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Home My WebLink About025-350-015COMPLAINT GIVEN TO INSPECTOr 7 q -02-1i -f k 36-25-15 92-929 CHIRO, James 5507 Pacif,ic-Heights Rd, Orovill 1 elec sery/sf 036=250-015 PERMIT#97-140 LALLAS, P.e.ter ' 'J b-1 5507 Pacific Heights Rd.., Orovirlle Cont: EC�Faria Repair Flood Damage/SF,. 036-250-015 PERMIT#97 1 619 LALLAS, Peter 5507 Pacific Heights Rd:, 0 ille� -Cont: Faria '7A41 LAdd'1 Plbg for BP#97=1403, /5 i r /5 _ W2 `n August 23, 2002 Vivian Wagoner 5507 Pacific Heights Rd. Oroville, CA. 95966-1412 RE: Formal. Warning Notice Butte County Code Violation 5507 Pacific Heights Rd., Oroville, CA. AP# 036-250-015 Dear Ms. Wagoner: Suite Co L A N D O F NATURAL WEALTH A N D B E A U T Y PLANNING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530) 538-7785 Through our courtesy notice on July 19, 2002, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the: 1. Unauthorized camping or otherwise occupying a recreational vehicle. 2. The accumulation of junk in public view. Your failure to eliminate the stated violations are cause for the issuance of this formal warning notice. As of this date, our records indicate that the following violations to the Butte County Code still exist: Butte County Code, Chapter 24, Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. Butte County Code, Chapter 24, Section 24-215 - The AR 2 '/z (Agricultural Residential 2 V2 acre parcels) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the AR 2 1/2 zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. Butte County Code, Chapter 24, Section 24-260 - Camping Limitations and Prohibitions. A. No person shall place or park or allow the placing or parking of any trailer coach, recreational vehicles, tent trailer or tent, or otherwise occupy or allow the occupancy of any parcel (as defined in Section 24-305.310) for the purpose of camping (as defined in Section 24-305.095) on public or private property within the County for a period in excess of 9 days in any one calendar year, except in an outdoor recreational facility, campground, recreational vehicle park, or hunting/fishing camp, lawfully established and maintained pursuant to this Chapter. NZ Vivian Wagoner August 23, 2002 Page 2 The determination that this violation exists on the property is based on the following definition in the Butte County Code: Butte County Code, Chapter 24, Section 24-305.240 -Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. Butte County Code, Chanter 24, Section 24-305.451 - Violator. An adult owner, tenant, occupant, resident or other person having possession, control or any other ownership interest in or the right of access to the premises, who is'suspected or alleged to have violated or to be in violation of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24-305.451. Butte County Code, Chapter 24, Section 24-305.095 -.Camping. Occupying or maintaining for occupancy any place for temporary living, sleeping or other human occupancy purposes. "Camping" does not include: The parking or storage of an unoccupied and otherwise unused trailer coach, recreation vehicle, or tent trailer on a privately owned parcel, as defined in Section 24-305.31; occupying a trailer coach, or recreation vehicle, connected pursuant to county permit to permanent sewage disposal and water supply systems; or occupying a trailer coach or a recreation vehicle for any accessory use allowed in the applicable zoning district. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: 1. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240. 2. Remove all inoperable/junk vehicles from the property. Cease and desist camping activities on the property in accordance with the Butte County Code, Chapter 24, Section 24-260(a). This is your final warning. Unless you contact this office and make the proper arrangements to correct or Abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). IS Vivian Wagoner August 23, 2002 Page 3 Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Gary Brown Lead Code Enforcement Officer GB: kj cc: Department of Development Services, Code Enforcement l -: . �':. Asmt; # "Fee'#' 036'-250.015:000 Nam? WAGONER VIVIAN'V -: --_ Status ACTIVE t Status Date {' Addrl 5507 PACIFIC HEIGHTS RD==` Tax0 000 NORMAL OWNERSHIP ' TRA 092.000 Addr2 JOROVILLE CA 9596&1412--'r Situs 15507 'PACIFIC HEIGHT.S'101 � OROVILLE �_ .