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027-083-007
'COMPLAINT GIVEN TO BUILDING INSP. DATE: 5- 7'02- ' .I 027-08-3-007 027.083-007 5102-13 95-1925 STEPIiENS, MARILYN BURCH, Elamae 7165 CITRUS AVE., OROVILLE 7165 Citrus Avenue, Orovjll1�� SPECIAL INSPECTION (reroof/SF) 027-083-007 / 01-2746 SI-EPHENS, R -FG+ & MARILYNN 7165 CITRUS AVL'. PALERMO _ CONT: LINK 0,JL4ja,Q MISC WIRING/UPGRADE MAIN SER r 1W, COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, California 95965 Telephone: 538-7541 APPLICATION FOR SPECIAL INSPECTION 5_1 a21 -1 ?::. Applicant M e Telephone No. Mailing Address / /n� l 11 Building Location (/�� fos AM- (I rR�� F l e, 0A, I hereby request a special inspection of the following building: 1. Dwelling (if only a portion, specify) 2. Apartment House (if only a portion, specify) Q 3. Commercial (specify present occupancy) 4. Other (specify) I am requesting a special inspe U 1. Moving the building. 0 2. Financing (specify agency) 3. Change of occupancy to 0 4. Other (specify) Case No. I hereby certify that I will obtain the necessary permits and make any necessary correc- tions, alterations, or repairs required by the County of Butte, as a result of this inspec- tion, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within 30 days. I certify that I have read this application and hereby authorize representatives of the mentioned property for inspection purposes. Signature of caner Fee Paid $ D od lst-DPW/2nd-Inspector/3rd-Applicant and state the above information is correct County of Butte to enter upon the above - Date Receipt No.�/LS` u t)_t 0Z-1 3. Owner Maili COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,'Oroville, California 95965 Telephone: 538-7541 APPLICATION FOR SPECIAL INSPECTION Applicant Telephone No. Mailing Address Building Location 7% LS C �rUS A-Ve. (] (Cjj(l l e 00i Q WO (O I hereby request a special inspection of the following building: 1. R2. Dwelling (if only a portion, specify) Apartment House (if only a portion, specify) 0 .3. Commercial (specify present occupancy) 4, Other (specify) I -am requesting a special inspection for the purse of: 1. .Moving the building. u 2. Financing (specify agency) Case No. 3. Change of occupancy to R/6119J_10 Q 4. Other (specify) I hereby certify that I will obtain the necessary permits and make any necessary correc- , tions, alterations, or repairs required by the County of Butte, as a result of this inspec! tion, to comply with building and' housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations;= or repairs, or, if the building is presently occupied, I will complete the, above required corrections, alterations, or repairs within 30 days. , I certify. that I' have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above- mentioned property for inspection purposes. 4 _ Date Signature of caner Fee Paid $� Receipt No.. 1O (J lst-DPW/2nd-Inspector/3rd-Applicant. Complaint -Date Other -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: Address: Tenant: Building Location: ZONING L' A. P. #'L'i Oth.,, n Date of Inspection Inspector � Type of Inspection requested: , 1. Housing ,I 2. Financing 3. Change of Occupancy to 4. Work W/0 Permit / / 5. Other (specify) A. Present use of building: 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: JI 3. Room and space requirements: 9. Bedroom window or door for second exit, 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, headroom, 1HR, Tolerances,Handrails) 15. Comments: Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof con 5. Fireplaces: 6. Comments: C. Electrical. 1. Service a 2. Receptacl 3. Fusing: 4. Comments: I 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 (give complete description): 2. What action taken (give complete description): 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. %-% C. Write letter. / /..D. Other: y S i m S y S i m Pff""RELINSPE-C-TIO' I L -L e OWNER: LOCATI( CONTRACTOR: 0-1yJ PRE-INSPETION FOR: A.J-n Gl i rtA n O // .