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HomeMy WebLinkAbout027-040-095J. I MARINQ RIVERA �.: s Mtn Ct,lot 1 OrovilleContr: Carter,,Pnter risesPermit#1022-86 ELEC ;= GAS tloouft 444&' c)4 -6- -SUPPORT. A -SUPPORT. i STR.UCTTJRE..REQ COMPACTION TEST REO a Contr: D & D_ Ser / Permit #/1.-n,0 86NHI (�s,suei _ �6 ontrL Elvin ark Ermit#2 _ 87B ne ( w deck/MH) ' (XWOA, Fiorinda PERMIT#95-1577 10 Pates Mtn Ct., Oroville 7 Ele Ser Ch/MH ELECTRIC' GAS LINE COMPACTION TEST REQ SUPPORT STRUCT RE OGHnA PERMIT#95-1578 Flo ij,da 10 Pates Mtn Ct.",Oroville , MHI Ex Site - r OCHOA, Florinda .1-0328 10 Pates Mtri .Ct., Oroville-'' j a Gas Line/MH i t u 6�� 0 RESIDENTIAL -4 • 036-310-141 PERMIT#95-1578 OCHOA, Florinda 10 Pates Mtn Ct., Oroville MHI Ex Site w OFFICE COPY Address S )ate i Meter 6Y C— pa ELECT FIC _ J w Meter - r f JOB FINALF,p (Date),/�! �i { Signature J = OK O=Not OKNot - = Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s i 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Locaticn-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P1 ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance N Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 _ Date MOBILE HOME INSTALLATION (Plans) OK except #'s Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line '/8!as; MH Test -Demand -Valve -Connector L, -4 -Electricity; MH Test -Crossovers -Breakers -Clearances L,,& -Drain; MH Test -Fall -Flex Connector ;/8" Water; MH Test -Regulator -Connector jXGVat r and Sewer Connected -C/O to Grade -HD Approval ~ Gaasnd Electricity Tagged 9. Exits; ketch V.Qw�rt. of Occupancy 90 Dat rd B-1 Date Card B-1 { Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders 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-Anchors-Studs-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, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 V OK O=Not OK - = Not Applicable Not Ready RESIDENTIAL .($Ingle & Duplex) = Date UNDERFLOOR (Plans) OK except ti'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. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel- Blockouts-Wra pped 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 ti'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-1 Date Card B-1 ------------- ------------------ ------------------------------------------ Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except h's 22. Fixture & Transformer Clearance -Ins. Protection -------------------------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -- ---------------------------------------------- 24. Size -Boxes & No. Conductors -Stapled ----------- --of----------------------------------------------- 25. Romex Installec Close to Edge of Studs & C.J. ------------------------------- ------------------------------------------------- 26. Equip. Ground -rade up w!Mech. Fastners-Bond Gas & Water --------------------------------------------------------------- 27. 2 Appliance Circuts in Kitchen & Conductor Size!GFI ----------------------------------------------------------------- 28. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size i / ga. Cu or AI - ----------- --------------------------------------------- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ----------------------------------------- - ------------------------- ---- -- 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------------------- ------------- 31. Equip Clearances--Panels-Motors-Meth. Equip---------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------------------------- ---------------- 33. --------- -------------------------------- 33. Smoke Detector ---------------------------------------------------------------------------------- --------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 ------- - - - ----- --- - ----------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except h'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 -1 -15 - outlet- - ------------------------------------------------------ 38. Attic Access & Platform if Furnance in Attic --------------------------------- -------- --------------------------- --------- Date Card B-1Date Card B-1 --------------------------------------------------------------------- --- ------ Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except h's 39. Sils. Proper 'Material & Anchors - -- --- ----------- ----------------------------- ------------ 40. Walls Stu_ ds -Nailing. Spacing & Bracing -Plates -Sound ------------------------------------------------------ -- 41. Bearing Wal s over Girders & Floor Nailing - - --- - - ---------------------------------- 42. Draft Stop in Walls (rat proof) ---- ---------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-SI thng.-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 - -- -------------------- Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ti'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 Exiling --------------- 65.--G.-F. I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel. Breaker Sizes & Labels ------------------------------------- 67. Stairs & Rails ------------ 68. Fireplace or Stove: Clbarances-Hearth ------------ - - - 69. Elec. Outlets at Wood Panel: Int. & Ext. ------ ---------------------------------- 70. 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 -Meth. Protection ----------- --- ----------------- - --- - 75. Plb.. Elec. & Mech. _EQ 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.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters 13 Yes ❑ No . --- ---------------- --- 81. Stucco Brown -Finish __82.-A.C. Unit: Disconnect. Electrical, Plumbing --------------------------- -- 83. Vents Above Roof; Plb9_A pp liance-Firep lace. -Clearance to Openings - - - - - - -- -- -- ----------------------------- --- 84. Water Well; Disconnect, Electrical, Plumbing ------ ------ ----------------------- g --- 85. Exterior Elec. Trim; G.F.I. Receptacle- Under round 86. Ventilation Throughout House . - - - - - - --------- ------------------------------- 87. Glass Protection . _ -------------- -------------- 88. 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 B-1 Date Card B-1 - - ------------------------ ------- Date Card -B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Comments at Final: -���; ...t �-�v'a.-tT-"-,-; -• �-«;.qe- .,��fi; �e, .�-,i; .. ,�.'-- ctu�,".e;; x .x c � dt.f�[7�,` t �;�4 aFt".,.. ?:�; 'v�i �, .:r �, '+".�'?}�r4�".. "�„ '�t'SMb'�I%„`�t�aevtGr M F,- MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE r DEPARTMENT OF DEVELOPMENT SERVICES BUILDING DIVISION --7 COUNTY CENTER DRIVE OROVILLE, CA 95965 --PHONE (916) 538-7541 APN: O�� ^ � � � � PERMIT NO.: Owners: / ..!L o % 0 Q Q Name: t✓L% Owners: Address: a Mobilehome _ Year of l Manufacturer _ Manufacture: L 6 Serial numberG ' 7 /n Insignia or �, ° C?? or V.I.N. HUD number:c QC Officialapproving stallation: r » Date: , If the mobilehome is moved or relocated, the mobilehome Installation acceptance shall become invalid. This form shall not be used when the mobilehome is installed on a foundation system. 5138 White -Owner, Yellow -Installer, Pink -Bldg., Gold -Assessor 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 _ E f ASSESSOR PARCEL NUMBER 036-310-141 ZONING ARMHS BUILDING PERMIT OWNER FLORINDA OCHOA TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1410 PEACH ST GRIDLEY 95948 CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER NE UNMOWNNO Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 23.00 ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Ener Plan CheckingFee Energy $ Penalty $ BUILDINGADDRESS 10 PATES MTN CT PERMITFEE $ 43.00 OROVILTE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE 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 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: EXISTINGSITEContractor Mobile Home I S I GI W @20.00 PERMITFEE g ELECTRICAL PERMIT Filina Fee 20.00 Main Serviceeoov OR LEss ( zooA oR -N ) 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 ( commencin g on with Secti7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.Ex. 