- Addr3 Base Dt 05/04/1999 y Achvi ` 'Dt w ` �L`8nd 20;808 w 20 808 10/13`/1999 Addr4 rlimber-Preserve t Structure ' ' < 39,535 319,535 10/13A 999' r AgPres Fixtures Q Comments- 3625.001500 CONVERTED -09/08/88 r EtaC Growing " 0 ' 01701 /1900 Creating D r Notes ! Current Doc# 199980018905 Date 05/04/1999 r Bonds, Total L&I 60 343 60,343 " r Fix. R 0 Killing Doc#•. • - : :Date — r Multi Situs r Flagl ..,0 F7. . MH PP _ _ I Asmt Desc 5507 PACIFIC HEIGHTS S446t� r Flag2 PP -a0 Zoning 51 ` Dwell— Usel RS r 910"MH Exempt -0 0 Net 'R";X60;3.4.3 " t 46.0;343 Acres/Sq Ft O— N/C 036 Use2t— r Asmt PP Pen .,� F Tax PP Pen R/C#� enrolled is JAppr Val'd Event Dt 05/04/1999 36 A 01 prCd • � r Appeal Pending T/R Dt [-- base,year SSN#1 F SSN#21- r Split Pending RIC Stat- t' '" ( ► ►r NOT PHY -OWN EXP I HONTAX VHS ATT SIT I APR I 'PCL I SAL R/C `w I �� I' I I ►tI Update I rte; Find I till 2001 Isa, 07/25/2001 3:27:21 PM //AR 50-01.5 5507 PACIFIGHTS RD, OROVILL 2 1/2 36-25-15 92-929 CHIRO, James 5507 Pacific Heights Rd, Orovill elec sery/sf y"7,�v 036-250-015 PERMIT#97-140 LALLAS, Peter 5507 Pacific Heights Rd., Oroville Cont: EC Faria Repair Flood Damage/SF 036-250-015 PERMIT#97 1619 LALLAS, Peter CIIII 5507 Pacific Heights Rd., vro ille Cont: Faris q//4/fI Add'l Plbg for BP#97-1403 r r , . .... v. . � . � _. - .,.: .- .,,; ... _ ,- _-,ac.•.,�*a _. ?F r� -.^.-- -Sv -• r s.r w.. r-.-� � •�rui:"' s; 036-250-015 PERMITW,9,7; 1403 ' _ !! LALLAS, Peter' 5507 Pacific Heights, Rd. , Oroville ! Cont: EC Faria ^ Repair Flood Damage/SF tIICP196 av- ! N t r �19 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California. 95965 - Telephone (916) 538-75414 PERMIT NO. (Rev. 12/96) APPLICATION AND %PERMIT �/ 92" z p,;�3 ASSESSOR PARCEL NUMBER 036-250-015 ZONING BUILD G PERMIT OWNER PETER LA1.1AS �1.� TELEPHONE SO. FT. OCC. BUILDING VALUATION M• N FIS, ', 113, OOO DD OWNERS MAILING ADDRESS CONTRACTOR'S NAME FC FARIA T ?�=1193 CONTRACTOR'S MAILING ADDRESS D64 YUBA AgE OROVI 1E, 95965 CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation ARCHITECT OR ENGINEER LICENSE NO. —FilingFee $ 20.00 Permit Fee $ 198.01 ARCHITECT OR ENGINEERS MAILING ADDRESS i Plan Checking Fee $ BUILDING ADDRESS. 5507 PACIFIC HEIGHTS Ener Plan Checking Fee $ Energy g $ __FPARCEl PERMIT FEE S 218.00 LOT NO. SUBDIVISION'S NAME ,r MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF'O Duplex ❑ Mobilehome ❑ Other ' SPECIFY Each Trap 7.00 . Solar or heat.pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0 Describe Work: REPAIR F1 00D DAMAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ 11q r9) ELECTRICAL PERMIT Fling Fee 20.00 Main Service ZOO. OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is jn full force and effect. �� _ LIC. NO. 4_ License Class � fi/ 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 Main Service ( 200A To 1000. J 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. sLos' so 3.5¢FT; NEW CONS MULTI.OUTLET NON•RESID. ANC C @7.50 POWERAPPARATUSOUTLET 3 SINGLE OUTLET CIR. Ex. Occup. OUTLEr OR FIXTURES BAL O ':50 Ex. Occup. ouTLEEDTs(RESIo.) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 41 (Y) WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. Lq I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation JIBSUIL4ue carper -and policy number are: Carrier @ _ _ /�AA-1 Policy Number f'S (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 ( `'" __ Date _ Signature of Applicarit - ❑>Owner .Contractor ❑ Agent An OSHA permit is requir'` r_excavations over 60" deep and demolition or construction of structures over 3 stories height, - - -- _' MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 296.00 H.Z. D. FEES IMP FLOOD CDF ;ZCEL I PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. a I: l -1 ; � BY Date I # v �r PERMIT EXPIRES ON / Dat 01 ReceiptNo. 22412 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDI SION 7 County Center Drive - Orovillp-, California 95965 - Telephone (916) 538- 41 �- / ERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-250-015 ' ZONING BU DING PERMIT OWNER PETER LALLAS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME FARIA TELEPHONE 534-7193 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5507 PACIFIC H H Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 51 7.00 35.