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Home My WebLink About028-200-002FAILURE TO FINAL MH 7/10/99 0 28-20-02 V. HAMMONS Dunstone Rd., Oroville (Fire Report - 3/19/87) 028-200-002 z •y PERMIT#95-2158 GOFF, Moline 625 Dunstone Dr., Oroville Mobilehome Utilities +� 'ELECTRIC` GAS LINE COMPACTION TEST RE!:.::� O . SUPPORT STRUCT RE 028-200-002 PERMIT#96-0340 ANDERSON; Christina 625-Dunstone Dr..,- OrovilIe_ , Mobilehome Installation X028-200-002 _ PERMIT#98-1515 GOFF, Moline 625 Dunstone Dr., Oroville Complete BP#96-0340 028-200-002 02-0895 GOFF, MOLINE 625 DUNSTONE RD., OROVILLE TO COMPLETE BP#95-2158 MH. U ELECTRIC GAS LINE COMPACTION TEST REQ SUPPORT STRUCT REQ 028-200-002 02-0896 GOFF, MOLINE 625 DUNSTONE RD., OROVILLE - REPLACES BP#96-0340 M.HI ]I, P o p AA ON 4r AGRICULTURAL AFFIDAVIT EMPLOYER/EMPLOYEE Please read the following carefully before signing: Section 24-305.020 Agriculture Employer/ Employee (Applicable only in zones A-5, A-10, A-15, A-20, A-40 and A-160) An individual who verified, by personal affidavit and by affidavit of his employer, that he is, or will be, employed at least thirty-two (32) hours per week for at least sixteen (16) weeks per year, or that his primary source ofannual income is,- or is anticipated to be, derived from any of the following described occupations: (a) The preparation, care and treatment of farm land, pipelines or ditches, including leveling for agriculture purposes, plowing, discing and fertilizing the soil; (b) The sowing and planting of any agricultural or horticultural commodity; (c) The care of any agricultural or horticultural commodity. As used in this subdivision, "care" includes, but is not limited to, cultivation, irrigation, weed control, thinning, heating, pruning or tieing, fumigating, spraying and dusting; (d) The harvesting of any agricultural or horticultural commodity including, but not limited to, picking, cutting, threshing, field packing and placing in field containers or in the vehicle in which the commodity will be hauled on the farm or to the place of first processing; (e) The assembly and storage of any agricultural or horticultural commodity including but not limited to, loading, roadsiding, banking, stacking, binning and piling; (f) The raising, feeding and management of livestock, fur -bearing animals, bees, fish, frogs and other aquatic animals, including but not limited to, herding, housing, hatching, milking, shearing, handling eggs and extracting honey; (g) The operation, conservation, improvement or maintenance of such farm and its tools an`dequipment. This affidavit is valid only for the named employee. Any change of employee requires a new affidavit to be filed. Employer tax records may be requested as proof of employment status. 11 Signed: Dated: • 7 •, , Employer Employer's Address Name of Property Ov..._. �a wig Property Owner's Address S6 q E�) ur, AGRICULTURAL AFFIDAVIT EMPLOYER Owner's Assessor's Parcel Number Parcel Siz Ac. 1..a , do declare, subject to the penalty of perjury, that I am the employer of address (present) and that I will be employer under Section 24-305.020 for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# Signed:�[i1 wX,� Dated: *************************************************************************************** Environmental Health Approval: Permit Description and Number Datelssued 3 - 19' °_� Planning Approval: Date (01-7 1 0 Zone S Crop/Commodity Produced ra p Dwelling on AP# !)Z�l 'W.o , D�q `_' r n' Employee AGRICULTURAL AFFIDAVIT EMPLOYEE Employee's Address (Present) Name of Property Owner ]%Afe Phone Property Owner's Address S09 OoP34 n* _ Dry. u,� Owner's Assessor's PfIrcel Number (')),`7 - ((Po-- 0H Parcel Size Cj C) v Ac. I, -/,$ VA -1 do declare, subject to the penalty of perjury, that I am the employee of kit -e address (present) �rj �/L��aL ,� �_ and that I will be employee under Section 24-305.020 - for at least thirty-two (32) hours per (a) to (g) week for at least sixteen (16) weeks per year on AP# Opti% I (D a - a Signed: Dated. *************************************************************************************** Environmental Health Approval: Permit Description and Number Datelssue.d ,5 • tg,o� Planning Approval: Date (� 17 / D Zone DwellingonAP# Oa -7- Rpo- or Crop/Commodity Produced October 28, 2004 Moline Goff . 515 Dunstone Oroville, CA 95966 B E A U T Y DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 018-B County Center Drive ❑ 411 Main Street W7 County Center Drive Oroville, CA 95965 P.O. Box 5364 Oroville, CA 95965 TEL: (530) 538-7282 Chico, CA 95927 TEL: (530) 538-7281 FAX: (530) 538-2165 TEL: (530) 891-2727 FAX: (530) 538-7785 FAX: (530) 895-6512 RE: Water Contamination, 515 Dunstone, APN 28-200-002 Dear Miss Goff, This is a follow-up letter to our conversation of September 4, 2003, at which time you were advised the holding tank for your water source needed to be adequately covered to .prevent contamination. As you are aware, the tank was.open to the air and a lab test confirmed that the water was positive for fecal coliform bacteria. You temporarily rectified this situation with a plastic cover secured over the holding tank, however, since that time the tarp has disintegrated and fallen into the tank. To permanently repair your water system, replace the existing holding tank, with an approved, enclosed tank designed to hold potable water. When you have replaced the existing tank, you must disinfect all parts of the water distribution system again. You must notify your tenants that the water is contaminated and that they cannot drink it until the above has been completed. If you have any questions or concerns, contact me Monday through Friday, 8:00 am to 5:00 pm. Sincere , Charlotte Walters Environmental Health Specialist CC Scot Johnson, Butte County Code Enforcement 028-200-002 Sw 028-320-007 April 4, 2001 Moline Goff 515 Dunstone Rd Oroville, CA 95966 DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH B E A U T Y RE: Lack of Potable Water Supply, 625 Dunstone, APN 28-200-02 Dear Mrs. Goff, This department received a complaint regarding a possible contaminated water source at the above location. An inspection was conducted by Code Enforcement Officer Gary Brown and myself on May 11, 2001 and no water source for the dwelling was located. This is in violation of California Health and Safety Code, Housing Law, Section 17920.3 Substandard Building, (a) (5) Lack of hot and cold water to plumbing fixtures in a dwelling unit. Because the residence has not been supplied with water from an approved source, the dwelling has been posted as unsafe for human habitation. It is unlawful to occupy this dwelling until the water source is approved by this department. An inspection will be necessary to confirm that the spring that services the dwelling has been properly developed to provide potable water. A fee of $66 will be assessed prior to any special inspections conducted regarding this matter. You should be aware that it is a misdemeanor to occupy this building or to remove or deface the notice on the building per Butte County Code Section 26-6(b). D E0dE MAY 14 2001 BUTTE COUNTY PLANNING DIVIbION U18-6 County Center Drive 411 Main Street County Center Drive Oroville, CA 95965 P.O. Box 5364 Oro'Ile, CA 95965 TEL: (530) 538-7282 Chico, CA 95927 L: (530) 538-7281 FAX: (530) 538-2165 TEL: (530) 891-2727 FAX: (530) 538-7785 FAX: (530) 895-6512 RE: Lack of Potable Water Supply, 625 Dunstone, APN 28-200-02 Dear Mrs. Goff, This department received a complaint regarding a possible contaminated water source at the above location. An inspection was conducted by Code Enforcement Officer Gary Brown and myself on May 11, 2001 and no water source for the dwelling was located. This is in violation of California Health and Safety Code, Housing Law, Section 17920.3 Substandard Building, (a) (5) Lack of hot and cold water to plumbing fixtures in a dwelling unit. Because the residence has not been supplied with water from an approved source, the dwelling has been posted as unsafe for human habitation. It is unlawful to occupy this dwelling until the water source is approved by this department. An inspection will be necessary to confirm that the spring that services the dwelling has been properly developed to provide potable water. A fee of $66 will be assessed prior to any special inspections conducted regarding this matter. You should be aware that it is a misdemeanor to occupy this building or to remove or deface the notice on the building per Butte County Code Section 26-6(b). D E0dE MAY 14 2001 BUTTE COUNTY PLANNING DIVIbION If you have any questions regarding this matter, contact this department Monday through Friday 8:00 am to 5:00 pm. Sincerely, (21" Charlotte Walters Environmental Health Specialist Cc: Gary.Brovvn,.Butte County Code Enforcement r - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541P M y�o. (Rev. 12/96) APPLICATION AND PERMIT r._j� ASSESSOR PARCEL NUMBER 028-200-002 ZONING BUILDING PERMIT OWNERTELEPHONE GOFF MOLINE589 3949 SD. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 515 DUNSTONE M. OROVIILE 95966 CONTTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Flin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 625 D Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome IX 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 EX Installation ❑ Other ❑ Describe Work: COMPLETE BP# 95-2158 MH UTILITIES Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I kJ GJJV I @20.00 60.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 600VOR LE Main Service 20 DA 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.PSING License Class Lic. No. OWNER -BUILDER DECLARATION eby affirm under penalty of perjury that I am exempt from the Contractors License 4 ' 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. -coo ❑ I 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: 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 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.) 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 /Ll_,�tivDate /f;/ Signa ure of'Applica ` er ❑ Contractor ❑ Agefnt 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 +000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. a ACC. sins. 3.50FT: NON-REOSIUT' MULTI -OUTLET @7,50 OWELER APPARATUS 8 OUTLET CIR. Ex. Occup. OUTLET OR FDRURES BAS @'1.00 Ex. Occup.OUTFIXS RES D °� 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23.00 PERMIT FEE _ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 60.00 HAZ. D. FEES IMP I FLOOD I COF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. y Date PERMIT EXPIRES ON a 11, ate Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT _ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75411 ��i� ERt.u' ��-1=l9 F,) APPLICATION AND PERMIT -� ij A:'.' ES.O A PARCEL NUMBER zDNINo 0-a0c� -oo 4T BUILDINGPERMIT Owr.EA-, / TELEPHONE SO. FT. OCC. 1 BUILDING VAL ell UATION � b S Owl -EAS MAAQDRESSe Plan CheckingFee---- ee — I S Main Service CO.rt RACIOnS r ME Energy Plan Checking Fee TELEPHONE COrFTRAC TOR S MAIUNO ADDRESS 3.5CsFr°: NEN' CONST NON.RESiD. ( MULTI -OUTLET ) BRANCH CIRCUITS COHSTAUCTION LENDER PERMIT FEE LF.r.DEH S vwuNG ADDRESS Ex. Occup. OUTLET OR FOCTURES ( ) ARG-rtECT OR ENGINEER UCENSE NO ARC..ITECT OR ENGINEERS VWL G ADDRESS 6..,00411 ADDRESS :DU vi.S LL. Dr. LOT NO SUBDNISIONSNAME USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome Other sPEciFv TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other nl ,ihn w,,i,. "PEPAIT FEE PA10 SRA • • SHERIFF OTHER AAilOVNT RECEIVEb "RE tom' NVR& e 5 a " TO a KJT Zrl o Comft TER Receipt No. WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLOENROD-APPLICANT i I Fireplace Total Valuation i b Filin Fee _ Permit Fee_ UATION � b S 2; Plan CheckingFee---- ee — I S Main Service ( 200A TO IOODA ) I Energy Plan Checking Fee b DWELLING OCCUP. 1 ( & ACC. BLDS. I 3.5CsFr°: NEN' CONST NON.RESiD. ( MULTI -OUTLET ) BRANCH CIRCUITS _ @O 7.50: PERMIT FEE S Ex. Occup. OUTLET OR FOCTURES ( ) - PLUMBING PERMIT EX. Occup. Filing Fee: 20 C" Each Trap j 7.00 20.00 Solar or heat pump water heater I I 23.001 Water piping I 15.001 PERMIT FEE S Each gas water heater or vent j 15.00' Heating Gas piping system 1 - 5 outlets 15.00i Building sewer ! 15.00 6.50 Mobile Home G j ! 920.00' PERMIT FEE I S ELECTRICAL PERMIT I &016U I Filing Fee 20 C Main Service ( zooAORa's ) 23.00 Main Service ( 200A TO IOODA ) I I 46.00: NEW CONST. OR ADDNS. DWELLING OCCUP. 1 ( & ACC. BLDS. I 3.5CsFr°: NEN' CONST NON.RESiD. ( MULTI -OUTLET ) BRANCH CIRCUITS _ @O 7.50: POWER APPARATUS d SiNCLE OUTLET CIA _ Ex. Occup. OUTLET OR FOCTURES ( ) 20 BAL 4 so _ EX. Occup. FI%ED s g'Es, . OR (OUTLETS (R ESiD ) EA ) I 5,00 Temporary Service I 23.00` Mobile Home Facilities ' 20.00 Misc. Wiring j 23.00 I � I PERMIT FEE S MECHANICAL PERMIT I Filing Fee ; 2� = Heating Cooling Hood j 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ OCG CONST_ 11 TOTAL FEE $ HA2. I D. FEES I IMP I FLOOD I COF PARCEL r PD ! HD 5 This permit is hereby issued under the applicable provis+c of the Butte County Code and/or Resolutions to do 'Wc indicated above for which fees have been paid. By Date PERMIT EXPIRES ON O`VNER-BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signattne. 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. 11/1 personally plan to provide major labor and materials for construction of the proposed �roperty improvement :YES NO 13 2. HA" HAVE NOT 0 signed an application for a building permit for the proposed wodc. I have co tracted 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: UVOTIT117*91 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 SIG D: PROPERTYOWNER: /1/ _' _1k1A4_1_ SOCIAL!,CURITY NUMBER: \ DATE:,I 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 OWNER BUILDER INFORMATION 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 parry 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 plane 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 emplov or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors.lthen you may be an employer. ♦ If you are an emplover, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ 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 "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 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. I rely, /f 6k, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: Tris Owner -Builder Info rmaIion is required by Secdon 19810 ojdre Calyornla Hea11h and Sajery Coda OVER August 13, 1999 Moline Shipman Goff 515 Dunstone Drive Oroville, CA 95966 RE:- Code Violation 625'Dunstone Drive, Oroville Dear Ms. Goff: 'eufie Count, L A N D O F N A T U R A L W E A L T H A N D B E A U T Y BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 A.P. #028-20-0-002 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 approval of previous corrections and failure to obtain final inspection prior to occupancy and permit expiration for installation of mobilehome. Since permits and inspections are required for the above work, please contact this office, apply for a permit to complete the work and pay the appropriate fees. 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 in this office at the address or telephone number listed above. / (( �� n e 1 ay, jMa1na el C. V eira, C.B.O. _ er, Building Inspection 041E MCV:dms cc: Assessor �. lld 4e✓lw ..�.. ,, .,..r 3"', ,: :�. a+;M ci.,i•ti`4� .. >; r'i �. ..>>„a--. ,�r- -t: .. ;. ..a_., v-�f.-.,t.-,�,a+^•++�.-n+wun�.s. �n �.+�qr..w-.may.. .....:r•a...-.:r .� •.:a�:��+:;;;...yy •: �- r' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California. 95965 • Telephone (530) 538-7 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT gi— ASSF�SSORP CELNUMBER ` USB-- 2: ZONING �5 BUILDING PERMIT GOME'COFF' TELEPHONE SO. FT. OCC. BUILDING VALUATION '15T "rii��ri°ISTWi DR: ,- OFOVZLLE CA ;95965 CONCAAUT:OR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CO vRI�GTION LENDER LENDER�'S�++MAILING ADDRESS ' Fireplace Total Valuation $ AiCH(TiECy OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BVI B2 G"°�s�i1TONP. DR" OROViLLE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ODther 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 y+e, New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation"© Other O Describe Work: COMPLETION OF WORK STARTED UNDER #96--0340 1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TS I G I W I@20.00 PERMIT FEE S I ELECTRICAL PERMIT Fling Fee 20.00 R 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 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. i License Class Lic. No. OWNER -BUILDER DECLARATION 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 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 v [ x1� x / & (,b Date /�» i t % " Signature of Applicant -0 Owner )OContractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. SO OR ADDNS. ( D7 ACC. BLDS. 3.50a. . NO" N.pESlpT MULTSRANCI.OUTLET @7.50 POWER APPARATUS ' d,.SINGLE OURET CIR. ouTIET oR FOcruREs � o I.00 .. Ex. Occup. BA0 .s0 Ex. Occup. o ITLETS R. D °R� 5.00 Tem orar Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ JLUUo Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ HAZ. D. FEES IMP FLOOD COF PARCEL FID HD ISSU This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica''above for which fees have beeA paid. %%10�9s By / � _(Date PERMIT EXPIRES ON