. Pre -inspection for requi";�d 9 o; r6 * (Date) 21. Contractor's license information. (No., Name Style, Classification),/�d ....... A. Certificate of Workmans Compensation Insurance . ...........Owner -Builder Verification (Given to owner , Mail to owner......... . Recorded copy of Agricukural Acknowledgement Statement. ...................... 25. Letter of signature authorization . ......... :.............................. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ...................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits ....................................... 3,2. Plan check �......................................... . en you issue the ermit, ro ess as follows: Mail to owner. Mail to contractor. Telephon the ��3 and hold for pickup at Oro U'' I I o ice. Deliver with inspector. Other Parcel Creation<, Acreage ApplicaDa4- �7��,O� / 0=�— - Copy of Haz-Mat form sent Health Dept. Fire D t. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By i_ The following data must be submitted prior to p mit issuan ircle new item not checked above). 1. Index permit for above items 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, vas advised of above required data by _phone _ mail Cou t�jr by _ Date Plans checked by „� Dated -A - Plans approved by �/AD Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works T0: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ol,�. e k I hrl Owner Loc tion Plan Approved for: Sewage Disposal ;7 4 r r a a Clearance for dwelling. Other Hold final for: Final clearance O.K. for: NOTE: ` '�" E.H. USEONL Plot Plan Attached Floor Plan An ch— Sentto B.�ed� D /'5;'% Water Supply: Public AP# Private Well /0 Environmental Health Specialist Date i O.B.- I 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: YESO NO[ ]. 2`I--HAV-E[�]—HAVE-NOT ]-signe-d`ari-application-for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: 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: 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: PROPERTY OWNER: 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. Avo* 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 you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 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 tar withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 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. 0 For more specific information about your obligations 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 orofessing to be contractors is to secure an "ow-nerbuiider' 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. I dormation about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95314. 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. Sinrel ' Michail C. Vie6a, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER ��xra�9i�F:• ,r./r'r�tn��+; :�t..+cr�.'^!'f\.w.+''�i''+ `'�Sj't,"riF�„�"'�'`�p`'�.mat.,nv,yn•..�:+11�"'ryci�i+�;;�3 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form"Per Building) School Distract Building Department No. 3 r3. XP: Number City County Property Owner -' e—a,,,,,n Property�Location/Address Subdivison Residential. Development a Commercial/Industrial No. of Livi Units` pA pS'0, L, • V., ( , r Lot No., +' 0 Sq. Footage MHI t ' r ''Additio,h, (Group R) 910 v1y -a µ �'" , 2 Ca -e, 14r — — V 0 I : Sq. Footage in (Including Exterior Rd Areas) i/ oo9 60 Date �' Dis ; t Identificatior�No. A H' ,f n loor Plans reviewed by 970091 District District Personnel) (Stre;ZZE�4 � (/ (Phone Number) (City) (State) - . (Zip Code) has complied with the requirements of.Resoluti6-n by payment of $ representing square feet. As 2926 ' FULL MITIGA ON $ _ School District Representative Date Paid by Check # Remarks: Bank Number Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certificatipn Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkt (11l94)dmm January 3, 1996 County of Butte, Department of Development Services - Building Division 7 County Center Drive Oroville, CA 95965 (916) 538-7541 To Whom It May Concern, RE: A.P. No. 025-220-078 To be able-to~expedite the permit process for the 20'x52' Celebrity mobile home that is being set up at 318 Stimpson Lane, Gridley, CA 95948, Mr. Paul Lange is giving permission to.Tommie Rinehart to sign all the necessary permit paperwork. Sincerely, Mr. Paul Lange ` 1886 East 5th Street Benecia, CA 94510 (707)745-0410 uti S'gnature of -,Tommie Rinehart V COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF.DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, -Oroville,. CA - (916) 538-7541 747 Elliott Road,,Paradise, CA - (916) 872-6307 CORRECTION NOTICE" OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above 9,ddress and should be corrected. Pleake notify this office when correction of work is completed. If vou have anv auestions nertainina to this matter nr noad ndfiti—I 1#; 2l�htact this, office immediat@ly. .