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work:— Ann R1 I MR 49 7_1493 ��I�T�-,n-r- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE t 70,00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service 200AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION 1 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 ' ul force and effect. �� License Class Lic. No. OWNER -BUILDER DECLARA ION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compens -�' carrier olicy num r are: Carrier ' Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( & ACC. BLDS. SO 3.SQFr, NEW CONST. -OUTLETIR @7,50 NON -R S D. MMC POWER APPARATUS 8 SINGLE OUTLET CIR. EJ(, OCCU OUTLET OR FIXTURES Bql 1 Ex. Occup.oFIxUTEL�rs AESIo oEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections nee18 not be com to if tAe permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 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 thpse provisions. a_ � �–� — Dete / —T SI"g—nature of Applic nt - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height.By Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 70.00 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. Date R ICIA7 PERMIT EX IRES ON ,- QL ale Receipt No. 2,2— Z WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OFDEVELEIPMENTSERVICES -BUILDING DIVIS N 7 County Center Drive - Oroville, Califollia 95965 -Telephone (916) 538-754 PERMIT (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-250-015 ' ZONING BUILD G PERMIT OWNER PETER LALLAS TELEPHONE SO. FT. OCC. BUILDING VALUATION 18 000.00 OWNERS MAILING ADDRESS CONTRACTOR'S NAME EC FARIA TEff4NE 1' 93 CONTRACTORS MAILING ADDRE�64 YUBA AVE OROVILLE, 95965 CONSTRUCTION LENDER " Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ 18.000.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 198.0 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 5507 PACIFIC HEIGHTS Energy Plan Checking Fee $ $ PERMIT FEE $ 218.00 LOT NO. - SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF JP Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: REPAIR FLOOD DAMAGE Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service 20.AORLESS 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 isjaJull force and effect.� gg License Class Lic. No. (n 9 3-L OWNER -BUILDER -DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 'fa' 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compen�sLe cd policy number are: Carrier C�� ® � C�/C�_ Policy Number i (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) Q 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 �-- _ Date Signa ure of Appllca t - ❑ Owner ontractor ❑ Ag nt An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( 6 ACC. BLOS. 3.5¢3. NEW CONST, NON -RES D.MULCTI-OCUTLET 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. ZO O .00 Ex. Occup.OUTLET OR FIXTURES I aAl .s0 Ex. Occup. OUXTLEDTSA(REWS p,0� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 9,1 on EE PERMIT FEE $ 43.00 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 $ 296.00 HAZ. 1 D. FEES IMP I FLOOD CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. r-/JO� By DDa PER IT EXPIV :RES ON L Dei ReceiptNo. 994199 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT t' •.rr , COUNTY OF BUTTE DEPARTMENT OF DEM&M MEIVT SERVICES - BUILDING ` 7 COUNTY CENTER DRIVE - OROVILJ,E;,- d 95965 - TELEPHONE (916) 538-75� PE"IT APPLICA TION DA TA SHEET f/ OWNER: OVA ASSESSOR PARCEL ER: !� O -')Proposed Buil g se: uilding Inspector.Date: -7 At time of permit application, I was advised tb ollowing data must be submitted prior to permit processing and/or is: Date Received ❑ 1. All items have beensubmitted.------------------------------------------------------------------------------------- E12. Plot plans, 3/4 sets, signed by the preparer of plans.