t 710/99 Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 028-200-002 PERMIT#98-1515 GOFF, Moline 4, -625. Dunstone Dr.,, Oroville Complete BP#96-6340 ` _ 0 qs-a�s�,R�-o�y� TO: FROM: SUBJECT: DATE: INTER -DEPARTMENTAL MEMORANDUM Wanda Munsinger Scott Rutherford ._X.. Moline Goff Inspections on Jan uar"O1,_1995 February 7, 1995 On January 31, 1 visited assessors parcel numbers 028-320-007, 027-160-014, and 027-160-002 with Phil Nelson and Jerry Tarmann of the Environmental Health Department, and Wanda Munsinger of Building Division Code Enforcement. All parcels are owned by Moline Goff. We first inspected A.P. # 028-320-007. The main residence is on this parcel, but is assumed to be an existing non -conforming building, and our attention centered on two small substandard dwellings, and two mobile homes. The two small wood frame buildings are in an advanced state of disrepair and are vacant, but were apparently lived in until recently. There are numerous major electrical, fire, plumbing, and structural hazards, and both buildings lack a septic system and sewage appears to run into a small holding tank and then directly onto the ground. One of the mobile homes is an 8 x 40 and is presently occupied. Electric power is run from the main panel at the house through the trees with numerous hazards evident. The second mobile home is approximately 8 x 50 and is not presently occupied. It is partia!!y blocked, and has hazardous electric. The water supply for both mobile homes is run in garden hoses in a ditch filled with cow manure and stagnant water. Both mobile homes lack a septic system and raw sewage runs directly onto the ground at some point. The second parcel inspected was A.P. # 027-160-014. A mobile home was legally installed on this property, and remains occupied. The present tenants informed us that they live on the property without electric power, and therefore without water. Although the mobile home was installed with permits, the electrical service has been tampered with and is hazardous. There is also a second mobile home on this property directly adjacent to the first. It is approximately 12 x 60, is unoccupied, partially blocked, and does not have utilities at this time. The final parcel inspected vras�27�Q02._.,0n this parcel there is a single 10 x 60 mobile home and septic system, -both installed without permits. The septic system is not hooked up and the tenant stated that until the day before, she had not had water. A water line had just been run without permits in unapproved piping and there is no electric or gas. There were sixteen dogs chained to trees in knee deep mud and excrement, and more under the mobile home in cages. A garbage can heaped with dead chickens was approximately twenty from the front door of the mobile home, and a large goat with hooves which were so long that it could not stand were also on the site. Both the tenant and animals exist in deplorable conditions. Upon returning to the Oroville office, all parties agreed that the S. P.C.A. and Humane Society should be called: - Wanda Munsinger did this the following day. 4 ate_"e : J'•i7�-• (.�w, S; . crfd'_ s`�.. .. .,. .. _.. '. ' aE' I �, ..: al'.y �4 .(. ..+•,.��Y rJ4�. :w?�^s ANE w��.t i.i • ! ^"^ ft �' `it L'�: a't a t j . t t �y ka .fit 4 p. i7 t a1 k Z ' r ,_air ._..._� �'. .._�.•� ..�...�� ^�_ ._r_4{_ ��"__. °3.1, .. .•:-._u•: gWl $ tili ��7frr{�t�� .1 4tF` ,�� ,e. J "��a � �'�s•?��✓��q� �u! �y�T x �"`� —J (� tt ,_ r , I.r, J y�� f.SN v. -.t rpY K Mal ,d(�P rti i'•. J'" b J+ra rtrtr� d tf v' s i i t� r G+�` •� •K f:, }J°ir �3 ^ke•�. ,�5��,J .t n° 3 c' 4R j�.'��,.,br`Yf s��,',, tys lt•F �.'-a r� '': tin s• r, f Y f, r9vim.i •I�en��, � i 6 ta�..a trK,�^4i z� �� .y�,;+'... •� Si � < .e . M �i6 � Q• +} S it:l > r 1 [ y rr��j r4r`4 (J� �/ j �yl ;t� t ). ,W� ti. 'i� f v. y. C �� s i. �r�; 77 i+ y r .,� Y -G 'r n � 5< ,: ' r..a ry. h i � r '� - ,� �� :+.• ,. S Y' � `.S i14;i"�. i i fi _a Sf a J 3�3 Chi .uf � G r s,,.`f ♦ 7+:�.F�4 �s� ril r'•2Y,F... _. -.- �.+1 Y t >... f. �r,.,t v � �, �t�+v �:, '�.!•--€r_.'f-L-� +r S('r X 5 �.,`� 1j4 L Y y r � � •L ��sa ,z?�A �q .'� ��'sem✓ +.�{L'.i7rm ,+ orf .� '�'� •� 2.�; r t 1 I 1-t. .MINJa.S y,. +�S§ e5ff�}' , jYF`"•c.ki� �.asd:: t ..ac}':. S ""•� :•,y, ,. ,. ;, ... ,A. :, _:rc� Butte County Environmental Health ------ Date -- --- - Signature r / a r a wVl J Q3 Butte County Environmental Health ------ Date -- --- - Signature f' ` . . Mobilehome Manufacturer: Manufacture Year: If other than single wide, furnish Setup Model Number: Width: �0 (ft.) Length: 55 (R.) Tagalong or Expando Size (R.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. FOOTINGS: Wood pressure treated or foundation grade[ ] Other: SUPPORTS "Con crete block[ ] Other: Provide Tie Down Specifications for all'Mobilehomes: A a ES co Com 3 iyA r I otq Pier Footings Sizes and Location SINGLE WIDE MULTI -WIDE Line 1 ine 1 Line 2 Line 2 Main Beams Line2 ................................................................................................. ine 2 Line 1 Line 3 Line 2 .......................................................................................... Main Beams ................................................................................................ Line2 Line 1 .................................................ine S Tag or Triple ine 4 Pine 1 Line 1 Piers: Size minimum: r i x Spacing maximum: 1 4` From ends -maximum: ` Line 2 Piers: Size minimum: [ E Z ] x [301. Spacing maximum: ` From ends -maximum] / ` Line 3 Roof Loads: Size minimum r Location (from front): Line 5 Roof Loads: Size minimum: Location (from front): Line 1 Openings Size minimum: [ ] x [ ] Each side of openings with width over: ` Line 4 Piers: Size minimum: [ ] x [ ]. Spacing maximum: ` From ends -maximum: ` OVER FILE COPY %-3 vo 1. Owner's Name: CMO_w A 2. Assessor's Parcel Number: 02 i� —200-- 002- 1 3. Installer's Name: `) O 14AI M - G44f_Ei✓ 4. Is the site currently under permit? Yes[)o] No[ ] Permit No. 5. Is the site an existing site? Yes[ ] No[x] (If yes, furnish two) plans). . P P 6. What is the electrical rating of the mobilehome? I I 0 Amperes. 7. What is the mobilehome site circuit breaker rating? (1 O Amperes. 8. What is the electrical rating of the mobilehome site? I l U Amperes. 9. Is the main service remote from the mobilehome site? Yes[ ] No[,>gl If it is, what is the rating? Amperes. 10. Is there an other electric load to be served b the mobilehome site electric service fY Y (i.e. well, garage etc.)? Yes[ ] NoKIf yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type of gas service at mobilehome site: Natural[ ] PropaneW None[ ] 12. Size 1 of gas pipe at the mobilehome site from the meter or tank: I inches. 13. What is the gas pipe length from the meter or tank to the mobilehome? (ft.): 14. What is the mobilehome gas demand? B.T.U.* *(This information is not required if the pipe length is less than 6 feet on natural gas or less than 50 feet on propane). -THE OTHER i r t •l« L� PROCESS THIS PERMIT APPLICATION May 1995 8.5 This set of plants and specifications MUST be j kept on the job at all t mes and it Is unlawful to. make any cllanaes or alterattora on same withou written permission from the Department_ of Pub Works, County of Butte: NWE: All Materials �►Torkmans Accordanoe with Recognized:6iood of a Quality prescribed for the Spec in the Uniform' Building, Plumbing Codes and the National Electrical/i s -g Be.iri • ces and e use The attached Fire Safe requirements must,be completed ..as.specified and approved l �J tJ r -o O rWw� : co D C� CAOR , s U uJ O nr. U W v WWU > o tt u: c� m Q CL U ❑� APPROVED. Butte -Coup#y Environmerital Heath , ate ----- , . - - - -- Signature -------- JPO.. • - r. -. ,Ne `y �<o :> s i BUILDING ,. j FILE OPY JL �� 9s -z ise r CDF FIRE SAFE REQUIREMENTS - 2-0 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. [1 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 `(j 1273.02 Surface. All driveway surfaces and structures (bridges, 1273.07 culverts and other apparte-tant 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 ,[y� 1. No roadway shall have a horizontal inside radius of 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 verti^:l 'curves in roadways exclusive of gutters, ditches and drainage structures designed to hold or divert water shall be not less than 100 feet. 0 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. All driveways shall provide a minimum 10 foot traffic lane and unobstructed vertical clearance of 15 feet along its entire length. Page 1 of :2.-, BUTTE C®UBT i BUILDING D PAR ENS Z�— 2.0 —0 'Z �� Z(j�c� Dl-�C AP # 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. [Y(] 1273.10 Turnaround. 