�4 Date 9 '7j- 19 —/�/ Insp REV 10192 WMM 01 rA 7"A A Man .7 �434 .�4 Date 9 '7j- 19 —/�/ Insp REV 10192 I LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 196 Memorial Way ❑ 7 County Center Drive ❑ 747 Elliott Road _ Reply to Chico, California 95926 Oroville, California 95965 Paradise, California 95969 Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 916/872.6308 December 1, 1986 CERTIFIED MAIL - RETURN RECEIPT REQUESTED Patricia Ann Smith 278 Pacific Drive Paradise, CA 95969 RE: Housing Complaint - 330 Stimpson Road, Oroville, CA AP# 25-22-18 Dear Ms. Smith: This department received a complaint alleging health and safety hazards in the above listed mobilehome rental. The Butte County Assessor's records indicate you are the owner of the property. On November 19, 1986, I visited the property and the tenants permitted me to inspect their mobilehome. The following conditions were noted which are in violation of the Butte County ode, Chapter 19, Section 19-4 Unlawful Sewage Disposal Methods; and the California Administrative Code. Title 25, Chapter 2, Subchapter 1, Section 1502, 1504, and 1704 (a), (b)(4)(a), (c) (1) (2) , (e) (1) , (g) (1) (3) , (h) (1) , and (j) ; and which pose health and safety hazards to the tenants and render the mobilehome substandard. 1. The sewage system serving this mobilehome has failed as evidenced by sewage standing on top of the septic tank. 2. Wood stove is an unsafe installation with a stove unapproved for mobilehome use, improper clearance from combustibles, improper hearth,- and unapproved flue and venting. 3. Built in forced air heater is inoperative. 4. Stairs to front desk are in poor repair. Deck and stairs lack,proper hand rails. 5. Floor in mobilehome is deflecting and weak near sliding door .indicating failure of supports and flooring. G: 6. There is a major rodent infestation in the mobilehome and rear store room as evidenced by droppings and gnaw holes in kitchen cabinets and in rear storeroom. Tenants have observed and trapped numerous rodents. f Patricia Ann Smith December 1, 1986 Page 2 7. There are electrical hazards in the mobilehome, with cover plate missing on subpanel in master bedroom, and missing cover plates on switches and receptacles. Wiring heats up in master bedroom when electric heater is used. 8. There are electrical hazards in rear storeroom, with open splices, missing cover plates on junction boxes, and missing cover plates on switches and receptacles. 9. Kitchen .-range does.not have gas shut off valve on supply line, pilots leak gas. 10. Water heater flue is unsafe and has been 'patched with aluminum foil. Heater is vented through storeroom. 11. Roof is leaking around wood stove flue. These conditions shall be corrected as follows, and .within THIRTY (30) DAYS from this notice, or as indicated. Obtain building permits from the Butte County Department of Public Works for the deck, stairs and storage building. Contact the California Department of Housing and Community Development, Division of ' Codes and Standards, 6007 Folsum Boulevard, Sacramento, CA 95818 (916-44.5-0135), Attention: Chester Langnes, to obtain permits ' for the repair of the mobilehome.* Obtain septic tank permit for repair of sewage system from the Butte County Department of Public Health, 7 County Center Drive, Oroville, CA. 1. Repair or replace defective sewage disposal system under permit and inspection from the Health Department. Permit shall be obtained, and work began within SEVEN (7) DAYS. 2. Remove unapproved wood stove and replace with a stove approved for mobilehome installation. Provide proper installation with separation from combustibles, proper flue and venting. 3. Repair or replace defective, inoperative forced air heater with an approved heater, or provide approved wood stove installation. 4. Repair or replace defective stairs to deck. Provide proper hand rails and railings for stairs and deck. 5. Repair weak, sagging floor in mobilehome near sliding door, replacing all deteriorated flooring, supports, beams, or girders. 6. Eradicate the rodent infestation from the mobilehome and rear storeroom. Make mobilehome rodent proof by filling or covering all holes and entry points. 