(nj d V Di4 I)OnN l DATE TO INSPECTOR: Building Description: Commercial/Usage:_ Residential/# of Units: DATE: I O- a S -0 A.P. # 0:9--4- Cj`R3 - 00 - ZONING: - J1 - N 11 PERMIT HISTORY:( ) NONE ( ) AS FOLLOWS: BUELDING I1VSP CFOR'S REPORT Currently Occupied AbandonedNacant Electric: Yes No Electric currently On " Off Condition of Electric Gas: Natural Propane�� None Currently On Off_ Obvious Problems: Sanitation: Plumbing Working Well Working Potable Water \��T Obvious SewageProblems r Comments: ACTION RECOMMENDED: ISSUE: HOLD FOR +L( -6:p / Inspector: , Date Sketch buildings on reverse and indicate location on property. I 027-08-3-007 95-1925B BURCH, Elamae ✓� , �" 7165 Citrus Avenue, Orov (reroof/SF) 122 e , Do I .k July 31, 2002 Re: Special Inspection Number: 02-13 Assessors Parcel Number: 027-083-007 Marilynn Stephens 7165 Citrus Avenue Oroville, CA. 95966 suite Count L A N D O F N A T U R A L W E A L T H A N D BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 With reference to the above subject and your request for inspection of the proposed conversion of an existing bunkhouse to a commercial guest house (R1) at 7165 Citrus Avenue, Oroville, CA, the inspection was made July 31, 2002. The structure was built prior to permit requirements. A reasonable visual inspection was performed without going on the roof, under the building, or in the attic and the following items were identified, and must be completed or resolved: 1. Provide Environmental Health Department clearance and approval. 2. Provide complete plans prepared by a California registered engineer or licensed architect for review. 3. Provide Planning Department approval for proposed use. 4. Verify foundation and anchorage. 5. Roof framing does not have ridge beam or rafter ties and rafters are over spanned. This must be addressed within the set of plans to be submitted. 6. Provide handicap access shown on plans. 7. Comply with additional requirements that may arise during plan check. This inspection by the County of Butte does not act as a guarantee or warranty as to the internal soundness of said addition, conversion, or renovation. It is now in order for you to submit three copies of complete plans with calculations to this office including plot plans, floor plans and structural details, apply for the required permits, and pay the appropriate fees. The permits must be obtained prior to any work being done, and the above listed items .` completed within thirty (30) days of the date of this letter. Should you have any questions concerning this matter, please contact David Wasney at the address or phone number listed above. Sincerely, Z&=S.� David Wasney Building Inspector III -4,. RECORDING REQUESTED BY MID VALLEY TITLE & ESCROW CO. AND w11EN RECORDED MAIL TO: MARILYNN J. STEPHENS 7165 CITRUS AVE OROVILLE, CA. 95966 A. P . N .: 027-083-007-000 Order No.: 196820CB BUTTE COU RECORDER 8 SERIAL NO. RECORDED AT THE REQUEST OF MID VALLE TITLE COMPANY DATE RECORDED: TIME: 8 : D 6 Am - Above This Line for Recorder's Use Only Escrow No.: 196820CB/ORO-C GRANT DEED THE UNDERSIGNED GRANTOR(s) DECLARE(s) THAT DOCUMENTARY TRANSFER TAXIS: COUNTY U&T CODE. 1 19 1 1 [ X ] computed on full value of property conveyed, or [[ computed on full value less value of liens or encumbrances remaining at time of sale, BONA FIDE GIFT ] unincorporated area; [ ] City of _, and FOR A VALUABLE CONSIDERATION; receipt of which is hereby acknowledged, REGIE E. GREYWOLF, A SINGLE WOMAN hereby GRANT(s) to MARILYNN J. STEPHENS, AN UNMARRIED WOMAN WHO ACQUIRED TITLE AS MARILYNN STEPHENS GREYWOLF, A SINGLE WOMAN 0 the following described property in the Unincorporated Area of the County of Butte State of California; See Exhibit "A" attached hereto and made a part hereof. /i e REGIS