---------------------------------------------------- 03. --------------------------------------------------- ❑3. Complete plans /4 sets, signed by the preparer of plans. --------------------------------------------- El 4. Engineered plains, 3/4 sets, wi dwet signature on plans. All engineering must be shown on plans. c ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- s f 116. Energy Design Compliance and supporting documentation. ------------------------------------------- 117. ------------------------------------------ ❑7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- ❑9. Manufactured Home data and installation instructions including Tie Down Specifications.--------- ❑ 10. Fees of $---------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule.---------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. -------------------------------------------------- 1113. ------------------------------------------------- ❑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 ofBiggs . --------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: ---------------- --- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------- ❑ 19. Encroachment Permit for driveway -(construction approval prior to occupancy). --------------------- 020. Pre -inspection for required. Request to Building Inspector on 1-_12 1. Contractor's license information. (Number, Name Style, Classification). ----------------------------- Workers' Compensation carrier and policy number. ---------------------------------------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner EI) - ------------------------------- ❑24. Letter of signature authorization. -------------------------------------------------------------------------- ❑25. Recorded copy of Agricultural Acknowledgment Statement. ------------------------------------------- ❑26. Letter of intent on building use. ---------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------- " ` ] Exis mg violations and/or expired permits. --------------------------------------------------------------- ❑29. 043.3 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . -------- 1130. Other: 4 -0/ 5- a (Date) Wyou issue the permit, process as follows C3 Mail to owner, ❑ ail t contractor. 7ephone and hold for pickup at office. ❑ Delive with inspector. C` Applicant: (� Date: _ 2-.. Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution 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 Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, El- Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 1�F„r�+�.`1t�"'�r,+,�.s.`,.�rc+t�'-��3�`osis'�'�`.'•.�cwri„�+,y-0PtT.i+c._ -__ r., ��r...r�:*+-+R". t�='`-w''�r�f•f"'`v��.'k'i's-ei�`,•'`• ,y�'.�-v`-i;,,.+r.Xc•-,iu__ t r • 1 36-25-15 92-929 ; CHIRO, James 5507 Pacific 'Heights Rd, Oroville elec sery/sf COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO, 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 7_ APPLICATION AND PERMIT G - ASSESSOR PAR L N MB R 036— 15 ZONI G BUILDING PERMIT OWNER JAMCRIRO � TELEPHONE 832-0441 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5507 PACIFIC REIGRTS ROAD ORbVI= CONTRACTOR'S NAME V�fl\ GR TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5507 PACIFIC HEIGHTS ROAD OROYME Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF P Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [t Installation❑ Other ❑ Describe work: RHEUM. MAIN SERVICE. _ Permit Fee $ Contractor ELECTRICAL PERMIT .. Filing Fee 15.00 Main service 600VORLESS 18.50 200A OR LESS Main service 200A TO 1000A) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification �,/ �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) ElI, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.// DWELLING OCCUP.tY 3.64 sq.ft. OR ACDNS. ( ACC. SLOGS. NEW CON5TR ULTI.OUTLET @ 5.00 NON-RESID BRANCH CIRC ITS POWER APPARATUS tr (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76 Ex. Occup. OUTLETS ((RESID IREA.) I 3.00 Temporary service 15.00 Home Facilities 15.00 Misc. byirin 9 15.00 ME JLNS.P• 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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ L Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs;"and expenses which may in any way accrue against said -County! in consequence of the granting of this permit. X ~ /� �,L �� Tti-". /I. /cr ? Date Si na Wire of Applicant - owner 2"' g pp L✓J Contractor ❑ Agent ❑ 0 An OSHA permit is