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. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADDNS. ( s ACC. BLDS. ) sO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) i 97.50 POWER APPARATUS (8 SINGLE OUTLET CIA. ) Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 9 .50 Ex. Occup. OUTLETS PPL Is o.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: ❑ 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 S 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 with th se provisions. .Ci��" DateJ'-,► Xiof Sign tuApplicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. 0. FEES IMP FLOOD — coF PARCEL PD HD _ � HD .ISS This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. 180611 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT .�.. .. „�,,. - c.w^' -..,,. 7�^»'. : r..,wK-.� �.."..t'�:�'.^w.'.-vti!7.......n..-.. • ,,...� r�...'...��tr�'r �� ...M-..... �r.;;Pti.4 ,!Gt..,.r.�. ... �... .. . yCOJNTYOF BUTTE - DEPARTMENTOF D'EVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL9E, 6AC14?OA 95965 -TELEPHONE (916) 538-7541 d' PERMIT APPLICATION DATA SHEET OWNER 0 C< A. P. No. Proposed Building Use wilding 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 BY 1. All items have been submitted. . 2. Plot plan 3/ sets,,signed by preparer of plans. .......... 1 9S' 3. Complete pans, 3/4 sets, signed by preparer of plans . ..................... . 4. 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. . JJ7051q.� 10 Fees of $ . ........... . ........ ..... . . 11. Impact fees as shown on attached schedule. . 12. California Department of Forestry plan approval/fees. ...... . 13. Flood elevation letter (100 year floby Califgrnia Engineer . ................ . od ' 14. Sanitation and plot plan approval ro d i ! ealth 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). .... . Preanspedi.on requ�- 20. Pre -inspection for required. . to Building lnspedo� (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (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 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 acces......................:................. . 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.....................................7*!I k 32. Plan check list. ............................. . 33. 'r P l_ 34. Whe you issue the permit, process as follows: NZ Mail to owner. Mail to contractor. Telephone and hold r pickup at r 1/ office. Deliver with inspector. Other Parcel Creation Acreage Applicant AI9(4 aZ*6* Date 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 submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items N A I 2. Additional items required: Q (T(.tr►7Pr>� b _ ho F \ Sect 2. I j%l ��3�1' 1( `�htH Cll.�1C6>uftw.i' Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, ow er, wa dv' d of above required data by _ phone _ mail Co r _ Date Plans checked by Date !"�"q1p Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 4t. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance ;�—EiH. USE ONLY Mt PIM Ansched X Fl. PI. Am dW Y Scat to B.D. Q J-1 F,(.p In a irt kI Owner l Location AP# Plan Approved for: Sewage Disposal Y Water Supply: Public Private Welly Clearance for. a bedroon(mobile home'-\Pther a_ML Hold final for: Final clearance O.K. for: NOTE: ffii Q Flo I - /]Mff) Environmental Health Specialist Q/01) Date ALM �11 r' •i COUNTY OF BUTTE — DEPARIMT OF DEVELOPMENT SERVICES — BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 — TELEPHONE (916) 538-7541 OWNER In /? �✓ � U � © r f'l A.P. # V CJS 3101 �� PROPOSED BUILDING USE ('6 f 25,' DATE REC. # DATE REC SCHOOL DISTRICT FEES (paid.at District Office) ......................... %l 7s C1��✓ 712. SHERIFF FEES, (paid at Building Department) �y Residential.,..... x �� _$ �5 u it amt. Commercial (sgft) x =$ sq.ft'. amt. 3. URBAN:AREA FEES (paid 'at Building Department) Residential (per unit) x =$ # units amt. Commercial (per sq.ft) x =$ sq.ft. amt. 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. 6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department) 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE 7 13 ,doq Z7 L i s i" rl -ntl 4, O p -Tq AP P'r'.01 - Butte County Environmental Health Date L/ wo, L! Signature, '�Ir0on Bedcoofi i, 1�1)ed(ov-m Ciajrhr APF r O . BbttE COU..-Ity Environ rr ental Heal-ri 4 -ate - - AeL-r Signature Mobilehome Manufacturer: LManufacture Year: 07 7'51 M If other than single wide, furnish e p Model Number: Width:��(ft.) Length: Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after - October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. 1 FOOTINGS: Wood pressure treated or foundation grade[] Other: SUPPORTS: Concrete block[ ] Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 - - —Line 1 Line 2 Line 2 ............................................................................. Main tms Bea Line2 ............................................... :................................................ ine 2 Line 1 Line 3 Line 2 ................................................................................................ Main Beams ................................................................................................ Line 2 Line 1 ................................................i \�i.ine 5 I " Tae or Trinle �'' y: irc4 , Line 1 Piers: Line 1 Openings Size minimum: ,, x r i. Size minimum: [ ] x [ ]. Spacing maximum: Each side of openings From ends -maximum] with width over: r ` Line 2 Piers: Line 4 Piers: Size minimum: [ lx ] x [ 701. Size minimum: [ ]:x [ ]. Spacing maximum: 19, 0 Spacing maximum: ` From ends -maximum] Q From ends -maximum] ` Line 3 Roof Loads: Ce n r 1,' ,e s.� Size minimum Location (from front): Line 5 Roof Loads: p '7'' 7e Ar Size minimum: Location (from front): r 0 rf r" O,r iUCll/S BUILDING DEPARTMENT OVER AP ill VD 2. Assessor's Parcel Number: OU — 3/0 - /-�, J . 3. Installer's Name: Dw n e Y- 4. Is the site currently under permit? Yes[;] No[4 Permit No. 5. Is the site an existing site? Yes[] No[ ] (If yes, furnish two plot plans). 6. What is the electrical rating of the mobilehome? SBO Amperes. � 0,2:2_ 7. What is the mobilehome site circuit breaker rating?Amperes. " 8. What is the electrical rating of the mobilehome site? 1e0 Amperes. 9. Is the main service remote from the mobilehome site? Yes[X] No[, ] If it is, what is the rating? a 00 Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[(] No[ ] If yes, please identify the load. and size: a) The mobile home site: Load- Amperes- VC -- b) The main service: Load- -lot Amperes- �O 11. Type of gas service at mobilehome site: Natural[ ] Propane[,Y'] None[ ] 12. Size of gas pipe at the mobilehome site from the meter or tank:5 4 / inches. 13. What is the gas pipe length from the meter or tank to the mobilehome?25 (ft.). 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). THE OTHER SIDE OF THIS FORM MUST BE COMPLETED IN ORDER TO PROCESS THIS PERMIT APPLICATION May 1995 8.5 a . .a. tTMENT OF DEVELOPMENT SERVICES ) 04/16/95 - 04/30/95 ,IST 18 REMARKS LOCATION VALUATION ISSUED REROOF/SF 3644 BRIDLE LN., CHICO $ 5700 04/27/95 REROOF/SF 21 QUISTA, CBICO $ 1920 04/27/95 REROOF/APTS 801 RANCHERIA, CHICO $ 1020 04/27/95 2668612 'COUNTY OF BUTTE ' BUILDING DIVJSION ` DEPARTMENT OF DEVELOPMENT, SERVICES t; 1469 Humboldt Road, Chico,�CA - (916) 891-2751 7 County Center Drive,.Croville, CA - (916) 538-7541 I.747 Elliott"Road, Paradise, CA - (916) 872-6307 ' r CORRECTION NOTICE A o A- OWNER ' PERMIT NO. A wM. M A routine inspection indicates thatrthe following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Di to In REV 10/92 $! � . "��'e'►1r+� �r�yl,,,�`%�Y<<%`�r.e.,�.