V. GREYWOLF Document Date: April 8, 2002 STATE OF CALIFORNIA )SS COUNTY OF BUTTE. ) On APFIL 8, 2092 before me, ANGELA D. MASTFLOTTO, A NOTARY PUBLIC PersOnallY aPpeamd "GIE F . GRFYWOLF personally (mown to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose names) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their.authorized capacity(ies) and that by his/her/their signature(s) on the instrument the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. \ �j Signa This area for official notarial seal. ANGELA D. KW" TELOTTO Commission 01t939250 NotagPubtte ick-Callilomla My Comm. Exp. SEPT. 18, 2002 f Mail Tax Statements to: SAME AS ABOVE or Address Noted Below Description The land referred to herein is situated in the State of California, County of Butte, and is described as follows: LOT 1, AND THE. NORTH 5 FEET OF LOT 2, IN BLOCK 67, AS SHOWN ON -THAT CERTAIN MAP ENTITLED, "SUBDIVISION NO. 1 OF THE PALERMO CITRUS TRACT", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON FEBRUARY 28, 1888. APN 027-083-007-000 ti Y 1 027-08=3-007 95-1925B' BURCH,,Elamae 7165 Citrus Avenue, Oroville (reroof/SF) George Roofing COUNTY OF BUTTE - DEPARTMENT OF DEVELCkPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PER T. NO. If �,� --4o .3 APPLICATION AND PERMIT -' ` � =� z ASSESSOR PARCEL N;M ZONING .� BUILDING PERMIT TOLEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS ' ,I CONTRACTOR'S NAME 1-0 - ' (, O TELEPHONE CONTRACTORf'S MAILING ADDRESS I ? " L , l[% ifr l� a ., &I I C`�/li Fireplace CONSTRUCTION UENDA UNMOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee * $ 20,00 Permit Fee $ r .► ARCHITECT OR ENGINEER UCENSENO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS PERMITFEE $ —� PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar Or heat pump Water heater 23;00 USEOFSTRUCTURE SF 1Y Duplex ❑ Mobilehome ❑ 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: Mobile Home I S I GI W 1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main ServiceEOOV 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 LA— 3 47 Lic. No. j/sd;l.i G OWNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR \ OR ( 8 ACC. / SO. 3.51t FT. CNS. NEW CONST. / MULTI -OUTLET TLE NON-RESID. \ BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) G SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 a'L 30 Ex. OCCup, OUTLETS AP ( ) 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 insuran a carrier and policy number are: Carrier �lfiJ4r �(1f•G 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 shall not employ son in an manner so as to becomesubject to workers' P y an %� person y 1 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 fc ith co ply with th se provisynss� �� _--`—��°'r `±" �J��y�--- X Date _ L /_ Signature of Applicant � Owner ❑ C jr, tractorgent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ind icated above for which feep have been paid. f ( -i By / ` L'I, _--:I�ate PERMITEXPIRESON (Date) Receipt No. % 7f �� T ✓ WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I [71 COUNTY OF BUTTE -DEPARTMENT OFjDEVEzOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75�� ^ /� P yNO. e,?7-OY 3-dd APPLICATION AN®PERMIT ,�(�/ ASSESSOR PARCEL NUM�V ��`1 ZONING BUILDING PERMIT ///l // G ` 7 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADORES i , i 61,E k1� CONTRACTOR'S NAME nn TELEPHONE CONTRACTORS MAILING ADDRESS ale NQa-,f le -06 1 Ql-,941e- Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ .� I ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ' ARCNTTECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS p.