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. v 1273.11 Gates 1. Gate entrances shall be at least two feet wider than the roadway it serves. [XJ 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 and larger shall provide a mini- mum 30 foot setback for buildings and accessory buildings from ull 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. [�J 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 fi_ial inspection of a building permit. Page 2 of 3 BUTTIE CUTn 1ILDI EN 1 APPRUO"'VED C�4-- Zor-o-Z 9J = 24 A'8 AP # PERMIT # Other Requirements [ ] If Building Setback is 15 to 30 Feet: - Class A or B roof - Enclosed eaves NAME [ ] 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 10% 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 BUTTE ";.3,x._69 COUNTY S.t. BUILDING x. EPATIRTM. ENT ?s • gr r tip .� D r_4,r�•,_� ._ , .. r '��t�h°' -o.... .- r1`r`�V�rt`•cW'(IMFy�ia'�1"Y�:i4/�+Y'�jt�yr'" ,y�, 'i`�Tr"•">Ib�t.S'yp+-�,kr�"*,yam.... ' BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) J, tf' School District a(%�© 0 O Yl � Building Department No. w A.P. Number QDJurisdiction: City [�] County Property Owner U'i I^ ; i ✓1 f ©vl Property Location/Address Subdivison Lot No Residential Development 0 --No. of Living WH Addition Units Commercial%Industriaa"Ir 5 (Floor Plans reviewed by School District Personnel) Sq. Footage J` S (Group R) Sq. Footage (Including Exterior Roofed Arnas) Z Date District Identification No., 9 60 1 2 Ol . N;AWA• School District certifies that', (Applica t) Vic - ress) / 1 (Phone Number) ,(City) (State) (Zip Code) 01 ' . v P-' has complied with the requirements of Resolution No. ��' �� by payment of $ representing / -\As 2926 $ tw:� FULL MITIGATION $ s� School WtilkISresenthfivkjDate Paid by Check # Remarks: iOWK14-11 Bank Number i Paid by Cash }' V-11 subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is dein reviewed under the California Environmental Quali Act CEQA , this project may be subject to 9 �!' ( ) P 1 Y 1 additional school fees to fullv mitigate its imoact on the school district's 'schools_ White (applicant), Yellow (building department), Pink (school district) �`"'" feeform.wkl (11/94)dmm "A. '*- 1t3.•A traffic mitigation fee for each new or additional living unit shall be paid. Pay the amount of $ as stated in the Oroville Area Traffic Mitigation Fee Agreement. Payment to be made to the Planning Division. i � 14. All new residential buildings shall be constructed to comply with the requirements of the Uniform Building. Code for seismic safety. Mobile homes shall be constructed on a permanent foundation'System'which complies with the' Seismic Zone 3 requirements of the Uniform Building Code. 15. Deer Mitigation fees are to be paid, if such fees have been adopted by the Butte County Board of Supervisors. X 16. Pay school impact mitigation fees. X 17. A development impact fee for sheriff facilities shall be paid pursuant to the provisions of Chapter 3, Article II of the Butte County Code. _ 18. Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988 as amended. 19. If any cultural resources are encountered during ground disturbing activities, all work shall cease in the area of the find pending examination of the site by a professional archaeologist. This person would then be able to assess the site significance and suggest appropriate mitigation measures. f 20. 21 22. 23. 24. 25 d 'AIO 1N31Nd013A30 ONVI 3.Ung :10,0noo 5661 C ` d3S ®3AI303H LD 8/95 - C:\WP51TORMS.K\BLDGPERM.CLR XTIF OWNERS NAME: PRINT LAST NAME FIRST COUNTY ZONING DESIGNATION: APPROVED: DEED INFORMATION: DATE OF CREATION: LEGAL ACCESS PROVIDE[ COMPLIES WITH COUNTY COM M ENTS/CONDITIONS: -V/ ENT - BUILDING PERMIT CLEARANCE Building Permit No. — S A.P. NUMBER: FLOOD ZONE: FLOOD MAP: �vU CONDITIONALLY APPROVED: RESOLVE PROBLEMS PRIOR TO APPROVAL: PARCEL CREATION BY DEEDS OR MAP YES NO ANDARDS FOR DEED CREATION: DEED REFERENCE: LEGAL ACCESS REQUIRED YES NO YES NO MAP INFORMATION: DATE OF RECORDING LOT BOOK PAGE COMPLIANCE WITH OLD SUBDIVISION LOT ORDINANCE REQUIRED? (MAP RECORDED PRIOR TO BOOK 17 OF MAPS AT PAGE 23): YES I NO . IF YES, MARK APPROPRIATE ITEM(S) BELOW: A. Construct road to I B. Meet parcel size required by zone. C. Meet current E.H.D. requirements. e I CHECK SPECIAL CONDITIONS WHICH APPLY TO MAP: ALL FEES TO BE PAID TO THE BU/LD/NG DIVISION UNLESS OTHERWISE NOTED. �0 1. Maintain a 50 ft. bi ilding 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 I t. leachfield setback from _ 5. Pay water tender fees in the amount of $ to Battalion Number of the Butte County Fire Department. —46. Meet the Fire Safe (Regulations of Butte County and P.R.C. 4290. _ 7. Connect to a public water supply. _ 8. Connect to a publi I 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. (Therm I lito 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. AP # . OWNER h l %lJ 60 PERMIT It 1. MH UTIL.CLEARANC, DATE INSPECTOR ELECTRIC GAS Support Struc. Compaction Test Re . Service Size Other Load Type Pipe Size Length YESI NO YESI NO q COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 ® PERMIT (Rev. 12/96) APPLICATION AND PERMIT X28SESSOR PARCEL NUMBER -200-002 ZONING A 5 BU I LDING P ER M IT OWNER GOFF, MOLINE TELEPHONE 589-3945 SO. FT. OCC. BUILDING VALUATION SDUNSTONE RD. OROVILLE CA 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTORS MAIUNG 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 CheckingFee $ 23.00 �u bGDUNSTONE RD. OROVILLE CA 95966 Energy Plan Checking Fee $ $ PERMIT FEE $ 43.00 LOT NO. SUBDIVISION'SNAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome XI Other SPECIFY Each Trap 1 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 IX Installation ❑ Other ❑ Describe Work: REPLACE BP# 96-0340 MH INSTAT T ATTON Gas piping system t - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600VOR UE Main Service 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 eby affirm under penalty of perjury that I am exempt from the Contractors License w 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 Xreby 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 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall comply with those provisions. ' ^� forthZ(,111_, X a> Date Sig, t re of Applic t - ❑ ?ier ❑ Contractor 13ent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mein Service TO 46.00 CCU000A NEW CONST, DWEWNG OCCUP. SO DWE200ALLING OR ( a ACC. slams. 3.50' C.0NS p�IpT' MULTI.OLlTLET 97,50 POWGLEER APPARATUS 8 SIN OUTLET CIR. 20 ®'.0° Ex. Occup. OUTLET OR F°cruREs BAL o .s° OR Ex. Occup. o xLlntrs'(R M.) El 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ 100.00 Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 143.00 HAZ. D. FEES IMP I FLOOD CDP PARCEL PD I HD I 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. / ;y7:!L_k-A0/t62WM_atteReceiptNo. PERMIT EXPIRES ON�w Date WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT m COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-751 PER.mi I. '�4ev 12,96) APPLICATION AND PERMIT A;SES;0APARCELNUMBER ZOMN0 BUILDING PERMIT TELrrHoNe 9�S SO. FT. j OCC. I BUILDING VALUgT1ON OWNER MAIi-u�rA--ADLD�RES�—�,�r1. 1 CO,[TRACTOnS NAME TELEPHONE i COrrt qAC iCR i MA NO ADDRESS CJr4 TRUCTION LENDER Ut-DET+S MAuNr, ADDRESS _Fireplace I _ _ __ Total Valuation ARCI-"ECT OR ENGINEER LICENSE NO Filin Fee 2 ARCHITECT OR ENGINEERS MAILNG ADDRESS Permit Fee _ Plan Checking Fee B�LJo+G ADCRESS----'- / — -1C' 1 n 11 _ n Energy Plan Checking Fee b LJTNO _ SUBDNLSICNSNAME SF ❑ Duplex ❑ Mobilehome LIS�EOFSTRUCTURE u0 Other \ SPECIFY 1 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installat' Other ❑ Describe Work: "PEP IT FEE P Alb SRA • . SofOUFF OTHER Amovw RECEIV b *PACs" NVMNM ! S 3 " TO tE'VT vino cowvm PERMIT FEE S j Mobile Home Installation Fee $ Energy Inspection Fee b Occ CINST. TYPE TOTAL FEE $ 3 �� I I HA2. I C. FEES I IMP I FLOOD I COF I PARCEL I PO i nD 5 This permit is hereby issued under the applicable provislc of the Butte County Code and/or Resolutions to do we indicated above for which fees have been paid. By Date Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-S.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT' tDera) PERMIT FEE I S PERMIT FEE S PLUMBING PERMIT I Filing Fee20C- 0C_Each EachTrap 23.00 Solar or heat pump water heater I I 23.00I Water piping j I 15.001 Each gas water heater or vent i I 15.001 Gas piping system 1 - 5 outlets I 1 5.00j Building sewer ! ! 15.00 Mobile Home I S I G 1 W j I I @20.00' PERMIT FEE S j Mobile Home Installation Fee $ Energy Inspection Fee b Occ CINST. TYPE TOTAL FEE $ 3 �� I I HA2. I C. FEES I IMP I FLOOD I COF I PARCEL I PO i nD 5 This permit is hereby issued under the applicable provislc of the Butte County Code and/or Resolutions to do we indicated above for which fees have been paid. By Date Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-S.