�..,,� ��F.._.: � �,.rs; �,r.,�..,.-.y,....��';e"'T',��`.FKi"�'�-�'�..2r"""y""""'y�+'i'�'.:r�+�;rv��i�}'.,'_ � ��. 'Z_ •:�w"�`i �� :01' - BUTTE COUNTY SCHOOLS IMPAQT FEE CERTIFICATION FORM (One Form Per Building) School Districtcc r Q— P! , v�WV Building Department No. A.P. Number <.��3h�� Jurisdiction: -� City O County Property Owner /-• /e!)r; e � c 11 0 /�J Property` Location/Address ��—!1 �0r v ;. Subdivison / Lot No. Residential Development No.. of Living Units Commercial/Industrial Sq. Footagev)- MHI Ad itiop (Group R) 64 J �1N I �6a- �� Sq. outage >n (Including Exterior Roofed Areas) Date i - (Floor Plans reviewed by School District Personnel). ,R District Identif cation No. 9N.6 00 4.,A. - y ti x °�=j�_ _'• 1 School District certifies that V i� (Applicant) (Street A �--- (City) (State) has complied with the'reguirements of Resolution No. 1veS� representing,\ square feet. [ AB 2926 V� (Phone Number) Wo E by payment of $ Date i 2 Paid by Check # Remarks:_V IV" Bank Number Paid by Cash Y If, subsequent to the'School District Representative signing this Butte County Schools Impact Fee Certification 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 imaact on the school district's schools. ^� White (applicant), Yellow (building department), Pink (school district) feeform.wkl (11/94)dmm v * COUNTYOFBUTTE-DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT qs A_ 7 7 ASSESSOR PARCEL NUMBER 036-310-141 ZONING ARMHS BUILDINGPERMIT OWNER FLORINDA OCHOA TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS ' CONTRACTOR'S NAME - TELEPHONE UNKNOWN CONTRACTORS MAILING ADDRESS , Fireplace CONSTRUCTION LENDER NONE UNIWOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ ARCHITECT OR ENGINEER NONE LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 10 PATES MTN (7 PERMITFEE S PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LAT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome N 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 Y] Installation ❑ Other ❑ Describe Work: REPLACE ELECTRIC SERVICE — Mobile Home I S I GI W ET @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service OOOV 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 (commencingwith Section 7000 of Division 3 of the Business and Professions Code, and my licensis 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. () 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( 8 ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 POWER APPARATUS (a SINGLE OUTLET CIR.) EX. Occup. ( OUTLET OR FIXTURES) 20 1.00 BAL SO FIXED APPUNS OR EX. OCCUp. OUTLETS RESID.) EA ( ) 5.02- Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE g 43.00 Contractor 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 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 forth comply with hose provisions. �� ��) L _— Date __----- Si eture of ApplicarTt - ❑ Owne� tractor ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE I TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD COF PARCEL PO HD M;S This permit is hereby issued under the of the Butte County Code and/or indicated v for w ich fees have By PERMITEXPIRESON 7 applicable provisions Resolutions to do work been paid. D to �� 7J (Date) Receipt No. 180611 WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT May 17, 1991 Florinda Rivera Ochoa, Etal c/o Martha Rivera P.O. Box 1063 Gridley, CA 9.5948 RE: Building Code Violation A.P. #36-31-141 10 Pates Mountain Court, Oroville Dear Ms. Ochoa: We sent you a warning letter dated January 18, 1990 notifying . you that you are in violation of the Butte County Code at the above referenced location. As of this date, the following violations still exist. Failure to obtain permits, inspections and approvals for construction of 57.5 sq. ft. of covered deck in violation of the 1982 Uniform Building Code as adopted by Section 26-1 of the Butte County Code as follows: (1) Section 301(a) Permits Required (2) Section 305)a) Inspections Required (3) Section '305(d) Inspection Approval Required before Use or Occupancy The above violation(s) shall be corrected or abated by you, by submitting two complete sets of plans, applying for the required permits, and paying the appropriate fees within 30 days of the date of this letter. After permit issuance and field authorization to proceed, the work must be completed and approved by this office within the permit specified time. 0 Unless the violation(s) is(are) so corrected or abated,' a citation shall be issued to you to appear in court for said violation(s) and for failing to comply with this notice. Upon conviction of said violation(s) or for failing to comply with this notice, penalties ghall be imposed and a Notice of Violation recorded in accordance with Section 41-7 of the Butte County Code. Awvox- c=ami,W MUS ai Pj1,(Pv"-o foa- P#Wwl-� -1Aj /-O BOA 9 i u�iD qjI Letter to Florinda Rivera Ochoa, Etal/co Martha Rivera RE: Code Violation (A.P. #36-31-141) Page 2 May 17, 1991 Should you have any .questions concerning this matter, please contact Rod Taylor or Jim Glander of this office at (916)538-7541. Yours very truly, William Cheff Director of Public Works OL awxw JFG:ds J. F. Glander cc: Building Inspector Manager, Building Inspection file Noy` BUTTE COUNTY' (For Action 1, 2, 3) Public Works Dept. -, (.For Information o/ ) Director Dep. Dir. Sec. i ( Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. Design Engr. ' Bridge Engr. Constr. Engr. i Surveys Mapping T ran sp. Land Deva . Drng. /S.I. Sub.& Pcl.Maps Permits ' Addy. 1 PROOF OF SERVICE BY MAIL 2 3 I am over the age of -18 and not a party to this cause. 4 I am a resident of and employed -in the county where the mailing 5 occurred. My business address is Butte County Department of Public Works #7 County Center Drive 6 California. Oroville, CA 95965 7 I served the foregoing 30 -Day Violation Letter 8 9 10 11 by enclosing a true copy 12 in a sealei envelope and depositing said envelope in the United 13 States mail with postage fully prepaid on 17th. of May 14 19 91, and addressed as follows: 15 16 -Ms. Florir_da Rivera Ochoa, Etal' 1,m Martha Rivera P.O. Box 1063 18 Gridley, CA 95948 19 20 21 I declare under penalty of perjury under the laws of 22 the State of California that the foregoing is true and,. correct 23 and that this declaration was executed on 5/17/91 24 at Oroville California. 23 26 Mariano Rivera P.O. Box 1063 Gridley,. -CA 95948 RE: Permit Requirements .10 Pates Mtn. Ct; Oroville Dear Mr. Rivera: January 18, 1990 A.P. #: 36-31-141 This is a warning letter to notify you that you are in violation of the Butte County'Code at the above referenced,location as follows: Constructed an approximately 575 square foot covered deck without the required permits and inspections. The permit application app4ed for 7/20/87 was never issued due to lack of plans and sanitation approval"from the Environmental Health Department. A new permit application and issuance is required. Since permits and inspections are required for the above work, please .contact this office within ten days of the date of this letter, submit two complete sets of plans, apply.for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. This' field authorization cannot be made until the existing work is inspected and approved.. Please be aware that Butte County has entered into a Code Enforcement Program that seeks voluntary compliance with the Butte County Code but provides an effective means of enforcement if such compliance is not obtained. If voluntary compliance is not obtained, enforcement will be pursued through the issuance of citations, fines, and the recording of a Notice of Violation. Your cooperation in resolving this matter would be appreciated. Should you have any questions concerning this matter, please contact Jim Glander or Bob Reith of this office. JFG:ds cc: Assessor . Building Inspector Yours very truly, William Cheff Director of Public Works J.F. Glander Chief Building Inspector -1) File No, BUTTE COUNTY (For Action 1. 