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028-078-006
Tvv . COMP. INT TU IN�Pt-- - i"OR 02810 8—'00 - -" 92 `'3583 'P, JACKSON, James t .33 WAshboard LN, Oroville mhu _ GAS (A CO 'TES EQ SUPPORT STR REQ - L - 028-078-006 PERMIT#95-1846 JACKSON, James 33 Washboard Ln., Oroville� Ele Ser for Well 1- B06-2709 028-078-006 MISCELLANEOUS Electric Panel ELE FOR WELL 33 WASHBOARD LN DORIA, VALENTIN & FELY 028-078 AV 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 PROJECT INFORMATION Site Address: 33 WASHBOARD LN Owner: Permit NO: B06-2709 APN: 028-078-006 DORIA, VALENTIN & FELY , Issued Date: 11/27/2006 By AAM Permit type: MISCELLANEOUS 1283 MIDDLE HONCUT RD Subtype: Electric Panel OROVILLE, CA 95966 Expiration Date: 11/27/2007 Description: ELE FOR WELL (808) 783-0769 Occupancy: Zoning: U Contractor Applicant: Square Footage: DORIA, VALENTIN & FELY Building Garage Remdl/Addn 1283 MIDDLE HONCUT RD OROVILLE, CA 95966 Other Porch/Patio Total (808)783-0769 FEE INFORMATION Single Phase Service - Res $55.00 Total Charged: $55.00 Fees Paid: $55.00 Balance Due: $0.00 Receipt No: B970 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractors 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 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 pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000) is in full force and effect. of Division 3 of the Business and Professions Cade] 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 X 11/27/2006 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractor's Signature Date 1' I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE [Z COMPENSATION, WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR WORKERS' COMPENSATION DECLARATION 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 I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are notintended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. , improve for tine purpose of sale.). ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contramors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). Carrier. Policy Number. Exp. Date: (This section nee not a competed if the permit is or one hundred dollars ($100) or less. ❑ 1 AM EXEMPT under Section B. & P.C. for this reason: /fl CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS v 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' X \ 11/27/2006 compensation provisions of Section 3700 of th�Orc shall forthwith comply with thoseprovisions. Owner's lgnature Date CA -11/27/2006 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 State laws relating to building Signa ure Date WARNING: FAILURE T SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, 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 AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE injury, including death, and property damage caused arising out of, or in any way connected with o,o HUNDRED THOUSAND DOLLARS $100,000 , IN ADDITION TO THE COST OF COMPENSATION, ( ) the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the t is DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentiono property f i spection pbrposes. I hereby certify that I am the property, o neror authorized o ctonth op�f�r 'owners behalf. CONSTRUCTION LENDING AGENCY C-L�"�E 11/27/2006 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for Name df Perm itt a SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) 1:1 Owner Contractor OR. 0Agent for Owner Agent for Contractor FILE COPY Lenders Address City - State zip Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE, CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 75965 (530) 538-7601 Telephone (530) 538-7785 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 unders state law, contact the Department of Benerit 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 thier work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons prefessing 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 requir3ed 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 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. Q I PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT. / (YES OR& Q2 OT) I (HAVE/HAVE IGNED 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 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 I PHONE TYPE OF WORK Description: ELE FOR WELL Reference Number: B06-2709 Applicant Name: DORIA, VALENTIN & FELY Signature of Property Owner: C7 `�< Date: l7 0�0 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND- SUBMITTAL REQUIREMENTS OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION Website: www.buttecounty.net/dds "PLEASE PRINT CLEARLY" OWNER INFORMATION Last Name A Name Mai /�%'. i✓ /?lam < City Dom/ ' e' State . Zips Ste! 6 6 Phoneb g-1�� �o Fax E-mail APPLICANT SIG TUBE For office use only: CONTRACTOR, Name �• o, Address ' City I No State Zip Phone p O Fax E-mail Planner Lic. # Class APPLICANT SIG TUBE For office use only: ARCHITECT/ENGINEER Name Flood Zone Address SRA City I No State Zip Phone p O Fax E-mail Planner State License Number APPLICANT SIG TUBE For office use only: APPLICANT INFORMATION Name s ' Flood Zone Addre SRA City &Vill I No StateCA I Zip f 6611�o Phone p O Fax E-mail Planner APPLICANT SIG TUBE For office use only: Zoning Proud%sCity Flood Zone Cross Stream SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: PERMIT NO. M. BIN # PROJECT LOCATION AP# 6.2, —Q --' D 0 Proud%sCity Cross Stream WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than Ykense contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGE CY Name Address of Work: IfSq,FT- Living Garage Open Cov y ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg SRA Receipt #: Sheriff Date: SMIP Total Butte County Department of Development Services www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538.7785 Facsimile August 26, 2005 Gordon J. Anderson y 33 Washboard Ln. Oroville,, CA 95966 RE: Formal Warning Notice Butte County Code Violation 33 Washboard Ln., Oroville 028478-006 Dear Gordon I Anderson; Through our courtesy notice on June 28, 2005, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the following specific violations: 1. Unauthorized camping or otherwise occupying a recreational vehicle. 