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT' tDera) PERMIT FEE I S ELECTRICAL PERMIT I ! Fling Fee 20.0 Main Service ( p0A OR LE55 ) 23.00 Main Service 200A To I000A j 46.00 NEW CONST. OR ADONS. DWELLING OCCUP. I & ACC. BLDS. 3.5c50 I FT NEW CONST NON-RESID. OUTLET I • @7.50• _ POWER APPARAT LIS I b SINGLE OUTLET CIA i Ex. Occup. OUTLET OR FDCTURES j j 20 ;g. 10-- 0 ' � so • _ Occup. EX. OCCU FIXED APPLNS. OR \ (OUTLETS (RESID T EA / I I S.00 Temporary Service I I 23.00- 3.00Mobile MobileHome Facilities 20.00 Misc. Wiring I i 23.00 I PERMIT FEE S MECHANICAL PERMIT Filing Fee ; 20 ,. Heating Cooling Hood j 6.50. Ventilation I PERMIT FEE S j Mobile Home Installation Fee $ Energy Inspection Fee b Occ CINST. TYPE TOTAL FEE $ 3 �� I I HA2. I C. FEES I IMP I FLOOD I COF I PARCEL I PO i nD 5 This permit is hereby issued under the applicable provislc of the Butte County Code and/or Resolutions to do we indicated above for which fees have been paid. By Date Receipt No. PERMIT EXPIRES ON WHITE-D.D.S.-S.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT' tDera) `1 P. COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSES00 a ASORARC L NUM,$ ClfJ� Proposed Building Use: 1�44-�CK Counter Te nician: ��wDate: Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. �] 1.. Plot plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Energy compliance design and supporting documentation in duplicate. ❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or foundation plans, all in duplicate. ❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ ❑ '9. Plot plan and business license approval from the City of Biggs .................................... ❑ 10. Letter of intent for non-residential buildings......................................................... ❑ 11. Detached Accessory Building Form filled out by the owner ...................................... ❑ 12. Hazardous Material Form............................................................................... ❑ 13. Other ... Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 14. 15. 16. IT ❑ 18. ❑ 19. ❑ 20. ❑ 21. ❑ 22. ❑ 23. ❑"24. ❑ 25. ❑ 26. ❑ 27. ❑ 28. ❑ 29. ❑ 30. Fees as shown on the attached Schedule of Fees Due Sheet ....................................... Statement of Intent for Non -heated and A/C Buildings....... ............ . Sanitation and plot plan approval from the Environmental Health Department in Q��Ovt"f City of Chico Plumbing permit: ..................................11....................................* California Department of Forestry plan approval ❑ paid. Sent by: ...................... ti Planning approval for (A) Use: (B)Parking: (C) Parcel Check: - Contact Land Development about ❑ Improvements, ❑ Drainage ...............`................ Encro4chment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). Pre -Inspection for required ................ Contractor's. license information. (Number, Name Style, Classification) ...................... Worker's Compensation Carrier and Policy Number ............................................. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..................... Letter of Signature authorization................................................................... Recorded copy of Agricultural Acknowledgment Statement .................................... Manufactured home utility clearance............................................................... Existing violations and/or expired permits......................................................... ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ ❑ 31. Other: When issued Telephone and hold for pickup. I have been informed of the above items and requirements -for obtaining a building permit. / Dicant,/�,/"- -, at : ' 1. Index permit application for the above items numbered: '2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by _ Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by _ Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Yellow: Building Division Plan Check Letter _Date: Date: Date:_ Date: 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. in personally plan to provide the major labor and materials for construction of the proposed property Ftrpacroted vement: YES' NO 0I HAVEHAVE NOT C3 signed an application for a building permit for the proposed work. I have co 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: PHONE: CITY: CONTRACTOR'S LICENSE NO. 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 I�NED: PROPERTYOWNER: IAL SE D 7ATL - NUMBED NOT - : This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed sad returned to our office before we are permitted to issue the permit. OVER I I OWNER BUILDER INFORMATION 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 pennies 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 cit, or county. They are also required by law to put their license number on all permits for which they apply. If you p Ito 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 br 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. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may beancial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to1worker's compensation insurance. ♦ 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 work personally or conditions. A frequent pra permit, erroneously permits are not reqs Information abo community or at 10 Please complet are aware of these r NOTE: This intended for sale, property owners who are not licensed contractors are allowed to perform their ,rough their own employees, without a licensed contractor or subcontractor, only under limited rice of unlicensed persons professing to be contractors is to secure an "owner builder" building nplying that the property owner is providing his or her own labor and material personally. Building red to be signed by property owners unless they are performing their own work personally. it licensed contractors may be obtained by contracting the Contractors State License Board in your 0 N Street, Sacramento, CA. 95814. the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you afters. The building permit will not be issued until the verification is returned. IIMrely, /F✓01-1 el C. Vi ira, C.B.O. ger, Building Inspection Builder Information is required by Section 19830 of the California Health and Safety Code - OVER COUNTY OF BUTTE -DEPARTMENT OFD&ELO MENTSERVICES-BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754PERMIT NO. APPLICATION AND PERMIT �� --0��qel) ASSESSOR PARCEL NUMBER 028-200-002 ZONING A5 BUILDING PERMIT OWNER CHRISTINA ANDERSON TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 625 DUNSTONE DR OROVILLE CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ 93 0o Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDINGADDRESS 625 DUNSTONE DR PERMITFEE S Li nn OROVILLE 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 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 6 Other SPECIFY Each gas water heater or vent 1 5.0 0 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation X3 Other ❑ Describe Work: FOR UTILITY PETWIT #95-2158 Mobile Home S G W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filino Fee 20:00 Main Service OOOV OR LESS ( z00A 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. 0 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLOS. ) SD. 3.5Q FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER SINGLE APPARATOUTLETUS ) 8 CIR. EX. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL Q .50 Ex. Occup. ( OUTLEEDTs RES16IOR EEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 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.) 14 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 ¢�,. i � � Date C � Ignature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ 100,00 Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 3.00 HAZ. D. FEE IMP fL000 � CDF PARCEL PD HD SUE 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 lin 47 PERMITEXPIRESON �f✓ (Date) Receipt No. IN&K 190881 WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ."s'�F+=fi _ •.tMi�i«jb:•(�' .'yy�1�;..�li' y�.'��,��ry?�'a7�i.�k:.�t:�'+'.'<'�+�^l"++Tf+',n•+/Y�'�: �ii`�7:;tL.:-.yl�Li*v:?%•-,r'-*u--- r � 1 COUNTYOF BUTTE -DEPARTMENT OF DEVE _` QPMENTSERVICES -BUILDING DIVISIO 7 COUNTYCENTER DRIVE - OROVIlj_E, (;gLIF�ORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER 1 P. No. 0;, P 'o4Q_ 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: DATE RECEIVED BY 1. All items have been submitted . ................ ..................... . ` 2. Plot plans, 3/4 sets, signed by pireparer 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. .......... ye c Engineered truss details and layout in duplicate (required prior to pl check : 9 Mobilehome a a d anufacturet's installation instructions, 2 set . h. >� Fees of $ :+....... . 14 Impact fees as shown on attached schedule?..... (o ,. 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 . ........... . s „ 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. ........... o- 19. Driveway permit (construction approval required prior to"occupancy): ........... . 20. Pre -inspection for Prnanspection requ required. . to Building Inspector (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. .......... ... .. Letter of signature authorization. F17Am ..Q Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . Letter of intent on building use . ........................................ . tum Mobilehome utility clearance . .......................................... t 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 . ...................................... Plan check list . .......................... OI(Z jPV_ 2 i `N e ' When you issue the r it proc as follows: Mail to own ej. Mail to contractor. ✓ Telephone � , and hold for pickup at nrgy(I office. Deliver with inspector. Other Parcel Creation r 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 pri r to prpnit issuance: (Circle new item not checke ove). 1. Index permit for above items No. i 2. Additional items required: t� ` Contractor, designer, wne , was advised of above required data by 9_O phone _ mail Counter by G Date S/ -3b•% Contractor, "designer, owner, was advised of above required data by _ phone _ mail Co .3rby _ Date Plans checked by �-r� !I t3a�.rS Date y_3o-q6, Plans approved by Date�� Sets of plans on hold in File cabinet Z AP folder Copy - Department of Public Works 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 pro o d property improvement YE .] - NO[ ]. )�2. 'IHA _ 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: e& SOCIAL SECURITY NUMBER: DATE: ` J- r� 6 !f �✓ 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 -.1 Dear Property Owner•;. An applicatillon 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 otter costs) is $300 or more for the entire project, and such persons are not licensed as contractors orsubcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security takes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific Service (and, if you obligations under Accidents. If the structure perform their work peh( under limited conditions A frequent pra building permit, errotie( personally. Building pier work personally. Informationb, Board in your commu�'t Please complete that you are aware of NOTE: This information about your obligations under Federal Law, contract the Internal Revenue wish, the U.S. Small Business Administration). For more specific information about your State Law, contact the Department of Benefit Payments and the Division of Industrial is intended for sale, property owners who are not licensed contractors are allowed to sally or through their own employees, without a licensed contractor or subcontractor, only of unlicensed persons professing to be contractors is to secure an %w-terbuiider' implying that the property owner is providing his or her own labor and material are not required to be signed by property owners unless they are performing their own ut licensed contractors may be obtained by contracting the Contractors State License or at 1020 N Street, Sacramento, CA. 95814. the "Owner Builder Verification" on the reverse side of this form so that we can confirm e matters. The building permit will not be issued until the verification is returned. S*nc/l rel , ,) ' ` Michail C. Vieira, C.B.O. Manager, Building Inspection guilder Information is required by Section 19830 of the California Health and Safety Code. OVER l COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSORPARC0.NU ER ZONING ._. BUILDING PERMIT OWNER r i S TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNT; �SMAILING ADD - CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIOJOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 03.&0 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS �J J PERMITFEE $ _0 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeOther SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilites ❑ Installation Other ❑ Describe Work: — ^' Mobile Home IS I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20.00 Main Service eoov OR LESS ( 20.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 OCCUP. OR ( a BLOB. ) SO. 3.5¢ FT. CN NEW CONSS T. MULTI-TI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) BAzL @ I.Lw L .50 Ex. Occup. ( OUFIXED APPLNS. TLETS (R D.)EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE S Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X 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 $ Qo Energy Inspection Fee $ occ CONST. TYPE❑ TOTAL FEE $ 1 —� HA D. FEES IMP FLooD COF PARCEL PD HD IssuE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date //lan1 receiptNo. p lrc_n n C o n reN eov_eCC FC Cl1G PINK.INCP;:r.TOA rrl1 I"IrMA 11-APPI Ir:ANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVI N 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7 PERMIT NO. (Rev. 12/96) APPLICATION ANDPERMIT g$- S T2NR C�NVV� ZONING A5 IF BUILDINGPERMIT OMLINE GOFF TELEPHONE SO. FT, OCC. BUILDING VALUATION O= IM8TMIE DR., OROVILLE CA 95965 CONTR TV'S NAME .-. -�. L� �_ TELEPHONE VWIVL,LC CONTRACTORS MAILING ADDRESS f CQNB,TION LENDER I /y q (�• ' LENDER'S MAILING ADDRESS I yl /O-/Li7/C/ ANON ORENGINEER I � (� � i LICENSE NO. ARCHITECT OR ENGINEERS MAILING ADDRESS _ J ---� " - Fireplace Total Valuation $ Flirt Fee $ 20.00 Permit Fee $ Plan Checking Fee $ %uIrtMTONE DR., OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ X3Qther 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 ❑ Ulilifies ❑ InstallationX6 Other ❑ Describe Work: COMPLETION OF WORK STARTED UNDER INY #96-0340 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 ome S G W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 800V OR LESS Main Service 20.AORLESS 23.00 LICENSED CONTRACTOR'S DECLARATIONMain -� 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 I_?�aw for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Service 200A TO +e00A 46.00 NEW CONST. ( DWELLING OCCUR OR 3.5Q F°; I CQ ACC. BLDS. MU NoµRESID. C @7.50 BPOSINWERLEIJTAPPARATUS GOLE7 CUR. Ex. Occu OUTLET oRFUTURES 20 Q'•0° eAL @ .50 Ex. Occu ..ED S A=ID °E'. 5.00 Tempor�ry Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 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-. Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed If the permit is for work of a valuation of one hundred dollars ($100) or less.) r 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 omply, with tl s provisions. / X 4 1Date 02� Signature f Applicant - Owner Contractor 13Ag nt 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 $ D �� IMP FLOOD CDP PARCEL PD HD ISSU This permit is hereby issued under of the Butte County Code and/or indicat bove for whic ees h By PERMIT EXPIRES ON the applicable provisions Resol tions to do work be paid. 7/10/98 ate 7�10�99 Date Receipt No.244455 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR , GOLDENROD -APPLICANT 1 OWNER -BUILDER VERIFICATION Attention Property Owner: Aa "owner -builder" building permit has been applied for in your name and bearing your signatime. 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. I personally plan to provide the major labor and materials for construction of the proposed property i7rovement: YES, NO 0 2)I HAVEHAVE NOT 11 signed an application for a building permit for the proposed woth." 3. I have contracted with the following person (firm) to provide the proposed constuction:.:.:. - _ NAME.- - - - _ ADDRESS: 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: / PROPERTYOWNER: '771a`r.,�c�. SOCIAL SECURITY NUMBER: - DATE: _ y A9 G2 4Q - -- NOTE: "This Owner -Builder Verification is required by Section 19831--d79 32 f1hi_ California Health and Safety Code. This verification must be -completed and returned to our office before we are permitted to issue the permit. Dear Property Owner: An application t improvements specified. For your protect a permit. Building permit own work. if your work liability if that person ap Contractors are license from the ciry or cc apply. If you plan to d( be aware of the following ♦ If you employ or od and other costs) is subcontractors, thea ♦ If you are an emph subject to several i Workers compensat ♦ There may be finan( with respect to wor ♦ For more specific in if you wish, the U.S State Law, contact, If the structure is its work personally or thr conditions. A frequent practi permit, erroneously imp permits are not require Information about community or at 1020 Please complete it are aware of these mai OWNER BUILDER INFORMATION . I a building permit has been submitted in your name listing yourself as the builder of property )n, you should be aware that as "owner -builder" you are the responsible party of record on such are not required to be signed by property owners unless they are personally performing their s being performed by someone other than yourself, you may protect yourself from possible lies for the proper permit in his or her name. 