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HomeMy WebLinkAbout027-350-029MOBILEHOME W/O PERMITS 3/27/98 COMPLAINT TO INSPECTOR y-�3 y .-_ _ ---- -_ �o 027-350Lhft Lot 29 Land Development Sheet *' Health Dept Clr for 3 Bedroom MH 3� 00 2 Dated 5/22/96 027-350-FER PERMIT#97-0279 DOMINGEZ, Alan C�' ,, i 9Gd 6day�e-6hee� Rd., roville 027-350-200 #98-1796 Mobilehome Utilities DOMINGEZ, ALAN 7, �l! ELECTRIC (� 1962 COX LANE, OROVILLE BALEZ GAS LINE MHU COMPACTION T ^ T RE 1 B07-0925 027-350-200 SUPPORT S CT RE Q a MISCELLANEOUS Ag Exempt AG BUILDING 36'X36'- POLE BARN 1962 COX LN DOMINGUEZ, ALAN J & CHRISTINE BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES AGRICULTURAL BUILDING EXEMPTION PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net\dds PROJECT INFORMATION Site Address: 1962 COX LN Owner: Permit No: B07-0925 APN: 027-350-200 DOMINGUEZ, ALAN J & ESTH Issued Date: 10/23/2007 By GLB Permit type: MISCELLANEOUS PO BOX 165 Subtype: Ag Exempt PALERMO, CA 95968 Expiration Date: 10/22/2008 Description: AG BUILDING 36'X36'- POLE BAR (209) 601-9223 Occupancy: Zoning: Contractor Applicant: Square Footage: DOMINGUEZ, ALAN J & EST: Building Garage Remdl/Addn PO BOX 165 PALERMO, CA 95968 Other Porch/Patio Total (209) 601-9223 - FEE INFORMATION DBEH Building Review Fee $75.70 DBOMSCF Ag Exemption Permit $109.98 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 10/23/2007 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compansation insurance carrier and policy number are; Carrier. Policy Number: Exp. Date: _ (This section need not be completed if the permit is oron�llars ($100) or ❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 10/23/2007 Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip I otal Charged: $185.68 Fees Paid: $185.68 Balance Due: $0.00 Receipt No: B2850 - OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars [$500]; Please check one of the following: ❑I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of the property, who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proof that he or she did not build or improve for the purpose of sale.). ❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: The Contractors License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: 10/23/2007 Owner's Signature Date I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter the above mentioned property for inspection purposes. I hereby certify that I am the prop owner or am tyeo ae property owners behalf. 10/23/2007 ❑ Contractor OR;Agent for Owner Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #:(530) 538-7541 FAX#: (530) 538-2140 WEBSITE: www.buttecounty.net/dds AGRICULTURAL BUILDING EXEMPTION STATEMENT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated or packaged, nor shall it be a place used by the public. Buildings used for purposes other than described above or that are located in a flood hazard zone are not eligible for an agricultural exemption. Authorization of an agricultural exemption permit by the Department of Development Services does not preclude any requirements and/or review by the Butte County Public Works Department, Butte County Fire Department, Butte County Environmental Health, or any state and federal agencies. Initials E17AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. Initials/JD AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a manufactured home, and 23 feet from a commercial/industrial buildings Initials fik AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum 23 feet from a residence and a manufactured home, and 40 feet from a commercial/industrial buildings Site Address: 1962 COX LN Permit No: B07-0925 APN: 027-350-200 Square Footage: Permit Type: MISCELLANEOUS Occupancy: Permit Subtype: Ag Exempt Zoning: Description: AG BUILDING 36'X36'- POLE BARN Required Setbacks: Applicant: DOMINGUEZ, ALAN J & ESTHER Front: 20' Side: 20' Rear: 20' PO BOX 165 PALERMOCA95968 Type of Construction: (209) 601-9223 Type of Siding: Owner: DOMINGUEZ, ALAN J & ESTHER Est. Const. Cost: $ 10,000.00 PO BOX 165 PALERMO, CA 95968 Roof Covering: Other (209) 601-9223 Floor Type: Dirt I declare under penalty of perjury that the building will be used as stated above, and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain the necessary permits, inspections and approvals to comply with the requirements in effect at that time and prior to occupancy. Signature of owner:Jr1i' J t9✓ 14Af� Date: 4/30/2007 FILE COPY BUT'T'E COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OF APPLICATION Website: www.b.uttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name M l v e2 I 1i2j me Mailing Address /667 City / rr�v Stee W Zi rc) G Phon 264 J 1 �92z3 Fax E-mail APPL CANT INFORMATION CONTRACTOR Name City Address .__... • :. _.. City Fax State Zip Phone Fax E-mail Sq FT- Living Garage ❑ Structure Built without Permits ElProposed Change of Occupancy (Note previous use): Lic. # Class APPL CANT INFORMATION ARCI-II TECT/ENGI NEER Name City '�-Addr6ss .__... • :. _.. City Fax State Zip Phone Fax E-mail Sq FT- Living Garage ❑ Structure Built without Permits ElProposed Change of Occupancy (Note previous use): State.License Number APPL CANT INFORMATION Name rr1 �� p Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE PERMIT NO. ` 09 BIN # PROJECT LOCATION API 0 2-•7 — Ev — Zoe Property Address // & 2 C v)c La N e city a I ro7v"W10 CA WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK. Tote_ 6.r , v7U SRA Yes No Occ. Type Const. Sq FT- Living Garage ❑ Structure Built without Permits ElProposed Change of Occupancy (Note previous use): Open Cov /_ 16 Q� . � � l U . For office use o Zoning Flood Zone SRA Yes No Occ. Type Const. BUTTE COUNTY FEE SUMMARY 7 County Center Drive. Oroville, CA 95965 Department of Development Services Phone (530) 538-7541 Fax (530) 538-2140 Printed: 4/30/2007 2:28 pm . Permit Number: B07-0925 Job Address: 1962 COX LN Contractor: Fee Description Account Number Fee Amount Paid Date Pmt Amt DBOMSCF Ag Exemption Permit 0010-440001-4210500-1010 $109.98 4/30/2007 $109.98 DBEH Building Review Fee 0021-540013-4614901-1010 $75.10 4/30/2007 $75.70 185.68 $185.68 Printed By: Gwyn Benedict Balance Due: $0.00 At the time of permit application, I was advised the above fees are required prior to issuance of the permit. These fees may change during the plan checking process. Signature: Date: 4/30/2007 Pursuant to Government code Section 66020, you are hereby notified those items listed above may have been imposed on your project. You have 90 days from the.date of approval of the project or from the impostion of the above referenced items during which you may request a protest. The requirments for a protest are specified in Government Code Section 66020(a). Butte .County Department of Public Works J. MICHAEL CRUMP, DIRECTOR LAND DEVELOPMENT DIVISION Storm Water Managment Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 Telephone (530) 538-7171 Fax www.buttecounty.net/dds National Pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgment [LESS THAN 1 ACRE 1 By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board: I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. FILE 4/30/2007 Reference Number: B07-0925 Date: Location: 1962 COX LN By: GLB Parcel Number: 027-350-200 Sub Type: Ae Exempt Owner Name: DOMINGUEZ, ALAN J & CHRISTINE Phone: (209) 601-9223 Description: AG BUILDING 36'X36'- POLE BARN By signing below, I the project owner/owners' agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain multiple site buildouts of less than one acre but when combined with subsequent phases total more than one acre of disturbed soil will require a Construction Storm Water Permit from the state of California Regional Water Quality Board: I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for this project that disturbes one acre or more of land may result in revocation of grading and/or other permits or other santions provided by law. FILE Butte.County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965. (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds PERMIT APPLICATION DATA SHEET Reference Number: B07-0925 Date: 4/30/200 Location: 1962 COX LN By: GL Parcel Number: 027-350-200 Sub Type: Exempt Owner Name: DONIINGUEZ, ALAN J & CHRISTINE Phone: (209) 601-9223 Description: AG BUILDING 36'X36' - POLE BARN The above permit application has the following Clearances required prior to permit i indicated below regarding specific requirements pertaining to your permit application. Yes No DRAINAGE DISTRICTS ❑ Thermalito, Irrigation District, 410 Grand Avenue, Oroville CA 95965 - (5 0) 533-0740 ❑ ❑ LOAPUD, 1960 Elgin Street, Oroville CA 95966 - (530) 533-2000 ❑ ❑ City of Chico, 545 Vallombrosa, Chico CA 95926 - (530) 895-471 PARKS & RECREATION DIST,IIICTS Please contact each department Chico Area Recreation District, 545 Vallombrosa, Chico C 95926 - (530) 895-4711 Durham Park & Recreation District, 9447 Midway, Dur am CA 95938 - (530) 345-1921 Feather River Recreaction & Park District, 1200 M rs Street, Oroville CA 95966 - (530) 533-2011 Paradise Parks & Recreation, 6626 Skyway, Para se CA 95969 - (530) 872-6393 Biggs Unified School District, 300 B Street, eggs CA 95917 - (530) 868-1281 Chico Unified School District, 1163 East Street, Chico CA 95926 - (530) 891-3006 Durham Unified School District, 4920 utney Drive, Durham CA 95938 - (530) 895-4675 Gridley School District, 429 Magno a, Gridley CA 95948 - (530) 846-4723 Marysville School District, 1919 Street, Marysville CA 95901 - (530) 741-6000 Oroville Elementary School strict, 2795 Yard Street, Oroville CA 95966 - (530) 532-3000 Oroville Union High, 2211 ashington Ave, Oroville CA 95966 - (530) 538-2300 Ext: 105 Paradise Unified ❑ ❑ Recorded copy of ❑ ❑ City of Biggs Pla ❑ ❑ Other: ❑ ❑ Other: istrict, 6696 Clark Road, Paradise CA 95969 - (530) 872-6400 OTHER eultural Acknowledgment Statement- See Attached Instructions Department, 3016 Sixth Street Biggs CA 95917 - (530) 868-5447 ❑ ❑ Other: Signature of Property Owner:, Date: 4/30/2007 FILE Butte.County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds NOTICE TO BUILDERS Before your building permit can be issued, your plans must be checked for compliance with the California Building Codes. In addition, your plans are routed to other regulatory entities including but not.limited to Planning, Public Works, Environmental Health, and the California Department of Forestry for their clearances and approvals. There are some things you can do to expedite your permit: 0 Make sure your application is complete. 0 Be responsive to requests from County departments for any additional materials or requirements. The Building Division places its highest priority on processing building permits as quickly as possible and each day that passes without a complete application adds to processing time. Every permit issued by the Building Official shall expire and become null and void if the work authorized by such permit is not started or completed within one year from the date of. issuance of such permit. A permit may be renewed (for a fee) prior to expiration an indefinite number of times, provided construction progress has been documented by the Building Division during each year during scheduled inspections. No changes may be made in the original plans and specifications for such work. In order to reinstate action on a permit after expiration, the permittee shall pay a new full permit fee and additional plan checking and documentation may be required. Upon completion of work covered by this permit, please contact this office for final inspection. As a reminder to you, it is illegal to occupy this building or any portion of the building for which this permit is issued without a final inspection. EXPIRATION OF PERMIT APPLICATION AND REFUND POLICY Application for which a permit has not been issued will expire one year after date of application. Refunds may only be made upon written request by the person who originally paid the. fees. Refunds for permit applications (not yet issued) must be requested within two years from the date of fee. payment. Fees paid at the time of application are for Plan Check and administration. The Plan Check portion of fees is refundable only if the permit is cancelled or withdrawn before any plan checking is done. Building Division costs will be deducted prior to authorizing a refund and a charge of $54.99 to process the refund application will be assessed. Refunds on permits (issued) may be requested prior to the expiration of the permit, provided no work has been done pursuant to the permit. An Inspection may be required (and deducted from any refund amount) to determine no work was done. Fee/refund information can be read on-line at http://municil2alcodes.lexisnexis.com/codesibutteco/ Reference Number: B07-0925 Date: 4/30/2007 Location: 1962 COX LN Parcel Number: 027-350-200 Owner Name: DOMINGUEZ, ALAN J & CHRISTINE Phone: (209) 601-9223 Description: AG BUILDING 36'X36'- POLE BARN Signature of Property Owner: Date: 4/30/2007 FILE Butte.County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the 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: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact 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 thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. I PERSONALLY PO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT.R NO) t%e, 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 CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: AG BUILDING 36'X36'- POLE BARN Reference Number: B07-0925 Applicant Name: DOMINGUEZ, ALAN J & CHRISTINE Owner's Name: DOMINGUEZ, ALAN J & CHRIS15NE AP # : 027-350-200 Signature of Property Owner: A Date: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SEPIVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California.9t965 - Telephone (916) 538-75 ` oaPRMIZNO• (Rev. 12/96) APPLICATION AND PERMIT ��77 C/� ASSESSOR PARCEL NUMBER 027 -350 - ZONING 17 BUILDING PERM OWNER ALAN DOMINGEZ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAMEELEPHONE BALEZ ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS 9 Plan Checking Fee $ 23.00 BUILDING ADDRESS Energy Plan Checking Fee $ $ PERMIT FEE S LOTNO. 29 1SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M 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 F] Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets . 15.00 Building sewer 15.00 Mobile Home G @20.00zin nn PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service %oA OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter ii 9 (commencing wth Section 7000) of Division 3 of the Business and Professions Code, and my license is in fu l rce and effect.L i ^ License Class Lic. No. J �` �, ` 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. OwEwNG occuP. OR ADDNS. ( a ACC. BLDS. s° 3.50FT: NEW CONST. MULTI-OUTLEi NON-FIESID. C cu @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. EX. Occup. OUTLET ORFD(TURES BAL @ .SO Ex. Occup.°UTEPRE�sIo.°EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 2 0.00 Misc. Wiring 23.00 PERMIT FEE $ 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: arrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation Cone hundred dollars ($100) or less.) ertify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date �� s�— Signature of Applicant - ❑ O ner �Contrac r ❑ 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 $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 146.00 HAZ. D. FEES ^. IMP FLOOD CDF P PO HD ISSUE it ihereby issued under the applicable provisions Ofunty Code and/or Resolutions to do work for hic{s1 fees have been paid. Thi*By D to _ PERMIT EXPIRES ON 317,71 Date ReceiptNo. 209899 ' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ... - � ,j,�L-�.Frry,"`ia�rrH'�*,:/�h......�'^'+-�:-i'r-KKw.11.+'�,�.r-•-.-i.-*'}"'^,y.`"i�,ii'': Z,./r-Yi .rti•�h•7,v�1, Y�9 t,,...�..;�...,r'a,,,,-,-...+,;.+�.-n..�w:�-*t ..,av°"".`.'nti; ..rte. . .. •,`vlJ � i` 4�� yr COUNTYOF BUTTE - DEPARTMENTOF DEVELO'PMENTSERVICES -BUILDING DIVISION •� 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMITAPPLICATION DATA SHEET G OWNER rl /JO w1 n F ZA o. 0019 Proposed Building Use v Building Inspector Date o7 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. 2. 3. 4. 5. 6. 7. 8. 9. " 10. 11. 12. 13. - 14. 4; ,.15. �16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ........................................ Plot plans, 3/4 sets, signed by preparer of plans . .......................... Complete plans, 3/4 sets, signed by preparer of plans . .................... . Engineered ,� plans and calcs, 3/4 sets, with wet signature on plans . ............. HazardouAY&t9rialForm............................................. Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .... Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $­. .......................................... Impact fees as shown on attached schedule. ... California Department of Forestry plan approval/fee. .s..j.