7. Provide securely anchored cover plate on electric subpanel in master bedroom closet. Replace all missing cover plates on switches and receptacles in mobilehome. Check wall receptacle wiring for shorts or other cause of overheating. racr'lcla tine anil,:n December 1, 1986 Page 3 8. Eliminate open splices in rear storeroom, replace missing covers on junction boxes, replace missing cover plates on switches and receptacles. 9. Provide gas shut-off valve for kitchen range, repair leaking pilot light. 10. Provide proper flue and venting for water heater, replacing defective flue. 11. Repair -leaking roof jack around wood stove flue. A- reinspection will be made. Failure to comply will result in the:Franchise.Tax7Board being advised 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 substandard. This notice is given to you pursuant to Sections 17299 and 24436.5 of the California Revenue and Taxation Code. If you have any questions concerning this notice, contact me at the above listed address or telephone number. Sincerely, L o�J J. QSn� R. S. Supervising Sanitarian Division of Environmental.Health HJS/mlf cc: Public Works - Jim Glander Housing and Community Development Division of Codes and Standards Attn: Chester LanQ_nes 6007 Folsum Blvd. Sacramento, CA 95818 I n_ COUNTY OF BUTTE Oroville, California GENERAL CLAIM CLAIMANT: TOMMIE RINEHART ADDRESS: 2554 OLIVE HWY CITY & STATE: OROVILLE, CA 95966 DATE OF CLAIM: 05/13/96 SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES IMPORTANT.' SEE INSTRUCTIONS ON REVERSE SIDE DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT DUE TO COUNTY ZONING HAD TO RE APPLY FOR MOBILE HOME ON PERM.FOUNDATI N A.P.# 025-220-018,'B:P.#96-0097, RECEIPT # 190663 DATED 1/11/96 OWNER: JEAN & PAUL LANGE TOTAL AMOUNT PAID..........................$166.00 AMOUNT TO BE REFUNDED.. TOTAL 166 .00 I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this _ day of ,-GGA , 19 96, at (9go0, //c- Cali Signature of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articlfs specified above have,'been performed or delivered and that there is a Budget Appropriation I I or Specific Board Approval I I (Check one) for//the/'same. / 13TH day of 19 at Dated this Calif. MAY 9 OROVILLE b , L L (t epartment Head or Authorized Deputy Dept. Code 44(1—nng Exp. Code 491 n9nn PAYABLE FROM FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. FOR BUILDING DIVISION USE: Receipt Information: Number: 6) Date: 13>6 Issued To:. Amount: $ Fees Retained: ocessi.nq fie- Blag,Filing.Fee Plbg Filing Fee Elec Filing Fee Mech.Filing Fee,. 0 eAl JAJ4 Energy P/C Fee Plan Check Fee Inspection Fe4 Total Amount Retained $ TOTAL REFUND DUE $ I REFUND CLAIM APPLICATION CLAIMANT'S NAME o r/i m i e R ✓►eh A/d MAILING ADDRESS C.4 c159(�(p ASSESSOR PARCEL # _0 a0PERMIT # RECEIPT NUMBER(S) 1 90 We3 Request a refund of fees paid on the above receipt number(s) for the following reasons: DeA. .moi,t ii'llD/. A�S - O/- -Y7 r-c�u�tis D✓e �o Co�viy A u/lafallyo,-) Inv -I I' e- yndr.c a'ob•le- home IZ6-4ynd _1S lor- C A I n!7,e/C)J 4rdcesS- ' .v 1 Please refund any applicable fees in the following categories: (Check those categories which you wish to have refunded.) Building Permit Fees [ ] Sheriff Fees [ ] SRA Fee (CDF Fire Planning) [ ] Urban Area Fees Disposition of plans: [ ] Plans returned to me at counter. [ ] Please mail plans to me at above address. [� Please dispose of plans. SIGNAT E X DATE O --i K fG r I a ,' ;3ailsitit�a COUNTY OF: ...: :� 19 0663 ' 'Ft A 'ECE"I WV. c O!uu�P; T �q SSU:INP'.R CEI PTT e ...... Received from The Sum Received: A ..Received y . .. . . .' CASH Title ay OAVC1D BUSINESS FORMS. 1916) 743-8511 Permit Applicant Permit Number: Assessor Parcel Number: - Date: The above referenced building . plans were reviewed by this office. Provide additional it formation andlor make revisions to plans, specifications and calculations as foilows: �/O r) oppr, ved Uln I rn a6e �a ve atwl�j dept rc9U4.�: 6 N 6 A daon S -ti 2 Fey. a 1 If you wish to discuss any requirements, you may contact me at (916) 538-7541 between 1:00 P.M. and 4:00 P.M., Monday through Thursday. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION - 7 County Center Drive Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT 9,� -D6?g 7 ASSESSOR PARCEL NUMBER 025220-013 ZONING Al BUILDING PERMIT OWNER Jean and Paul Lange 707-745-0410 TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS Benecia, CA CONTMCAUMEE Sth ' ELEPHONE 0 707-745-0410 CONTRACTORS MAILING ADDRESS 185th St, BeneGia, CA-� 94510 CONSTRUCTIOUNXNOWN N NDE; Fireplace Total Valuation $ ' LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 3 „ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ P.oe+ty Pre I yvs P, $ BUILDING ADDRESS Stimpson PE MITFEE $ iv " W PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LAT No. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome )�k Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 14 Installation ❑ Other Describe Work: 2 bpdroom/2 1 lath 20' x 48' ai H ( Mobile Home S I G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service 500V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 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,(aPs and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 NEW CONST. DWELLING OCCUP. \ OR ADONS. ( & ACC. BLAS. / so. 3.5¢ FT. NEW CONST.MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 SINGLE APPARATUSWER OUTLET ICIC . ) Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00 BAL 0 .50 Ex. Occu p. OUTLETS jPLNS. OR ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) J] I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall 0rthwith comply with those provisions. X f'1 �'_�.y� i 4-- Dat,3 01-11-96 Sig ature ,6f Appli!�ent - ❑ ' ❑ n4'r tractor Agent An OSHA permit is required for( excavatioAs 6ver 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ I co Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ " HAZ. I D. FEES I IMP FLOOD COF PARC PD HD ISSUE This permit is hereby issued under the the Butte County Code and/or in indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. ) q(o LP b ----s I WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT om COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION rOONf-Y CENTER'DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 -1 PERMIT APPLICATION DATA SHEET OWNER Ae''t� 4 Po' k I A. P. No. D�5- 2 0 - O Mfrs Proposed Building,Use �� '=� Building Inspector 3 �. Date Z.-�_ - /9- 9S At timeof permit application, Ixas advised thftIlowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED. BY 1 • Alltiifems h �. been submitted. ..... ; .. . 2. Plot plEens,/3/,4 sets, signed by preparer of plans. -' 3. zCompl'etep'��ans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans,and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous MaterW Form. ............................................. �J 6. Energy Design Compliance and supporting documentation . .................. ~ 7. Statement of Intent for Novi -Heated and A/C, Buildings . ...................... ` 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9 Mobilehome data and manufacturer's installation instructions, 2 sets. ........... �l 0 Fees of $�l _0 • ()7D. ........: "............. .............. b! az 11. Impact fees as shown on attached schedule. . 12. California Department of Forestry plan approval/fees. ........................ 13. Flood elevation letter (100 year flood) by Caifornia Engineer. - . -7ti 14. Sanitation. and plot plan approval taut Health Department. ............. , 15. City of Chico plumbing permit. . ` 16. Plot plari� nd business license approval from City of Biggs/Gridley. .......�' .... ' 17. Planning'appr v for (A) Use: _�(B) Parking: `�• 518: Contact Landielopment about (A) Improvements - (B) Drainage. .......... . w` _19. Driveway permit (constru tion approval required prior to occupancy). .-. 20. , Pre -inspection for M AY- 5 i -e required. .. o Building Inedoe 21. Contractor's license information. (No., Namepassifcation). ........... aWS, 22. te' ificftrnuance. ......... . '✓ 23. Owner -Builder V.erifica`fion• .Given to owner_-, , Mail to owner 24. Recorded copy of Agricultural'Acknowledgement Statement . ..............:... 25. Letter of signature authorization. ` :....:................................. 26. Copy of recorded deed of parcel deation�'and 60 Bight of way to a public road. .... . 27. Letter of intent on building use. / 28. Mobilehome� utility clearance....:................. �- -y -T - ... .. 29. Documentation of legal access.- .;. .....................: ..... ............ / 30:_ Documentation of 50% subdivision developed or (A) Road improvements completed y ° and B Parcel meets zoning area and fronts a requirements. ... �........... .. a ( ) 9, 9 4 ' 31./Existing violations/expired permits. ...................... 32. Plan check li ou t . .............1.. ....... `�.� U� ................................ t .... � 34. "^When you.issue the permit, process as follows: Mai to owner. Mail to contractor. Telephone S3P -' (o�and hold for pickup at ,office. Deliver with: inspector. _ T Other• ' Torn m i -e Parcel Creation ,• ^ Acreage Applicant. ,- �' Date �z Copy of, Haz-Mat form sent Health Dept. Fire Dept. ,,Air Pollution Date Copy of plans sent N.. Health Dept. Fire Dept. -.4-ther T Date / By t � The following data must be submitted prior to 1. Index permit for above items No. �L 2. Additional items required: issuance: (Circle new item not Contractor, designer, owner, was advised of above required data by _ phone _ mail Contractor, designer, owner, was advised of above required data by _ phone _ mail Plans checked by Date Plans approved by Sets of plans on hold in , ile cabinet AP.folder Copy - Department of Public Works ( above). "r „s Counter by _ Date Counter by _ Date Date I OWNER: DATE: I LOCATION. ZONING: CONTRACTOR PRE -INSPECTION FOR DATE TO INSPECTOR PERMIT HISTORY: ANONt [ ]AS FOLLOWS: TYPE OF OCCUPANCY: , BUILDING INSPECTOW S REPORT ilding Description: [ ] Commercial/Usage: [ ] Residential/# of Units: Mobile Home: Yes[ ] No[ ] [ ] Currently Occupied. [ ] Abandoned/Vacant. :ctric• [ es [ ] No Electric is currently : [ ] OnOff Condition of electrical? • Natural [ ] Propane[ None[ ] Obvious problems: tions -• `Plumbing working Yes[ ] No[ ] Well: Yes[ ] No[ ] Obvious Sewage Problems: Recommended: [t,]issue t►urrentry vnt J vLL« .i Potable water- Yes No[ ] [ ]Hold for: ,I Date:-- . i`� $ 1411 ['1( Noy '��MO COUNTY OF BUTTE- DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center►Drive - Oroville, California 95965 - Telephone (916) 538-7541/ PERMIT NO. (Rev. ;2 APPLICATION AND PERMIT ASSESSO R PARCEL NUMBER 025-220-018 ZONING I,.DIi BUING PERMIT OWNER JW I ANGL TELEPHONE SO. Fr, OCC.BUILDING VALUATION OWNERS MAILING ADDRESS 1886 E.,. 57711 ' BFNFr 04510 500 Of) CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace UENDER'S MAILING ADDRESS ' Total Valuation $ ' ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 330 STI I Otr Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISION'S NAME "" ^- PARCEL -MAP'- ':.--w: +...- - ' `�PCUMBING PERMIT" Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other sPECIFv Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DaI0 �. Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W F 920.00 PERMIT FEE $ ELECTRICAL PERMIT I Filing Fee 20.00 000OR LESS Main Service 20.VA ORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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: r GIS 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. OR ADDNS. ( SO . NON -R S DNE T MULTI -14 OUTLET IRCIJITS @7,50 APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES 20 .00 BAL @ I. 0 Ex. Occup. DUTELETS gEwSIp,OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 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.) 4,"Icertify 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 ovisions. Y y"" 15 X /ZDate _ 7 7 _ Signature_ of Applicant - ❑towner,-❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" dee and demolition or construction of structurs over 3 stories in height. P Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. O. FES IMP I FLOOD CDF PARCEL I PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have % By 1. r/ PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Del® Receipt No. �/ //� q45,' tG WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISI IN 7 County Center Drive - Oroville, California ,95965 - Telephone (916) 538-754 PERMIT NO. (Rev.12 96) _ * APPLICATION, AND PERMIT ASSESSOR PARCEL NUMBER 025-220-018 ' ZONING I B NG PERMIT OWNER JEAN LANGE TELEPHONE SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1886 E CONTRACTOR'S NAME TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee - $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. - SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: DaI0 Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE t ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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 f r the following reason: `I I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DW NG OCCUP. OR ADDNS. ( 8 ELLIACC. BLD.. SO 3.50FT: NON -NEW RESID. MULTI-ORANCH CIRCUITS 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCUP. ourLEr OR FIXTURES 20 Q 1.00 BAL @ .50 Ex. Occup. OUTLETSA REESSID.