'equired by law to be licensed and bonded by the State of California and to have a business unty. They are also required by law to put their license number on all permits for which they your own work, with the exception of various trades that you plan to subcontract, you should information for your benefit and protection: :rwise engage any persons other than your immediate family, and the work (including materials 5300 or more for the entire project, and such persons are not licensed as contractors`or you may be an employer. yer, you must register with the State and Federal Governments as an employer and you are 3ligations including state and federal income tax withholding, federal social security taxes, . )n insurance, disability insurance costs, and unemployment compensation contributions: at risks for you if you do not carry out these obligations, and these risks are especially serious er's compensation insurance. ' )rmation about your obligations under Federal Law, contract the Internal Revenue Service (and, Small Business Administration). For more specific information about your obligations under re Department of Benefit Payments and the Division of Industrial Accidents. A for sale, property owners who are not licensed contractors are allowed to perform their their own employees, without a licensed contractor or subcontractor, only under limited of unlicensed persons professing to be contractors is to secure an "owner builder" building ging that the property owner is providing his or her own labor and material personally. Building to be signed by property owners unless they are performing their own work personally. sensed contrac!grs may be obtained by contracting the Contractors State License Board in your 'Street, Sacramento, CA. 95814. "Owner Builder Verification" on the reverse side of this form so that we can confirm that you rs. The building permit will not be issued until the verification is returned. __ 4icy, l C. Vi iia, C.B.O. r, Building Inspection NOTE. This Owner -Builder Informatlon is required by Section 19830 of the California Health and Safety Code. OVER f I 1 ■ ■ Fore® urgent u 07 Date . Time Z r While Bu M er OUt Qss�e� Of Phone — U 7 OZ AREA CODE NUMBER EXTENSION Telephoned Came To See You ❑ Returned Your Call ❑ Please Calle Will Call Again ❑ Wants To See You ❑ Message pr,�La C i c7s1d ,� %2 r" " Signed'If 9711 ru ADAMS BUSINESS FORMS COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORREd-TION .NOTICE s. OWNER _ c PERMI O. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, Please contact this office immediately. A 90 49 I Post -it® Fax Note 7671 Date ? 9 Q� pa°gest To /�� e w FromA Ida • V Co./Dept. Co. Phone # Phone # Fax # _ Q� �i/ Fax # DF2�. Inspecto REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION ,. 7 County Center Drive - Oroville, Catfornia"65965 - Telephone (916) 538-7541q PERMIT O. APPLICATION AND PERMIT ASSE "° B ��lb—M E602 ZONING A5 BUILDING PERMIT VIZ °WNfTOLINE GOFF TELEPHONE 3945 SO. FT. OCC. BUILDING VALUATION '11rL NE DRIVE OROVILLE CONI � NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation Is LENDER'S MAIUNG ADDRESS Filing Fee $ Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ 23.00 ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Energy Plan Checking Fee $ Penalty $ BI,ILD�NDDUNSTONE DRIVE OROVILLE PERMITFEE $ 23.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23,00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome 11R( Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: MOBILEHOME UTILITY/1 BEDROOIJ Mobile Home S I G @20.00 40.0 PERMITFEE g 60.09 Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service ( eoov zooA oR oR LELEss SS ) 1 23.00 23 . 0 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 on ) 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. 1 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 OCCUP. SO. OR ADDNS. ( 8 ACC. BUDS. ) 3.50 FT. NEW CONST. / MULTI.OUTLET NON-RESID. \ BRANCH CIRCUITS ) 97.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) EX. Occup. ( OUTLET OR FORURES ) BAL 20 @ 1.0050 FIXED APPLNS. OR EX. Occup. OUTLETS RES D.) EA ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 43.0 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE s Contractor Policy Number (rhe 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 _ Sign4t re of Applicant - O ❑ 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 is OCC CONST. TYPE TOTAL FEE $ HA2. D. FEES IMP FLOOD CDF PARCEL PD1HD SU 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 PERMITEXPIRESON 7 (Date) ReceiptNo. % c�t I WHITE-D.D.S.-B.D. CANARY -ASSESSOR I K -INSPECTOR GOLDENROD -APPLICANT a:T,,,,w ,n,,e..,-t:�t/�*�[:•..,r.�u'sc,�,i..rmr'X,R�ey'k�j�g�,�QY'�i:-r'�+•+�+?'�k�.�i3►�►a'"'tr,"irA7'PJ+'rni»ii��1Y:+f•,r�i+!''*++a'"►e';�..+aw,' +iN:3; we + r. 'COUNTY OF BUTTE -DEPARTMENT OF DEVELOPiVIENT SERVICES - BUILDING DIVISION J, -. f ; 7 COUNTY CENTER DRIVE - OROVILLE, CAtIFORNIA95965 -TELEPHONE (916) 538-7541 ' t PERMIT APPLICATION DATA SHEET i ' OWNER Proposed Building Use Building I EWE 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 . . Plot plans, 3/4 sets, signed by preparer of plans. . E , 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). .... Mobilehome at d manufacturer's installation instructions, 2 sets. . Fees of $ . ................. GL Impact fees as shown on attached schedule. . .. . California Department of Forestry plan approval es. 5�./r...rl .-.I�. Vis.... Crz . Flood elevation letter (100 year flood) by California Engineer. ................... ' . 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............... �y 17. Planning approval for (A) Use: (B) Parking. . ........ Contact Land Development about (A) Improvements (B) Drainage. ..........:•. 9. Driveway permit (construction approval required prior to occupancy). .... Fre-Inspection reque—' Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... ` wner-Builder Verification (Given to owner , Mail to owner ...... 4. Recorded copy of Agricultural Acknowledgement Statement .................... Letter of signature authorization . ..................................... . . 26. Copy of recorded deed of parcel creation and 6.0 right of way to a public road. ..... 27. Letter of intent on building use . .......... .............................. yr 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.............. ..... 30. Documentation of 50% subdivision developed or (A) Road improvements completed I and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing -violations/expired permits . ......................................... 29 Plan check li t'N., .... ` W u issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation i y Acreage Applicant 2gL\`P Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date i Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to rmit issua 1. Index permit for above items No. 2. Additional items required: 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 G I t3 B an15 Date 3" Sets of plans on hold in File cabinet > AP folder Copy - Department of Public Works E.H. USE ONLY Floor Lel Marl PI Sca to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner Location 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 2/01) s -f -7s Date - COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California"95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER H2O _O �O Z zD a BUILDING PERMIT OWNER M69 /( / O �V T ° SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS /� D 44I (� CONTRACTOR'S E �/v TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Fling Fee $ .00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS77 A� ,v PERMITFEE $ 2 .3, PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'SNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ MobilehomeOther SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: :;_� / V �l Z_ 27y D� Mobile Home S G @20.