` We 411 PERMITFEE $ ✓ 4/F1 ✓ 6- (^(rL S' PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDrv510N'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USE OF STRUCTURE SF Y Duplex ❑ Mobilehome ❑ 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: Mobile Home TS IG W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service EOOV OR LESS ( zooA 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 m license is in full force and effect. License Class �— 3 Lic. No. (r� �✓ �� 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. OR ADONS. DWELLING OCCUP. ( 8. ACC. BUDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) ,POWER ovrLET cIR. EX. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 SAL so Ex. Occup. OUTLETS (RES DPI.Ns.�EA ( ) 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 p insuran carrier and policy number are: Carrier <-)ewl1,`C /" M/77 MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number —7k -J-- S"® !' (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I 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 fo , it h co ply with th se provisi ns. � I -- X _ Date Signature of Applicant - wner ❑ C rector ge t 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 FEE $ HA2. D. FEES IMP FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above r which fe have been paid. D.L)� ate_ PERMITEXPIRE ON (Date) Receipt No. Q J WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT . -�. .; Y.,...r'.�+a.anrn;•tr+vr.�::-r�d�r?i,,,. v...: �.S�+s?s,.'�: s.'wsw:i"`�'4'J,�";: a.<'.'�f''f^•°fi�fa"".- rr t-.,N�r�nrr,.-..< -._. .:,:.,�r.1;W �C."r s—, r : •.«z. -.---r , .. x � . .. _ �.� • a 02-7-O.S.3_007 01-2746 C STEPFIEN GIE & MARILYNN 7165 CITRUS AVE. PALERMO CONT: UNK MISC WIRING/UPGRADE MAIN SER 112 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT- NO. (Rev. 12/96) APPLICATI'ON'AND PERMIT 7)/ c) 7 V ASSESSOR PARCEL NUMBER 027-083-007 ZONING BUILDING PERMIT OWNERr, STEPMS. REGIF. GREYWOWr & MARILYNN TELEPHONE 534-3028 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS PO BOX 5927 OROVIt.LF CA 95966 CONTRACTORS NAME rt TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7165 CITRUS AVE. PALERM CA Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑Y Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REPLACE ,/ UPGRADE MAIN EMC SERVICE AND MISC WIRING; Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service A OR LESS 23.00 23.00 • LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am -licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License 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. IY I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. j ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO �uooA 46.00 NEW CONST. DWELLING OCCUR W OR ADDNS. ( 8 ACC. S. SO 3.5QFT, NO RESID. T. MULTI.OUTLETC. 97.50 POWEPPARATUS 8 SINGLER AOUTLET CIR. EX. Occup. OUTLET OR FDnLRES .00 BAL ®x.50 Ex. Occup. DUTLEFDrs(RR� o.DEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 23.00 PRE INSPECTION 23.00 PERMIT FEE $ 89.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed 9 the permit is for work of a valuation �f one hundred dollars ($100) or less.) 01 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 f I should become subject to the workers',comperisation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. j V;7r' _f-,� ,, ate % p " o�� ' ti % Signature of Applicant -'G -'Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in"height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEI: $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 89,00 HAZ. D. FEES IMP r,. ..,. FLOOD �, COF ... PARCEL .. PD HD _ ISSUE Y This permit is hereby Issued under the applicable provisions of the Butte County Code acid/or Resolutions to do work indicated above for which fees have been paid. n J� o a q �/ By J `/ /Dategr PERMIT EXPIRES 014 0/ - ,/ a —7— Dete Receipt No. iG1-) 50 � 41. � WHITE-D.D.S.-B.D� CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 01 w COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville,,-Califorhia 95965 - Telephone (530) 538-754 PERMI NO. (Rev. 12/96) APPLICATION AND PERMIT -���. 