required for excavations over 5'" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 53,50 ' HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do 1^� work indicated a�ovEe for which fees have been paid. V fll . ECTOR OF PUBLIC WORKS By e .7 .. i Date / �L- PERMIT EXPIRES Date •r,/ Receipt No. 110351 WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville; California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 036-250-015 ZONING ARMH 2-5 BUILDING PERMIT OWNER JAMES CHIRO TELEPHONE 532-0441 S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5507 PACIFIC HEIGHTS ROAD OROVILLE CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 5507 PACIFIC HEIGHTS ROAD OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel El Utilities[ Installation❑ Other Describe work: REPLACE MAIN SERVICE _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 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 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- Contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.5d) OR ACDNS, l ACC. BLDGS. I 3.6Q sq.ft. NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRCUITS @ 5.00 POWER APPARATUS &) SINGLE OUTLET CIR. EX. OCCU p OUTLETS OR FIXTURES 20 76 FIXED APPLNS. Ex. Occup. OUTLETS (RESID.)REA.1 I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 9 15.00 PRE INSP 20.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ,,_I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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, cost , nd expenses which may in any way accrue a ai si-sa'-m co seq nce of the granting of this perm . Date 3 6 EJsions ign ure of Applicant — Owner Uv Contractor Agent ff An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE $ 53.50 HAz DFEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte Cou Code and/or work indic a r which fees I OF PUBLIC By PERMIT EXPIRES Date applicable provi resolutions to do have been paid. WORKS Date f �0� Receipt No. 110-3-5--- WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT ini'....• r'� � .-�.�y.�..+�r .-,.r—n.,_wtM..-jy'r�*"��+.„i..Jt"'t'�n„`�.%�'-P��'`fi'�'. '�T'�'T��P",��,�^'.,►','4a�iFiriy}�(`”�ti'��•�'S�'S'��`.I�''a`f7�1,n�^IT�� ' t ' COUNTY OF BUTTE - DEPARTMENVOF PUBLIC WORKS -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLFaGALIFOiNIA 95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET / Permit No. OWNER (rNi�S akir(3 A P. No. (536 - Z4_(1 — U 65� Proposed Building Use 1) �C� SF�tv�G�' Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ .......... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16.,.Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 9. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for D 56 required Pre-inspec. request to lZ Building Inspector — (Date) 21. Contractor's license informatio (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance ..............:... 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: __1ee!!f Mail to owner. Mail -to contractor. ” Telephone and hold for pickup at office. _Deliver w/inspector. -� Other Applicant Date 3 r Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be su_b_mitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone---jnail—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW A0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER so s ZON G � Ez BUILDING PERMIT OWNER" MSSOucro TELEPHONE 1 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADD ESS 5-50' 116,AiC 1/07ct1/fs 1,?,0 C O N T R AC TOf3'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 15.00 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 ADDRESS �5 d 7 ft-� i �'� C �/E�" /21 Permit fee $ PLUMBING PERMIT Filing Fee 15.00 CC)G, Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF.gi?-Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G JW 1 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities [� Installation❑ Other ❑ Describe work: Ar,—&G� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 ,SQ Main service 200A TO 1000A1 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING OCCUP.&) OR ADONS, l ACC. BLDGS. / 3.64 sq.ft. NEW CONSTR. ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS o- SINGLE OUTLET CIR. ) ( Ex. OCCUp\OUTLETS OR FIXTURES 20 764 A FIXED EX. Occup. OUTLETS IRESID )NS REA.) 