2, 3) Public Works Dept, �F&:`Information V ) Director Dep. Dir. j41 Sec. Rd. $ Sr. Mtce. Shop $Yards t Bldg, Insp, Admin. Design ngr. Bridge Engr, �C:o n str, Engr. Surveys Mopping Transp. Land Dev. Drng. /S.I. Sub. $ pcl. Maps Permi is Addr, A. t coun� �r � ,..d� � a ! rJ s• OFFICE OF THE COUNTY COUNSEL ADMINISTRATION CENTER - 25 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965-3381 TELEPHONE: (916) 538-7621 DANIEL G. MONTGOMERY CHIEF DEPUTY ' COUNTY COUNSEL CARROLL A. RAGLAND CHIEF DEPUTY July 6, 1987 Marino Rivera 825 Matland Gridley, CA 95948 RE: A.P. #36-31-141 Dear Mr. Rivera: It has been brought to our attention by Mr. Jim Glander, Chief Building Inspector for the Butte County Public Works Department, that you constructed a covered deck on your property located at 10 Pates Mt. in Oroville. Section 26-1 of the Butte'County Code states that the County has adopted the 1979 Edition of the Uniform Building Code. The Uniform Building Code requires that all persons constructing buildings within the County of Butte, except for agricultural buildings, are required to obtain a permit from the County Building Department. Section 26-6 of the Butte County Code states that: "It shall be unlawful for any person, firm, or corporation to erect, construct, alter, repair, move, remove, improve, convert, demolish or equip any building or structure in the unincorporated areas of the County or to cause the same to be done contrary to or in violation of any of the provisions of this chapter. "The use or occupancy of any building in violation of any of the provisions of this chapter is hereby declared to be a public nuisance and may be abated in a manner provided by law." r A Marino Rivera July 6, 1987 �. r yi . Page 2 Section 1-7 of the Butte County Code provides that any violation of any provision of4;the'Code'.constitutes a misdemeanor, or in the discretion of the 1Dist"rict Attorney, be charged as an infraction. The penalty foa misdemean A.' or is punishment by a fine not exceeding $500.00 or impri:sonmerit. The punishment for an infraction shall be a fine not to exceed the sum of $500.00. Therefore, you are to immediately remove the covered deck that you constructed on your property at 10 Pates Mt. in the Oroville area, until you have obtained the proper permits, inspections and approvals from the Butte County Department of .Public Works. • ti Very truly yours, JOHN KENNY Butte County Counsel By CARROLL A. ItAGLAND Chief Deputy County Counsel CAR: la cc: Jim Glander Chief Building Inspector o 0 Y r - OL W 0 r 3: D CC) cr) , is tj Im :D >. EL zis 0( LLI 0 County Counsel Department of Public Works Building Permit - A.P.,#36-31-141 March 30, With reference to the above subject, attached are copies of correspondence sent to Marino Rivera concerning a covered deck he constructed without permits,.inspections, and approvals from this office. To date, we have had no reply. Would you please send him the normal letter about obtaining permits. Should you have any questions concerning this matter, please contact this office. MCV:ahb Attachments 0 Michael C. Vieira Supervising Building Inspector I 4 File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) D irect.r Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin, Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. 4P SENDER: Complete items 1, 2„ 3 and 4, Ppt your address in tha":RETURN. TO" space on,the reverse side. Failure to do this will prevent ttiis card from' . being returned to you. The return receipt fee will provide you the name of the person delivered to and the date of delivery. For additional fees the following services are available. Consult postmaster for fees and check.box(es) forYyseetrvicels) requested. 1. Show to whom., date'and address of dellvefy. 2, ❑ Restricted Delivery; 3.. Article.Addressed .to; Marino Rivera 825 Matland Gridley, CA 95948 4. Type of Servicer Article Number Registered❑ .Insured: Certified COD p292968348 ❑ Express Mail Always obtain signature of addresses& agent'and DATE DELIVERED: ignature — Addressee X 6. Signature — Agent X 7. Date of D�lEW 2 5 1987 S. Addressee's Address(ONLYry. [equest a ee pc 36-31-141 2/23/87 �' UNITED STATES OFFICIAL c SERVICE 25 FEB �o SENDER INSTRUCT Sd/ Print your name, address, ancLZ_ e. • F space below. • Complete items 1, 2, 3, and 4 on the revere•. • Attach to front of article if space permits, ' otherwise affix to back of article. • Endorse article "Return Receipt Requested" ease e....,........a— s of pUF B 2 6.1981 PENALTY FOR PRIVATE USE, S= _ RETURN Department of Public Works TO (Name of Sender) i 7 County Center Dr. (No. and Street, Apt., Suite, P.O. Box or R.O. No.)t¢ Oroville, CA 95965 r (City, State, and ZIP Code) Attn: Building Department"' r'. CERTIFIED MAIL FA February 23, 1987 Marino Rivera RE: Permits and Inspections 825 Matland A.P. #36-31-141 Gridley, CA 95948 Dear Mr. Rivera: With reference to the above subject, on January 14, 1987, we wrote you a letter requesting that you obtain the required permits and the required inspections from this office for the work you have done as follows: Constructed a covered deck at your residence at 10 Pates Mt. in Oroville. j Since both permits and inspections are required by both State and County laws, unless you have obtained the required permits and made arrangements for the required inspections within ten days of the date you receive this letter, the matter will be referred to the proper authorities for appropriate action. Should you have any questions concerning this matter, please contact us. Yours very truly, William Cheff Director of Public Works Original signed by J. F. Glander y J.F. Glander JFG:ahb Chief Building Inspector j cc: Building Inspector - Oroville Assessor 4 P292 988.348 RECEIMFCR COTIFIE® MAIL. ' NO°INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See Reverse) SENTTO Marino Rivera STREET AND NO. 825 Matland P.O., STATE AND ZIP CODE CA 95948 -Gridley, POSTAGE $ CERTIFIED FEE ¢ N SPECIAL DELIVERY ¢ ac 0 RESTRICTED DELIVERY ¢ LL ac y w SHOW TO WHOM AND ¢ �w- Cw) DATE DELIVERED f S W h SHOW TO WHOM. DATE, S¢ r AND ADDRESS OF ¢ WDELIVERY z o w SHOW TO WHOM AND DATE tac DELIVERED WITH RESTRICTED _ ¢ z o ¢ DELIVERY U s SHOW TO WHOM, DATE AND ADDRESS OF DELIVERY WITH ¢ RESTRICTED DELIVERY TOTAL POSTAGE AND FEES=i $ , POSTMARK OR DATE 36-31-141 2/23/87 File No. BUTTE COUNTY (For Action 1, 2, 3) r ar Public Works Dept. (For Information ✓ ) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg.lnsp. Admin. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits Addr. I January 14, 1987 Marino Rivera RE: Building Permit 825.14atland A.P. #36-31-141 Gridley, CA 95948 Dear Mr. Rivera: With reference 'to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from this office for the work you are doing as follows: Constructed a. covered deck at your residence at 10 Pates 'Mt. in Oroville. Since permits and inspections are required by both State and County laws, please contact this office within ten days of the date of this letter, submit two complete sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until you obtain these permits and are authorized by our- field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. JFG:ahb cc: Building Inspector - Oroville Assessor Yours very truly, William Cheff Director of Public Works Original signed by J. F. Glande► J.F. Glander Chief Building Inspector t i 1 File No. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept, (For Information �/ ) Director Dep, Dir, Sec, Rd, & Br. Mtce. Shop & Yards { Bldg, Insp. Admin. Design Engr, Bridge Engr, t Constr. Engr, Surveys Mapping Tran sp, Land Dev, Drng. /S.I. 1 Sub. & Pcl. Maps Permits t Addr, t 129 37.6 Zone 9tes oad U4) Aov 41AA/ Owaitt-, Will a CUSTOMER'S ORDER NO. NAME ADDRESS 0 - DATE F—Z2— RECD BY R.E.EXFORM 5H 330 KEEP TH15 SLIP FOR REFERENCE E m � m ii •� PI RECD BY R.E.EXFORM 5H 330 KEEP TH15 SLIP FOR REFERENCE ❑ Complaint -Date Owner: b BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONINGAZI � r 1 k— A. P. Address: I Q 'fi aiA'L Date of Inspection Tenant • ` 0 V\10'Y Inspector 1-4 Building Location: �'✓1 �' Type of Inspection requested: 1. Housing/_/ 2. Financing L_1 3. Change of Occupancy to W4. Work W/0 Permit / / 5. Other (specify) Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3.. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection toysewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stair's:(Rise, Run, Headroom, 1HR, Tolerances,Handrails) 15. 'Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. fireplaces: 6. Comments: C. Electrical 1. 2. 3. 4. Service and ground: Receptacles: Fusing: Comments: 7 D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Energy:. 7. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: _ 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (Qi 2. What action t 3. What action recommended: A. Information only - file. IV -1"'B. Hold for ten days, then write letter. %% C. Write letter. January 14, 1987 State ofOCkiffornia RE: License Law Violation Contractor's`License Board A.P. #36-31-141 429 Red Cliff Dr., Suite 140 Redding, CA 96002 Gentleman: With reference to the above subject, we have information which appears to indicate that Ervin Clark at 378 Lone Tree Road, Oroville, 95965, is con- tracting without a State License. A covered deck was constructed for Marino Rivera at 10 Pates Mt. in Oroville, and according to the owner, it was constructed by Mr. Clark. Should you have any questions concerning this matter, please contact this office. Yours very truly, William Cheff Director of Public Works Wl mal sign! bV J. F. Glander J.F. Glander JFG:ahb Chief Building Inspector cc: Marino Rivera, 825 Matland, Gridley, CA 95948 J 1 Fi le No. BUE j E(For r Action'], Pub2, 3, Works nformation �/ ) Dire Dep, Sec. Rd. & Br. Mtce. Shop & Yards Bldg, Insp. Admin. (� I i Design Engr, Bridge Engr, Constr. Engr. Surveys Mopping Tron sp. 1 B I. h l.Maps 0 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' PERMIT NO 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 ��� APPLICONW AND PERMIT ASSESSO PAR CE UMBERZO ING BUILDING PERMIT OWNS - Ji� 6,ez N TELE HONE s �/ SQ. FT. OCC. BUILDING VALUATION s OWNER'S MAILVIP ADDRESS nQ CONTRAC TO TELEPHo9FE CONTRACTOR'S MAIL ' /.UVgDRE S L Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ .a• Energy Plan Checking Fee $ _ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ � PLUMBING PERMIT Filing Fee 10.00 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 ❑ Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S FIG FW 10.00ea TYPE OF WORK New ❑ Addition[:1���odel Uti9lities ❑ Installation❑ Other ❑ Describe work:, �/ll�1l:Li�rL—_ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 600V OR LESS Main service 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 Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification ,r\I 1, as the owner, or my employees with wages as their sole compen- C� 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.y , A 2/:0sgft New CONSTR. MULTI -OUTLET ITS 2.50 ea NON.RESID BRANCH CIRCU' POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES 20®50Q SALO 3o FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 9 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 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. 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. �i X�yl.( �' �d b-7 �!/k �Date Signature of Applicant — Owner E]Contractor ❑ Agent F-1work 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ b occuP, CONST.T7PEJ I FLOOD PARCEI PD ND ISSUE This permit is hereby issued under sions of the Butte County. Code and/or indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable pro vi - resolutions to do fees have been paid. WORKS Date Receipt NO. z CC,.5' l es2 WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT .,- L COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLJE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER %GL/� ��� Ct' �l/Z A A_./P1. No. �� Proposed Building Use a""` 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 bee -n -q mitted. , . . . . . . . . . . y 2. Plot plans iq duplic _t.riQlicate, signed by preparer of plans. _ v 3. Complete plans i duplicate triplicate, signed by preparer of plans, 4. Complete engineered -7l ns and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. 6. School District "Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authoriza n. 10. Sanitation approval from �� Health -.Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _.—...._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre -Inspection for—__ _.. _ ..._.__ _Required. Pre-Inspec. request to (Date)Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. — — 20. Plot plan approval from city of 21. — — - — 22. — — -- en you issue the permit, process as follows: Ma' to`owner, _1\4ail to contractor_ Telephone and hold for pickuV office, Deliver w/inspector. Other AppIicant %%n-4AC-4 u) 4�4(e 72 -D - Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted prior to permit issua[ e (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 ____rnaiI—counter by date Contractor, designer, owner, was advised c? above required data by —phone _maiI—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW PERMIT NO. PERMIT EXPIRES �� V OWNER MARIANO RIVERA CONTR. Carter Enterprises R ASSESSOR PARCEL 36-31-119p lot 1 i LOCATION Pates Mtn Ct, Oroville + , 66r1 T W f t Temp. Power Pole. OFFICE COPY Called PG&E. Address �b Temp. Elea Servic t Called PG&E GAS Meter -By w -Date>%� ELECTRIC 5 7/6f Temp. Gas Service Meter: By Date t Called PG&E i JOB FINALED (Date)/L Sign, ,r 5 is R' 3— J,. =, OK U = Not UK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS :.1 Date MOBI OME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's Zo ng Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks—Easements o' , pecial MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors S er; Location—T,—Fal -C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails er; Locatio asement eded etch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing Electricity; Lo n—CI ces—G —,960 Amp—Concr a 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /'Nat.or/ &L"ft. LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date �%,J0 Card -BI Date Card -BI Date Card -BI Date Card -B Date ', Card -BI Date Card -BI Date Card -BI Date Date BIL OME INSTALL ION (Plans) OK except N's Date POOLS (Plans) OK except #'s 4_--foa'ng Requirements�Setbacks—Easements 1, Setbacks—Easements o gs; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability as; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining A-1211-ec—tricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI ain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI ter; MH Test—Regulator—Connector ater and Sewer Connected—C/0 to Grade—HD Approval 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater �8. Gas Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit xi , sp.—Sketch l QUJFAart. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B- t Card -BI Date Card -BI Date Card -BI Date B -I Date Card -BI Date Card -BI Date Card -BI Date a J OK _ 0 = Not OK - = Not Applicable RESIDENTIAL (Single and Duplex) * Not ReAy Date UNDERFLOOR Plans OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3.• Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Sleel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. _ 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date I PLUMBING (Permit) OK except #'s 14. Water HL; Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D:.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61, 62. Elec. Trim & Subpanel, Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors - - - 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper - 20. Fixture& Transformer Clearanc -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-'Mech. Protection 21. Elec. Receptacles Spacing=Lights & Switches ate Doors 70. Plb., Elec: &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - - - -- 24: 25. Equip. Ground mace up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size 72. 73. Insulation -Foam -Looked in Attic ❑Yes Guard Rails &Deck Constructioni-Post Caps 74. Fdn. Vents & Crawl -tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga., Cu or AI-A.C. Wire Size / / ga. Cu or Al -_ 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral _,Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 29. Equip. Clearances: Panels-Motors-Mech. Equip. 77, 78. 79. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing - Card B -I Card B -I 30. Clothes Closet Light -Shower Light --- -- ------ -- -- Date - Card -BI Dale Date Card -BI Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except #'s 83. _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric _ Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts: Insulation &Support -_ Vent -Fan: -Exhaust above Insulation _ __ _ Condensate Drain & Overflow; Size & Grade Furnace -Vent Access -Comb. Air -_Return Air Vent -_115V outlet Attic Access & Platform if Furnace in Attic -- - --- - _ Date Card -BI Date Date Card -BI Date 85. Water & Sewer Connected -C/O to Grade -HD Approval 86, - Energy Compliance Certificate -Other Certificates - Card -BI Date Card -BI Date Card -BI 11.3te Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except #'s Comments at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders _& Floor Nailing Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles _ Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ (NOTE: An entry must be made each time you visit job site) MOBILEHOME INSTA`LATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OFPUBLICWORKS .:� 7 COUNTY CENTER DRIVE i OROVILLE, CALIFORNIA — 534-4541- /.< PERMIT N0. CV Address or location of mobi lehome `� S �� CT YOwner's named%'-�l?Jfa Owner's address cff" s Insignia or hud number Manufacturer's name Serial DvGmber of VI 4/ 4% I Approving Instollatio Year of manufacture 19 (Date) IF THE'MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. 513B White - Owner, Yellow - Installer, Pink - D.P.W. ,k-, r - COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 1444-9 /s -0J6 OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation; please contact this office immediately. (0)A)/-(DACIA0AX)cl- rPrylf-e 6l, y Dk- 'SOW&S k'0(-((1QE-Q E)A- Inspector Date -5 /�.- 44 COUNTY. OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico = Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE T NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector. , `�l.V/V 1/tV Date "� w" COUN'ry OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. ' i) f; Ik - -.1 4,t_=41 r / _ "'iii!!! Inspector__ t �f// k f - �' � ��'' � Date 5 /-.•� �"' - COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive-'Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT J PERMIT NO./ ASS S R PAL UMIE C17 — 1 f Z I G BUILDING PERMIT oWN 6 Y" T L PHONE SQ. FT. OCC. BUILDING VALUATION OWN R'S ILIN ADDRESS �/1 © r CONTRA'CTOR'S NAME 'TS€ EPHO V CONT TOR' MAILING ADDRESS _ Fireplace CO RUCTION LEND R NKN WN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARC ECT OR ENGINEER 006- LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS i1 Permit tee $�(�`. PLUMBING PERMIT FiIingFee 10.00 © Each Trap 2.00 _ Solar or heat pump water heater 20.00 LOT O. SUBDIVISION NAME P CEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome)4 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W IJ 10.00ea,, TYPE OF WORK New❑ Addition❑ Rem el❑ Utilities Installation[] Other ❑ Describe work: _ <-6o-sip Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V 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): q�l I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession Code and y license is in f II force d effect. License No. o�d2 Classification =-s El 1, 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.yd , OR ADDNS. ('ACC. BLOGS. /20sgft NEW CONSTR. MULTI -OUTLET 2.50 ea NON•RESID BRANCH CIRC ITS /POWER APPARATUS e (SINGLE OUTLET CIR. I Ex. Occup(OUTLETS OR FIXTURES 20a50t eAL030 FIXED APPLNS. Ex. Occup. OUTLETS (RESID )KEA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 6yirin 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. A� 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 Coolin 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 exp nses which may in any way accrue against s unty in cons n oft granting of this permit." %( ..KDate L�-!!� Signature of Applicant — Owner ❑ Contractor Agent ❑ An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE t occu P.1 CONST.TYPEJ I FI.2o,TARc PD ND Iseu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT F PUBLIC By. PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date y �jZ�'�db '� v Receipt No. �/! �� WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT :•. rayy, ,,r.; ,�, t '�. %I *its Al COUNTY ,OF BUTTE - DEPAR-TMENT OF PUBLIC WORKS -BUILDING DIVISION M , 7 COUNTY CENTER DRIVE - OROVILL�F.�C;ALV}CRNIA 95965 - TELEPHONE: 916%534-4541 PERMIT APPLICATION DATA SHEET OWNER _,,-'Proposed Building Use Permit No. A. P. No. A 1 3 / " //2 Permit Fee Based Upon: Complete Contract Price DPW Valuation 1 ', Building Inspector Uate 1-4 occJ / 0 r�2 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted —V .. Plot plans in duplicate/ =iplicate* 3. Complete plans in duplicate/triplicate. 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid" Stamp on Floor Plan . . . . ... . . f 7 Statement of Intent for Non -Heated and AC Buildings. / 8. Fees of $ . . . . . . . . ,it/Letter of signature authorization . . . Sanitation approval fromD(fiealth Dept. arking: 11. Planning approval for (A) Use: (B) Parking:- 12. 12. Certificate of Workmen's Compensation Insurance. . . . . . 13: Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . • 16. Mobilehome Installation Data. . . . . . . .. Pre-Inspec. request to Pre -Inspection for Required- Building In;pector ON (Date) Record-DRed W yf t r I Acknowledgment Statement . fdonstruction approval required to occupancy 19. Other prior When you issue the permit,,proces as follows: Mail t owner. - Mail to contractor. Telephon an Id for pickup at Qi ofiice. Deliver w/inspector. Other � � V,1) i 16 Applicants - Date Copy of plans sent Health Dept., Fire Dept., `Other Date During the plan checking process, the following data must -be submit d prior to permit issuance: (For required items not checked above t ti a - (cation, circle item.) 1, Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by 19,1 Date Plans approved by fDa Other: Copy—DPW ,:,'o yin To: Building Department From: :�vironmental Health Subject: Sanitation Clearance Owner Location Plan Approved for: Sewage disposal +� Hold final for: Final clearance'O.K. for: Clearance for bedroom mobile home. Other NOTE X36-3/- Il9 AP# water supply water supply water supply ;E0 Sanitarian Date AP # OWNER lV\ c``•i r Mi,_V� Y -a PERMIT MEI UTIL.CLEARANCE DATE 4 �_5 �. INSPECTOR . ELECTRIC GAS Support Compaction Struc. Test eq. ervice ;ize Other Load ._Te -Pipe Size Lenjzth YES NO YES NO Return tn DPW , �RED\N1�T?GRICULTURAL STATEMENT OF ACKNOWLEDGEMENT RECORDED IN OFFICIAL RECORDS '01 CotoPAE' FOR RESIDENTIAL DEVELOPMENT �,.00cCu OF BUTTE COUNTY. CALI FORN (A J ATTHEREQUESTOF Section 29-8.1 of the Butte County Code requires this acknowledgement be recorded prior to issuance of a building permit. 