2. The accumulation of junk in public view. 3. The keeping of inoperable vehicles in public view. Your failure to eliminate the stated violations is cause for the issuance of this formal warning notice. This is notice that as of this date, our records indicate that the following violations to the Butte County Code still exist: • Butte County Code, Chapter 24, Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. • Butte County Code, Chapter 24, Section 24-95 - The AR (Agricultural -Residential) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the AR zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter, 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. Gordon J. Anderson AP# 028-078-006 August 26, 2005 Page 2 Butte County Code, Chabter 24, Section 24-260 (a) - Camping Limitations and Prohibitions. No person shall place or park or allow the placing or parking of any trailer coach, recreational vehicles, tent trailer or tent, or otherwise occupy or allow the occupancy of any parcel (as defined in Section 24-305.310) for the purpose of camping (as defined in Section 24-305.095) on public or private property within the County for a period in excess of 9 days in any one calendar year, except in an outdoor recreational facility, campground, recreational vehicle park, or hunting/fishing camp, lawfully established and maintained pursuant to this Chapter. The determination that this violation exists on the property is based on the following definition in the Butte County Code: Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. • Butte County Code, Chapter 24, Section 24-305.451 - Violator. An adult owner, tenant, occupant, resident or other person having possession, control or any other ownership interest in or the right of access to the premises, who is suspected or alleged to have violated or to be in violation of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24-305.451. Butte County Code, Chapter 24, Section 24-305.095 - Camping. Occupying or maintaining for occupancy any place for temporary living, sleeping or other human occupancy purposes. "Camping" does not include: The parking or storage of an unoccupied and otherwise unused trailer coach, recreation vehicle, or tent trailer on a privately owned parcel, as defined in Section 24-305.31; occupying a trailer coach, or recreation vehicle, connected pursuant to county permit to permanent sewage disposal and water supply systems; or occupying a trailer coach or a recreation vehicle.for any accessory use allowed in the applicable zoning district. In 'order to_ bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24- 305.240. 2. Remove all inoperable/junk vehicles from the property. 3. Cease and desist camping activities on the property in accordance with the Butte County Code, Chapter 24, Section 24-260(a). i y Gordon J. Anderson AP# 028-078-006 August 26, 2005 Page 3 This is your final wamin . Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7.' The Notice 'of Violation will include a description of the premises, the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Nick Hoekstra Code Enforcement Officer NH: aj f cc: Department of Development Services, Building Division 4 I 1 2' 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. . On August 26, 2005, I served the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Gordon J. Anderson 33 Washboard Ln. Oroville, CA 95966-9610 4 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 August 26, 2005, at Oroville, California. lise J. Foots Office Assistant { i Butte County Department ofDevelopment Senices ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538-2140 Facsimile November 6, 2003 Gordon J. Anderson 33 Washboard Ln. Oroville, CA. 95966 RE: Formal Warning Notice Butte County Code Violation Address: 33 Washboard Ln., Oroville, CA. AP# 028-078-006 Dear Mr. & Mrs. Jackson: Through our courtesy notice on September 18, 2003, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the: 1. Unauthorized camping or otherwise occupying a recreational vehicle. 2. The accumulation of junk in public view Sewage overflowing, accessible to humans and animals. Your failure to eliminate the stated violations are cause for the issuance of this formal warning notice. This is an advisory notice that these uses are in violation of the Butte County Code, as follows: Butte County Code, Chanter 24 Section 24-230 - The U (Unclassified) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the U zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. Butte County Code, Chapter 24 Section 24-260 (a) - Camping Limitations and Prohibitions. No person shall place or park or allow the placing or parking of any trailer coach, recreational vehicles, tent trailer or tent, or otherwise occupy or allow the occupancy of any parcel (as defined in Section 24-305.310) for the purpose of camping (as defined in Section 24-305.095) on public or private property within the County for a period in excess of 9 days in any one calendar year, except in an outdoor recreational facility, campground, recreational vehicle park, or hunting/fishing camp, lawfully established and maintained pursuant to this Chapter. Gordon Anderson November 6, 2003 Page 2 Butte County Code Chapter 19 Section 19-4 - Unlawful Disposal Methods. It shall be unlawful for any person to construct, maintain or use any sewage disposal system which results in any of the following: (a) Sewage overflowing any lands