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service E00V OR LESS ( 200A OR LESS ) 23.00 , Q 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 6 ACC. BLDS. ) So. 3.50 FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS (8 SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FD(TURES) 20 Q 1.00 BAL .SO Ex. Occup. FIXED APPLNS. OR p (OUTLETS (RESID.) EA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation 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.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall 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 Is OCC CONST. TYPE n a �T�OTALE $not HA2. D. FEESCDF PARCEL PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) rReceiptNo.: 1f ��C (O ITE-D.D.S.-B.D. CANAR -ASSESSOR PINK-INSPE OR GOLDENROD -APPLICANT J 96-0158381 Rec Fee 9.00 I COP 2.50 Recorded I Cash 11.50 Official Records 1 County of I And when recorded mail to: Butte I Building Division Candace J. Grubbs 1 #7 County Center Drive Recorder I Oroville, Ca. 95965 12 : 24pm 29 -Apr -96 I PUBL XX 2 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT 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 odor. Butte County has established agricultural purposes and residents within said zones -and on adjacent property should be prepared to accept such inconvenience or discomforthrom normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: Date: 7` PROPERTY OWNERS: State of California ) County of On y�`� ) / T l before me, _J&L��illllff /Id. —Alee personally appeared — ` ersonally known to me (or proved to me on the bads of satisfactory ence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signatures) on the instrument, the person(s) o,t on behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official seal. UCr 0 yp�e9 s Z Signatu ; � Seal: �p o Ts.� 07�/FOPN� fi ,y'y, N A.P.# LEGAL DESCRIPTION A.P. ##028-200-002 PARCEL l: The Southeast quarter of Section 12; Township 18 North, .Range 4 East, M.D.B:&M., containing 160 acres, more or less. PARCEL 2: Commencing at post in half section line North 89 deg. 49' East, 2,031.45 feet from the United States Survey quarter section corner between Sections 7 and 12, Township 18 North, Ranges 4 and 5 East, M.D.B.&M., running thence along said half section line North 89 deg. 49' East 660.01 feet to a post; thence North on subdivision line 330 feet to a post at subdivision corner; thence North 89 deg. 26' East along fence on subdivision line 840 feet to a post; thence South 330 feet to a post; thence South 42 deg. 00' East 660 feet to a post; thence South 57 deg. 30' East, 565 feet to a post; thence South 17 deg. 00' East 300 feet to a post; thence South 34 deg. 00' East 1000 feet to a post; thence South 747.81 feet to a post; thence North 89 deg. 50' West 3053.51 feet to a post; thence North 0 deg. 15' West 2638.50 feet to a post at the point of commencement, containing 161.891 acres, according to official surveys of B. L. McCoy, State Licensed Surveyor, December, 1917. PARCEL 3: The South half of the South half of the Southwest quarter of the Northeast quarter; the Southeast quarter and the Fractional South quarter of Section 7, Township 18 North, Range 5 East, M.D.B.&M. EXCEPTING THEREFROM the following described parcel of land: Commencing at a post in half section line North 89 deg. 49' East, 2,031.45 feet from the United States Survey quarter section corner between Sections 7 and 12, Township 18 North, Ranges 4 and 5 East, M.D.B.&M., running thence, along said half section line, North 89 deQ. 49' East 660.01 feet -to a post; thence North on subdivision line 330 feet to a post at subdivision corner; thence North 89 deg. 26' East along fence on subdivision line 840 feet to a post; thence South 330 feet to a post; thence South 42 deg. 00' East 660 feet to a post; thence South 57 deg. 30' East 565 feet to a post; thence South 17 deg. 00' East 300 feet to a post; thence South 34 deg 00' East 1,000 feet to a post; thence South 747.81 feet to a post; thence North 89 deg. 50' West 3053.51 feet to a post; thence North 0 deg. 15' West 2638.50 feet to a post at the point of commencement, containing 161.891 acres, according to official surveys of B. L. McCoy, State Licensed Surveyor, December, 1917. PARCEL 4: The Northwest quarter of Section 17 and Northeast quarter, and East half of Southeast quarter, and Northwest quarter of Southeast quarter, and Northeast quarter of Northwest quarter, and North half of Southeast quarter of Northwest quarter and Southeast quarter of Southeast quarter of Northwest quarter of Section 18, Township 18 North, Range 5 East, M.D.B.&M., containing 510 acres, more or less. A.. J I . . V (2) O 130AC 4) 'oXS.S I Z I � 3 •Z i 160AC. A 3976.08 5319.0 .81ACI 13.67Ae=, 16.44AC 91 98 31. A@ I2 1154 r 4 42 1 4/ 79 1 13.38 Ac 85 92 FR J U8.*O 9 .9.63Ae I 126 48Ao 45N 2 34.38At= @93 7 18.06 OI t o 82 a 97 6 99 86� 83 84 6 81 8 49 23.26 O I Ae 8.97JPc 8.76Ae3 o A.. a Ac I7.68Ao 0 Ie.s3Ae= /7, 5/ 52 53 �0 O 0 89 90 ,/9 I6.8IAe @ !18 1�t388Ae 3. 2 7 5372, 30 �- 0 + 4 IOAc ' I i 9 IOfc 121 0 L/1 IAA- ./')7\ I•. `ORDER .NUMBER® 1 "� O 9 jl REG 9-U.? INCIDENT NO, STAQT MO. DATE YEAR COUNTY Ea679r i' FIRE NUMBER FIRE NAME, 0 RE1 FC -1180/6m 1 + '4 s �� I 2 ORIC'slM LOCATION j t x• K � SEC' TOWNSHIP RANGE �N E� . aS ❑W — — 3 I CInmu 4YPa I ACRES �� !![ t9I Y�aYlOffd' [�URWED ' FIRE ❑ FALSE ALARM -GO TO 8A 17 fr BLOCK 1 S t { • :. c. DIRECT a '� f >< AGENCY PROTECTION 8 r! ACRES BURNED ACRES BURNED 4A RESPIOMSIBILIYY 46 TYPE V STATE ZONE STATUTORY �. CDF O TIMBER O ❑ WILDLAND BURNED OR THREATENED " RESPONSIBILITY g OQ ND O CDF LOCAL,Govt. CONTRACT (oi ' AT ORIGIN) "' WOOD UNPROTECTED ❑ STATE OTHER 0 Q ASSIST 'OTHER AGENCY (Not 'Cty) ❑ U:S.F.S. :' BRUSH LOCAL ZONE , fi TOTAL ❑ .B.L.M. 1 GRASS © ❑ CDF - LOCAL GOVT. CONTRACT 0 ❑ ASSIST OTHER AGENCY (Not 'City) } Q OTHER FEDERAL , •` ` AGRIC. ?�" : PROD. - FEDERAL ZONE ❑ OTHER .. 8B .:n•,. CDF 0 ❑ ASSIST FED. AGENCY'(" Mil.) °. g SIZE CLASS TOTAL ❑ CDf.'LOCAL GOVT. CONTRACT" . MISC. AND OTHER x gp ''ys%y Q9 is <yySi<' i Y ❑ ASSIST CRY,' CONTRACT CO., Mll, OTHER' `; ❑ A .25 ACRE OR LESS ATUT. j ! RESPON. O ACRES BURNED L�S� ( ti ❑ B .26 -9 ACRES OF 5 STARTS IN 11 2 © OR 8 ONLY) }^ C 10-99 ACRES STATE Q UGHTNING, Q. DEBRIS ❑ PLAY W/FIRE r: ❑ ❑ CAMPFIRE ARSON : ❑ / OTHER MISC. V ❑ D 100-299 ACRES U.S.F.S. Q SMOKING EQUIPMENT j: } >, ❑ E 300-999 ACRES B.I.M. 6 LAND USE (STARTS IN.: 1 2 5 R'gq m'ONLY) >.. ❑ F 1000=4999 ACRES B.I.A. DOMESTIC Q FOREST INDUSTRY RANCH FARM �, Q RECREATION ;x , Cl ROuM4� ❑ OTHER INDUSTRY-COMRCLl Cl ❑ WILDLAND 0 UTILITY, RAILROAD ❑. NON-WILDLAND Q UTILTIY, ELECTRIC OTHER 7 DARUG� (. 1 OR f 8 ONLY) S' DAMAGE . .. Number -R off to Pd e iom 1 2. &%or 8 5 TIMBER 8/OR . YOUNG GROWrii- _ WILDLAND VEGETATION ' Other than T'A Y G AGRICULTURAL "PROD j Other than `T& Y O DWEL GS &/OR ON a oR � corrterrrs` OTHER STRUCTURES &/02 CONTENTS VEHICLES 3 CONTEERS; OTHER. TOTAL S I . ' .. S�ODCi MILES DIRECTION ❑ G'5000 ACRES OR MORE A B.O.R. ;z }N A OTHER it tai a l FED. h, fin. .ry ON ARRIVAL (Q VEGETATION FIRES ONLY) 9 SIZE IDISTANCE (Origin to heat ACRES FEET WEATHER ESTIMATE AT SCENEI WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE 'M, 10 OVER PLEASE CDF7540.13"I i S i r _ 01039-366 0-03 1009 08P r ® ROM � ❑ IN: NATIONAL FOREST, FIRE 01ST., CRY a STREET , N _� ,r! a r ETC ❑ G'5000 ACRES OR MORE A B.O.R. ;z }N A OTHER it tai a l FED. h, fin. .ry ON ARRIVAL (Q VEGETATION FIRES ONLY) 9 SIZE IDISTANCE (Origin to heat ACRES FEET WEATHER ESTIMATE AT SCENEI WIND SPEED (M.P.H.) DIRECTION (FROM) TEMPERATURE 'M, 10 OVER PLEASE CDF7540.13"I i S i r _ 01039-366 0-03 1009 08P 10&RDER NUMBER R EA , G. 11-2--1 Entw 1ST. FIRE STARTED INSIDE C R.U. INCIDENT NO. YEAR ,, 1 09 -OUTSIDE e94 /�, k GO TO 12 ..nom v.v� •�••� - 1' PERSON, HOURS V V � LWI\VV1: 11 � �� ______- PERSON AIRCRAFT flT. HRS. KEW #x.171 LOCAL FIRST REPORT mm H,1 �i L;4 ( i. SITE SECOND REPORT �( `l NAME: FIRST ATTACK BY CDF I I I 07Ul, FIRE CONTAINED REW OVEKMEAU Kt VKlu STATE & LOCAL GOVT. CONTR/ CT W FLAME I r ORGAN- IZATION PERSON, HOURS AIRCRAFT FLT: HRS. CDF STATE 8 LOCAL GOVT. CONTRACT CREW NAME ORGAN- IZATIONHOURS PERSON AIRCRAFT flT. HRS. KEW #x.171 1 �i L;4 ( i. 1 , `l ; I 1: CDF OVERHEAD TOTAL. FIRES. ENTER ON 1 2 8'Y`s3'• TOTALS BELOW � '� , ~ ::;c3:v^•: • 'ft•,�. >.. h ;,.,'dI„:o•;� _ U.S.F.S. (Ind. Owrheod)' TOTAL '! OTHER FEDERAL (Incl. Ove&w4 TOTAL FIRE DIST. b OTHER .LOCAL TOTAL v PAID HOURLY (E.F.F.) TOTAL VOLUNTEERS pWo4 TOTAL j ❑ FC -18B (Additionol crew ottivity) ATTACHEp I ORIGINAL REPORT R'Y: APPROVED BY: TITLE DJE INTI. DATE 7 �l e 3%s MAP IS: ONE SECTION C]FOUR- SECTIONS j E] MAP ATTACHED #x.171 1 �i L;4 ( i. 1 , APPROVED BY: TITLE DJE INTI. DATE 7 �l e 3%s ------------------------------ Ge (P/OJ 2� —7 — TO 2� Zo oz s��vDs