56-13195 1906 APR 28 Ali 9: 50 The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this ELEANOR M 6ECKER property may be subject to inconveniences or discomfort arising from CL��RRii RECORRnn E the use of agricultural chemicals, including, but not limited to herbic'i3es, pe§'CP idff, and fertilizers;.and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning; and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural. zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared -to accept such inconvenience or-disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: t' g'�J .0� Je v'VV n��i vCif�t �BJ✓C d�-rtisG�-C %�� ., f / / e-li�-P �6� `�lRTY�OWNF�S �aDate:A, 1 � � � �'8 PE� State of California ) On this the 23rd day of _ Apr; 1 , 19_g(,, before ) SS. me, the undersigned Notary Public, personally appeared County of RLt tP ) Mariano Rivera and Maria Guadalupe Rivera t ri; ,• NOTARY PUBLIC -CAM ORNIA ;y 19 Bute Coun:y Is 0 s My CommIssion Expiras Jan. 20,1988 9 Rin �F�d®ir}i7t�®�B{2gflt�B9�tlt�i11tlC1tl41fYm� / /Personally known to me. Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) subscribed to the within instrument and acknowledged that tht-�, executed the same for the purposes therein contained IN WITNESS WHEREOF, I hereunto set my hand and official seal. Present A.P. No. 61— / / L Notary Public Linda F. Wilson ,✓ COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT N0' ` 7 County Center Drive - Oroville, California 96965 - Telephone 916/534-4541 c..� APPLICATION AND,PERMIT ASSESSp F7�PAR NUM R 5!0 Z ' BUILDING PERMI• OWNSII hif r TELEPHONE SQ. FT. DCC. BUILDING VALUATION �,• OWN ![Li ADRESSe. r^� f C T CT R'S NAME TELEPHONE CON CTOR'S MAILING ADDRESS Fireplace CONSTRU TIO�1N LENDER C ® UNKNOWN Total Valuation is Filing Fee $ 10.00 LE E ' AILING ADDRESS Permit Fee $ ARCHIT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS on Penalty $ BUILDING ADDRESS �) K Permit fee $ PLUMBING PERMIT Filing Fee 10.00 .11 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 ❑ Duplex[] MobilehomeOther SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I GW 10.00ea TYPE OF WORK ,/y New ❑ Addition [I Remodel El Utilities [:1Installation I Other ❑ Describe work: C Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 101 OR L Main service 100 AMP ORSLESS 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 BuslnesS 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.tk OR ADDNS. ( ACC. SLOGS. 2,hQsgft NEW CONSTR. ULTI.OUTLET NON•RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t 3ALO 30 FIXED APPLNS. Ex. Occup. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. 4Virin 9 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 FiIingFee 10.00 Heating Cooling 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 against said County in consequen a of the granting of this permit. X Date Signature of Applicant — Owner n Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'f)" deep and demolition or construct- ion of structures Over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 0, o OCCup. CONST.TYPE I I FLOOD PARCEL I PO ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date _ 6 Receipt No. Q& WHITE-D.P.W.. YELLOW-..SESIOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE -`DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRI�—VE - OROVILLEAtfi_f '3QIA 95965 - TELEPHONE: 916{x/534.74541 PERMIT APPLICATION DATA SHEET • � Permit No.—/ l 9 OWNER Y", C! D I VM ✓ A. P. No. C Proposed Building Use Permit Fee Based Upon: � Complete Contract Price DPW Valuation Oth E 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. . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with' Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement `of Intent for Non -Heated and AC Buildings. 8. Fees ofc $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) _ frilprovements may be required. . . . . . . . . . 5��6 y.�f�ilobilehome Installation Data. . . . . . . . . .Pre-InspA 7. Pre -Ins ion for Required. request to (Date) P q Building Inspector 18.' Recoryiajxpfltlns%�i�Cior� approvagmiequired' pr or to occupancy) ' 19. Other When you issue the permit, process as follows: Mail owner. Mail to contractor. Telephone and hold for pickup at 12116 office. Deliver w/inspector. Other I - <y� Applicant��/1.�/J?D '�/Z^ Date �^ 7J Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Plans checked by. Plans approved by Other Copy—DPW Date Date Date Other 'l MOBILEHOME SUPPORT DATA If.other than single wide, ( / Mobilehome Mfr. �� d✓ � furnish Setup Model No. 30 Year Width y (ft.) Box Length�(ft.)- Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one) I 1. Wood -pressure treated or foundation grade . 2. Other (specify) SUPPORTS (check one) Concrete block. El 2. Other (specify) Pier Footing Sizes and Locations SINGLE -WIDE MULTI -WIDE Li `— ,•r Line 1 � Line 2 Ma—in Beams Line 2 Main Beams — ---- ------ ­w-Line4 Tag or Triple — — — — — — -- — T.inA 4 Line 1 Line 1 Piers: Size -Min. ------------ yc u Spacing -Max. --------- From Ends -Max. ------- Line 2 Piers: Size -Min ------------- „x „ Spacing -Max ---------- From ---------From Ends -Max.------- Line 3 Roof toads: Size -Min. ------------ „x �„ „x36 .-W -.30" Location (From Front) _ _ Line 4 Piers: Size -Min .------------- 'k " Spacing -Max.--------- From Ends -Max -------- Line 5 Roof Loads: Size -Min. ------------ Line 1 Openiana: Size -Min ------------------- Each ------------------Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min ------------------- „x „ Spacing -Max._______________ From Ends -Max .------------- AL, wrwom, w4as 'k 3 o" 134, ,.x.36„ Size -Min .------------------ Spacing -Max.--------------- r- „ From Ends -Max .------------- "x „x a IIx a ux n N. a nx a ax n ux u A� location (Prom Front) Yi1:t.lc-) T./'�t�-il�`tAg- tI c� /iiQ it l BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name: Md"?Id/I (1 2. Installer's Name: if0 j I,?, IC -4 -lei 3. Is the site currently under permit? Yes No FI _ (If yes, furnish permit number /0 OR Is the site an existing site? Yes No F] (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic. tank and leach fields and clear of all setbacks and easements? Yes [g--" No F] (If no, clarify 1 5. What is the mobilehome electrical rating? --------------- Me) Amps 6. What is the mobilehome site service rating? -------------- Amps 7. What is the mobilehome site circuit breaker rating? ----- 6 Amps 8. Is there any other electric load to be served by the mobilehome site service? -------------------------------- Yes No F (If yes, identify the load and size: . Well (Load). A ps) 9. What is the mobilehome site gas pipe size? (in.) 10. What is the type of gas service. atul EF] LPG ra'[� 11. What is the gas pipe length from meter or tank to mobilehome?--------------------------------- / 0 (ft.) * 12. What is the mobilehome gas demand? ------------------\\--- (BTU) *(This information not required if pipe.length less than 6 ft. on .natural gas or less than 50 ft. on LPG.) �/S'P,rfj /So - BUTTE COUNTY BUILDING DEPARTMENT APPROVEt) Al - /J AvV�y3N4o,1 11d /,f/P4K3� -3i- i/y permit will be required for th F irtatall_-au" -of -the-.Mobdlehome. �Lj� 10o Se�%i,cS o Sow►ep tility co ect`ons all be wit 4 ft. within e�nobiieho_ e either clirec y.behind or within the rear• half mobilehome. of the I - 4 NOTE: AA Materials & Workman hip Shall 8o ;,DAccordance with Recognized Goo Practices and of a reality prescribed for the Spe ified use in the Uniform Building, Plumbing & Mocha ictal Codes and N+s Nano" Wectrical Code... ,o A setback of *ft. from the property lines and a setback .of 50ft. from the road centerline shall be clear of structures or equipment except for a 2 ft. eave overhang. Thl tet of plans and specifications MUST be e. P t n the job at all times and it is unlawful to � o ny changes or alterations on some withoui i# n permission from the Department of Public , County of gaffe., KMF- COUNTY DEPARTMENT PPROVED ,Oy2_gfo MR"' Hol 0 i V fir; d .