7 yy ASSESSOR PARCEL NUMBER 027-083-007 ZONING BUILDING PERMIT OWNER "G OLF" & MARILYNN TELEPHONE 534-3028 SO. FT. OCC. BUILDING VALUATION . OWNERS MAIUNG ADDRESS PO BOX 5927 OROVELF, CA 95966 CONTRACTOR'S NAME UNKOWN TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Film Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 7165 CITRUS AVE. PAJERM0, CA Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UdliHes IX Installation ❑ Other ❑ Describe Work: REPLACE / UPGRADE MAIN ELEC SERVICE AND MISC WIRING Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I w @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service **A oa LE:.' 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. NO. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. pWE ff OCCUP. OR ADDNS. a ACC. BIDS. SO 3.5¢x; NpµgESID ' MULTI -OUTLET 97.50 POWER APPARATUS 8 SINOLE OUTLET CIR. Ex. Occup. OUTLET OR FOMFIES 200'•O0 BAL 0 .SO Ex. Occu , o TiE°TS R�io,OFEw 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 23.00 PRE INSPECTION 23.00 PERMIT FEE $ $9,QQ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating —Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit Is for work of a valuation C;4 f one hundred dollars ($100) or less.) 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. L� r X " _ l� 'G' �Lfi a D" aj — L) ( Signature df Applicant -euirtwner ❑ Contrfictor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction ofstructures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee is Occ CONST. TYPE TOTAL FEE $ 89.00 HAZ. p. FEES IMP FLOOD CDF PARCEL PO HO ISSUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By / �- PERMIT EXPIRES O 1 © Iate the applicable provisions Resolutions to do work been paid. Date a 6 Receipt No. S 9• F- WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I COUNTY OF BUTTE - DEPARTMENT OF [*VELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 •Telephone (530) 538-754 (Rev. 12/96) APPLICATION AND PERMIT % a��RM No. ASSESSOR PARCEL NUMSM 0a�- ZONING BUILDING PERMIT OWNER ( I *naNGN! SO. FT. OCC. GnvNa,9 1 Qtil99 5 "= 53 _3 BUILDING VALUATION ` oViScj(o CONTRACTOR -9 NAME r ADDRESS CONS TRUCTION LEND ER . LENDER'S MAUNO ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENOwEERS MAILING ADDRESS BUILDING ADORESs - —4 t W S LOT NO I SUeayslDNs NAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other TYPE OF WORK New ❑ Addition ❑ RRemodel� ❑/j Utilities ❑ Inainpnti / Describe Work: ✓ / � 'r 11� l% /,I z7 W,� *PERAIT FEE PAlb SRI • - SHERIFF OTHER AMOVNT RECQVEb ❑ Othgr O S gqI o0 r j *RECWT NVMM a. 3 5 * TO 0E PVT MM COIN m Fireplace Flin Fee 20.00 Main $eNICe Total Valuation E -Filing Fee E Main Service 20" TO IOWA 48.00 20.00 Permit Fee y NON•RESID. Plan Checking Fee S Energy Plan Checking Fee S a SINGLE OUR ET CIM S Ex. OCCu PERMIT FEE i Ex. Occup. PLUMBING PERMIT SO Fling Fee 20.00 Each Trap 5.00 7.00 Solar or heat um water heater Mobile Home Facilities 23.00 Water piping 15.00 Each gas water heater or vent _ . 15.00 Gas piping tstflm 1 - 5 outlets 15.00 Buildingsewer 4(0020.00 15.00 Mobile Home S G W PERMIT FEE I ! ELECTRICAL PERMIT Flin Fee 20.00 Main $eNICe SOOV OR UESS 2ooA OR LESS 23.00 ' Main Service 20" TO IOWA 48.00 NEW CONST, OR ADONS. OWFI r OCCUP. A ACC. OLDS. 3.50T. NON•RESID. MUITFOVTLEr (7.50 POWER A'PARATUS a SINGLE OUR ET CIM Ex. OCCu OUTLET OR FWTURE9S 2.AL 0 1.00 Ex. Occup. )EA SO DOTS M 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 _ . f-• - 23.00 .a23•bt) 1 PERMIT FEE I t R2, CO MECHANICAL PERMIT I Filing Fee 20:00 8.50 PERMIT FEE I S MMF=D on Fee i Energye S LIU TOTAL FEE$ 60 HAZIMP F=D I COf I PARCEL PO NDtSS UE This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. By Date PERMIT EXPIRES ON >"`-�°'"/a���'ry�'�=''�G�••S�""'�y`y ,�- �i'�'✓"�i�.+Gr'-^rtMr+�'*µr1.,,..aC�Kc�"r�tf�=+.-'4�s�-�1�1�.