whatever. (b) Sewage emptying, flowing, seeping or draining into any stream, spring, river, lake or other waters within the county. (c) Sewage being accessible to rodents, insects or humans. The determination that these violations exist on the property is based on the following definitions in the Butte County Code: Butte County Code Chapter 24 Section 24-305-240 Junk Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. Butte County Code Chapter 19 - Sewage Disposal. Sewage, as used in this Chapter, includes any and all waste substances, liquid or solid, .associated with human habitation; this includes what is commonly referred to as gray water. It is unlawful for any person to maintain, occupy or use any building not provided with a sewage disposal system which disposes of sewage in a sanitary manner. Chapter 19 requires that prior to any dwelling or building being constructed or occupied, that plans for the means of sewage disposal be submitted to the health officer for his or her approval and that a permit be obtained for any required sewage disposal work. The Building Division requires that any dwelling, building or structure that requires a building permit, whether or not it would utilize a sewage disposal system, must first receive a clearance from the Division of Environmental Health. The clearance by the Division of Environmental Health will verify, before construction, that a proper sewage system can be established or that the construction will not interfere with an existing sewage disposal system or that the construction will not take place in an area that has been designated as a replacement leach field. It is unlawful to construct, maintain or use any sewage disposal system which results in sewage overflowing any lands or into any body of water or to allow the sewage to be accessible to rodents, insects or humans. Not only is a permit required for the original system, but any extensive alteration, repair, relocation addition or replacement shall also require permits, inspections and approvals from the Division of Environmental Health. Butte County Code Chapter 24 Section 24-305.095 - Camping. Occupying or maintaining for occupancy any place for, temporary living, sleeping or other human occupancy purposes. "Camping" does not include: The parking or storage of an unoccupied and otherwise unused trailer coach, recreation vehicle, or tent trailer on a privately owned parcel, as defined in Section 24-305.31; occupying a trailer coach, or recreation vehicle, connected pursuant to county permit to permanent sewage disposal and water supply systems; or occupying a trailer coach or a recreation vehicle for any accessory use allowed in the applicable zoning district. Gordon J. Anderson' November 6, 2003 ` Page 3 . In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: 1. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240. 2. Cease and desist camping activities on the property in accordance with the Butte County Code, Chapter 24, Section 24-260(a). 3. Submit plans of the proposed means of sewage system repair and or disposal to the health officer and obtain a permit from the health officer. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you.have any questions concerning this matter, please contact me at the address or telephone. number listed above. Sincerely, Z2, Scot Johnson Code Enforcement Officer SJ: pa cc: Department of Development Services, Code Enforcement PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited With the United States Postal Service in the ordinary course of business on the same day. On. November 6, 2003, 1 served the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Gordon J. Anderson 33 Washboard Ln. Oroville, CA. 95966 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 November 6, 2003 at Oroville, California. Paula er erry Plan Application Assistant 11 Butte County Department of Development Services ADMINISTRATION * BUILDING * GIS * PLANNING 7 County Center Drive Oroville, CA 95965 (530) 538.7541 Telephone (530) 538-2140 Facsimile August 20, 2003 Gil Smith 460 Rio Lindo Chico, CA 95926 Re: HAZARDOUS ELECTRICAL CONDITIONS 33 Washboard Lane Honcut, CA. AP# 028-078-006 Reter # 1089 J 7 Dear Mr. Smith This department received a complaint alleging health and safety hazards at the above referenced living unit. On August 18, 2003 an inspection was conducted by this department. The owner (James Jackson) and tenants are not currently occupying the structure. The structure at this site has numerous electrical hazards including but not limited to open conductors and conductor splices, unprotected conductors, and a lack of proper grounding and bonding. The structures have been posted for nonhabitation . As the Chief Building Inspector for Butte County, I am requesting that the electrical and gas to the structure referenced above be disconnected until appropriate actions are taken to resolve the hazards. Further, I request that the electrical and gas service not be reconnected until an authorization from this Department is granted to do so. This letter shall also serve as notice to the property owner and tenants that the electrical and gas service is to be disconnected. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira at the number above. ' Sincerely Scott Rutherford Chief Building Inspector 0�5-6�8- -006 lit% !� ✓� , (V\'' ova vii S �O t C- kz-j ✓ t 9Crtjt'- (LC- �ovr We�� F ve j J i � GtJ � T r ✓� C� � �� iJ � O (C� / � �C71�1 . � S �V- 1, T,S -ea 00 -�cz 1S0 -Se44SSCc' U\ a S t©1/`Gc e b ICS( co v&- r/ SCD q U u ,,t Co /C-1 C ✓ ; C. SE U c.6— + + J-, DATE:OWNER:�a S� h�, (�C A.P.