�......... . Flood elevation letter (100 year flood) by California En�ineer. ................. . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit . ........................................ . Plot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: ........� 1 Contact Land Development.about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy). ... Prpecti e-Insonrequ-egF- Pre -inspection for required. . to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . ......................... . Owner -Builder Verification (Given to owner , Mail to owner _). ......... . Recorded copy of Agricultural Acknowledgement Statement . ..................'� Letter of signature authorization . ....................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ........................................ . Mobilehome utility clearance . ......................................... . Documentation of legal access . ..................... :.................. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... Existing violations/expired permits . ...................................... ................ Plan check list . ..................................................... Whe you issue the permit,,procress as follows: MailAQ owner. Mail to contractor. Telephone .J �/ ' %/v %CJ and hold for pickup at office. Deliver with inspector. Other ' Parcel Creation�eltj -) Acreage Applicant I Date ``C, 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 1. Index permit for above items No. _ 2. Additional items required: r jq permit issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in yFild!cabinet AP folder ` ^" Copy - Department of Public Worics • E.H..HUSE IM Plot Phn AMAW / Fk" Plan AURcW Smt to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance dr Owner tion AP// Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: Environmental Health Specialist Date Q/aM COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL N M8ER.-� /I �XJ ZONING ZONING BUILDING PERMIT OWNERTELEPHONE o% n SO. FT. OCC. BUILDING VALUATION OWNERSMAIIDORE 4�O©SS L It CONTRACT NAM TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO.' Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ SUILDINGADDRESS Energy Plan Checking Fee $ $ ✓'15 ✓ ; PERMIT FEE $ LAT NO�L SU80NISIONSNAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.0023.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehomexl Other SPECIFY Solar or heat um water heater Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities T Installation ❑ Other ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S W @20.00 PERMIT FEE 40,L9C ELECTRICAL PERMIT Fling Fee 20.00 a00V OR LE S9 Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation 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, 1 shall forthwith comply with those provisions. X _ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING UP. s0 OR AODNS. ( 8 ACC. BLD S. 3.5¢FT; NEW CONST. MULTI.OUT g /17.50 NON.RESIp, AND l PowEL APPARATUS 8 SINGLE OUTLET C1 R. 209 .00 Ex. Occup. OUTLET OR FIXTURES BAL @ I. 0 FIXED APPLNS. OR EX. Occup. ourtFrs RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 a�� Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ % (p HAZ. 0. FEES IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date _ Oefe Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT TO: FROM: Building Department Environmental Health SUBJECT: Sanitation Clearance Owner Location Plan Approved for: Sewage. Disposal Water Supply: Public Clearance for bedroon<mobile Other Hold K. for: Environmental Health Specialist We If" .,,;,-9,.M--USE ONLY M Phu Atschcd ' T Flow �MwW6 Sent to B.D. 2c;2 -/414Y CD 0 (91 APAP �eZI Private Well I-' Date 1 1 •� _ - ---- _ _ _. �• �-�,�-��-...:-_ ._ ._... �--- -:. 100' -__ - - - - _ _ . = - - - �:.._ . - - _ --------- _ .: ...- so 60' -_-�=------ _ _- - ------ -- -- a®- -. __ `ems. r-- _. •_ - : 20'41 - l ---- - - -- ------------ --- --- - -- .. _ --- -- -- �..__.._ - �, AL 80 40 60' 80' 100' 120' I r J LAND DEVELOPMENT ,...°FTTY?+P?4735.'cl.`.^. GCS" -'..s+. .rrv-•rer .i BUILDING / ENV.IRONMENTAL HEALTH PERMIT CLEARANCE Building Permit No. OWNERS APj0LEW.,Avrwt I /-tYPELI:F A.P. NAME: NUMBER. -IfIC PRINT LAST NAME FIPAJ COUNTY ZONING DESIGNATION: A9 FLOOD ZONE: X FLOOD MAP: 4 9 0-e APPROVED: ` CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP cox LN DEED INFORMATION: DATE OF CREATION: DEED REFERENCE: LEGAL ACCESS PROVIDED: YES NO LEGAL ACCESS REQUIRED: YES NO COMPLIES WITH COUNTY STANDARDS FOR DEED CREATION: YES NO COMM ENTS/CON DITIONS: MAP INFORMATION: /Act-ei�ty"- V"- DATE c-t- DATE OF RECORDING LOT 2 9 BOOK % PAGE 5'C7 COMPLIANCE WITH OLD SU DIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR -TO BOOK 17 OF MAPS AT PAGE 23): YES XcZ NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: 7 SACA(Er A. Construct road to B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BUILDING DIVISION UNLESS OTHERWISE NOTED. 1. Maintain a 50 ft. building setback from centerline of road. 2. Maintain a ft.building setback from right-of-way/centerline of 3. Maintain a 100 ft. leachfield setback from all existing wells. 4. Maintain a ft. leachfield setback from _ 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. 6. Meet the Fire Safe Regulations of Butte County and P.R.C. 4290. _ 7. Connect to a public water supply. _ 8. Connect to a public sewer system. _ 9. Automatic fire suppression sprinkler systems shall be installed in all residential structures in accordance with the National Fire Protection Association Standard for the installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet Fire Department specifications, serves the parcel. _ 10. Pay T.D.D. (Thermalito Drainage District) fee in the amount of $ _ 11. Meet the requirements of the Department of Fish and Game for the preservation of oak trees. (See phone number below) _ 12. Obtain approval from the Department of Fish and Game for vegetation removal. Contact Fish & Game at 916-355-7010. f " TO Of Pid, % Vnt� �pocati car°s�t�, h+l' S� ��af on the dol; tat ! games anis it is Unlawful to mak,(a CMY Granges or ciferof ions on sqme Withouf "Tiffen permission from the, DeOt Mf4n4,0j.P 1 b~ oferivh & Workma.n:h;p Sfa�`I a SYs$il ;nizcd Odd Practices Of 6 qualivy the Spdzified use in Unifor'" Dull sing, Plumbing A Mech=ical Wiles the Natiaaal Ouctrical 9 hoP /ik-e REVIEWED BY BUTTE CO. F=IRE DEPT. CALIF. DEFT. of FORESTRY approved as submitted approved with conditions per attached she,;et. Owe Signature ALL STRUCTURES AND EQUIPMENT INCLUDING OVERHANGS SHALL BE CLEAR OF. ALL EASEMENTS. A SET BACK Or' ID FT. FROM THE SIDE AND ? >D -FT. FROM THE FEAR PROPF'F fY LINES AND j FT. FROM THE ROAD CENTERLINE SHALL BE CLEAR OF STRUCTURES AND EQUIPMENT EXCEPT FOR A 2 FT. EAVE OVERHANG. ,-ef,N A permit will be required for the installation of the mobilehome. CDF FIRE SAFE REQUIREMENTS I AP# PERMIT # NAME Under authority of PRC 4290, the following checked items are required by the Butte County Fire Department and are made a part of this permit. These requirements are minimums and will be superseded by Butte County local regulations which equal or exceed these standards. Field inspections will be made by the Butte County Building Department for compliance. V] 1272.00 Maintenance of Defensible Space. To ensure continued maintenance of properties in conformance with these standards and measures and to assure continued avail- ability, access and utilization of the defensible space provided for in these standards, annual maintenance must be provide for by the land owner. Driveway Standards 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other app-arteaant structures which supple- ment the roadway bed or shoulders) shall provide unob- structed access to conventional. drive vehicles, includ- ing sedans and fire apparatus weighing up to 40,000 pounds. ] 1273.03 Grade. Not to exceed 16 percent unless paved. 1273.04 Driveway Radius 1. No roadway shall have a horizontal inside radius of II curvature of less than 50 feet and additional sur- face width of 4 feet shall be added to curves of 50- 100 feet radius; 2 feet to those from 100-200 feet. ' 2. The length of vertical curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. �] 1273.05 Turnarounds. If required, will have a minimum turning radius of 40 feet from the center of the road. [�] 1273.05 Turnouts. Shall -be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on•each end. 1270.10 Width. A11 driveways shall provide a minimum 10 foot traf f is lane and unobstructed vertical clearance of 15 feet along its entire length. ,Page 1 of • 3•-. 