•. rr r; f" ,y,. rf•. N N w a M. 4 l'J v 7 � I`1 C? t: fir; d .•. rr ,y,. rf•. N N w a M. 4 BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 4 PHONE: 534-4541 X MOBILEHOME INSTALLATION SHEET 1. Owner's Name: 2. Installer's Name: ecoe 3. r Is the site currently under permit? � Yes No _ i .(If yes; furnish permit number / 0a_;Q -096 OR Is the site an existing site? Yes No F] i (If yes,' furnish two plot plans.) - 4. i Will the mobilehome be located at least 5 ft. away from septic, tank and leach I fields and clear of all setbacks and easements? Yes No f (If no, clarify . i r 5. What is the miobilehome electrical rating? ---------------- /Q Amps 6. What..is the mIobilehome site service rating? -------------- d 0 Amps 7. What is the mobilehome site circuit breaker rating? ----- J Amps 8. Is there any other electric load to be served by the mobilehome site service? --------- ------:-----a --------- Yes No (If yes,, identify the load and size. well (Load). A ps) 9. What is the.-mobilehome site gas pipe size? -------------- J� 9 (in.) 10. What is the type of service. ----- gas atural LPG 11. What is the gas pipe length from meter or tank to t ------ mobilehome?-=------------------------------- ----- 0 (ft,) * 12. What is the mobilehome gas demand? ------------------ --- (BTU) *(This information not required if pipe length less than 6 ft. on natural gas or less than _50 ft. on LPG.) 1 r _86 BUTTE COUNTY ' 1 13UILDING DEPARTMENT i APPROVED MOBILEHOME SUPPORT DATA / if.other than single wide, p (/ Mobilehome Mfr... ` �� t/ !_/ PV 467 T � furnish Setup Model No. �� / year /� Width Y (ft.�) Box Length __Y,�-. (ft.)' Tagalong or Expando Size ft. x ft. On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation. manual and structuralsetupsheets (if not on -file with the County of Butte).. FOOTINGS (check one) 1. Wood -pressure treated or foundation grade. 2. Other (specify) SUPPORTS (check one) Concrete block. 2. Other (specify) Pier Footing Sizes and Locations Line 1 Piers: f Size -Min- ----'------- Spacing -Max. -I------- I From Ends -Max.; ------- Line ----- Line 2 Piers: Size -Min. ----------- Spacing-Max. -7 ------- Prom Ends -Max .------- Line 3 Roof Loads:. Size -Min. ----{------- „ ' c x. Location (From Front) _ e v riers• Size -Min .----=------- Spacing -Max---------- From Enda-Maxi------- Line 5 Roof Loads: Size -Min.----- ------- Location (From Front) aAbAA-d C43 ALl. „x3t „ W ,k `„ 3t ,k.3L„ c- II - Y „ k, Line 1 Openings: Size -Min. -------------- --=- /u „ Each Side of Openings With Width Over --------- Line 3 Piers: (Under Bearing Wall Only) Size -Min .------------------ Spacing -Max---------------- , From Ends -Max .------------- � Gyt. Cvi4[GS ,_ C Line 5 Piero: (Under Bearinx Walls Onlv Size -Min ------------------- 'Sc „ Spacing -Max.--------------- ,_ u From Ends -Max .------------- - OFFICE COPY Pddress Meter ev gate Eu Meter BY s m t' COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER / 4 ZONING BUILDING PERMIT OWNER , .FLORINDA OCHOA FlFD TgZ&%954 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1410 PEACH ST CRIDLEY, 959' CONTRACTOR'S NAME aTl'JGR i� TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ - ARCHITECT OR ENGINEER LICENSE NO. H. $ Plan Checking Fee Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PATES PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 0—MV-11 p Each Trap 7.00 LOT NO. SUBDNSION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 0 Other SPECIFY 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 ❑ Installation ❑ri Other ❑ Describe Work: TIJC''TAQ�n Mobile Home 7q , -G W @@20.00 PERMITFEE g Contractor ELECTRICAL PERMITFilin Fee 20.'0 0 Main Service EOOV 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, and my license is in full force and effect. I 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 OCCUR s0. OR ADONIS. ( & ACC. BLDS. ) 3.50 FT. NEW CONST. / MULTI -OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 C° 1.00 SAL Q .50 Ex. Occup. FIXEDAPPLNo.OR ) 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 9 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL 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. r (� X �71i Sf' err i � /!.//Ui/ Date % �_— -- . ---- Signature of Applicant - 99 Qwner 'O Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE FEE $ 40.00 HAZ. D. FEES IMP FL000 CDF PARCEL 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. ' 8 (� B 1 Dateo**�� y�- PERMITEXPIRESON (Date) Receipt No. 191080 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT 9P-DFVELOPMENT SERVICES - BUILDING DIVISIO 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 36-31-141 ZONING ARMH5 BUI G PERMIT FLORI NDA OCHOA Tt54b"E6954 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1410 PEACH ST GRIDLEY, 95948 CONTRACTOR'S NAME OWNER W TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 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 $ BUILDINGADDRESS 10 PATES MTN_ PERMITFEE $ PLUMBINGPERMI_T Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IN Other SPECIFY 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 ❑ Installation ❑K Other ❑ Describe Work: !NST -AT T� LINE FOR L1126 Mobile Home S W @20.00 9n _00 - PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service800V 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, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury. that I am exempt from the Contractors License Law for the following reason: �D 11n I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR \ SO. OR ACDNS. ( d ACC. BEDS. / 3.SQ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 ® 1.00 BAL 0 .50 Ex. Occup. (ounEED PLNS..°en) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor 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 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S 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.) ❑ 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 ����rL1�% Date � Signature of Applicant -pwner '❑ 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 Is Energy Inspection Fee Is occ CONST. TYPE TOTAL FEE $ 40.00 HAZ. 1 D. FEES I IMP I FLOOD CDF PARCEL PO 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. (� (� B 1� !7 Datee� y PERMITEXPIRESON I (Date) Receipt No. 191080 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A v� 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 1 bor and materials for construction of the proposed pro e_rty improvement: YES11 NO[ 1. 2. I HAVE,HAVE NOT[ ] 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: 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: QTY: 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: NA?VIE ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER:( — , DATE: oL — NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER 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 tax withholding, federal social security takes, 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 uniicensed persons professing to be contractors is to secure an "ow-nerbuilder' 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. 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. Sin&rel , Michail C. Vieiia, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19330 of the California Health and Safety Code.