#: LOCATION' ZONING: CONTRACTOR: PRE -INSPECTION FOR: G( ►' C) ry F DATE TO INSPECTOR PERMIT HISTORY: [ ]NONE [ ]AS FOLLOWS: l TYPE OF OCCUPANCY: i BUILDING INSPECTOW S REPORT Building Description: [ J Commercial/Usage: [ ] Residential/# of Units: Mobile Home: Yes[ ] No[ ] ( ] Currently Oc [l,J�andon acant. Electric: [ ] Yes [ ] No Electric is currently :[ ] On ( Off Condition of electrical? Natural[ ] Propane[ J None[,,]-" Currently On[ J Off[ ] Obvious problems: ' itation: Plumbing working Yes( 1 No[ ] I Well: Yes�No[ J Potable water:aYes[ ] No[ ] y Obvious Sewage Problems: :ion Recommended: ((/]'Issue [ ]Hold for: ��c e Date:' — COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT As�soPARCEL NU1�lBF�� _ © �V7/) 06 ZONI k� 1 BUILDING PERMIT OWNER f cc G l 5 cS i TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNEI}'SfA1AlUNQ ADDRESS d Ali lv/l JJ i h 9S96 CONrrR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS ' Fireplace CONSTRU ON LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS - Permit Fee $ ARCHITECT RENGINEER n .0— LICENSE NO. 1 Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS /'' 7 PERMITFEE S PLUMBING PERMIT Fling Fee 20.00 nd L/ le Each Trap 7.00 LOT NO. S USDNIS IONS NAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE % SF ❑ Duplex ❑ Mobilehome ❑ Other l/V F ( s ECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities X Installation ❑ Other ❑ Describe Work: /e J r I L � F r Ll t LC Fj--(2 C Mobile Home S I G I W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filing Fee 20:00 Main Service500V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATIONOR I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, 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 NEW CONST. DWELLING OCCUR ADONS. ( & ACC. BIDS. ) SO. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ( d SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 SAL Q .SO Ex. Occup. (oFIXEEDrs (REN . OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mis . Wiring 23.00 r� ' S n 3.L� PERMITFEE 66.00 Contractor MECHANICAL PERMIT Filing Fee 20.00 g Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed 0 the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of 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 $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 66. p� HAZ. 1 0. FEES I IMP FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have BY PERMITEXPIRES ON I the applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. WHITE-D.O.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ' u e ouni BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (916) 538-7541 FAX: (916) 538-2140 25 January 1994 Bob Jackson 50 Neighbor Street Oroville, CA 95966 RE: Refund Request BP# 92-3583 Dear Mr. Jackson, Butte County Code Section 3-41 (t) limits refunds of permit fee!i paid to a maximum of one year from date of fee payment. Application and payment of fees for the above referenced permit was made on 8 October 1992. Your request for refund was made on 20 January 1994. Your request exceeds the refund time limit as provided in Butte County Code. I will not be able to authorize a refund at this time. Sincerely, �t Mi hael C. ieira, C.B.O. Manager, Building Division �UVAJ 0 nv., UJ e- o -,r -e- fe-Q U -e S 1-o r 010 t �i 4L YVI� Z G v S C_ J,e,4� A 0 L) 6 1-e �� r yea �c DO un VVI 0 16�j JCC-�solil Oro 07 le V uW eouw* r i./J OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: ADDRESS: CITY & STATE: DATE OF CLAIM: SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR IMPORTANT: SEE INSTRUCTIONS ON REVERSE SIDE SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Y TOTAL I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this claim is true and correct as stated. Dated this .�—� de of Jcin 19at D�ZgU/�LCalif........................... Si ... ................................. Y ..........�................. ........................ ......... ��ilal�m;;;a�n;t • gn I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de. livered and that there is a Budget Appropriation O or Specific Board Approval O (Check one) for the some. Datedthis .................................... day of ............................. 19......, at .............................. . Calif..................................................................................... Department Head.Aor Authorized Deputy Dept. Exp. Code............................................Code ................................................ PAYABLE FROM............................................................................................ FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. Y. INSTRUCTIONS to CLAIMANTS All claims against the county must be itemized, giving dates and character of service rendered or Fork performed, quantities, de- scription and unit prices of articles furnished or delivered. Claims must be certified by the claimant and submitted to the De- partment head for approval. Upon approval the Department head will forward claim to County Auditor for payment procedure.. Do not file with the County Auditor first. Claims should be presented to officials for approval immediately upon completion of services requested or material ordered. . Claims are paid every Tuesday; however, same must be approved by officials and in Auditor's office before preceeding Wednesday noon. Compliance with above will expedite payment of claim, failure to do so may delay payment considerably. 18-B County Center Drive El1469 Humboldt Road Oroville, CA 95965 Chico, CA 95928 (916)538-7282 (916)891-2727 FAX (916) 538-2165 FAX (916) 895-6512 October 5. 