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 re- — --rNS P C`ky 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 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date nature of Applicant g pp - Owner❑ Contractor ❑ Agent ❑ Si A An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy p Occ CONST TYPE TOTAL FEE $ 5�3 HAz I DFEESIMP I FLOOD I CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the si ons of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date 3 Jr' Receipt No. Ir 0:3,51 WHITE-O.P.W.. YELLOW-ASSE»OR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville., CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. QI personally plan to provide the major labor and/materials for construction of the proposed property improvement (yes or no) e 2. I (have/have not) 4&Z67 signed an application for a'building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to.provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but,I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner. Social Secur'ty Date _?0 mber 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. PRE—INSPECTION OWNER: V%f M +�S ��ij , �D DATE 9 �'- LOCATION: SS50 -7 �� G/r��'L A.P. # a 5-0 CONTRACTOR: �(�(%� ZONING /4"11 Z - s - PRE"INSPECTION FOR: FOR: %rU G �, A41frN —c�C/1(/a DATE TO INSPECTOR ------ PERMIT HISTORY: NONE Ej AS FOLLOWS: TYPE OF OCCUPANCY 5� ------------------------ _------------------------------------ ---------------------------------------- FIELD - INFORMATION BUILDING USAGE: 7TENN T: OCCUPIED TED—COOLED OTHER COMMENTS: HAS ELECTRIC .`HAS GAS [HAS SANITATION FACILITIES x PERSON CONTACTED — n ACTIRECOMMENDED:. ISSUE = HOLD FOR. OTHER: 036-250-015 BAKER, BONNIE - 5507 PACIFIC At§. BUTTE COi DANIAGE. ASSESSMENT Date: � � Time: Taken By: CJbv4 Estimated Damage Name of Reporting Person: Phone Number: 57�3y - S-% 12le So..J Address/Location: ��1 �� «q1� County[e-]' City[ ] Is this Rental Property? Yesk ] No( ] Reporting Person is TenantW Owner[ J Manager[ . ] Type of Damage: 3 fir a,e at- /^t Building Description: [ ] Commercial Usage [ ] Residential/# of Units Mobile Home [ ]Yes [ ]No [ Currently Occupied. [ ] AbandonedNacant. Electric: [ ] Electrical damaged and/or submerged at any time since disaster occurred [ ] Downed wires? Electric is 'currently On[ ] Offo Gas: Natural[ ] Propane[\] None[X/Currently On[ J Off[ ] Obvious problems (odor, leaks; propane tank damaged or floating) Structure: On[ ] Off ] Foundation. Raised Foundation[ ] Slab[ Flooding Above[ )� or Below[ ] Floor level Obvious leaning or tilting of structure Yes ] No[ r 6�0 'f oho 'P OK ?, Seveream /Collapse Fireplace ml Damaged Yes[] Debris Hazard Sanitation: Plumbing working Yes[ ] No[)�] Potable water Yes[ ] No[X] No[ ] Well: Yes No[ ] Flooded? YesyNo[ ] Obvious Sewage Problems?� OVER Access to Damaged Property: r Nearest cross streets: P Ie li W � 5 � L-) Roads Open[ Closed[ ] F� Gr •�/ g �!L U � / Obvious Damaged/Hazards Location/Landmarks Transversable via Sedan[�J Four wheel drive[ ] Public Utilities Damaged Yes[ ] No[ ] Levees: Public[ ] Private[ ] None[ ] Waterway Name Bridge Damaged Yes[ ] No[ ] Location of Damage/Problem Obvious Hazards Yes[ ] No[ ] Nearest Landmarks: Chemical/Fuel: Wet, flooded, lost chemicals: Types of pesticide, fertilizer, other chemicals: Amount: Fuel tanks Yes[ ] No[ K] Damaged Yes[ ] No[V- Located Above[ ] or Below[ ] ground. Obvious Hazards: Agriculture Loss: Crop Damage Yes[ ] No[ ] Type of crop: Livestock Lost Yes[ ] No[ ] Type of livestock: Agriculture Building's Damaged: Yes[ _] No[ ] This Damage Assessment Report shall be refereed to the following Departments: [Development Services - Building Division [ Environmental Health [. ] Agriculture [ ] Sheriff [ ] C.D.F. [ } O.E.S. OVER I4 BUTTE COUN Y DAMAGE ASSESSMENT Date: -12 Y Z� Time: Taken By: C4i'u4 Estimated Damage:f 00 G Name of Reporting Person: Phone Number: 5'3` - -15-% Q(E? c',:,--1 Address/Location. 5'50-2 10,VC1 F<< eec j _County[ City[ ] Is this Rental Property? Yesk] ] No[ ] Reporting Person is TenantW Owner[ ] Manager[ ] r Type of Damage: 3 f el -7r Building Description: [ ] Commercial Usage [ ] Residential/# of Units Mobile Home [ ]Yes [ ]No. [A Currently Occupied. [ ] AbandonedNacant. Electric: [ ] Electrical damaged and/or submerged at any time since disaster occurred ``[ ] Downed wires? Electric is currently On[ ] Offs Gas: Natural[ ] Propane[\] None[�Currently On[ '] Off[ ] Obvious problems (odor, leaks, propane tank damaged or floating) Structure: On[ ] Off[ ] Foundation. Raised Foundation[ ] Slab[ Flooding Above[ ) ] or Below[ ] Floor level 3 Obvious leaning or tilting of structure Yes No I F r) 4f � g c� [ ] � SevereQam/Collapse Fireplaney Damaged YesEK] Debris Hazard Sanitation: Plumbing working Yes[ ] No[)�] Potable water Yes[ ] No[�] No[ ] Well: Yesrn No[ ] Flooded? Yes No[ ] Obvious Sewage Problems? ^I v gTek ,OVER r 10'`). Access to Damaged Property: Nearest cross streets: �, c..� �-, 7�/2- Roads Open[ Closed[J / e rid r- CA, 7-1 J,S `? Obvious Damaged/Hazards Location/Landmarks Transversable via Sedanr%A Four wheel drive[ ] Public Utilities Damaged Yes[ ] No[ ] Levees: Public[ ] Private[ ] None[ ] Waterway Name Bridge Damaged Yes[ ] No[ ] Location of Damage/Problem Obvious Hazards Yes[ ] No[ ] Nearest Landmarks: Chemical/Fuel: Wet, flooded, lost chemicals: Types of pesticide, fertilizer, other chemicals: Amount: Fuel tanks Yes[ ] No[ ] Damaged Yes[ ] No[(g- Located Above[ ] or Below[ ] ground. Obvious Hazards: Agriculture Loss: Crop Damage Yes[ ] No[ ] Type of crop: Livestock Lost Yes[ ] No[ ] Type of livestock: Agriculture Building's Damaged: Yes[ ] No[ ] This Damage Assessment Report shall be refereed to the following Departments: ([ Development Services - Building Division Environmental Health [ ] Agriculture [ ] Sheriff [ ] C.D.F. [ ] O.E.S. OVER ir- i -:jB.UTTE COUNTY BUILDING OFFICIALS „J,URISDICTION Block Parcel No. Detailed Evaluation Safety Assessment Form BUaDEW DESCRIPTION: ' Name:e�� .P✓ Address: SSy '7 No. of Stories: Basement: Yes ❑ No E ---Unknown ❑ Approximate Age: Years Approximate Area: / OS Square feet Structural System: Wood Frame 2--tinreinforced Masonry ❑ Reinforced Masonry ❑ 'tilt -up ❑ Concrete Frame ❑ Concrete Shear Wall Q ' Steel Frame ❑ Other Primary Oc pancy: Dwelling [Other -Residential ❑ Commercial ❑ Office ❑ Industrial ❑ Public Assembly School ❑ Government ❑ Emer. Serv.-❑ Historic ❑ Other :J-- ae jc. * *e.1 -39. OVERALL RATING: (Check One) -INSPECTED (Green) . LIMITED ENTRY (Yellow) &-- UNSAFE (Red) INSPECTOR; Inspector ID Affiliation 0 INSPECTION DAA Mo/day/year 74 Time /U : n e ljO) pm Instructions: Complete. building evaluation and checklist on next page and then summarize results below. Posting: Existing Recommended None ❑ Inspected (Green) ❑ ❑ Limited Entry (Yellow) ❑ Unsafe (Red) ❑ ❑ Posted at this Assessment: . Yes ' ❑ No Existing posting by: Recommendations: ❑ No further action required ❑ Engineering Evaluation required (circle one). Structural Geotechnical Other ❑ Barricades needed in the following areas: ❑ Other (falling hazard removal, shoring/bracing required, etc.): Sheet of 3 Detailed Evaluation Safety Assessment Form (Continued) Instructions: Examine the building to determine if any hazardous conditions exist. A "yes" answer in categories 1, 2, or 4 is grounds for posting building UNSAFE. if condition is suspected to be unsafe acid more review is needed, check appropriate Unknown box(es) and post LIMITED ENTRY. A "yes" answer in category 3 requires posting and/or barricading to indicate AREA UNSAFE. Explain "Yes", "Unknown" findings and extent of damage under "Comments." Hazardous Condition Exists Condition Yes No Unknown Comments 1. Structure Hazardous Overall Collapse/partial collapse ❑ 9L ❑ Building or story leaning ❑ Z ❑ Other ❑ %Z . ❑ Cl ❑ ❑ 2: Hazardous Structural Elements , Foundations ❑ ❑ Roof/floors (vertical loads) ❑ ❑ Columns/pilasters/corbels ❑ ❑ Diaphragms/horizontal bracing bracing E] ElWalls/vertical FV9 Moment frames — « .1 -bb e– c„;1;4QRon Precast connections ❑ �v l!elo � . Other ❑ ❑ 3. Nonstructural Hazards Parapets/ornamentation ❑ ❑ Cladding/glazing ❑ ❑ Ceilings/light fixtures F-1❑ Interior walls/partitions a [IElevators Stairs/exits ❑ ❑ Electric/gas❑ ❑ ❑❑ Other 4. Geotechnical Hazards Slope failure/debris . ❑❑ Ground movement, fissures ❑ Other ❑ ❑ ❑ ❑ SKETCH: . . . . . . . . . . . . . . . . . . . . . . . . Sheet _ of _