7 - .0 27 � �f?7x i JJC-tE Z API PERMIT # NAME [ 1273.10 Turnouts. Driveways exceeding 150 feet in length, but less than.800 feet. in length, shall provide a turnout near the midpoint of the driveway. Where a driveway exceeds 800 feet, turnouts shall be provided no more than 400 feet apart. [� 1273.10 Turnaround.. A turnaround shall be provided at all I building sites on driveways over 300 feet in length and shall be within 50 feet of the building. 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. [�] '2. The gates must be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that roadway. [ ] 3. Where a one-way road with a single traffic lane provides entrance, a 50 foot turning radius shall be used. Fuel Modification 1276.01 Setback for Structure Defensible Space. [�(] 1. All parcels 1 acre aid larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ul] property lines and/or the center of the road. [ ] 2. For parcels less than 1 acre, local jurisdiction shall provide for the same practical effect. See Other Requirements below. 1276.02 Disposal of Vegetation and Fuels.. Disposal, including chipping, burying, burning or removal,to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site development and construction, road and driveway construction and fuel modification shall be completed prior to completion of road construction )r f__ial inspection of a building _permit. Page 2 of 3 27-3J =Zoo AP # F%-� PERMIT # NAM Other Requirements [ ] If Building Setback is 15 to 30 Feet: — Class A or B roof - Enclosed eaves [ ] If Building Setback is Less Than 15 Feet . Choose any 3 of the following: - Metal or no doors on side toward property line with insuffi- cient setback - Class A or B roof with enclosed eaves - Interior automatic sprinkler system per NFPA 13D - Glass area not to exceed 110% of wall area toward property line with insufficient setback - Siding from the following list: Stucco - 3 coat Hardi-Board or Plank Masonry Masonry veneer Metal Other Butte County Fire Department approved materials Date Signature Page 3 of 3 And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 97 -011 -11251 - .Recorded I Official Records I County of I Butte I Candace J. Grubbs I Recorder I 9:43am 27 -Mar -97 I Rec Fee. 9-00 COP 1..50 Check 10.50 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT PUBL XX 2 Section 26-8 of the Butte County -Code requires this acknowledgment to be recorded prior to issuance of a building permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals. including, but not limited to herbicides. pesticides, 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 oilor.'Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessan- farm operations. All that real property situate in the County of Butte. State of California, described as follo,,vs: - Date: ( / �. � 1111 v'/�iir► State of California ) County of 50- -- $ `"") On 3- J9 - % % before me, In� V personally appeared C Va, - 1% AMQJ,e:=, 4- a),I ��� � e'h'1.t1111Q l.A,*C personallc known to me (or proved to me on the basis of Atisfadory evidence) to be the person(s) whose nam s) is/Ale 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. r HOPE D. JENKINS Q COMM. #1028046 M W : NOTARY PUBUC-CAUFORNIA SAN JOAOUIN COUNTY Signature Seal: U MY COMM. EXP. MAY 29 1998, A.P.# 000 -350--/�_ I And when recorded mail to: Building Division #7 County Center Drive Oroville, Ca. 95965 ai , 97-0111251 Rec Fee-.- /Check 9.00 1.50 Recorded 10.50 Official Records County of Butte Candace J. Grubbs Recorder ' 9:43am 27-Mar-97XX 2 Section 26-8 of the Butte Coun - Code requires this acknowledgment to be re rded prior to issuance of a building permit. The property described herein is adjace t to land or included within an area z ed for agricultural purposes, and residents of this property may be subject to inconve nces or discomfort from the use o agricultural chemicals, including, but not limited to herbicides. pesticides, and fertilizers; from the pursuit of agricul al operations including, but not limited to cultivation. plowing, spraying, pruning, and harvesting vhich occasionally generat dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within sal zones and on adjace prop should be prepared to accept such inconvenience or discomfort from normal, necessary farm operatio All that real property situate in the Count} of Butte, tate of Cal' rnia. described as follows: Date: — /q - ( 7 PROPF TY State of California ) County of 50-- $) On ;5 - 19 -97 before me, personally appeared cin ersonally known to me (or proved to me on the basis of tisfa ory evidence) to be the person(s) whose nam s) is/e subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted. executed the instrument. WITNESS my hand and official seal. %!NOTARY HOPE D. JENKINS UCOMM. #1028046 M W PUBUC-CAUfORNIASAN JOAQUIN COUNTY Signature / Seal: MY COMM. DtP. MAY 29 1998, .A.P.# Opp -ao - /e_ - i-�-----•,��---- ^--^r--•Y--•--_.._.. ..� - - --�-.�;-•r.-,_ :.tea^: 'f .$.biAP 0 97-011125 97-011125 97-011125 �= 97-0,11 1251 Rec Fee I COP 1.50 O= Recorded I Check b, 10:,60 =' Official Records I:= I County of " Butte -•C"dace 0 J. Grubbs I Recorder I _ 9:43am 27 -Mar -97 I PUBL L� XX 2- ORDER NO. BU -157257-3 DESCRIPTION THE LAND REFERRED TO IN THIS REPORT IS SITUATED IN THE STATE OF CALIFORNIA, COUNTY OF BUTTE, AND IS DESCRIBED AS FOLLOWS: PARCRL I: IAT 29, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "VALENCIA TRACT, SUBDIVISION NO. 1, BUTTE COUNTY, CALIFORNIA", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 11, 1913, IN BOOK 7 OF MAPS, AT PAGES) 58. RESERVING THEREFROM A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS, AND FOR PUBLIC UTILITY PURPOSES, OVER A CIRCLE HAVING A RADIUS OF 50.00 FEET AND THE CENTER POINT OF WHICH IS LOCATED AT THE CORNER COMMON TO LOTS 12,• 13, 28, AND 29 OF SAID MAP. PARCEL -11: A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS, AND FOR PUBLIC UTILITY PURPOSES, OVER THE WESTERLY 30.00 FEET OF LOT 12 AS SHOWN ON THAT CERTAIN MAP ENTITLED "VALENCIA TRACT, SUB. NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE ON AUGUST 11, 1913, IN BOOK 7, MAPS AT PAGE 58, LYING IN SECTIONS 27 AND 28, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M. BUTTE COUNTY, CALIFORNIA. , PARCEL III: A NON-EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS, AND FOR PUBLIC UTILITY PURPOSES, OVER THE EASTERLY 30.00 FEET OF LOT 13 AS SHOWN ON THAT CERTAIN MAP ENTITLED "VALENCIA TRACT, SUB. NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 11, 1913, IN BOOK 7 OF MAPS, AT PAGE(S) 58, LYING IN SECTIONS 27 AND 28, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA. PARCEL IV: A ,ION -EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS, AND FOR PUBLIC UTILITY PURPOSES, OVER -A CIRCLE HAVING A RADIUS OF 50.00 FEET AND THE CENTER POINT OF WHICH IS LOCATED AT THE CORNER COMMON TO LOTS 12, 13, 28, AND 29 AS SHOWN ON THAT CERTAIN MAP ENTITLED "VALENCIA TRACT, SUB. NO. 1", WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 11, 1913, IN BOOK 7 OF MAPS, AT PAGE(S) 58, LYING IN SECTIONS 27 AND 281, TOWNSHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA. EXCEPTING THEREFROM THAT PORTION LYING WITH THE BOUNDS OF PARCEL I DESCRIBED ABOVE. .J• DESCRIPtION THE LAND R] CALIFORNIA, PARCRL I: ORDER NO. %J-157257-3 TO IN THIS REPORT IS SITUATED/ZN THE STATE OF OF BUTTE, AND IS DESCRIBED A FOLLOWS: LOT 29, AS SHOWN 0 SUBDIVISION NO. 1, RECORDED IN THE OFFI STATE OF CALIFORNIA, PAGE (S) 58. THAT CERTAIN MAP ENTI UTTE COUNTY, CALIF C OF THE RECORDER F O AUGUST 11, 191 , RIXD, "VALENCIA TRACT, IA", WHICH MAP WAS THE COUNTY OF BUTTE, IN BOOK 7 OF MAPS, AT RESERVING THEREFROM A NO -EXCLUSIVE EASEMENT FOR INGRESS AND EGRESS, AND FOR PUBLIC UTIL TY PURP SES, OVER A CIRCLE HAVING A RADIUS OF 50.00 FEET AND THE ENTE POINT OF WHICH IS LOCATED AT THE CORNER COMMON TO LOTS 12, 1,3, 8, AND 29 OF SAID MAP. PARCEL II: A NON-EXCLUSIVE EASEMENT FOR GRESS AND EGRESS, AND FOR PUBLIC UTILITY PURPOSES, OVER THE WE TERLY 30.00 FEET OF LOT 12 AS SHOWN ON THAT CERTAIN MAP ENTITLED "VALENCIA TRACT, SUB. N0. 