1993 James 11. and Nancy A. Jackson 23 Washboard Lane Oroville, CA 95966 RE: Sewage Disposal Assessment (AP# 28-078-06) Dear Sir: B E A U T Y TOMORROW Lr,rAx i mr-N 1' UY PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH ® 7 County Center Drive Oroville, CA 95965 (916) 538-7281 FAX (916) 538-2140 El 747 Elliott Road Paradise, CA 95969 (916) 872-6308 on Washboard Ln., Honcut, This office performed the above noted site evaluation at the - request of a Mr. Hernandez on September 7, 1993. Mr. Hernandez was present on the site during our evaluation. During the site evaluation we looked at three soil mantel holes with Mr. Jim Reed, a contractor employed by Mr. Hernandez. These holes showed a surface soil layer of from 16 to 18 inches in depth of-percable soil underlaid by a clay layer which probably does not perc and becomes waterlogged during the rainy season. Butte County presently requires that a minimum of 24 inches of percable soil be on a parcel in order to install a sewage disposal system. Therefore, from our evaluation of this parcel we must conclude that an adequate sewage disposal system can not be properly installed on this parcel. In addition other factors, such as the well location, a seasonally high groundwater table and the requirement that the parcel comply with the Table I requirements for old subdivision parcels of less than 5 acres in size, also preclude sewage disposal on this parcel. Ve y tr ly yours, Doug F el, R.E.H.S. Division of Environmental Health DF/sg cc: Building Department/D.S. utte o. - ❑ 18-B County Center Drive M 1469 Humboldt Road Oroville, CA 95965 Chico, CA 95928 (916)538-7282 (916)891-2727 FAX (916) 538-2165 FAX (916) 895-6512 October 5. 1993 James M. and Nancy A. Jackson 23 Washboard Lane Oroville, CA 95966 LAND' CF NA T 1i RAL yidcALTH SID S=—A U.- A CLEAN INDOOR AIR ENVIRONMENT FOR A HEALTHIER TOMORROW DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH ® 7 County Center Drive Oroville, CA 95965 (916) 538-7281 FAX (916) 538-2140 El 747 Elliott Road Paradise, CA 95969 (916)872-6308 COUNTY OF BUTTE BUILDING DEPT 0CT111993 RE: Sewage Dis_po_s_a,l Assessment on Washboard Ln., Honcut, (TAP# 28 -078 -Ob ) Dear Sir: This office performed the above noted site evaluation at the request of a Mr. Hernandez on September 7, 1993. Mr. Hernandez was present on the site during our evaluation. Durinq the site evaluation we looked at three soil mantel holes with Mr. Jim Reed, a contractor employed by Mr. Hernandez. These holes showed a surface soil layer of from 16 to 18 inches in depth of percable soil underlaid by a clay layer which probably does not perc and becomes waterlogged during the rainy season. Butte County presently requires that a minimum of 24 inches of percable soil be on a parcel in order to install a sewage disposal system. Therefore, from our evaluation of this parcel we must conclude that an adequate sewage disposal system can not be properly installed on this parcel. In addition other factors, such as the well location. a seasonally high groundwater table and the requirement that the parcel comply with the Table I requirements for old subdivision parcels of less. than 5 acres in size, also preclude sewage disposal on this parcel. 4ytr yours, , R.E.H.S. Division of Environmental Health DF/sg cc: /Building Department/D.S. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 028-078-006 ZONJ G , BUILDING PERMIT OWNER JAMES M. JACKSON TELEPHONE I 742-8773 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 23 WASHBOARD LANE 0R0VTT.TY CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is LENDER'S MAILING ADDRESS Filing Fee $ X[Vi�,ftf1 1��AA��11 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 3*1 WASHBOARD LANE n'ROVIT.T.F. 99966 Permit fee $ 20.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome© Other • SPECIFY Gas piping system 1 - 5 outlets 1 5.00 Building sewer 1 15.00 Mobile Home I ow o= @ 15.00 TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities® Installation❑ Other EJ Describe work: MH U 13 1?-- Permit Fee $ 60,00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AORLESS 18.50 18.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service 200ATO1000A) 37.50 NEW CONST. OR ADDNS. l ( DWELLING OCCUPACC. BLDGS. I M 3.64 sq.ft. NEW CONSTR ULTI.OUTLET NON.RESID BRANCH CIRC ITS @ 5.00 (POWER APPARATUS 6\ (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 FIXED APPLINIS Ex. OCCUp. OUTLETS II R ESID,)RE A.� I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring 15.00 Permit Fee $ 48.50 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 1 15.00 Heating Cooling LHood 6.50 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above mention property for inspection purposes. I also agree to save, indemnify and ep harmless the County of Butte against all liabilities, judgm ts, t xpenses which may in any way accrue ag aid Cou tyco ting of this permit. X / �"`� Date �lJ 02 Signature o4 Applicant Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct - ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ '0"""'TOTAL FEE $12V.50 HAz DFEES IMP FLOOD CDF PAR PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 126207 WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDEN ROD-APPL I CANT '�I`I-ri"f%�„'rFS`^��'1..".��L,�Yrv4� 4.aiT'�.F�� �.��i'Stl...i'y^3r'�r ��'rim'n+4r�Ii`i�i�"'7:J�'�w�r��;,•sr•.•^..: ry' COUNTY OF `BUTTE $- .DARTMENT OF PUBLIC WO 1 „` BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, &LI O NIA 95965 TELEPHONE (916) 538-7541 T PERMIT APPLICATION DATA SHEET OWNER M f- J G C- IC Sa l/ A. P. No. 2-�- " 07 �-- 00 Proposed Building Use M(fl U Building Inspector J_� Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1 • All items have been submitted. . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. Engineered truss details and layout in duplicate (required prior to plan check). .... +-�.... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... " 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer. . . 14. Sanitation and plot plan approval O Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. . 19. Driveway permit (construction approval required prior to occupancy). . . st 20. Pre -inspection for required. .. o`s�i ingi�spector (Date) 21. Contractor's license information. (No., Name Style, Classification) . ............. . 