±�^-'"'�"`'^1r�1`'�"�-!mss COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER: 0 Ok 2" R 3 -003 Proposed Building U CA, - ,Ala, Building Inspector: 1 Dater s/6 1 At time of permit application, 1 -was advised tire following data must be submitted prior to permit proessmg and/or issuance: Date Received By ❑ 1. All items have been submitted -------------------------------------------------------------------------------------- 02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑ 3 . Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of $------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ------- ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. ------------------------------. ❑ 14. Sanitation and plot plan approval Health Department. ------------------- ❑ 15. City of Chico plumbing permit.----------------------------------------------------------. ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: _- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. 9�roachment Permit for drive V, (construction approval prior to occupancy). --------------------- �. re -inspection for p Q,r 117itic,r.�t t�»� V F"*quired. Request to Building Inspector on 1. Contractor's license information. (Number, Name Style, Classification). ----------------------------- 022. Workers' Compensation carrier and policy number. ----------------------------------------- ----------- E123. Owner-Builder ---------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner ❑) 024. Letter of signature authorization. ----------------------------------------- ❑ 25. Recorded copy of Agricultural Acknowledgment Statement. ---------- 026. Letter of intent on building use. -------------------------------------------- ❑27. Manufactured Home utility clearance. ------------------------------------ ❑28. Existing violations and/or expired permits. ------------------------------ ❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, 11Check to H.C.D $ 1 - _______________ El 3 0. Otlier:- When ou issue the 1pe�rmit, process as follows ❑ Mail to owner, ❑Mail to contractor. ❑ Telephone 539- 30c; and hold for pickup at I% ✓ I f �' office. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: Date: By: Date: By: (Date) 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑. Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: PAL ` MOMM _. 0 .. -64,697-, ` 0 7,000 F S , 07/25/20013:27:2.1 PM 027-083-007 A-5�� -Pai 027-08-3-007 95-1925B BURCH, Elamae ✓�� 7165 Citrus Avenue, Orov'11� f' (reroof/SF) / � 4014y 027-083-007 01-2746 STEPHENS, REk'4E& MARILYNN 7165 CITRUS AVE. PALERMO CONT: UNK C�3L,ha MISC WIRING/UPGRADE MAIN SER BUTTE COUNTY DEVELOPMENT SERVICES r . Complainant: Address: t r Phone Number: y Other Comments: ` Inspector must draw a plot plan with all building locations: Additional Comments from Inspector: 2 Osof'ooffvQ:Assessor / 7200202:50 . Name: BURCHELLAMAE J Asmt # �� Fee # 027.083-007-000 - Status JACTIVE �� Status Date -Addrl 644_S_FRANKWOOD AVE _ - r— `-�l Tax-1001 BUSINESS_OINNERSHIP TRA 09209200000 11 Addr2 BANGER CA 9365.7 9581 Situs 7165 CITRUS AVE_PAL Base Dt Addr3 _ Land - 27,210; Addr4 Q— A6Fres • Structure 0jj Etal Fixtures Motes '' Growing 37,477 0 Comments 2708300700 CONVERTED' 09!08!88' , . = Cleating Doc# 197581998332 Date���----� il I� '-1 Bonds Total L&I 64,687] Curren0oc# 1994PBWELL Date0106/1994 Multi Situs Fix. RPS. 01'•KillingDoc# �� Date[ V Flag! MH PP _0 -Asmtbese7165 CITRUS AVE ` SuplCnt 0 • 1 L Flagg - PP _ . �— .Zoning Dw_ h A5`' ell 'Exempt Asmt PP Pen I _7.000 Acres 14519 N1C 027 Net Tax PP"Pen 57,687 �J Appeal Pending ,WRDt Split Pending R1C Stat '_ 'r PHY` OWN,, !EXP `: TAX HON ATT SIT APR.' F'CL ! 11� r.r •fes; Find .. �,, - •-= - � 2001 sa,�07125j2001 3,2721,PM E i 027-08-3-007 95-1925B BURCH, Elamae 7165 Citrus Avenue, Orovil (reroof/SF) e- 027-083-007 01-2746 STEPHENS,I+E4G+E& MARILYNN 7165 CITRUS AVE. PALERMO CONT: UNK c'3 -L, lc .Q MISC WIRING/UPGRADE MAIN SER iJ