1", WHICH MAP WAS RECORDED IN THE OF CE OF THE'RECORDER OF THE COUNTY OF BUTTE ON AUGUST 11, 1913, IN BOOK 7, MAPS AT PAGE 58, LYING IN SECTIONS 27 AND 28, TOWNS P 18 NORTH, RANGE 4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA. \ PARCEL III: A NON-EXCLUSIVE EASE NT FOR INGRESS AND EGRESS, AND FOR PUBLIC UTILITY PURPOSES, O R THE EASTERLY 30.00 FEET OF LOT 13 AS SHOWN ON THAT CERTAIN MAP ENTITLED "VALENCIA TRACT, SUB. NO. 1", WHICH MAP WAS RECORDED THE OFFICE OF THE RECORDER OF THE COUNTY OF BUTTE, STATE OF C LIFORNIA, ON AUGUST 11, 1913, IN BOOK 7 OF MAPS, AT PAGES) 58, YING IN SECTIONS 27 AND 28, TOWNSHIP 18 NORTH, RANGE 4 EAST, M D.B. & M., BUTTE COUNTY, CALIFORNIA. PARCEL IV: A ,ION-EXCLU IVE EASEMENT FOR INGRESS AND EGRESS, AND FOR PUBLIC UTILITY P POSES, OVER A CIRCLE HAVING A RADIUS OF 50.00 FEET AND THE CENTE POINT OF WHICH IS LOCATED AT THE CORNER COMMON TO LOTS 12, 13, 8, AND AS SHOWN ON THAT CERTAIN MAP ENTITLED "VALENCIA TRACT, UB. NO. 1'l, WHICH MAP WAS RECORDED IN THE OFFICE OF THE RECORD R OF THE COUNTY OF BUTTE, STATE OF CALIFORNIA, ON AUGUST 11, 1913, IN BOOK 7 OF MAPS, AT PAGE(S) 58, LYING IN SECTIONS 27 AND 28, T SHIP 18 NORTH, RANGE 4 EAST, M.D.B. & M., BUTTE COUNTY, CALIFORNIA. EXCEPTING THEREFROM THAT PORTION LYING WITH THE BOUNDS OF PARCEL I DESCRIBED ABOVE. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541IT NO. (Rev. 12/96) APPLICATION AND PERMIT G,8- I lqt° I ASSESSOR PARCEL NUMBER 027-350-200 ZONING BUILDING PERMIT OWNER DOMINGEZ, ALAN TELEPHONE SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 6900 Lincoln Blvd., P , 99q66 CONTRACTOR'S NAME Balez TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Fee $ 20.00 —Filing Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1962 Cox Lane, Draville Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome I`dl Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ UBIiBes t/ Installation ❑ Other ❑ Describe Work: Reactivate 97-0279 MN Gas piping sy2tem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W 920.00 40.00 PERMIT FEE S 60.,00 ELECTRICAL PERMIT Filing Fee 20.00 OR LES Main Service . ' OUEESS 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 Arce and effect. �^[�9-//-/ ' ` License Class Lic. No. �? / 9 - /- 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) JZL I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X/Date,. �� Sign�at(� ie of Applicant - ❑ Owner AT Contractor ❑ AgV— An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service TO 46. 00 CCU000A NEW CONST. DW LING OCCUP. SO W so OR ADDNS. ( a ACC. BLD S. 3.50FT. T. NOµRESID. MULTI.OUTLET 97,50 POWER APPARATUS a SINGLE OUTLET CIR. 20 @ 100 Ex. OCCU . OUTLET OR FD(TURES SAL 50 FIXED APPLNS. OR 5,00 Ex. Occup. o(nLETs RESID.)Ea Temporary Service 23.00 Mobile Home Facilities 20.00 20.00 Misc. Wiring 23.00 PERMIT FEE $ 63.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 123.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL PD I HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXP ES N g %2- -� provisions to do work paid. to Receipt No. 2, Wo 18 D WHITE-D.D.S.-B. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75410 r �"�No. (Rev. 12/96) APPLICATION AND PERMIT W ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MARINO ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ _- ARCHITECT OR ENGINEERS MAWNO ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ S PERMIT FEE _ IDT No. SUBDNBIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Tra 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobllehom4 Other ePEC 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 �❑ UtiG6es%, Installation E3 Other ❑ Describe Work:1ILpg,& qi 7 ' 0 2 ?!�! Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S W @20.00 61 C,> PERMIT FEE $ O.[ -Z) ELECTRICAL PERMIT Filing Fee 20.00 Main Service = CO.' LE:: 23.00- - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' 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 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 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 50' deep and demolition or construction of structures over 3 stories in height Main Service 200A TO IOWA 46.00 NEW CONST. DWELLINIi OCCUP. s0 OR ADDNs. ( a ACC. BLD.. 3.5¢Ft: NIO�PFg6I. ' MULTwIJ1 07.50 POWER APPARATUS a sINDLE ourLtT as e20 ® I.00 Ex. Occu OST OR �R� FDD APPUIS. OR 5.00 Ex. Occup. ou LETS ESID. EA Temporary Service 23.00 Mobile Home Facilities 20.00 o O Misc. Wiring 23.00 PERMIT FEE $ 6 3, G6 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST TYPE TOTAL FEE ; ;2-3M�� HAz 1 D. FEES IMP I FLOOD I COF PARCEL Po HD ss UE This permit is hereby Issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON I IlDete) provisions to do work paid. Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT A�;�4;w COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541/1 P���. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027-350-200 ZONING BUILDING PERMIT OWNER ALAN DOMINGEZ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6900 LINCOLN BLVD OROVILLE, 95966 CONTRACTOR'S NAME HAROLD BALEZ TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 2300 BUILDING ADDRESS 1962 COX LN Energy Plan Checking Fee $ OROVILLE PERMIT FEE $ LOT NO. • SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20:00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IR Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: MHI — #97-279 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 600V' LE9 Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in force and effect. i. , ,_ , Y)1 L 1 License Class Lic. No. —1 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. DWELLING OCCUP. OR ADDNS. ( 8 ACC. BLD S. So 3.50FT. NON-RESIIDT B CTI OU CLEF @7.50 POWER APPARATUS 8 SINGL E OUTLET CIR. Ex. Occup. OUTLET OR FOMRE zo p I.00 BAL @ .50 Ex. Occup. OREID.OEl urIEEDTs 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 f rthwith comply with those provisions. X Date �_��_ Signature of Applicant - ❑ Owner cOContractor ❑ 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 $ 100.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP I FLOOD X I CDF PARCEL I PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 210342 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COU14TY OF BUTTE- DEPARTMENT OF DEVE LOPM04T SERVICES - BUILDING DIVISION -40� 447, County Center Drive - Oroville, Calidrnia495965• - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER'027-350-200 , - y ZONINGY BUILDINGPERMIT OWNER TELEPHONE Sp. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6900T LINCO�L+N7 BLVD .,OROVILLE, 95966 'S CONTRACTORNAME Y HAROLD BALD'✓• TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS _ Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1962 COX LN Energy Plan Checking Fee $ OROVILL'4 PERMIT FEE $ LOT NO. SUBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ® Other rr SPECIFY Each Trap 7.00 Solar or heatpump water heater 23.00 Water piping 15.00 Each as water heater or vent 1 5.00 TYPE OF WORK New ❑ Addition ❑ " Remodel ❑ Utilities ❑ Installation f] Other ❑ Describe Work: MI— #97-279 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 920.00 PERMITTEE S ELECTRICAL PERMIT Filing Fee 20.00 600V0 R LESS Main Service .0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm'under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in f force and effect. // jj 4-� 1 License Class Lic. No. ���""111 11 �"� 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. 13 1 am exempt under Sec. Business and Professions Code for this eason 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 Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING 0CCU P. OR ADDNS. ( a Acc. erns. SO 3.50FT. NEW CONST. NON -RES D. BRM�uLTI•ouTc TS @7,50 POWER APPARATUS ,POWER OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES p0 @ ,.pp BAL @ Ex. Occup. ouTEIETS(RREsOOFR.A 5.00 Temporary Service \ 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X __ Date =���_ Signafure of Applicant - ❑ Owner �. 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 $ 150.00 Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 143.00 - HAZ. D• FEES IMP FLOOD X COF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date ReceiptNo. 210342 :11" WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J'� COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION K A 211. County Center Drive - Oroville, California 7.95995 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) _ APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER . 027-350--200 ZONING'' BUILDINGPERMIT OWNER TELEPHONE SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 6900 LINCOLN BLVD OROVILLE, 95966 CONTRACTOR'S NAME IIAROLD BA_ ,,,,,w!-� � TELEPHONE CONTRACTOR'S 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 MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS, 1962 COX LN., Energy Plan Checking Fee $ OROVILLB $ PERMIT FEE $ • LOT NO. SUBDNISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome EOther 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 GI Other ❑ Describe Work: MHI — #97-279 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 a00V OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter i . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in fLj force and effect. �� , ` , License Class LIC. No. vl L OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this +, reason Main Service ( To 46.00 CCUOOOA NEW CONST. DWELLING OCCUP. DWE200ALLING OR ADONS. ( 8 ACC. BLDS. SO 3.5¢x. NEW CONST. MULTI -OUTLET NON-RESID. BRANCH CIRCUITS@7.50 POWER APPARATUS 3 SINGLE OUTLET CIR. EX. OCCU . OUTLET OR FDCTURES B20 g 1.00 Ex. Occup. uFT�EDTsAPRPNEIo. OEA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) EI 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 f rthwith comply with those provisions. X___ Date ��_ Sig tan ure of Applicant - ❑ Owner '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 $ 100.00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP FLOOD X CDF PARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date De 1e ReceiptNo. ZIU.34Z WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 027-350-200 PERMIT#97-0596 DOMINGEZ, Alan 1962 Cox Ln., Oroville Cont: Harold Balaz Mobilehome Installation COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT S.�R`VICES - 7 County Center Drive - Oroville, Calif$rnia .9596*5 - Telephone (Rev. 12/96) APPLICATION AND PERMIT BUILDING DIVISION (916) 538-7541�PERMIT NO. ASSESSOR PARCEL NUMBER 027-350•-200 ZONING' BUILDING PERMIT OWNER- R1i+tlt7 JJu'i.i��GEZ TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6900 LI-e(*LN BLVD 0ROVILLEi 95966 CONTRA'CTOR'S NAME &WLD Mum 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 MAILING ADDRESS Plan CheckingFee $ BUILDING ADDRESS 29 if a 62 COX Energy Plan Checking Fee $ OROVZM $ PERMIT FEE $43*00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ®Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation I Other ❑ Describe Work: M — 097.279 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2uoa OR LEss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ful force and effect.POWER License Class % Lic. No.� L�L OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business' and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR so. OR ADDNS. ( & ACC. BUDS. 3.50FT. ON- r",RESIIDT BRANCH CI, CUTS @7.50 APPARATUS a SINGLE OUTLET CIR. OUTLET OR FIXTURE @ 1.00 Ex. Occup. BAL @ .so PP .I Ex. Occup. ouTLEEDTS RESID.OEl 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) � O.a 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�r Date 4:;_ Signature of Applicant - ❑ Owner 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 $ 101J•00 Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 143.00 HA2. D. FEE IMP FLOOD X CDF PARCEL PD HO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON I Pale Receipt No. U'4;d WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �r;'�H,�.'✓''r•Jii�"fl'�F�*'�f'-'�* rt}t'"q�'���x,.;'3�?�x �_�3 ���i�r����Ii'�''C'�t�'�+'Y+���Sr� ��yiw l nit,h� W �Tr� tit .r "r �;. M.chs. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PE"ITAPPLICATIONDATA SHEET OWNER: jilod 7 ASSESSOR PARCEL ER: Proposed Building Use: -�T 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 By 111. All items have been submitted ------------------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------------- 113. 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. 05. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! --------- 06. Energy Design Compliance and supporting documentation. ------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------ ❑ 8. Hazardous Material Form. --------------------------------------------------------------------------------- Manufactured Home data and installation instructions including Tie Down Specifications.-------- ❑ 10. Fees of $---------------------------------------------------------------------------- X1. 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. Ell 5. 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. ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---• C3 20. Pre -inspection for required Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ---- El 22. Workers' Compensation carrier and policy number. L------------------------- ❑23.Owner-Budder Verification (Given to owner ❑, Mailed to owner El) - ------ 024. Letter of signature authorization. ------------------------------------------------- 025. Recorded copy of Agricultural Acknowledgment Statement. 2 . Letter of intent on building use. ---------------------------------- © 7. Manufactured Home utility clearance. -------------------------- ❑28. Existing violations and/or expired permits. --------------------- El 29. ❑433 A, 11 Grant Deed, ❑ M.H. Title, ❑ Check to H. C.13 $ (Date) ❑ 3 0. Other: ------- r When you issue thet, process as follows 1:1Mail to owner, ❑ ail to c tractor. Telephone V � y} ermi- N P t10 and hold for pickup at uro v; office. ❑ Deliver with inspector. Applicant: Date: 3.2 7 r 2 Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for the above items numbered: q I f vi % ❑ 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, o Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. =r.: ...rr.`� ...zr�;F'„".”"`+-•::.^+�"�r=t':,r,.--,i....,.,,,,y,;,,vr.�;.rr:�yf., ....,-. -.. . . .v_ ... ,. .-.-. .,, ,. -.._-. COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILI:E CA 959653ELEPHONE (916).538-7541 SCHEDULE OF FEES DUE OWNER 94 PROPOSED BUILDING USE 1. BUILDING PERMIT FEES -- Balance Due ................ $ . -- Additional Fees Due ...... $ -- Additional Fees Due ........ $ -- Revised Plan Checking Fee ....... $ 2. SCHOOL DISTRICT FEES kg AV/(paid at District Office) —ice— 3.. SHERIFF FEES (paid at Building Division) Residential ........ x $360.00 = $ Uhits Commercial (sq.ft.)... x $0.03 = $ A.P. # -35`0 -�D0 DATE _ ?140 /9/� REC # DATE REC Sq. Ft. 4. URBAN AREA FEES (paid at Building Division) Residential (per unit) . x = $ #Units Amt. Commercial (sq.ft.) .. x =$ Sq. Ft. Amt. 5. RECREATION DISTRICT FEES (paid at District Office) 6. THERMALITO DRAINAGE DISTRICT. FEES $425.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion # ) $200.00 (paid at Building Division) 9. CSA 87 TRAFFIC FEE $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the, building permit. These fees may be changed during the plan checking process. APPLICANT DATE Original -Owner Copy -Building Div. (Rev. 12/96) Of (9 (Rev. 12/96) C�UNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSG PAR NUMBER �© O��l 3 0-1900 ZONING BUILDINGPERMIT OWNER 10 1, TELEPHONE SO. FT. OCC. BUILDING VALUATION pWNEA9 NG ADDRESS �MAIU o l ; Co �, l ,rSLS `,'P NiRACTO ' NAME // f0 C' TELEPHONE CONTRACTOR'S MAILING ADDRESS ' ::G0151TR CTTpN.�NDER ,LENDER'S Fireplace MAILING ADDRESS ' Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER'S MAIUNG ADDRESS // e cox L Plan Checking Fee $ BUILOING ADDRESS / h /� / Energy Plan Checking Fee $ ro a/`. ((� PERMIT FEE s jf , d LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome K Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe Work: �Lf % d' %C/ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W=_ 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 vOR Main Service 2o0A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for. the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section - 3700 of the Labor Code, for the performance of work for which this permit is issued. _My'wgrkers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) O 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X _ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR SO OR ADDNS. ( s ACC. BLos.3.5¢FT: NON•RESI..T13MU1ANLT-0QIUTLET g7.50 POWER APPARATUS & SINGLE OUTLEr CIR. OUTLET OR FIXTURES p @ t.00 Ex. Occup. BAL .so Ex. Occup. DFIxuTAED GEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEES fE.. FEES IMP FL000 CDF PARCEL PD HD IssUE This permit is hereby Issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date (Date) r7ceipt No. HITE-D.D.S.•B.D. CRNA Y• ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF dEVELOPMENT SERVICES BUILDING DIVISION NOTICE Post this job card in a safe conspicuous place. Do, not remove until all required inspections are made and building is approved for occupancy. Plans must be available on the job site. �,.'027-35072.00.^........._....PERMIT#.9,7„-0596--) I DOMINGEZ, Alan 1962"CoR1-Ln. ; `Orovil•le"-'� ii;cc6 i :rHa.rold„Balaz Mobilehome Installation,,, PERMITTEE MUST CALL FOR INSPECTIONS Footings Piers Underground Conduit Pre-Gunite Underfloor Electrical Underfloor Mechanical Underfloor Framing Slab Do Not Install Floor or'Slab:Until'Above Signed .. Rough Plumbing Rough Electrical - Rough Mechanical Framing Shower Pan ....... . t)a.Na Insulate Unti[AA '60 :Signed . Insulation Do: ol: over:::.Unti:>:>:: .::...:::::::::::::::::::::::::::::.::.-::::.::....::::.::::..:.:.:::::::. Fireplace Footing Fireplace Throat ................... Do Not<C.o.ntinuei;.:J a face;Until;Above;S'r tied; ;;: .................... P ......... .................9 .: --...................................................................................................................... Stucco Lath Scratch and Brown ..,....: >Do>Noti:Cover:Until Atiave., ned > < > > < i <>;; i .:::Jgn..,.::...:.._......::::..:::.::: .................................. .: Sewer Service Water Service Pool Final Plumbing Final Electrical Final Mechanical Final Building or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY Information Oroville 7 County Center Dr. 538-7541 538-7636 Chico 891-2751 891-2834 Revised 7/94 RESIDENTIAL 027-350-im PERMIT#97-0279 DOMINGEZ, Alarig� e ,fir Oroville Mobilehome Utilities 31.1 /9r { 027-350-200 PERMIT#97-0596 ` _ DOMINGE7 Alan 1962 DO, Ln Oroville Cont: Harold Balaz �J Mobilehome Installation r f JOB FINALED (Date) ,ignature i i v=oK , O = Not OK Not NotReadyMOBILE HOMES Date MO ILE HOME UTIUTIES(Plans) OK except #'s 1. Zaqinp Requirements - Setbacks - Easements s; Special MH Support Sketch - . 3. Sewer, Location -Test -Fall -C/O -Concrete _ j,.*. Water tion -Test -Easement Needed (Sketch) L,jiefTeictricity; Location-Clearances-Gmd-/ /Amp -Concrete -LT 6. Gas; Loc`ti9n-Test-Wrap; / /`LYL / /Nat or/ ,/L°ft./ /LPG 7. Well ance & Disconnect tility Clearance Da Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s ' 1. Zoning Requirements- Setbacks Easements i 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy t .i i Date Card 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-Dep"pacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails _ 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric S. Frrng.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing VeneerStucco-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; CompactonStructure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtq. Boxes-Enclosures-Panelboards-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 ✓ = OK O = NotOK - = Not Applicable = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ZoningSetbacks-Easments-Flood-Slope RESIDENTIAL (Single & Duplex) Date 2. Ftg., Main; Soils-Elec. Gmd.-/ P' Ftg. Depth 3. Ftg. Garage; Soils-Steel-Elec. Grnd/ PFtg. Depth 4. Ftg. Porches & Decks; Soils -Steel-/ P' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation 61. Insulation -Walls -Ceilings Date 62. Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s Date 17. Water Htr.; Vent -Access -Combustion Air Baffle Date 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 67. G.F.I. & Bath Fixtures & Tub Access -Spa Date 68. Card B-1 Date Card B-1 Date 69. Card B-1 Date Card B-1 Date 70. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water 28. 2 Appliance Circuts in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 83. Stucco Brown -Finish Date 84. Card B-1 Date Card B-1 Date 85. Card B-1 Date Card B-1 Date 86. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date 40. Sits Proper Materials & Anchors Date 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound Comments at Final: 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat prool) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties-Purlin-roff Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor p Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I.'Receptacle-Underground 88, Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. 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: y COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT � ASSESSOR PARCEL NUMBER r ZONING B U I LD I NG P ER M I T OWNER N WiT.N07, Al TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 69 .• 1NM1 N R T Q506 i CONTRACTOR'S NAME 'TELEPHONE BAT . .7/r� ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS P . Plan Checking Fee $ 23.00 BUILDING ADDRESS Energy Plan Checking Fee $ 0 T I 117, $ PERMIT FEE $ LOT NO. 29 y SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 0 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK r• New ❑ Addition ❑ Remodel ❑ Utilities 0 Installation ❑ Other ❑ Describe Work: Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home G I 'W 920.00 4o.00 PERMIT FEE $ 60. ELECTRICAL PERMIT Fling Fee 20.00 Main Service zoos 0.'.mss 23.00 23 • 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 grce and effect. tt License Class ] Lic. No. <7L l L♦♦ i+� L._ OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooA To 10ooA 46.00 NEW CONST. DWELLING OCCUP. so OR ADDNS. ( a ACC. B.S. 3.52FT. NON-RESIIDT M�UJLTI.00UTCETs Qa 7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. OUTLET OR FIXTURE 20 Q 1.00 Ex. Occup.BAL Q .50 Ex. Occup. GUTE�rs qE.. 16.OEp 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 • Misc. Wirina 23.00 PERMIT FEE = b3• 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation 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. / tof.the,Butte X ,,,/I _ Date 1 C C _ Signature of Applicant - O�Owner O,'Contractar ❑ Agent An OSHA permit is required for excavations over 50" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling" Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 146.00 HAZ. �. D. FEES IMP: FLOOD CDF iz PARI PD HD ISSUE y I V111 This permit is hereby,issued under the applicable provisions County,fCode and/or Resolutions to do work indicated tiove for whicr fees have been paid. By Date PERMIT EXPIRES ON 3x7/q� Dale Receipt No. zu9b 9 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT � � -.... � ro,.�.-...,,.�.� � �-..,. ��,.cx--�--•o-�.�,..�...`.-...>�rr- :-.. v..-a.�o�--�g';rc've,.�+r�r` ":'^+-�-i+�• • ����„ di�`."�ts}'`a'+�-�"i1!^_. i i } .+ ; � . t. i j i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ' 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538 -7541. -PE MIT NO. (Rev. 12/96) APPLICATION AND PERMIT f 4`) �1 I `' ASSESSOR PARCEL NUMBER 027-350-200ZONING BUILDING PERMIT OWNER T►/MI'TlfnEZ, AIAN //1�LAA 1lJ1.11\iVV2LiGG Al. S'1 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 6 01",36 CONTRACTOR'S NAME Ba Ut1��.Z TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDERS MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINGADDRESS 1962 Cox Lane. 0mville, Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome LeOther SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities V Installation ❑ Other ❑ Describe Work: Keaatiyate 97-0279 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 • PERMIT FEE $ 60.00 ELECTRICAL PERMIT Fling Fee 20.00 600V OR LESS Main Service 20 OA 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 I.Rrce and effect. �^ License Class„= Lic. NO. �I Z 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. ❑ I am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLAS. SO 3.5QFr_ NON -EW R61D. T. MULTI -OUTLET 97,50 POWER APPARATUS a SINGLE OtlfLET CIR. Ex, Occu OUTLET OR FD(TUREs eA0 p 1.000 UNS Ex. Occup. DunEEDTs_RESIiD.DeA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 0.00 Misc. Wiring 23.00 PERMIT FEE $ b 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 Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ,PL 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' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. �} aof f„ X i V ._ �`--� Date � r.. I ?_ (l 9. Signature of Applicant - ❑ Owner Z Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 123.00 HAz. D. FEES IMP FLOOD CDF ppRCEL PD HD ISSUE This permit is hereby issued under the applicable the Butte County Code and/or Resolutions indicated above for which fees have been j1 By .. LL_/ Date PERMIT EXPIRES ON provisions to do work paid. Receipt No. 4 '*3 0 WHITE-D.D.S.-B.D. ` CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 .•:f 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE �a OWNER PERMIT NO. "+ ; A routine inspection indicates that the following violations of Butte County Ordinances exist at x 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, please contact this office immediately. Date 4//9 g Inspector �* . REV 10/92 dlG1p APPROVED Butte County c-ivironmental Health ------------ Date U --------------------- Signature r /CC) [co 'lo - � iii f•.