22. Certificate of Workmans Compensation Insurance. ...... . :. 23. Owner -Builder Verification (Given to owner , Mail to owner). ........... 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and'(B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ....} ............................................... . 33. 34. Whe- n ygu issue thetpermit, process as follows: Mail to owner. Mail to contractor. %Telephone -/Lf? 87%3 and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. I Other Date By The following data must be submitted prior to permit i sua�nircle a item qot ch above). 1. Index permit for above items No. c/ 2. Additional items required: / �Q Contractor, designer, owner, was advised of above required data bypho ail Cou _Date Contractor, designer, owner, was advised of above required data by (_ phone _ mail Counter by _ Date Plans checked by C455- Date _ S Plans approved by Date /^6 /S Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY 'OF BUTTE Departm-en-t of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to .avoid unnecessary delay in processing and issuing your building permit.' No'building permit will be issued until this verification is received. 1. I personally plan to -provide the major labor.and materials.for construction of the proposed property /improvement (yes or -no) & 2. I (have/have not) signed an application for a building permit for the proposed.work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan -to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name _. Address City. .. - Phone* Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address-. Phone Type of Work Signed: Property Owner Social Security Number Y Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per - mitt to issue the permit. Z�I V c CALIFORNIA FIRE SAFE REGULATIONS ® F DEVELOPMENT IN STATE RESPONSIBILITY AREAS CALIFORNIA DEPARTMENT OF FORESTRY & FIRE PROTECTION BUTTE COUNTY FIRE DEPARTMENT 176 Nelson Avenue Oroville, California 95965-3425 (916) 538-7994 or 538-7111 • Fuel modification will reduce the intensity of a wildfire by reducing the volume and density of flammable " vegetation. The strategic siting of fuel modification and greenbelts shall provide an increased level of safety for emegency fire equipment and civilians; and, provide a point of attack or defense from a wildfire. Ei Emergency Water Standards • Emergency water for wildfire protection shall be available and accessible in quantities and locations in order to attack'a wildfire or defend property from a wildfire. • Road and street networks, whether public or private, shall provide for safe access for emergency wildland fire equipment and civilian evacuation concurrently; and shall provide unobstructed traffic circulation during a wildfire emergency.. ianina and Building Numberin • To facilitate locating a fire and to avoid delays in response, all newly constructed or approved roads, streets, and buildings shall be designated by names or numbers, posted on signs clearly visible and legible from the roadway. SEE REVERSE SIDE FOR FIRE SAFE REQUIREMENTS CALIFORNIA FIRE SAFE REGULATIONS PUBLIC RESOURCES CODE 4290 CALIFORNIA DEPARTMENT OF FORESTRY & FIRE PROTECTION BUTTE COUNTY FIRE DEPARTMENT Emergency Water Standards - The emergency water system shall be available on-site prior to the completion of road construction, where a community water system is approved, or prior to the completion of building construction, where an individual system is approved. - Water system standards are site specific and thus are available upon request. Private Driveways and Roadways - Roadway surfaces shall provide unobstructed access to conventional drive vehicles, including sedans and fire apparatus, and be capable of supporting a 40,000 pound load. - The grade for all roads, private lanes and driveways shall not exceed 16 percent. No roadway shall have a horizontal inside radius of curvature of less than 50 feet, and an additional surface width of 4 feet shall be added to curves of 50.100 feet radius; 2 feet to those from 100-200 feet. - The length of vertical curves in roadways, exclusive of gutters, ditches and drainage structures designed to hold or divert water, shall not be less than 100 feet. - Turnarounds, if required, on driveways will have a minimum turning radius of 40 feet from the center of the road. If a hammerhead/T is used, the top of the "T" shall be a minimum of 60 feet in length - Turnouts shall be a minimum of 10 feet wide and 30 feet long with a minimum 25 foot taper on each end. - All driveway structures shall be constructed to cant' at least the maximum load and provide the minimum vertical clearance as required by California Vehicle Code Sections 35550, 35750 & 35250. Appropriate signing shall reflect the capability of each bridge. Additional requirements upon request. - All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length - Driveways exceeding 150 feet in length, but less than 800 feet in length, shall provide a turnout near the midpoint of the driveway. Where the driveway exceeds 800 feet turnouts shall be provided no more than 400 feet apart. - A turnaround shall be provided at all building sites on driveways over 300 feet in length and shall be within 50 feet of the building. Gate Entrances - Gate entrances shall be at least 2 feet wider than the width of the traffic lane serving the gate. - All gates providing access from a road to a driveway shall be located at least 30 feet from the roadway and shall open to allow a vehicle to stop without obstructing traffic on that road. - Where a one-way road with a single traffic lane provides access to'a gated entrance, a 50 foot turning radius shall be used. Signing and Addressinia - All buildings shall have a permanently posted address, which