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t 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 0 -one hundred dollars ($100) or less.) $1.11, 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 hwit omply with those rovisions. /� ' ' Date � 0 I Appl nt wner ❑ Contracto ❑ nt PhOSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISSU This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fee have been B D a PERMIT EXPIRES O provisions to do work paid. to ! `7 to Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OFBUTTE DEPARTMENT OF DE .7 COUNTY CENTER DRIVE - OROVILLE, C, TNT SERVICES - BUILDING DIVISION 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL ER: Proposed Building Use: Building Inspector: Date: ` / 7 At ,time of permit application, I was advised the following data must be submitted prior to permit processing an /or issuance: Date Received By 0 1. All items have been submitted -------------------------------------------------------------------------------------- 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. ---------------------------------------------=---❑4. 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 faxes! --------------- 0 6. Energy Design Compliance and supporting document t - ------------------------------i -----------------. ❑ 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 $ --------------------- --------------------------------------------------------------- 0 ❑ 11. Impact fees as shown on the attached schedule. -- – =-'^~ ='==------------------------------------------------ ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- Ell 3 -------------------------------------------------------- ❑13 . Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14.. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 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, ❑ Drainage, ❑ Legal Parcel. ----------------------- Cl 19. Encroachment%Permit for driveway (construction approval prior to occupancy). -----------------------= ---- 020: ,Pre -inspection for. required. Request to Building Inspector on (Date) E1.21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 022. Workers' Compensation carrier and policy number.-----------------�-,----------------------------------------- . Owner -Builder Verification (Given to owner El, Mailed to owner K). -------------------------------------- 4,. Letter of signature authorization. ----------------------------------------------- -------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 1126. ------------------------------------------------- ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, D C k to H.C.D $ . --------------- ;030. -------------- ;030. Other: Sig- )/ ------ dyou issue the pe _fit– rrocess follows El Mail to owner, ❑ it t ontractor. V Telephone 6 J o"' � and hold for pickup at office. ❑ Delivep with inspector. Applicant: , Date: —/ Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ ollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisicounter, by Date: Contractor, designer, owner, was advised of the above required data by 11 phone, ❑ mail, ❑ Building D . ' ion counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Buildin ivision counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Bu 0ding Division counter, by Date: Plans reviewed by: Date: Plans approved bye Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. Dom 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. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES P---' NO ❑ �2DI HAVE 9" HAVE NOT ❑ signed an application for a building permit for the proposed work. I have contracted with the following person (firm) to provide the proposed construction: NAME: Ai:FiiwSS: 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: 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 IGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: — ,'DATE: `7— — 7 OTE: 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. OWNER BUILDER INFORMATION 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 you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: t. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and,othir�cbsts) is 300 or more for the. entire project, and such persons ure'.�n� '.ic_enseir 0, 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 withholdin„ 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 obligations 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. i rely, Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This OiPner-Builder Information is required by Section 19830 of the California Healtli and Safety Code OVER Demolition Perniics ' Asbestos Notification Statement Dater AP# 6c;LS— 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 /__SI_gnature of -Applicant OR A I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. v ign' re of Applicant May 1995 3.27