-, / M�kl W i44) pt•1h � co 2�ii 5� �• I� V: I— I II 70�-Gp 1, 4", APPROVED Butte County �:-mronmental Healt Date ------------------ Signature i +r ` OWNE• 2 t yFir PERPIIT 7f e •� s '• p�'> UTTL.CLEARANCE AT �{ t .`INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . mvice Other Pipe YESI NO YESI NO ize .Load Type Size Len th 1wt J Sc yy�� Cis' .• 71= — r•.:. 1 C :t Yt"u�W �i�aA✓rf�. ryyyy W 1wt J Sc yy�� Cis' .• 71= Oel'•11Vr I UN OMAY ` �17S1NW, 'f1{AMO►m/V9A�10M OAM OMtM1N® Ae0ME1' �I DetMmm" UK ONLY • trr Ci 0WAPMAWT Of "Ova&" &*a OOA"KfTm OMtQidJOtl�T AL a PAW CC r�p,.h►yn. _... o.. � 1r.wrw.• Do�b7� O[CAUUCUSI 9 :3 is vv Orhe1OM Or COOIO An OTAtmAr s RMQTR4ki}0M AMC TrfLM4 P00Ci#A" " ^ •f+' SM"m • APPLICATION FOR REGiSTFLA MON � D� - .• . Nf a . f - ; f+�/r fMm . - t+rlaKaal ,� r s i a . 1 : taa e.wi Da,�a. u.s . • - sr,•r..f T 14,T L D.e. ►b.r a" r..44 _ t�IIS749 4�41i?Y►1 w*na wagmr DATI /wT I" MUOPACTL"m Uftu MJYbSP(111^r AD L" A. Oa ►,co Comm a +�ada�j".�I R„�a� - ee akr" wm *W0 M 1Wa • � Y �p�p �./�({ q��. � �yy�� ep � ®� � �.� AAO u"Irs um COO[ py.. DiARiq IAV. � ON CmT Y" WA lglw•6 !I� " a "U" ' -_ -�- -- MOLT Js�s�s�-ra�e, i �/r�eal NOW*owitw .. �oYe - �'• r t ,Ll,..[ ...,....�._.�...__......�°.,_. 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[� JT1iD' _ ` ,� r�loCA01 AMO - 4�1 GQIOPPIO ��� "taRC" •`' \ kADD JPAH ❑ NOW- APPL CJWT, PLEAW READ Al<li9 GOYPLrM T8W ON E9iE RgVF-RZEsIDE � } ,1Wce"ify under penalty of perjury that the statements madt in this application are mie and correct-,,, Ezecuttd on' fir.{ 3• Tftl O -AP 17 CU L P P, Capitol M6bife Y-lome ,Sales 985 EL MAi41NOAVE. • $ACRAAAFNYQ-. EA 95815- FA'li'a 2580 (956) 922.71'�-s FAX 922-0825 i 10/30/98 rr �� DEPT. HOUSING t: ATT: GAIL GREEN f FSE: 1976 BUIL"IMORE DECAL, 212844 A 312843 WE HAVE NO RECORDS DATING BACK THAT B=AR. JUDITH AMCKINNEY .Y SECT/ IVES • •Y e ' 1 • � i�//l�`I. 1„,`fir �'., ” •IY 1,/' J��. , , r ./ J•.i r.7777 �; 5 ``� h � j"l� � �Ir. �1 I '4'f' •„www � - �'. ^•i'1s., . w �-wwe._f .. .. .• '� __ � 'i� �� le' �`` .S��u `� ` ,���� l.. 4 + . ” .z �'-' �....r,.,v r, `5, 1 w -G . `,x. � i �'�� ...1 •Lii k: �{ �'.F+"f 1 � , k• �. .. �.� .s �� ~�r��.--~ �i.•"�"`~�. w. �:._�. + ��..'f rads '. 'iF4r. ..� .f. '.'� ... �•..a+. ��,f.- '�i VIOLATION CHECK LIST A.P. # 027-35-0-200 Address 1962 COX LANE, OROVILLE Owner ALAN J AND C R STINE'DOM NGUEZ Owner's Address CHERBOURG -WAY, C 0 CA 95210 Owner's Phone No: Q 611 Supervisoral District Tenant's Name Phone No. Type of Violation in Detail with Code Section Priority No. INSTALLED MH W/O PERMITS MH UTILITIY PERMIT ISSUED EXPIRED NO •INSPECTIONS MH INSTALLED PER GARY A Specific Plot Plan with C/V Noted _fires no Penalties Required 1st. Notice Sent 4/10/98 2nd. Notice Sent 8/3/98 ate ate Comments and/or Determination Disposition For Citation Citation Date (Date) , Department Recommendation to Court Court Action Notice of Violation Recorded (Date) Alan J. & Christine Dominguez 9109 Cherbourg Way Stockton, CA 95210 RE: Code Violation 1962 Cox Lane, Oroville Dear Mr. and Mrs. Dominguez: April 10, 1998 A.P. #027-35-0-200 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome. Since permits and inspections are required for the above work, please submit three (3) 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. The field authorization cannot be made until the existing work is inspected, and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement. may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, MCV:dms Scott Rutherford Chief Building Inspector cc: Assessor s .�... un y . = LAND OF NATURAL WEALTH AND BEAUTY G: a44 r. & y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 533-2140 . Alan J. & Christine Dominguez 9109 Cherbourg Way Stockton, CA 95210 RE: Code Violation 1962 Cox Lane, Oroville Dear Mr. and Mrs. Dominguez: April 10, 1998 A.P. #027-35-0-200 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome. Since permits and inspections are required for the above work, please submit three (3) 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. The field authorization cannot be made until the existing work is inspected, and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an effective means of enforcement if voluntary compliance is not obtained. Enforcement. may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty 30 days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above. Sincerely, MCV:dms Scott Rutherford Chief Building Inspector cc: Assessor Alan J. & Christine Dominguez 9109 Cherbourg Way Stockton, CA 95210 ' RE: Code Violation 1962 Cox Lane, Oroville Dear Mr. and Mrs. Dominguez: 17 �;:.. ,euite Count LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530)538-2140 August 3, 1998 A.P.#027-35-0-200 This is a formal warning notice. Pursuant to Butte County Code (BCC) Section 41-2, we sent you a courtesy notice dated April 10, 1998 notifying you that you are in violation of the BCC at the above -referenced location. As of this date, the following violations still exist: Failure to obtain the required permits, inspections and approvals from this office for installation of a mobilehome in violation of the Mobile - home Parks Act of Title 25, California Code of Regulations, adopted by Section 28A-1 of the Butte County Code as follows: (a) 1018 -Permits Required for any Plumbing or Electric (b) 1048 -Inspections Required for any Plumbing or Electric (c) 1324 -Permits Required for Mobilehome Installation (d) 1326 -Inspections Required for Mobilehome Installation The above violation(s) shall be corrected or abated by you by submitting three (3) complete sets of plans, applying for the required permits, and paying the appropriate fees, including penalties. After permit issuance and field authorization to proceed, the work must be completed and approved by this -office within the permit specified time. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation shall include a description of the premises the violation concerns, a description of the violation, the date of your conviction and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact Scott Rutherford or Michael C. Vieira in this office at the address or telephone number listed above. AMicMana rely, el C. V'eira, C.B.O. er, Building Inspection 1 2 3 4 s 6 7 8 9 10 11 12 13 14 is 16 17 18 19 20 21 22 23 24 25 26 27 28 29 #OOF OF SERVICE BY M,, I am over the age of 18 and not a party of this cause. I am a resident of and employed in the county where the mailing occurred. My business address is: I served the foregoing A.P. #027-35-0-200 Building Division Department of Development Services 7 County Center Drive Oroville, CA 95965 SECOND NOTICE VIOLATION LETTER by enclosing a true copy in a sealed envelope and depositing said envelope in the United States mail with postage prepaid on 3RD. OF AUGUST 1998 and addressed as follows: ALAN J AND CHRISTINE DOMINGUEZ 9109 CHERBOURG WAY STOCKTON CA 95210 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on 7/3/98 at OROVTT.T.F. , California. t y SITE PLAN .........._ ........... .. __ _ .. .. ._ .......... - _......- ............. ._ .. _ ._...................-_.. __. .._ ----- ••• __. __ ... __------------------------ . .... .. .. ................ ...... .. ............ .. ___• _ ............ .. _._ .. .. _ ................................. .. _. ._ _. _ .. .. .. _- __ PLANNING DIVISION - BUILDING PLAN APPROVAL use _.. \ p ti r • ' Odor:Paft T ..... ©r f Signabm p(zIv W T_ C6 C� b s 3 - � - New 00 .. � , . � • Vis• f . � � � . � ��:� � � .. .• � � . - . • og 4C,, (._s ._ ... •_.____ ..... ._.._ _ ...... _........... _.................. -_....______.__.-_-_-_.______.__.____-:................. .................. _........... -..... ____________________------ ..--- _---- ._._.._.......-._..._.____..._....................... -..... _........... ...... _........... -..... _........... ................... -.................. - ...... ______., . 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W � 1 NOTE: These parish are for assassLent purpose - I!— only anar not COW ItuN l f pareela � � ! � Asslnsoris Abp Ab 27— 35 I Ca" of Butts, Ca I, fHY/dEf> 2-94 YALEN/CA TRACT 7 ALQ R. de I ( I 2� I All Assessors' maps am prepared for tocol property assessment pwpom ONLY and the parcels shown thereon may not comply rfth state and food rn t2J. subaWslanoNaracom No ftlity Is assumed for the • use of the information shorn on any Assessors' map. i i