shall be placed at each driveway entrance and be visible from both directions of travel along the road. In all cases, the address shall be posted at the beginning of construction and shall be maintained thereafter, and the address shall be visible and legible from the road on which the address is located. - Address signs along one-way roads shall be visible from both the intended direction of travel and the opposite direction. - Where multiple addresses are required at a single drive- way, they shall be mounted on a single post. - Size of letters, numbers, and symbols for street and road signs shall be a minimum 3 inch letter height, 3/8 inch stroke, reflectorized, contrasting with the background color of the sign. Setback for Structure Defensible Space - All parcels 1 acre and larger shall provide a minimum 30 foot setback for buildings and accessory buildings from all property lines and/or the center of a road. - Parcels less than 1 acre shall provide for the same practical effect. Specific requirements available upon . request Disposal of Vegetation and Fuels - Disposal, including chipping, burying, burning or re- moval to a landfill site approved by the local jurisdiction, of flammable vegetation and fuels caused by site develop- ment and construction, road and driveway construction, and fuel modification shall be completed prior to completion of road construction or final inspection of a building permit. 0 X �S y..., a w: e... ...,.-r. ...,f,w. i.,.-..�..yeYLrH'r'oS"j'r" �-.rY ...-.. j-a{Y:�,Y• "02 '^Nfw'+➢nen aTt r�'t;A,S�5i3{.#.yrTgq ��i ,y;;• .., �f.-r.w. . , r... -n -v -n••+Y'�`1 r-r5n+: "COUNTY IR BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville;-California 95965 - Telephone (916) 538-7541 PERM NO. APPLICATION AND PERMIT ASSES y CELNUMBER �,;.. ' ' ' 0 7R = NI ' ,• BUILDINGPERMIT OWNER a TE ONE SO, FT, OCC. BUILDING VALUATION OWNERS I AD R SS O v CONTifA O TELEPHONE coNTRACTO 'S MAILING ADDRE S Fireplace CONS RUCTI NLLENDER UNIQdOWN Total Valuation $ LENDER'S MAILING ADDRESS - n Filing Fee $ 20.00 Permit Fee $ ARCHJE OR NSINEER ! LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ CHRECT OR ENGINEERS HARING ADDRESS 1 `,.^ Penalty,_ _,.r,;_. x• r .$. ��?,.L. .> SUILDIN DRESS PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF 0:1 Duplex ❑ Mobilehome ❑ Other SPEC Water piping . 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities )9 Installation ❑ Other ❑ Describe Work: Asa (' �-V t n 1Ty, �' l© ,�(• W -A k Mobile Home S G W @20.00 :d PERMITFEEContractor S ELECTRICAL PERMIT Filina Fee 28g0:00 Main Service ( E0200A OR LESS 0V OR LESS ) 23.00 0J. Yr Main Service ( 200A To 1000A ) 46.00 "•�,.,`^ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. � OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: .f I I, as owner of the property, or my employees with wages as their sole compensation, 7` will do the work, and the structure is not intended or offered for sale. ; ❑ ' I, es owner'of'the property;;lam'ezelusively ',contracting with •ficensed1c,Fontractors to construct the project. ❑ I am exempt under Sec. - Business and Professions Code4or this reason NEW CONST. DWELLING OCCUR OR ADDING.( a ACC. BLDS. ) SO. 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( 8POWER APPARATUS ) SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 ® 1.00 BAL .SO Ex. Occup. GUTLe°rs (FE Is o.�FRa ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities r 20.00 Misc. Wiring 23.00 PERMITFEE ;fi e' n Contractor t. WORKERS' COMPENSATION DECLARATION 1 her affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation �... PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 'k] 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. - _ Date � a ure of Applicant 7 Own ❑Contractor ❑Agent An SHA permit is required for exvi tions over 5'0"deep and demolition or construction',B over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PO HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have Y '� rl�r" PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Dateostructures 7 /�C (Date) (,� MM Receipt No. J A _ 1� '- I WHITE-D.D.S.-B.D. -CAN AR — SSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 028-078-006i PERMIT#95-1846 ` JACKSON, James•+ 33 Washboard Ln.,` Oroville Ele Ser for Well i Y at X X V/ COUNTY OF BUTTE- DEPARTMENTO - DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT f7 9 s-�gq ASSES CELNUMBERi t1 BUILDING PERMIT OWNER ASA IV 11 Ll— TELEPHONE SO, Fr, OCC. BUILDING VALUATION 0WAKIIIII -11 -;1 A -40f OWN!XkIUOG AD R SS a' v 9� CONE O TELEPHONE CONTRACTO S MAIUNG ADDRESS Fireplace CONS UCTI NLEDER UNKNOWN Total Valuation $ LENOER'SMAIUNG ADDRESS �.�� Filing Fee $ 20,00 Permit Fee $ ARCH TOR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ CHITECT OR ENGINEERS MAILING ADDRESS Penalty $ sulLol DRESS PERMITFEE $ I LU PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other U SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities 19 Installation ❑ Other ❑ Describe Work: C6 %0— e— �ea Mobile Home7]7S G W 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filina Fee 20:00 - Main Service OOOV OR LESS ( 2..A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,(& and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR.SO. OR ADDNS. ( & ACC. BUDS. ) 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 SOWER OPARATUSUTLET ) Ex. Occup. (OUTLET OR FIXTURES) 2e 0 1.00 BAL SO Ex. Occup. oUT ETS RESID °E0. ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Mis Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred,dollars ($100) or less.) [ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. _ Date Si n rep of Applicant - Own ❑ Contractor ❑ Agent A SHA ermit is required for exc ations over 60" deep and demolition or construction ,?SHA over/3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ HAZ. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD SSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By PERMITEXPIRESON / tb..) provisions to do work paid. Date J 96 Receipt No. l I WHITE-D.D.S.-G.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF)EVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 7a M C- LT 0-1-, S 0 4 A. P 0� -d 2- Proposed Building Use ✓ Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 1. All items have been submitted. 2. Plot plans, 3/4 sets, signed by preparer of plans. 3. Complete plans, 3/4 sets, signed by preparer of plans. 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. 5. Hazardous Material Form. 6. Energy Design Compliance and supporting documentation. 7. Statement of Intent for Non -Heated and A/C Buildings. 8. Engineered truss details and layout in duplicate (required prior to plan check). 9. Mobilehome data and manufacturer's installation instructions, 2 sets. 10. Fees of $ 11. Impact fees as shown on attached schedule. 12. California Department of Forestry plan approval/fees. 13. Flood elevation letter (100 year flood) by California Engineer. 14. Sanitation and plot plan approval Health Department. 15. City of Chico plumbing permit. 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. 19. Driveway permit (construct{on approvalequired prior to occupancy). �20. Pre -inspection for � / (i c,f- Y` i required. l 21. Contractor's license information. (No., Name Style, Classification). 22. Certificate of Workmans Compensation InsurKent'Statement. e. 23. Owner -Builder Verification (Given to owner Mail to own. 24. Recorded copy of Agricultural Acknowledge 25. Letter of signature authorization. 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. 27. Letter of intent on building use. 28. Mobilehome utility clearance. 29. Documentation of legal access. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. 31. Existing violations/expired permits. 32. Plan check list. 33. 34. When you issue the permit, process as follows: Mail to owner. Mail to contractor. _ Telephone - nd hold for pickup at /� - „. +� office. Deliver with inspector. Other Applicant Date EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from . the date of fee payment on permits not issued, and one yearfrom the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant OUNT;YOF BUTTE - DEPARTMENTOF(DEVE'LOPMENTSERVICES - BUILDING -DIV SION 4 - - ``. 7 COUNTY CENTER DRIVE - OROVI LLE, CALIFORNIA 95965 - TELEPHON6316) 538-7541 PERMIT APPLICATION DATA SHEET OWNER �Cl 5 S �/1` '`' 1.4 A. Proposed Building Use ' V- 'e Building Inspector (J�'� Date � y At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: P DATE RECEIVED BY 1. All items have been submitted . ..................... ............................. 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3. Complete plans, 3/4 sets, signed by preparer of plans . ................ ....... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. 6: Energy Design Compliance and supporting documentation.................... 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobil home data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. ....................... . y 13. Flood elevation letter (100 year flood) by California Engineer . ................. . V 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. - Driveway permit (constri=tjon approval required prior to occupancy). . . (( -f 'Pre-InsWctionrequ 20. Pre -inspection for 0- C, �,, iy required. . . to Building Inspector _ (Date) 1. Contractor's license information. (No., Name Style, Classification) . .............. 22. 23. Certificate of Workmans Compensation Insur n e. .......... . Owner -Builder Verification (Given to owner Mail to owne ) 24. Recorded copy of Agricultural Acknowledge , ent Statement. .................. 25. Letter of signature authorization. ....... 1! ................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. _ Letter of intent on building use . ........................................ . 28. Mobilehome utility clearance . ........................................... . 29. Documentation of legal access . ..................'...:..............'... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ..............: . 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. 34. When you issue the germit, process as follows: Mail to owner. Mail to contractor. Telephonend hold for pickup at office. Deliver with inspector. Other '` - Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou.nter.by Date Contractor, designer, owner, was advised of above required data by _ phone _.mail°`.' ��941�te� Date i '�� A. .'... , . Plans checked by Date Plans approved by :Date Sets of plans on'hold in File cabinet AP folder Copy - Department of Public Works 1 O.B.- I Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received.. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES[ NO[ ]. 2. I HAVE[ IA' HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER SOCIAL SECURITY DATE: 9� NOTE: This owner -Builder Verification is required by Section 19831 and 19832'of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER O.B.- I . ...........:.>::<:>:>:.................... Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any -persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as, an employer and you are subject to several obligations including state and federal income tax withholding, fedeial social security taxes, - workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, ind'these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" 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 byproperty owners.unless they are performing their own work personally. -- F - -- __ Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerelly, ' Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER