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HomeMy WebLinkAbout030-132-020 30- 32,7� H. KRISS` 3 � 1290 12t , St . , 0rovi`l�e Contr: Huggitt Electric P rmit_#6819-76E(ele ser ch) SF__ �30-132-20 � Wnwwpp 1290 12t s Orovi11e / ..- Permit#415-83B,` ele ser ch ,& repair fire damage/SF) F�_ —132-20 Permit#856-84B 4t renewal/415-83) ler 30-132-20 Permit-85B,E(2nd renewal/415=83 & com 2t- -rewire)SF- • - - > ._30-132-20 ROBERT M. SCHAEFFER] 1290 12th St, Oroville Permit#2001-86P E(util, MH) e�-7 ELEC b --z6a W jt� 6 GAS No%/�d si?'�c.eZoo SUPPORT STRUCTURE REQ "0 COMPACTION TEST -REQ ne o Permit#2491-86B,E new30-132-20� ( gRrAge) /%e/a-� 30-132-20 Permit # 255O -:-86 `I. Issued �� 7 �(w F pelf� 030-13-2-020 99-0112 B;E,M BELL,: Rex 1290 12th St, ORoville (new cabana/MH & B MH 030-13-2-020 BELL, Rex 99-025? B (dem 12th St, Orov• lee �� l (dem2 90o SF &. barn)m ex I�� , I 1 f , 1 cia Ir A-2 2491-86B,E PErRMIT NO. -�:� PERMIT EXPIRES ROBERT M. SCHAEFFER OWNER owner CONTR. ASSESSOR PARCEL 30-132-20 LOCATION 1290 12th St, Thermalito Temp. Power Pole-_. _---- Called PG&E Temp. Elec, Service Called P Temp. Ga$ :$E Cal led P JOB FINALE Signatur = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -81 Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK _.NdtApMicable RESIDENTIAL (Singrle and Duplex) = Not Ready Date UND FLOOR (Plans) OK except H's Date FRAMING (Continued) Of Zoning requirements-Setbacks_Easements 2. Ft Main; Soils-Steel•-Efec. G7nd.- / /" Ftg. 50. Ftg., Garage; Soils -Steel- / IZl' Ftg. Depth _ 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. C 5. St mwalls, Main; Steel-Blockouts-Wrapped-Slab Fixture & Transformer Clearance -Ins_. Protection Stemwalls, Garage; Steel-Blockouts-Wrapped-SJrsb- 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.:-Fall-Fittings-Test-2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums &_Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Dateg , Card -BI Date - Card-BI Date Card -BI Date Date 12 PLUMBING (Permit) OK except q's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection Service -Riser Conductors & Ground -Main Disconnect_ Shower Pan: Test, First Floor -Tub Access 18. Z19. Z. Test Tub & Shower, 2nd Floor -Tub Access Gas Pipe: Size & Anchors Card -BI Openings Date _Card -BI Date Card -BI 50. Date Card -BI Date Date ELECTRICAL (Perrrit) OK except N's 52. 20. Fixture & Transformer Clearance -Ins_. Protection S reed-Fdn. Vents-Underflr. Access_ 54. Elec. Receptacles Spacing -Lights _&_$.witches at Doors 55. 1/12. Size Boxes & No. of Conductors -Stapled PIT. Romex Installed Close to Edge of Studs & C.J. Card -BI -1. Equip. Ground made up w/Meth. Fasteners -Bond Gas & Water Date Card -BI Date 25.'--?-*PPttMTC7'ncuits in Kitchen & Conductor Size 26. Subfeed Wire Size //1 / ga C r AI-A.C. Wirip, " �or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, . Insulated Neutral Yes -'No - 28. Service -Riser Conductors & Ground -Main Disconnect_ 29. Equip. Clearances: Panels -Motors -Meth. Equip. 30. Clothes Closet Light -Shower Light Card B -I DaIeg� � 1Card-Bi Gard B -I V Date Card -BI T Date Date,MECHANICAL (Permit) OK except q's 31. A.C. Ducts. Insulation & Support 32. Vent Fan: Exhaust above Insulation 33. _ Condensate Drain & Overflow: Size _& Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet _ 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Date FRAMING(Plans) OK except Ws 36. Sills, Proper Material & Anchors t� Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound _ L38r Bearing Walls over Girders & Floor Nailing op in Wa (rat proof) 40 ps=Furred 6ea7ings-Stairs_Ghas_e_s_T_ub_ ____ 1 Header & Beam -Size & Bearing 42. F-6aryb-.9rtchors-Connectors 3. Cing. Joist-Rftr. Ties-Purlin-Roof Brat.-Truss-Shthng.-Rfng. a e A Flue -Fireplace Throat 45 s: ize & Romex Protection -Draft Stop -Ins. Baffles 46. ing Doors -Sill Hgt. & Dimensions 47. G- rotecl on Framing 48. Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. - eadroom-Rise-Run-Landing-Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52. - eer 53. S reed-Fdn. Vents-Underflr. Access_ 54. G4az+4g-Asea-Gr4ess Protection -Skylights -Plastic 55. Sh '"a14^fling-Bolts Card -BI DateZ % Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's L-515 Ext. Steps -Door & Sidelight Protection -Landings 57 o e e 58 ce; encs- learance-Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 5 m xiting 60.: .I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Fireplace or Stove; Clearances -Hearth 64 anal; Int. & Ext. 65. rnd.-Air Gap -Cooking Clearance 66Eler- nulletc & Bereptacles at Kit. Counter 67-. g -Landing -Closer 68 - per 69. a -Comb. Air-Connector-P.R.V.- In age; Above Floor -Meth. Protection p. Lis or ation Elec. Receptacles in Garage ( F omex c. 72. - d in Yes 73. truction- Post Caps 74. . le Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 75. Following instld. rive Yes [j No; Walks ToeTes ❑ No; Planters P<es ❑ No 76. 77. Irnces-Brkr. & Cond. Size -115V Outlet 78-Appliance-Firepl -Clearance to Opngs 79... nnec, ectrical, Plumbing 80. m; Receptacle -Underground 81. se r 82. - - 83. Inspections 84.- - ged; Gas -Electric 1 85. - nnec ed -C/O to Grade -HD Approval 86. ompliance Certificate -Other Certificates Card -BI Dat Card -BI date Card -BI Date Com: tents at Final: (NOTE: An entry must be made each time youvisit jobsite) Date Date Date COUNTY OF BUTTE - DEPARTMENT 0r PUBLIC WORKS PERMIT 90. 7 County Center Drive - Oroville, Califqrnia 95965 - Telephone 916/534-4541t) �/ l,� APPLICATIOW AND• PERMIT ,45 E SOR P/�gCF.,L NUMB E Q ~ ZONI G BUILDING PERMIT ow R TE H DIN E SO. FT. OCC. BUILDING VALUATION OWN AI(}.�Jf`1G ADDRE S / c` ov C�TRACTOR'S^NAME i Y TELEPHONE CONTRAC OR'S MAILING ADDRESS Fireplace CONS RUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 Lt1TDffRy MAILING ADDRESS Permit Fee $ AW;,CT OR ENGINEER /CHI LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTYPE SF ❑ Duplex❑ Mobilehome❑ Other PVt"J SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New Addition ❑ Remodel ElUti lities ❑ Installation ❑ Other ❑ Describe work: _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneS$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. OR ADDNS. ( ACDWCLDGS ELLING O , . B�20Sq ft t NEW CONSTR ULTI.OUTL T 2,50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200Sot e AL030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Bute Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject y� to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter pon the above-mentioned property for inspection purposes. 1 also agr t save, indemnif and keep harmless the County of Butte against all liab' ie ju gments, cc s, and expenses which may in any way accrue again sai Co ty ' n e •e of granting of this permit. Signature of Applicant Ovn11�Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 1tl OCCUP.CONST. m/1 fi YPEJ v I FLOOD P RCEL PD ND Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE C R OF PUBLIC By PE 50T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ��� Receipt No. WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-271 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise— Phone: 872-6307 COJECTION NOTICE .D )WNER komroA am A routine inspection indfcates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector (� �? , -� L/ .9 . Date V ' 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLICIWORKS - BUILDING DIVISION \/ 7 COUNTY CENTER DRIVE - OROVILLE, ©A-,IJRODNIA 95965 - TELEPHONE: 9167x3 541 r PERMIT APPLICATION DATA SHEET _ �((�� r Permit No. OWNER go eY t- V��CtC) E� ✓� A. P. No. 30 �� �- Proposed Building Use Y F Permit Fee Based Upon: Complete Contract P Ice X DPW Valuation Building Inspector At time of rmit application, I was advised the following data must be submitted prior to permit processing and/ori uance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and talcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 1.5 ; Improvements may be required. . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . - 17. Pre -Inspection for Required- BuildingPre-Insp request to (Dote) p q Building Inspector 18 ~:Recorded copy of; -Agricultural Acknowledgment Statement . _ 19. Other) Wh n you issue the permit, process as follows: -'�� Mail owner. Mail to contractor. Telephone r5 *?4 -9/0—and hold for pickup at Kn office. Deliver w/inspector... Other VA� ZZApplicant Date Copy of plans sent Health'Dept., ` Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time, of application, circle item') 1. Index permit for above Items No. 2. Additional: items required: 'r (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other r By Date Plans checked by Date Plans approved by Date ✓� '1_ Other: Copy—DPW COUNTY OF BUTTE - Depa'rtmene of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) UE� signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: - Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervis.e, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: C / Property Owner Social SecuritNumber Date -�10 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. _ T set of plans and specifications MUST be: �~ �Cept o the job at all times and it is unlawful to LOA- _S 'make a y changes or alterations on sante wi � thout� f.._ '. -' _-•�- - r ; written permission from the Department of Public,- Works, County of 8u _. NOTE, --All Materials & anship S all 3 Accor4n6e with', Recognized Good' Pro tices n o 'taf a quality prescribed for Sppecified se %ham I ' ' Uniform Building, Plumbing & l echanical as a I the Natio><al Electrical' Code. A setback of 5' ft. from the i property lines and a setback ��. -- of 50ft. from the road centerline shall be clear of ' . structuress or equipment except. , for a 2 ft.'eave overhang. � e—LAMU - A. _..1--- -L 1 O ' ! :A permit .will be required for ah —�- _ . - •-------: --, - ;_ - _-� .:....in ileo i Ap _ _ �� �' �� o� BUTTE COY ;. I i I Jn • - ' � ! , -j--*—,-J-JrE--r�:_ •__y �..e-_.+_.d _yam r '_. � .. � ... (� 9A, . T '" -_ia90 -� ._ is _,. t ((y + ,,j" i... i ftp, UA6t`1i'U FjiG 1,04, :i1,S.�)h.#�'�IS.lT•3'�;Jt� L' ':.^�4�jc3�;�; «iP.:' G' ► h°.�, �C-»t� 4S�'t.G t�`r+47 ' ?..«�1��".t�o" UA)s LP'Ft;, ' twl r:l• 4 i.. ir1{i 4; �.if ,3 �j: -F. QL L41t1'i:t»�{bilZ ♦� d�T' i+t.t.� :A t: ri .+,rt."•{ti! ;�J - - --- ---- --- -------- r PP 036 -)� -,,? -6,7o-6 oje, I ,,jD6y 2q/ I lc� T -149 bracing. BUTTE COUNTY BUILDING DEPARTMENT APPROVED In 1, 1 RESIDENTIAL ' 030-13-2-020 99-0112 B,E,M BELL, Rex 1290 12th St, ORoville (new cabana/MH)B &B MH PERMIT NO. - -- 6 zJ-0 PERMIT EXPIRES OWNER •art CONTR. ASSESSOR PARCEL j LOCATION F 47 CHECKED BY SRA'- FLOOD. CERTIFICATE REQ. ' FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY Temp. Power Pole Celled PG&E a. Temp. Eiec. SOMce Called PG&E F Temp. "Gas Service Called PG&E J013 FINALED (Date) % Signature --,:- .. �.-..-.n�na•...,ee,R.,- � uc:--,�..:,.�.�7R'-r.nl'>R'!'-w+w'.,w, 1, ".�v�*''-.. _ _, z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION „•; 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541, PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER O . ZONING BUILDING PERMIT OWNER - TELEPHONE SQ. FT. OCC. BUILDING VALUATION 300 16,200 OWNER'S Ir1AILINGiADDRESS 1T I , 'R _� COM IO 'S UE 14 . - 14"r1 TELEPHONE Q CON�RAC OR MAI i;d ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 180.00 ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checking Fee $ 117.00 BUILDING ADDRESS 1230 12TH SIT, OROVIIIE Energy Plan Checking Fee $ $ PERMIT FEE $ 317.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CABANA SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK NewX❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW CABANA/MH 12 X 25 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI W @20.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..v. OR IESS 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.POWER License Class G - y % Lic. No. 7 $-/ `1 41 �' 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. lH� 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 STf f f 'Oe'w".{7 - Main Service 200A TO I000A 46.00 NEW CONST. DWEWNG OCCUP. ADDNS. ( S. 3.5Q�. NOR EW CONST. MULACC. i NON-RESID. @7.50 APPARATUS 8 SINGIF OUTLET CIR. EX. OCCU . OUTLET OR FIXTURES SAL @ 1.50 Ex. Occu . Do rs RFIXED a D) E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S in o MECHANICAL PERMIT Fling Fee 20.00 Heating VrCM I)TT . Cooling Hood 6.50 Ventilation PERMIT FEE $ S7. Policy Number / 'r y V 15' -. (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 f 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 / r7yy _ Sign atur;;�@ Applicant - El,'Owner 90Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OdC , ,� CONST. TYRE hi, TOTAL FEE,$ 382.50 HAZ. D. FEES IMP FLOCIX COF PARCEL tHD ,,. ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated 'above for whichlfees have been paid. By/�% Date PERMIT EXPIRES ON Z/t�Z�iC�d Date Receipt No. 258033 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT r1A VOK 0 Not OK -ble NotR dy MOBILE HOMES Date MOBILE HOME VTIUTiES f%m) OK mtoept #'s 1. Zcrip Requinmenb - Setbacks - Easements 2. Sad:: Special MH Support Sketch 3. Sewer Loallorrr 4. Water, Location.Needed (SkeWN 5. Elec4idty; Loa /Mrp Concrote 6. Gas; LocatiorrTedW as / /LIL / Mat or/ MIJ /LPG 7. wee Ckar - a Db=w*a 8. Utility Clearance MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK saapt #'s 1. ZonkV RequiremenbSelbacks-Eatemenb 2. Footings; Sa7sSme OepthSpacnp�omecbryst 3. Decks; Girders and/or Joist pec3n�8necr�sbirs•Rah 4. Wood Awn.: Posts-Beam*Rftrs.•Carn cbm Shthg.•Rfg.-Bracing S. Alum. Awn.; Cohmn 6. Carports: Windows -Doom 7. Ek cft 8. FmV.: Sis-AnchorsStudsfi(trs-Trusses 9. Sk&v; Naang•Venew-Stucoo#tesh 10. Root, Shthg-Roorng 11. E>Q; Sbp&0oor*J andngs 12. Braced Wall Panels gab Card B-1 Dab Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Pons) OK mmept #'s 1. SetbackwEasernents 2. Sods; Compadk SMxkn SbbRy 3. Pool Struetr>q Sbd•Ccmec*m9-Thickrw= Dead Menlirirg 4. Elec.; Recepbdes and Lfgh ft Dadarm&4WI S. Elm: Pool ligh6+Q 15Vdb4R 6. Elegy- Endosues: CordikEntiea-TertninabUded - 7. Elem: Bondrp; MOW Wffl4C rekia*kg Equip. -Healer & Elec.; Grok xka Equip. vW Ciciialing Equip. -Pod Lgh%g - b Main in Cadet 9. HealthDepartnerdApp W 10. Pkxnb.: Cir. TesbWater SW* Test 11. Ught Nk N Date Card B-1 Date Card B-1 Dabs Card B-1 Date Card B-1 Data Card B-1 Date Card B-1 Dab Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK erocsot _ #'s 1. Zomig Re*kwn tb- Setbacks Easement 2. Fool n V=4pacir*ilartisge Line 3. Gas; MH 4. E{ectiW, MH 5. Drain; MH Ted*al-Rac Comeebr 6. Water, MH Tes4Reg Ior "vmc W 7. Water and Sawa Corrected -C/O b Grade•HD Approval 8. Gas and Electricity Tagged 9. Ta DamwNp"miaeadon Cert 10. E)dts; Insp.44mich 11. Cert of Ocaipancy 12. Pent avert Foundailort Only: Ucer>,se Decal Date Card B-1 Date Cana B-1 Date Cana B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK saapt #'s 1. ZonkV RequiremenbSelbacks-Eatemenb 2. Footings; Sa7sSme OepthSpacnp�omecbryst 3. Decks; Girders and/or Joist pec3n�8necr�sbirs•Rah 4. Wood Awn.: Posts-Beam*Rftrs.•Carn cbm Shthg.•Rfg.-Bracing S. Alum. Awn.; Cohmn 6. Carports: Windows -Doom 7. Ek cft 8. FmV.: Sis-AnchorsStudsfi(trs-Trusses 9. Sk&v; Naang•Venew-Stucoo#tesh 10. Root, Shthg-Roorng 11. E>Q; Sbp&0oor*J andngs 12. Braced Wall Panels gab Card B-1 Dab Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Pons) OK mmept #'s 1. SetbackwEasernents 2. Sods; Compadk SMxkn SbbRy 3. Pool Struetr>q Sbd•Ccmec*m9-Thickrw= Dead Menlirirg 4. Elec.; Recepbdes and Lfgh ft Dadarm&4WI S. Elm: Pool ligh6+Q 15Vdb4R 6. Elegy- Endosues: CordikEntiea-TertninabUded - 7. Elem: Bondrp; MOW Wffl4C rekia*kg Equip. -Healer & Elec.; Grok xka Equip. vW Ciciialing Equip. -Pod Lgh%g - b Main in Cadet 9. HealthDepartnerdApp W 10. Pkxnb.: Cir. TesbWater SW* Test 11. Ught Nk N Date Card B-1 Date Card B-1 Dabs Card B-1 Date Card B-1 • OK RESIDENTIAL Not OK NotApplicable Not Ready EAFLOOR (Plans) OK except is e 1 elbecks-Easments-1`10 S-".-- 2- ope2 Main; Sods Ekc. Grnd. / t0. Depth 3. Ftg. Garage: SoasSteel-Elec. Grnd/ P Ftg. Depth 4. Ftp. Porches & Declts; Sa q -steel-/ /' Ftg. Depth S. Stemwans. Main: Steel-Blockouts-Wrapped 6. Sterrtwans11 . 11 Garage; Steel-Bbckouts- Wrapped 6a. Hold Downs and Special Anchors 7. 15 ! rapped F, m -Fa -place Ftg.Steel 9. D.W.V.: Fad -Fitting -Test -2 Way C/OSewer Test 1o. UP Gas Pipe; Size Archon - Yard Gas P'ipbV-, Side Test 11. Water Pipe; lii t-Anchors-RegutatorServ;ce Test -------------- 12. Electric Undergrot nd 13. P'mlwm & Ducts; Clearance -Ma ' upport-Ins- irdersSms- 15. Access & Vendation 16. Insulation Card B-1 Date Card B-1 e Card is Dab Card 11-11 PLUMBING psnn4 OK except rT1s 17. Water Hct:; V4trtt lloeessCambrrcSon Air Baine 18. Water Fipe: Test & AliewF+!ai nrobction 19. DXV4 Test Fittings &ArdwNai Pmbcdcn 20. Shower Pan: Test First Fbw-Tub Access 21_ TestTub & Shrove; SewW Fbttr-TubAccess Ow (Single 22 Gas Pipe; S'ote & Andwrs Date Card B-1 Dab Card B-1 Date Card B -t Dame Card B-1 ale ELECTRICAL Own4 OK euept ft /Fntnae &Transformer Clearance-Irm Probctim s E)ec. Receptacles Spacing -Lights & Swits m at Doom 25. Sire Bates & No. of emiuclors Stapled 2sIpstalled Close b Edge of SWds & CA Equip. Ground made ap wyYedh Fastnersr8a1rd Gas & Water 26. 2 Appliance Circttls in Kdotm & Cortductor Sbe GFI 29. Subfeed Wire Size, I / ga. Cu or AI -&C. Wire Sae I I ga Cu or Al 30. Range Circ.1 I ga Cu or AFOoen Circ. I I ga Cu or Al Insulated Neutral ales 0 No 31. Service Riser Conductors & Ground -rain Disconect 32- Equip. Clearances Panels -Motor -Meth. Epuip. 33. i6dws Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Pe(mit) OK except N's 35. A.C. Cucts Insvtaticn & Support 36. Vent can. Exhaust abc a insulaticn 37. Condensate Crain 3 0%er!cw. Size & Grade 38. Furrarce-Vent access-Cerrb. Air-Retum Air Vent 115 outlet 39. Antic Access & P'adorm if Fumace in Attic Date Card 8.1 Date Card B-1 Date Card 3-1 Date Card B-1 Date I-, FRAMING (Plans) OK except N s ' s Prcper Materials & Ar&crs t� 1. Walls Studs-Nailirg Spacing & Braces -Pates -Sound "'?"'Bearing Walls oyer Girders & Floor Nailirg v 43. Ora. SStop in Walls (rat proof) 4t, veitops. Funed CeilingsStairs-Chaws-pubs 0.5. Headers S SeamsSi:e & Bearing & Duplex) Date F3AMING (Continued) r 47/Clinc. Joist-Rftr Ties-Purfurtoff Braa-TrussShting.-ttnp. �._aa:-FaTieeptace-s or Type A Flue-Freplace Throat clearance s-- -`49. Anic Access: Size & Romer Protectkx►Oraft Stop4ns. Bales r-,-X.-Bdnn. Windows or Exiting Doors -Sri Hgt & Dmensions 51. Garage Fire Protection Framing S2. Prslmw Line Firewall S Openings 1 i5J'. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits X56 --S irVNailing Veneer 57. Stucco Mesh -Drip Saeed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Stipgt Walls: NaTng-Botts - i -SQsrace Interior I Exterior Wall Panels Infiltration-Walls-Wutdows Date S �((�` � /Card B-1 %(tom Bate earn ts-i Date I, Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft smoke Detector 6S. Ftuna learance-Comb. AirConedo( In Gara_ge:j b Fim-Ducts-Meth. Protection Exiting 67 T%EL4,Ba*t -F res & Tub AccessSpa �B�Elec Trim & Subpanel, Breaker Sizes & labels 61-%3� rance-Hearth 1. Elec. Outlets at Wood Panel, Int & Ext Ground. -Air Gap -Cooking Clearance tiwles at iGt Counter 7-land'm9Cbstue uc Inarag amper b. Air Connector-P.R.V. In Garage-, Above Fl= -Meth. Protection Elec. Uee ,Cg . Listed for Location 78_ Protection ttic 80. ost Caps Fdn. VBents & Crawl Hol: Door Drainage S Wood -Earth Clearance Looked under Fbor 0 Yes 82r-6olbwiner�® Yes fl No/Walks 0 Yes 0 NoR►anters 0 Yes 0 No rown-Finish 84.ect ElestAeal Plumbing pliance-Freplace-Clearance to Openungs t -ESectipl, Plumbing eteptacle-Underground &697VeAtila-jon Throught House LZT-Gtass Protection s inspections 91. ,Gas -Electric 92 VA . x ems• r^^^,yted-= to Grade -HD Approval 93_ fcate-Other Certificates Date c Card 3-1 Date Card B-1 Date Card B-1 Date Card B-1 Date it Card B-1 Date Card B-1 Comments at Final: ` R COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING D SION 7 County Center Drive • OCOVIIIe, California 95965 • Telephone (530) 538- 4 //P RMIT NO. (Rev. 12/96) APPLIIIATON AND PERMIT /n ASSESSOR PARCEL NUMBER 030-13-2-020 ZONING AR BUILDING PERMIT OWNER - TELEPHONE SO. FT. OCC. BUILDING VALUATION 300 16,200 OWNERS MAILING ADDRESS ST, OROVII IF CONTRA OR'S NAME' TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER l Fireplace LENDER'S MAIUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 180.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 117.00 BUILDING ADDRESS 1290 12TH ST, OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 317.00 LOT NO. SUBDNSIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other CABANA SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 1 TYPE OF WORK NeWX❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: NEW CABANA/I1:H 12 X 25 1 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 a00V OR LE:: Main Service 20.AOR. 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 C- V 7 Lic. No. 7 S/ S y S 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. er 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 i_4'2 3 V fe q — !y,sr- (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 f I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. q X Date ��'f! Sig Gioflicant - wrier ErContractor ❑ Agent An OSHA permit is req Ired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To +000A 46.00 NEW CONST. DWEWNG OCCUP. SO OR ADONIS.( a ACC. eros. 3.50 ;in so EW N"ONRESD. MULTI.OUTLET @7.50 POWER APPARATUS A SINGLE OUTLET CIR. @ 20 +.00 Ex. Occu OUTLET OR FIXTURES eAL. p .w Ex. Occup. oirT>Frs PR .GEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Mobile Home Installation Fee $ Energy Inspectio Fee $ �j �rsT ry TOTAL FE 382.50 HAz. �.. D FEES MP FLOOD COF V. PARC HD r ISSUE This permit is hereby issued under of the tte County Code and/or indi ted o for icFtfees have B PERMIT EXPIRES ON 7 I the applicable provisions Resolutions to do work been paid. D to 000 I Date Receipt No. 2RI'1 l WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT n %� , �. fid, - `r �}, •t�" z° k'I "*! ¢ �� � ai�. �. 'r'hX.' •, t �.' ,nc' . {-'i s. � • i i �r���Y,t � i ':.�»'.r COUNTY OF BUTTE DEPARTMENT O DFIELOPMENT SERVICES - BUILDY DIVISION 7 COUNTY CENTER DRIVE - OROVWE, CALIFORNIA 95965 - TELEPHONE 6) 53 . -7541 PERMIT APPLICATION DATA SHEET l �X C 'X OWNER: ASSESSOR PARCEL ER: Proposed Building Use: Building Inspector: Date:.• At time of permit application, I was advised the following data must be submitted prionio'per 'r its 111. All items have been 02. Plot plans, 3/4 sets, signed by the preparer of plans. ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans. --------=- `-=- ` ----------- 0 ------ E ? T t� 0 -g 9 Y� processing and/or issuance: Date Received By ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ 116. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ---------------------------- 7------------------------------------------------------------- ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. ees of $ ------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule.- j---g---i.3- aliforma Department of Forestry plan approval/fees. - �� -/l y-y�-1-��-cT- ----- zl-d k S 1113. Flood elevation certificate.------------------------------------------------------------ ----------------------- ' 4 Sanitation and plot plan approval Health Department. � - ---7t D ----------------------- Ell 5. -------------------- ❑15. City of Chico plumbing permit.----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. tf�. Planning approval for (A) Use: 01C 1 (B) Parking: ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 020. Pre -inspection for required Request to Building Inspector on (Date) 112 1. Contractor's license information. (Number, Name Style, Classification). ----------------------=------------,- 022. Workers' Compensation carrier and policy number.--------------------------------------------------------= ' 023.Ownerr.Builder Verification (Given to owner 0�Miiled to owner 13). ❑24. Letter of signature authorization. ------------------------------ ❑25. Recorded copy of Agricultural Acknowledgment Statement. ❑26. Letter of intent on building use. ❑27. Manufactured Home utility clef ❑28. Existing violations and/or expired permits. 29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .--------------- Other:j7ap y��j/�'%s� S %Jili%t-y�------- When you issue the permIL pr ceel ollows El Mail to owner, ❑Mail to contractor. elephone > q 7and hold for pickup at , office. ❑ Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution ate: By: Copy of plans sent ❑ Health Department, ❑ Fire Department, O Date: By: 1. Index permit application for the above items numbered: ❑ Plan Check List 2. Additional items required: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: • ,� Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. 1 0`1-01 0 BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One form per Building) School District 00n u'�, Building Department No. A.P. Numbo 3a-1 —' 3 c�- &urisdiction: city County Property Owner S. L L Property Location/Address 1- Tom' Subdivision - " Lot No. Residential Development EE/ ................................................................................................................... No of Living Mobile Home Addition/ 'Supplemental to Units Installation Conversion Permit # *(No foundation inspection): ................................................................................................................... Commercial/Industrial New Addition Identification No. ,II (Street Address) Sq. Footage © O ,`Group R) Sq. Footage (Including Exterior Roofed Areas) ) 14? g Date (Floor Plans reviewed by School District Personnel) 9 9 0 Uflia- GJlool District certifies that 1' (Aii4n)J 1► J 53- (meq (Phone Number) (State) has complied with the requirements of Resolution No. - square feet. "Slk'j;jp-A8 2926 FULL MIT Representative (Zip Code) j-//♦- by payment of $ 1--1 Date Paid by Check p Remarks: Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure to submit a timely written protest°will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA). this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeform.xls 110/98)dmm 70 A.2 TTA CP 7i law AQ SIDI- O;P lb rA N�OQ.N.iGi 7Q �J` �� oseot{ P-10 �1 IN Ivo*Q N.tp-L 7q p� .N1aEj pi 0 J ���<I tlti, � p ` • },,`(G'{Fryer r.�r ,.'•�Y Lr 'sy._�` . r O <?o z —i �A 4-4 pt V ,A fop f9j 13� Scaie, M R" c T x m c I — t•• I � t n 1 j o I is T I I — � 11 n �I� o �" i•_�I i T x m c Mo CIL Z 1p CL $A r - r PG y �L oo R �r w ri7 G e R S Im Xy Pty 3.0„ i 3 17- A �.�. I� ' I i , i ! ' D77� 1 :"WAL JT $L aK� e sc,jt. J 2x� ��obe To'„r` `� g 6. S1ueT�a� 15 - 9AlvArJ1V-4 Roo♦~��vcS \Gl p 1 D �r 3 ! , is g 6. S1ueT�a� 15 - 9AlvArJ1V-4 Roo♦~��vcS \Gl p 1 D �r PERMIT NO. 2001-86P,E(MH) PERMIT EXPIRES OWNER ROBERT M. SruAERVER CONTR. ewner- ASSESSOR PARCEL 30-132-20 LOCATION 1290 12th St, Oroville Cal led'6 JOB FINA Signal • �kk OFFICE COPY` i Address GAS Meter -By i ELECTRIC•• Date MeterBy ; Dates Temp. Power mss' r.}`OdF7 Calle OFFICE COPY r - j Temp. EI Address n Calle GAS 4 Date Meter By l ELECTRIC j Temp. Gas ( Date Meter By Cal led'6 JOB FINA Signal J=OK 0 = Not OK = Not Applicable MOBILEHOMES , MISCELLANEOUS * = Not Ready Date MOB165HOME UTILITIES (Plans) OK except H's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'S Zo ' g Requirements—Setbacks—Easements Soils; Special MH Support—Sketch 1, Zoning Requirements-Setbacks—Easements _ 2, Footings; Size—Depth—Spacing—Connectors A Sewer; Location—Test—Fa -C/OA oncrete -S t 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails ater; Location—T —Easement Needed (Sketch), 4, Wood Awn.; Posts— Beams— Rftrs.—Con nec.—Shthg.—Rig.—Bracing Electricity; Location—Clearances—Grnd.—/ Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. s; LocationrTest—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6, Carports; Windows—Doors 2% . Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date C I ate�t—y7^ Card -BI Date Card -BI Date Card -BI Date , Date MOBILEHOME INSTALLATION (Plans) OK except H's 1 0 g Requirements—Setbacks—Easements Date POOLS (Plans) OK except N's 1. Setbacks—Easements o Ings; Size—Spacing—Marriage Line G ; MH Test—Demand—Valve—Connector 2. Soils; Compaction—Structure Stability 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining •r 4. Elec.; Receptacles and Lighting; Distances—GFI tricity; MH Test—Crossovers—Breakers—Clearances in; MH Test—Fall—Flex Connector Wr; MH Test—Regulator—Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals-Listed" . Wagtefland Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater s a, Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit x1f1 s Insp —Sketch , Cert. of Occupancy 9, Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date %Lt ��f�_ J = OK 0 = Not OK _' NotAdplicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings _1. 2. 3. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Fig., Garage: Soils -Steel- / , /" Ftg. Depth 49,.: Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4.. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. _ Siding -Nailing -Veneer 6.Stemwalls, Garage; Steel-Blockouts-.Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access _ 7_ 8. Piers-Fireplace Ftg.-Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. _ Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors _ 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground Card -BI 12. 13. Plen_um_s & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -81 Date Card -BI Card -BI _ Date Card -BI Date PLUMBING (Permit) OK except k's 14. Water Ht.: Vent- Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Date Card -BI Date Date Card -BI Date 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 59. Bedroom Exiting 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except k's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Gard B I Card B -I _ 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. Fixture &Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made-up w/Mech. Fasteners -Bond Gas &Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1, Insulated Neutral Yes _;No __- _- Service -Riser Conductors & Ground -Main Disconnect _ Equip. Clearances: Panels-Motors-Mech. Equip. _ _ Clothes Closet Light -Shower Light _ ___-- Date Card -Bi Date y - Date Card -BI Date 69. WlrHtr. 'Vents=Clearance=Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. P'Ib'., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72• Insulation -Foam -Looked in Attic E] Yes _ 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor E3 Yes 75. Following instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters Dyes ❑No 76. Stucco; Brown -Finish 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. _ Corrections from Previous Inspections 84. _ Gas Test -Meters Tagged; Gas -Electric Card -BI Card -BI 31. 32. 33. 34. 35. A.C. Ducts. Insulation & Support _ - Vent Fan: Exhaust above Insulation - Condensate Drain & Overflow: Size & Grade Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic _ Date Card -BI Date _ Date Card -BI Date 85. Water & Sewer Connected -C/0 to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates - - --- - - Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Com tents at Final: 36. 37. 38. 39. 40. 41 42. 43. 44. 45. 46. 47. Sills; Proper Material & Anchors Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) Fire Stops_F_urred Ceilings-Stairs_Cha_se_s-_T_ub Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfti. Ties-Purlin-Root Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or T p Type AFlue-Fireplace Throat Attic Access. Size & Romex Protection -Draft Slop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ '- - - - _ - _ -- --- -- (NOTE Anentrymust be made each time you visit jobsite) DEPARTMENT Or PUBLIC WORKS. 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTIOC& aQL 11111 N NOTICE BUILDING OR PROPERTY ADDRESS A routine Inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. if you have any question pertaining to this matter, or need additional explanation, please contact this office Immediately. 501MMAIV ANN: Incnar;tnr Date S-- Z 57-�Vio Incnar;tnr Date S-- Z 57-�Vio MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE 't OROVILLE, CALIFORNIA — 534-4541 7' PERMIT N0. Address or location of mobilehome %I it f Owner's name i K� j Owner's address tInsignia or hud number7C��a Manufacturer's name+t'la-r�P Serial number of V.I.N. %/ Year of manufacture 77-'' (Officidl Approving Installation) / (Date) a 3 IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATION ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. t • 513B White - Owner, Yellow - Installer, Pink - D.P.W. L• I COUNTY OF BUTTE - DEPART;AENT OF PUBLIC WORKS PERMITNO 7 County Center Drive - Oroville; California 95965 - Telephone 916/534-4541 27 4 0 (� APPLICATION AND PERMIT o ASSESS R PARCEL NUMBER -/ a 0 ZONIN BUILDIN PERMIT OWN r —V TELEPHON SQ. FT. OCC. BUILDING VALUATION OWNER MAILING ODIRESS rp CONT C ORR'S NAME f yl TELEPHONE CON ACTOR'S MAILING ADDRESS Fireplace CONST,RYJCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ LENDER'S MAILING ADDRESS -- Permit Fee $ ARCH T CT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty ; BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 `n . Ll Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5,00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF❑ Duplex❑ Mobilehome Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building seweroe!Q 5.00 Mobile Home S 0.00 ea ',79 do TYPE OF WORK New❑ Addition❑ R mo I Utilities INInstallation[] Other ❑ Describe work:/ \ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 (7 Main Service EA. ADD'L 100 AMP 2.50 04. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Bu$Ines$ and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ACC. SLOGS. DWELLING OCCUP.61 , OR ADDNS. �20sgIt NEW RESID,CONSTMULTI-OUTLET 2,50 ea NDN.RESID BRANCH CIRC ITS POWER APPARATUS tr1 SINGLE OUTLET CIR. / ( Ex. Occup( OR FIXTURES 20®SOt ewL®30 FIXED APP LHS. OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling g Hood 3,00 Ventilation Pelt Fee ; Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyof Butte to ent upon the above-mentioned property for inspection purposes. 1 also a e o save, indemnify nd keep harmless the County of Butte against all Iia iti jud M tts cos an expe ses which may in any wayaccrueagai t s 'd �/� se nc f the ranting of this permit ,U ,/ X Date Signature of Applicant — Owner, antracror ElAgent ❑ An OSHA permit is req fired for excavations over 5'0" deep and demolition or Construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ F D PARC P ND ISSOE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR q PUBLIC o Z BY PERMIT EXPIRES Date the applicable pro vi - resolutions to do fees have been paid. WORKS Date Receipt No. WHITE -D. W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT TO: Building Department FROM: Encroachment Permit Section RE: Driveway Clearance 12-74-( owner location Driveway permit 90 number s nature AP # has been issued for the above property. ��if I16 - date COUNTY OF BUTTE - DEPARTMI�1,41OF-PUBLIC WORKS - BUILDING DIVISION - 7 COUNTY CENTER DRIVE - OROVILLE, CAL' F6RNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET � f Permit No.OWNER ����' CS01 /Y -' G ✓- A. P. No. �Q ^ 41)' �� Proposed Building Use Permit Fee Based Upon: Complete Contract Price Building Inspector At time of permit application, I was advised the following data must be submitted prior to permit processing and/or Issuance: DATE RECEIVED APPROVED DPW Valuation All items. have been submitted . . . . .. Plot plans in duplicat replicate. /. 3. omplete plans in dup icate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. 16. LAW Improvements. may be required. Mobilehome Installation Data. Pre -Inspection for 9ecorde8 (Qp_yWfiA0.1t iraL 4ter v 1V� A KM•I C • • Pre-Inspec. request to Required. Building Inspector (Date) ledgment Statement . . . :tion approval required prior to occupancy) u�i e thepexm't,,process�a-S follows: Mi Telephone �t� �.., �nd hold for pickup at Other Mail to contractor. _Deliver w/inspector. Date �7,lb- `'' Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above gj Pim5&aRVI* ation, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail ' Other By Plans checked by Plans approved b�. Other Copy—DPW Date Date Date THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533.0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service�Address: 12M 12th Strcet Owner's Name: Robort 14, Schrcffor Date: 7/16/86 Address: 943 Cou Lena U1i1Cttt:Q Acct. No: droville, CA 95965 A.P. No.:30 132 20 Phone: - 534-9125 No. Units: l Applicant/Agent: n/n Agents Proof: Address: Fees: Phone: Application $ 2C UP Arrearage Preliminary Review By: Date: CSA 26 350 3tI s1110 In Remarks: SC -OR 1st mo. S.C. Other GO %j u 01f Ciiaterner is able to loc;oto lvtrtn1 there TIM inn - -- -- - Total Fees aay.i. Int: a +w .. •�I, �. � a. �.. • � r � A Collected By: Cleea out tip -to '"rade rcgLitrad at proporty Itm. V.t Date: Field Review By: Date: Remarks:. - r MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE -TID, YELLOW - APPLICANT, PINK -.DPW, GOLDENROD. DPW to TID COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and aerials for construction of the proposed property improvement (yes or no). 2. I (have/have not) A U C, signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name 5. Address City Phone Contractors License No. I will provide some of the work but I have contracted persons to provide the work indicated: Name ( Address Phone Signed: Property Owner Social Security Numbpr — Date %" f — a - (hired) the following Type of Work NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ?ECORDED IN OFFICIAL RECORDS. FOR RESIDENTIAL DEVELOPMENT OF BUTTE C0114TY,CALIFORUTA ATTi;'67 fit"S1 "ES •: 0" Section 26-8.1 of the Butte County Code requires this acknowledgement PART'e SHOWN' be recorded prior to issuance of a building permit. $6-24184 1986 JUL 28 PFS% The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this ELEANOR fel.BECKER 11 property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FEE v 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 zones which have as a priority use for productive agricultural purposes, and residents within said zones and on !, adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. Pagewl All that real property situate in the County of Butte, State of California, described as follows: Date: Lot 3, as shown on that certain Map entitled, "Record Map of Seyferth Tract Subdivision, being a re -subdivision, of a portion of Lots 2 and 3, Block 98 Thermalito Subdivision," which Map was recorded in the office of the Recorder of the County of Butte, State of California, September 28, 1950, in Book 18 of Maps, at pages 35 and 36. A.P. No. 030-13-2-020-0 State of California ) County of . Butte ) PROPERTY OWNERS: OlpAhis the 28th day of ju1y , 19_B_6, before SS. me, the undersigned Notary Public, personally appeared Present A.P. No. n a-. *" Snha ffer Personally known to me. L/ Proved to me on the basis SEAL of satisfactory evidence. ARDIN-CAUFORNIAto be ttte persons) whose [lame(s) arP subscribed to UNTY RM the within instrument and acknowledged thatMoy 29,1990 executed the same for the purposes therein containe . IN WITNESS WHEREOF, I hereunto set my hand and official seal. Notary Public Present A.P. No. AP OWNER PERMIT It M UTIL.CLEARANCE AT % INSPECTOR ELECTRIC GAS Support Struc. Compaction Test -Req.. Service Size Other Load 'Tvi3e Pipe Size Length YES NO YES NO COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS i' 7 County Center Drive - Oroville; California 95965 - Telephone 916/534-4541 APPLICATFON AND PERMIT PERMIT NO - ASS SSOR PA CEL NUMBER ZONIN BUILDING PERMIT O E Ho TELE E SQ. FT. OCC. BUILDING VALUATION W ER's MAILINGDRESS v C' CO A TOR'S NAME C- ►' TELEPHONE CONTRAC TOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is - Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ pls� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome� Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Instal lation Other ❑ Describe work: a` _ l� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 .. v� F0 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F1 am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& , New CONSTR.(A ) h¢sgft ULTB OUTLET NON.RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t eAL®3o FIXED APPLNS Ex. Occup. OUTLETS ((RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities j 15.00 Misc. byirin 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that i have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to ente pon the above-mentioned property for inspection purposes. I also agr t save, in okeepmless the County of Butte against all Iiab' tie ju m ts, cos es which may in any way accrue again sat y ' c se anting of this permit. X Date �_���� Signature of Applicant — Owner ontractor ❑ Agent ❑ An OSHA permit is req red for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ 0 Energy Inspection Fee $ TOTAL PERMIT FEE $ occuP. CONST.TTPc FLOODPARCEL PD ND IS UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DI TOg PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date zZ Receipt No. r WNITC-D.P.W.. YELLOW-A58l330 PINx-INSPECTOR. GOLDENROD -APPLICANT OWNER COUNTY OF BUTTE - DEPARTMEVT%.OF_ PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILL CALIFORNIA 95965 - TELEPHONE: 916/5344541 PERMIT APPLICATION DATA SHEET '+ t Permit No. `Cry ►� S�_YI G� �.►l— A. P. No. 1y - 13. - Z96 Proposed Building Use Permit Fee Based Upon: Complete Contract Price DPW Valuation Building Inspector Z uate4� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or ' suance: DATE RECEIVED APPROVED 1. All items have been submitted. 2.. Plot plans in duplicate/triplicate. . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 1 I rovements may be required. . . . . . . . . . obilehome Installation Data. F*C_T�.•. . request to 17. Pre -Inspection for Required. p q Building Inspector (Dote) Recorded copy of Agricultural Acknowledgment Statement . b/44 x) G9{ F&6S a SO 1 Other T;M,/6ti1 /f- W When you issue the permit, process as follows: MailI owner. Mail to contractor. Telephone "�%c� and hold for pickup aofi ice. Deliver w/inspector. Other 0 ✓ 5 - 0 Applicant;/Q" Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above ko ;application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Desig s advised of above required data byTelephonesMail Other By e& Date Plans checked byDate Plans approved by —Date -,5%- Other: Copy—DPW BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET C>8 ESC/4 n U- C � 1. Owner's name: PJQt � A 2. Installer's name: C ,"CsAgoe G e �Q,e_yvc e- 3. 3. Is the site currently under permit? Yes No (If yes, furnish permit number O.30--'13-2•-02©-0) OR, Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks.and easements? Yes /iv/' No (If no, clarify 5. v Amps What is the mobilehome electrical rating? ----------------------- l� 6. What is the mobilehome site service rating? --------------------- jo Amps 7.. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- (If yes, identify the load and size: (Load) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Yes No IXC ( in. gyral LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? 'j----------------------------- B ) (This information not requiredrif'pipe length less than 6 ft. on natural gas or less than 50 ft., on LPG.) TFLS i .� Fa/ S ow ��4irf 10 BUTTE COUNT BUILDING DEPARTMEi APPROVED MOBILEHOME SUPPORT DATA 1 j If other than single wide, ;60 3 13 Mobilehome Mfr. /C�e T f/Vo d furnish Setup Model No. Year Width13—�l (ft.) Box Length 4� O (ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. �0 8 2_ Al 3� Footings (check one) • Single �1. Wood either J3 1,11- X3.0 pressure treated or ..— O. foundation grade. . (ft.)(in.) (in.) (in.) El 2. Other: (spec ify) denter support locations* Center support footing sizes ' Supports (check one) (in.) LJ ": Concrete block. 3� M, x 3v -- Typical Support © x .2: Other. (specify) (ft.)(in.) (in.) (in.) (in.) (in.) Footing Size �0 8 2_ Al 3� 4—Tagalong or Expando,' J3 1,11- X3.0 knoter *If piers.+are.:other show support details. (ft.Mn.) (in.) (in.) M, x 3v -- Typical Support (in.) (in.) Footing Size (ft.)(in.) i (in.) (in.)� Max. Pier Spacing (ft.)(in.) �0 8 -- Max. Overhang (ft.)(in.) o g 2_ Al 3� 30 knoter *If piers.+are.:other than drawn above, •4 raw in-locatigris, spacing, and dimensions. -- Max. Overhang (ft.)(in.) o g OFFICIAL RECEIPT COUNTY OF BUTTE DEPARTMENT -OF PUBLIC WORKS LAND DEVELOPMENT SECTION .K, RECEIPT 08991 ISSUED BV 157) ' - l TOTAL RECEIVED TENTATIVE MAPS ERIS CNECN Q INSPECT Y. PUBLIC DOCUMENTS COMP- LIANCE FIRE NTORANT OTNER APPLICANT RECEIVED FROM - - [ �.. 41, t. r OFFICIAL RECEIPT COUNTY OF BUTTE DEPARTMENT -OF PUBLIC WORKS LAND DEVELOPMENT SECTION .K, RECEIPT 08991 ISSUED BV 157) .ATE RECEIPT n0. TOTAL RECEIVED TENTATIVE MAPS ERIS CNECN Q INSPECT STREET SIGNS PUBLIC DOCUMENTS COMP- LIANCE FIRE NTORANT OTNER APPLICANT RECEIVED FROM OFFICIAL RECEIPT COUNTY OF BUTTE DEPARTMENT -OF PUBLIC WORKS LAND DEVELOPMENT SECTION .K, RECEIPT 08991 ISSUED BV .I, ,. -p arts-' nd s ecifications -MUST be. a-aI-jirrie !.a6d1it-!is unlawful to - ess�� ortions tin same withl�out !! e ssin�fr;n the Depa ent of :Public 9u ty-0f-1, 11 1 _ td - i ---U- _ fA� _ -� Xp rriiil wired orfs Installation of tkt - tobilai,om& I T I �_ fthe' i I setback o' 5 ft.'frorr A1I -i j . prgperty l'nes dna! a setback f.50.ft.,fr0 " the,ro4d� I o + ! lines Il be clear of �- '—res ` urpmeht exsep+ N►e'o��rha�no. - + -1. 1 0� I j �� '��_ �teridls &`�Workin � i �halljlia1M I--� pith R' coq�hized�oorcictic�►s and ccor_dancQ__. i- d f..a_qusllitar_ r.s_cribe for -tke ,S�iecified use rind+�e -- niform-guild i �. luml�in' & M c_�iam_ca) Cbdet .and , - --. -Ndtti nal- act icpLCgdQ J t i _� + 4- w4 1 + Ai se, �f `• y y e of - A , ✓ + QE t. -- litk`��` I 4,1sfiwb Utility connections shall be within _ 4 ft. of the mobilehome,,either • A directly'behind or within the rear - - half a !m7 ii ) of the, �- mobilehom. A. PED 0 M7 { « t - _� i_zvo I- g co - + r + (ZA04 F +.1_�- /01 =1a Vii: ­3�` 01b ,Dom &l • I I � , r I V ., - .. .. .,- . ....-...-}.+-4-.4v'1..�^F.•.r41`+`•'l^!y"'�f`-"``nv `V " ' '--'.. .. /"-..' ..1� +�•- ��1 -. , `�. 'K. r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive •- ;)roviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auuwnce rep resentauVes or the t ounly or tsutte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permittee or Agent Receipt Na. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By Dat -Budding permit expires Date f Z7 BUILDING Owner G f t Ls� Mailing Address SQ. FT. OCC. BUILDING VALUATION ' % i` �� Telephone No. Fireplace Contractor / /f �j�fj l L�l� Total Valuation Mailing Address �QS— ���E�ip � Permit Fee Plan Checking Fee &/orPenalty telephone No. C -;� L :♦hermit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 // J/.Q Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No..(�— —1�- Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W Sf.Lo-r1...FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 13ld9,—R4—ons'Rec'd' Parcel Approval I Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00' p /J ,,� Main service 100v DR LESS 5.00 J e,!100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 Single Family 'Q ' Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELING OR ADDNS. ( ACCLBLOGS.CCUP. 8) 20sgft NEW CONSTR MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS&J NON•RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of, y� �lY��/�.fil/' �<'1 /!• •� .�-- Ex. Occup(OUTLETS OR FIXTURES) @"109 FIXED APP LNS. OR Ex. OCCup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 l I Mobile Home Facilities 15.00 License No. ���'�C �- Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ' I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ c auuwnce rep resentauVes or the t ounly or tsutte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permittee or Agent Receipt Na. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF PUBLIC WORKS By Dat -Budding permit expires Date f Z7 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,—, OrQviIIe, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auuwrlce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. xa Q- ~ '�G'� v Date �y Aler Signature of Permitee or Agent � Receipt No. I (;�—A /r%J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF P LIC WORKS By Dat permit expires Date BUILDING Owner 0 ' SO. FT. I OCC. BUILDING VALUATION Mailing Address 0" l Telephone No. Fireplace Contractor Total Valuation Mailing Address QV' l n e ephone o. l/ Permit Fee Plan Checking Fee &/or Penalty ermit Fee Building Address S PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No �-- —Gas Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 es W itatinn Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 BIdtiq.-�� Parcel Approval Plans Approval Permit Fee ,$ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service soov OR LESS 5.00 100 AMP OR LESS Main service EA. ADD -L 100 AMP 2.50 OVER 600V Main service 00 AMP OR LESS 25.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELING OR ADONS. ( ACCLBLDGS.CCUP. 8c) 20sgft NEW CONSTR (MULTI -OUTLET RESID. BRANCH CIRCUITS) 2.50ea NON. ( NEW CONSTR. POWER APPARATUS & NON.RESIO. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style O : _ � ' BAL@1 75C Ex. Occup(OUTLETS OR FIXTURES)@ FIXED APPLNS. OR EX. Occup.(OUTLETS (RESIDJ EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �j� cr U License No. �2 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for W en's Compensation. I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I to an certify that in the performance of the work for which this ermit is issued I shall not em p employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE auuwrlce representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. xa Q- ~ '�G'� v Date �y Aler Signature of Permitee or Agent � Receipt No. I (;�—A /r%J White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant 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. DIRECTOR OF P LIC WORKS By Dat permit expires Date THERMALITO IRRIGATION DISTRIQ 410 GRAND AVENUE OROVILLE, CALIFORNIA 959165 TELEPHONE 533-0740 30-/3 a -'a0 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: 'iz~Yx •^-. .' Date: Address: Acct. No: A.P. No.:- o.: Phone: ,,'�..r Phone: No. Units: ` A Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: Date: CSA 26 Remarks: SC -0 R 1st mo. S.C. Other ' Total Fees Collected By: Date: Field Review By: Date: Remarks: i A. MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early ccnnection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID 11 7-T . �-.---v�.,� �.1: .�-v' � ..,T +.-y".� ::.�" _ =' Cea�. _i.:�'.ei �, :E, 4-�T.:.�, `-2�F �" c a �v-•.i - _ ._ . .� .. ,... .� .. ... Permiti x§4u Roland Hawes 42 r� , t e COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATI-ON AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 0 ZONING'- BUILDING PERMIT OW, R TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MA LING DDR ,3 9a a 0 CONTRACTOR'SNAME her, TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER j LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ .QQ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each Gas water heater or vent 5.00 Gas piping system 1 - 5 outlets 1 5.00 's- USE OF STRUCTURE -� / 11 i. r. - , ( SF EI Duplex❑ Mobilehtome❑• •Other y SPECIFY Building sewer 5.00 Mobile Home S G W 10-00ea TY'P,E'OF`WORK i New AdditionRemoda1 I_it(es .. i81-latifto Other "f s'-rittre,,torkt !@ ►>r R • �,,,s t� s �:- 'r- , Y Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10 . Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC, BLDGS. 2t/20sgft v CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): f ❑ I am licensed under provisions of Chapt. 9; Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification' I, as the owner, or my employees with wages . s� their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -CUTLET NON-RESID BRANCH CIRCUITS) 2,50 ea NEW CONSTR ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. RES BAL03O Ex. Occu SAL@30 p(OUXED APPL NSxOR Ex. QCCUp. OUTLETS (RESID.) EA.) 2.00 Ex. Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 /S`•, Permit Fee $ n Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this per It. ,, IC .ZThis X r.�*� ��.-rr"' Date Signature of Applicant — Owner:W Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct -D ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 'QO OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I ND I ISSUE permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. R TO OF PUBLIC WORKS BY /Date �- PERMIT EXPIRES Dat �/ Receipt No. 7�'� , R� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT _COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 a APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 30-X132-20 ZONING BUILDING PERMIT OWNER Kol.il r] V i!; .f TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 53'J�'r 'I; .,r. uLh Ct. ':�. ;r':, CA 10'450'0CONTRACTOR'S NAME TELEPHONE l• L 1L•�.n.�.l':.l CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ?. r»{ h4,2:11 $ 17 S;1 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 97 c;n BUILDING ADDRESS 170 1201 St_ Orwyill_.3 PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ' Water piping 5.00 LOT NO. SUBDIVISION NAME r ;• , PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 -5 outlets 5.00 USE OF STRUCTURE SF El Duplex❑aMobilehome❑ Other Ircip lir �ir� dr1_;L, 1' in 'SP ECIFV Building sewer 5.00 Mobile Home S G W 10.00e TYPE, OF WORK New ❑ Addition ❑ '' Remodel ❑ Utilities es❑ �,Inst_allation❑ Other ❑ Describe work: 1yt r: ,AcN1.a 1/415-1"n83 r 't r? f�� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service BOOV OR LESS 100 AMP OR LESS 10.00 ` 4 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 2,hQsgft r CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and m license is in full force and effect. y License No. Classification ❑+ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET NON•RESID BRANCH CIRC ITS 2,50 ea NEW CONST(POWER APPARATUS &') NON- R RESID. SINGLE OUTLET CIR. / Ex. Occu / 20@509 p\o OR FIXTURES BAL@30C FIXED APP LNS. OR FIXED A EX. OCCUp- OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. O 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit.?, t �, X �" /V :/ Date `��i f/ / ~ ' Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 99 rn OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. p DIRECTOR OF PUBLIC WORKS By- l / .�`'� ,�! Date S— / PERMIT EXPIRES Date ./ 2/1 Receipt No. )q L) 4/v WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT �. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS • 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. 7 /7- �S ASSESSOR PARCEL NUMBER 30_192_20 ZONING BUILDING PERMIT OWNER Roland Hnwe3 1... ,,r..+ TELEPHONE •.r r.z......•+•• "TSO. F.T., OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5339 Yarmuth Ct. Newark. CA 94560 CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee original $ 17.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 27.50 BUILDING ADDRESS 1290 12th St„ Oroville PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 h. .?. 'Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other rnnA3,r fire dAmaire SPECIFY Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: 2nd renewal/41.5$3 & Complete rewire _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 10.00 100 AMP OR LESS r� lilt renew -/856"84 Main service EA. AOD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.&\ t OR ADDNS. ACC. BLDGS.IU0 I 2AOsgn I_9 '40001-- LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification Q I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTNON.RESID R BRANCH CIRCUITS 2.50 ea NEw CONSTR POWER APPARATUS & NON.RESID, SINGLE OUTLET CIR. Ex. Occup( zo@SOa p\o OR FIXTURES 9AL®3oQ FIXED APPLNS. OR FIXED Ex. Occup. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 94 nn Contractor WORKMEN'S COMPENSATION IN I declare under penalty of perjury (check one): ---Q The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance ora Certificate of Consent to Self -Insure. / Q I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL+PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation ' Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Countyfin consequence of the granting of this permit. , X .f`' �� �' 1.4Date ��e/> ;'- Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structure over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD HD TssuE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for ,- which fees have been paid. ,--DIRECTOR, {OF PUPUBLI�C%WORKS (�� �Q' By •�j%,/./ii �,^i9 %a7 !'/� VDate . !1/1 / /1 {� ! 1/lbnjt7 PERMIT EXPIRES PDate Receipt No. - � / 1 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 ' 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 T CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector ' \� c; Date 6 3 F3 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND -PERMIT PERMIT N -ASSESSOR PARCEL NUMBER _1� ZONING BUILDING PERMIT OW TELEPHONE SQ. FT. OCC. BUILDING VALUATION OW ER S L G DDRESS 3 — a CONTRACTOR'S NAME I^ TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Aroo ARCHITECT OR ENGINEER 1 ) LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT9 Filin Fee 10.00 Each Trap , 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 �� / USE OF STRUCTURE SF R? Duplex ❑ Mobi lehome ❑ Other SPECIFY Building sewer 5.00 Mobile Home I S I G 1W I 10.00 e TYPE OF WORK New❑ Addition❑ Remodel UtilitiesInstallation❑ Other Des vibe work: rs I�EAP-It-— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 p Main service EA. ADD'L 100 AMP 2.50 NEW CONST.// DWELLING OCCUP.&\ OR ADDNS. l ACC. BLDGS. I 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR. (POWER APPARATUS &) NON-RESID• ,SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES gA ®90,t FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $Q."110 C2 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai j�t saiid�Coun y in consequence of the granting of this per it. X 'U>L�X_ Date 2 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stores in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 1 O OCCUP. GROUP I TYPE OF CONST, PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which D TO OF PUBLIC By p�/ PERMIT EXPIRES Dat O1 —/1!2 the applicable provi- resolutions to do fees have been paid. WORKS Date — � Receipt NO. 7 ( &A 9 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND -PERMIT PERMIT JNO ASSESSOR PARCEL NUMBER 30-132-20 ZONING BUILDING PERMIT OWNER Roland Hawes TELEPHONE ,SQ. FT. OCC, BUILDING VALUATION OWNER'S MAILING ADDRESS 5339 Yarmouth Ct, Newark, CA 94560 CONTRACTOR'S NAME TELEPHONE 1st renewal CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 1,original$ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 1290 12th St Oroville PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 SDlar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other repair fire damage SPECIFY Building sewer 5.00 Mobile Home I S I G JW,J 1 110-00e TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1st renewal/415-fiiik83 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Po Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OC(�UP.& OR ADDNS. ACC. BLOGS. 21h2sq ft CONTRACTORS LICENSE LAW I declare under penalt of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. license No. Classification J '' as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with Licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS &' NON-RESID, SINGLE OUTLET CIR. Ex. Occu 20@50e p�o Ts OR FIXTURES SAL@30 FIXXEEDD APP LHS. OR Ex. OCCUp. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 NJ WORKMEN'S COMPENSATION INSURANCE I decim under JVenalty of perjury (check one): "The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree. to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses w ich may in any way a crue gainst s County in consequence of the grantin of this permit %� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 27.50 OCCUP. GROUP I TYPE OF CONST. I PARCEL PD I ND I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which B- aDqTOR O PUBLIC PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 2/16—`8-5 It Receipt No. WHITE-D.P.W., YELLOW -ASS&; SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT F� t t � I-LizollIaloa �xor� �ilfltld do .101 a`��fl dO kitAnoo t , t t � I-LizollIaloa �xor� �ilfltld do .101 a`��fl dO kitAnoo t t t � I-LizollIaloa �xor� �ilfltld do .101 a`��fl dO kitAnoo COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT - �2 ASSESSOR PARCEL. NUMBER 30-132-20 ZONING BUILDING PERMIT OWNER Roland Hawes TELEPHONE SQ.FT. OCC. BUI - LDING VALUATION OWNER'S MAILING ADDRESS 5339 Yarmouth Ct, Newark, CA 94560 CONTRACTOR'SNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNO N Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 1, original $ 17.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Penalty -$ $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 27.50 BUILDING ADDRESS 1290 12th St, Oroville PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SFR DuplexR MobilehomeE] Other repair fire damage SPECIFY Building sewer 5.00 Mobile Home JSJGJW 10-00 ea TYPE OF WORK New R Addition 0 R emode I [:] Utilities [:1 InstallationEl Other Describe work: 2nd renewal/415-83 & complete rewire Permit Fee $ Contractor ELECTRICAL PERMIT FilingFee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Ist renewal/856-84 Main service EA. ADD'L 100 AMP 2.50 NEW CONST DWELLING 066dFJ.& OR AODNS. ACC. BLDG S 121/4sqft 15.00 IV CONTRACTORS LICENSE LAW I declare under penoity of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the HUS5 D", and Professions Code and my license is in full force and effect. License No. Classification 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) I am exempt under Sec._, Business and Professions Code for this reason NEW.,-IJN5T"-( MULTCIOUTLCET NON RES'D, BRA. . CR " TS) 12.50 ea N -W CONSTFL (POWER APPARATUS.&) N15N . RES 1 0. SINGLE OUTLET CIR 20050t Ex. OCCUP( OUTLETS OR FIXTURES BAL@300 FIXED APPLNS. OR ) Ex. Occup. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15-00 Misc. Wiring 15.00 Permit Fee $ 25-0(j Contractor WORKMEN'S COMPENSATION INSURANCE I declare under �enalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. Ej I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self-Invure. 1 shal I not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT Fi I ing Fee 10.00 Heating Cooling — Hood 3.00 Venti lation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilitiles, judgments, costs, and expenses.which may in any way accrue egaMinai o un ty f th f this er n rise nce o e granting ?t X Xate Y/9 Signature of Applicant Owner 0 Contractor R Agert [J An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ r, 1) 171 OCCUP. GROUP I TYPE: OF CONST. IPARCELI P This permit is hereby issued under sions of the Butte County Code and/or work indicated abo e for which IREC� P LIC By (12 1 PERMIT EXPIRES Xate— the applicable provi- resolutions to do fees have been paid. WORKS r Receipt No. CV010 WHITE-D.P.W. . YELLOW-ASSFSISOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT 9v alte` 717 7 oil 9 7 QUUN'TY OF BUTVE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATI,0N AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER . 30-132-20 ONING BUILDING PERMIT OWNER Alvi and Bonnie Patrick TELEPHONE SQ.FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS P.O. Box 1197, Yuba City, CA 95991 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 1$ CONSTRUCTION LENDER __TU�OWN None Total Valuation Filing Fee $ 1 0.000.2 C LENDER'S MAILING ADDRESS Permit Fee . $ ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permitfee $ — BUILDING ADDRESS 1290 12th St. PLUMBING PERMIT FilingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Oroville Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL ;�AP Each qas water heater or vent 5.00 Gas piping system I - 5 outlets 5.00 USE OF STRUCTURE SFEI Duplex[ --I Mobilehome[] Other Repair Fir��,Yamagp_ SP y Building sewer J 5.00 Mobile Home I S I G JW 10-00ea TYPE OF WORK New n Addition [:1 Remodel[:) UtilitiesD Installation[] Other Describe work: Transfer owner for Permit #415-83 & Renewa Permit Fee $ contractor 's ELECTRICAL PERMIT FilingFee Main service 600V OR LESS tOO AMP OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.&) OR ADONS. ACC.BLDGS. 2'/20sq f t CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification F] 1, as the owner, or my employees with wages as their sole compen_ sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) El 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) El I am exempt under Sec.—, Business and Professions Code for this reason NEW CONSTR. _UL 1- 2.50 ea NON-RESID. ( BRATNCFOIUCTIRLCETUITS) NEW.CONSTRL (POWER APPARATUS.&) NON RESID. SINGLE OUTLET CIR Ex. Occup(OUTLETS OR FIXTURES 20 @ 50t 115AL0300 OCCUP. FIXED APPLNS. OR I Ex. OUTLETS (RESID.) EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15-00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F-] The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Fi I ing Fee 10.03 Heating Cooling Hood 3.00 1 Ventilation I — Permit Fee $ Contractor I certify that I have read this application and state that the above inform — ation is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — OwnerEl Contractor F - — I Agent ' An OSHA permit is required for excavations over 5'0'' deep and demolition or construct- on of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 20.00 OCCUP. GROUP I TYPE OF CONST. IPARCELI PD I ME) I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS - Date — 2/16/86 Receipt No. NHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Proville, CA 95965 PHONE: 916-534-4541 Alvi & Bonnie Patrick P.O. Box 1197 Yuba City, CA 95991 With reference to the above subject: DATE September 4. 1985 RE: Building Permit Application for Transfer of Permit #415-83 A.P. # 30-132-20 LLL Attached is: x Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER /X / We need the following information: • Permit application signed and completed where indicated with all copies returned. • Fees of $ 2a-fln payable to Butte County Treasurer. X Certificate of Workmen's Compensation Insurance or check exemption statement. X Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr ., Oroville Skyway & Elliott Rd., Paradise (DPW) . Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for X Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. LX_L OTHER Please Should you have any questions concerning the above, please contact this office. JFG/aj Yours very truly, William Cheff Director of Public Works E. Glander C i;f u hief Building Inspector J6. FIRE REPORT FC -18 (1/80) ORIfflhl I nr-ATInN ��/ORDER NUMBER we- REG.1 R.U,LCIDENT NO. START MO. YEA I R COU�� -a- a ZTk 2 L-) FIRE NUMBER FIRE NAME: REG. NO. thru ,7 r- 0 c SEC. TOWNSH*XN C -s RANGE 16E ow L_A P3 NCIDENT TYPE I )021REI E] FALSE ALARM _w 0 ICE 0 RESPONSIBILITY (AT ORIGI ) 4B �WT ?P_,QTAE$p -D. R STATUTORY Ref. STATE ZONE RESPONSIBILITY WILDLAND BURNED OR THREATENED SCHEDULE A D.P.R. STATE 4�� UNPROTECTED DISTRICT OTHER AGENCY D.P.R. CITY ' LOCAL ZO NE RCOUNTY U R U.S.F.S. iCH ED LE A D P.R. V0 OTHE R AGENC Y D . P.R. (Unincoro) B.L.M. FEDERAL ZONE B.I.A. 4��, Lj FEDERAL(except Military) D.P.R. N.P.S. 4��E] SCHEDULE A D.P.R. E] OTHER FEDERAL MISCJOTHER VZONE-) 11 OTHER CAUSEISTARTS IN )IRECTION []FROM IN NATIONAL FOREST, FIRE DIST., CITY & STREET NO., ETC. NO IN Did not atart hl�>" 1,2-170 / 2- P3 NCIDENT TYPE I )021REI E] FALSE ALARM _w 0 ICE 0 RESPONSIBILITY (AT ORIGI ) 4B �WT ?P_,QTAE$p -D. R STATUTORY Ref. STATE ZONE RESPONSIBILITY WILDLAND BURNED OR THREATENED SCHEDULE A D.P.R. STATE 4�� UNPROTECTED DISTRICT OTHER AGENCY D.P.R. CITY ' LOCAL ZO NE RCOUNTY U R U.S.F.S. iCH ED LE A D P.R. V0 OTHE R AGENC Y D . P.R. (Unincoro) B.L.M. FEDERAL ZONE B.I.A. 4��, Lj FEDERAL(except Military) D.P.R. N.P.S. 4��E] SCHEDULE A D.P.R. E] OTHER FEDERAL MISCJOTHER VZONE-) 11 OTHER CAUSEISTARTS IN <�<�,&R&NLY) STATE NO IN Did not atart hl�>" orj�>[DSMOKING DEQUIPMENT LIGHTNING L 0 G F-1 DEBRIS PLAY W/FIRE CAMPFIRE 'g�AFJSON OTHER/MISC. e�%LAND USE(STARTS IN O�aOR A>ONLY) Q,Did not start ln4�>"-<� E] FOREST INDUSTRY DOMESTIC []RECREATION RANCH -FARM [:]OTHER INDUSTRY- COMRCL. E3DUMP [:IWILDLAND n ROAD El NON-WILDLAND rl UTILITY, RAILROAD DOTHER [71UTILITY, ELECTRIC WILDLAND VEGETATION .eNDAMAGE ( 16 2666 tic 68^mj %f% ACRES OF VEGETATION BURNED Cr___ACRES VEG. TYPE BURNED STATE NO IN Number DAMAGE !srest $to ;DAMAGE ff[3 of 1�� 4�� Alor BRUSH 1&1"04 Veh/DwIQ TIMBER &/OR �TOTAL AGRIC. PROD. YOUNG GROWTH I CDFT I TOTAL I WILDLAND VEGETATION (Other than T& Y G) AGRICULTURAL PROD (Other than T&YG) DWELLINGS &/OR CONTENTS z/000, OTHER STRUCTURES &/OR CONTENTS VEHICLES & CONTENTS OTHER TOTAL ACRES OF VEGETATION BURNED Cr___ACRES VEG. TYPE BURNED STATE TIMBER B.L.M. WOOD LAND B.I.A. BRUSH OTHER FED. GRASS �TOTAL AGRIC. PROD. I CDFT I TOTAL I STATUT. RESPON. OF ACRES BURNED STATE U.S.F.S. B.L.M. B.I.A. W.P.R.S. (Ex -BOR) OTHER FED. OTHER �TOTAL Q �.. a as It v #-%I- ED] I VEGETATION FIRE 0 OTHER, GO TO @ SIZE '4W — I DISTAN E (Origin to hea�) hCR WEATHER (ESTIMATE AT SCENE) WIND I DIRECTION FROM M.P.H. R 10 __1 �OVI :ER:P:LL E A S E FEET TEMPERATURE Of CDF 7640-130-011 t'. Owner: r ;-., - Address':* - Tenant: Building Location: Type o f Inspection requested: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPUTION REPORT T7 . 1. Housing. 772. Fi i 12!"*4. other (specify) ?-'e' Present use of building: Sanitation (Hou-slnd 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: ..6. Heating,facilities: 7. Natural light and ventilation: 8. Rom and space requirements: .9.- Bedroom window or door for second exit: 10. , Infestation of insects, vermin, or rodents: .11. Connection to sewage disposal: 12. Connection to watei.supply: 13. Rubbish and garbage facilities: 14. Com ents: B. Structural 1. Piers and footings: 2.- Floor construction: 3.* Wall construction: .4. Ceilina and.'rodf construction: 5. Fireplaces::' 6. Comments: A. P. # Date of Inspe n -If, Inspector C. Electrical 1. Service and ground: 2. Receptac'es: 3. Fusing: 4. Comments: D. Plumb jA9 1. Ftitures connected and vented: 2. Gas water heater: 3. Gas heating vents: Comments: E. Other I I I , e'*.— . - � . 1. Maintenance and repair: 2. Fire bazards:. 3. Safety hazards: Wea0)er protection, 5: Underfloor and attic ventilation: 6.'' Comients:' F. Cmmercial Buildinys 1. Roof covering:_ 2. to property lines: 3. Physically handicapped: 4. Rest:-oom floors and walls: 5. Exits: . ­"-6.-'-'Impr6vements: 7. Zon-ing:' 8. Comment,-i:— G. "Field Problams or Violations 1. Problm or -.7iolatiort (give complete descriptio -n): What action taken (giAe complate description): .3. tat action recomm'ended: 77 A. "Information only B. Hold for ten (10.) days, then wri-e letter. / /. Irl. Write Iptter. 7D. Other: COUNTY OF BUTTE Oroville, Califomia GENERAL CLAIM CLAIMANT: B & B MOBILEHOME ADDRESS: 2433 V-7 RD. CITY & STATE:— OROVILLE, CA 95966 DATE OF CLAIM: 03/30/99 —IMPORTANT. SEE INSTRUCTIONS SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES ON REVERSE SIDE DATE _T DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMO Clerical Error. (A.P. #030-132-020, BP#99-0112, RECEIPT # 258033, DATED 01/19/99, OWNER: REX BELL.) Total amount paid for this permit ................................ $471.50 Total amount to be retained ....................................... $382.50 Total amount to be refunded ....................................... $89-00 TOTAL $89 00 thi 1, the undersigned, declare under penalty of pequry that the services or articles claimed have been performed or delive at !7�is stated. Dated this day of 4P'�, 1 g—, at Calif. T7 Signatu�p,6f Claimant true and correct as 1, the undersigned, hereby certify that, to the best of my knowledge, the services o icles specified a e hav been performed or delivered and that there is a Budget Appropriation I I or Specific Board Approval I I (Check one) for the sam Dated this dayof AP4'19q'?at 0' 90 Calif. Departnient Head or Authorized Deputy Dept. Code 440-002 ExD. Code 4210500 for $46.00 PAYABLE FROM CONSTRUCTION PERMITS Dept. Code 0100 Exp. Code 4617240 for $43.00 PAYABLE FROM—FIRE PROTECTION Dept Code Exp.Code PAYABLE FROM FUND FUND FUND DO NOT WRJTE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSSAMT-_ FOR BUILDING DIVISION USE. - Receipt Information: Number: Date: Issued To: Amount: Fees Retai'r�._ed: Processing Fee: Bldg Filing Fee: Plbg Filing Fee: Elec Filing Fee: Mech Filing Fee: Energy P'/C Fee: Plan Check Fee: Inspection Fee: $ SRA Fee: $ Total Amount Retained zv S TOTAL REFUND DUE $ 01,90 72 6 /01 00/ 43, H (o, t REFUND CLAIM APPLICATION CLAIMANT'S NAME MAILING ADDRESS &S Q(VV - Ica ASSESSOR PARCEL#: D RECEIPT NUMBER(S) Request a refund of fees paid on the abpve,receipt number(s) for the following reasons: I A i - /I A r�i A - - �4 Please refund any applicable fees in the following categories: (Check those. categories which you wish to have refunded.) Building Permit Fees SRA Fees (CDF Fire Planning) Disposition of Plans: ( ) Plans returned to me at counter ( ) Please mail plans to me at above address. ( ) Please dispose of plans. Sheriff Fees Urban Area Fees SIGNATURE !201 -3 DATE PLEASE DATE AND SIGN THEATTACHED COUNTY OF BUTTE GENERAL CLAIM FORM. DO NOT COMPLETE ANY OTHER INFORMAVON ON THAT FORM. 4 030�-13-2-020,' 99-0250 B BELL, Rex 1290 12'th' St; Oroville (demo SF kbarn) / 1- '-� C -l' COUNTY OF BUTTE -DEPARTMENT OF DEYELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-132-020 ZONING BUILDING PERMIT - _: _Z OWNER 11T111' REN TELEPHONE SQ. Fr. OCC. BUILDING VALUATION OWNER'S MUNG ADDRESS 1290 12TR S"VFT, MOVTUT CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAJUNG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 - Permit Fee $ 15.00 ARCHITECT OR ENGINEEWS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1290 12"T M.rFT, OROVIT17 Energy Plan Checking Fee el PERMIT FEE -1 _5 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee USEOFSTRUCTURE SF EIN Duplex 11 Mobilehome 13 Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New 0 Addition 0 Remodel 11 Utilities 0 Installation 0 Other 0 Describe Work: T)P,10 EST P� BAWITI Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home ISI GI WF PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20-00 V OR LESS Main Service �'O. 0. 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 �dth 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 L w1pr the following reason: t. ET 1, as ownerof theproperty, ormy employees with wages as their sole comperisation, will do the work, and the structure is not intended or offered for sale. 0 1, as owner of the property, am exclusively contracting with licensed , tors to construct the project. cont_�,,, \1 0 1 am exempt under Sec. Business and Professions Code for. A.his reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, forthe performanceof workforwhich this permitis issued. My workers' compensaition insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation f one hundred dollars ($100) or less.) 9/10certify 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 tKat if I should become subject to the workers' compensation provisions -of section 3700 of the Labor Code, I shall forthwith c ly v, .Iqmply V_yfth th 25�rovisions. Date 2—ct— cyc7 g 6f ApIpli6ant- 0 Owner OContractor OAgent An OSHA permit is required for excavations over 60" deep and demolition or 6onstruction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST DIIE�INI.IICCCUP. 3.5g!so. OR ADONS. �C LOS. FT.. NEI� CONST. MULT.1-OUT No FIES.. BRANC C'FILS @7.50 ( PO'WELR APPALRATUS '. E . 'T ET CIR. 20 @ 1.00 Ex. Occup. OUTLET OR FIXTURES BAL @ .50 OUTXLED AP NS 0' Occup. ETS (P. LE S, 6.) 2A, 5.00 —Ex. Temporary Service 23.00 — Mobile Home Facilities 20.00. Misc. Wirina 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 0.50 Ventilation PERMIT FEPE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE 3.5.0171' HAZ. � D. FEES IMP I FLOOD I CDF PARCEL PD This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON 4,.j / (D, t,) ReceiptNo.:!_S�iI57 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT I COUNTY OF BUTTE -DEPARTMENT OF.DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, Caliiorkia 95965 - Telephone (916) 538-7541 PERMIT (Rev. 12/96) APPLICATION AND PERMIT V 1 - 6,�;z ASSESSOR PARCEL NUMBER 030-132-020 ZONING BUILDINGPERMIT 61-11, OWNER BELL, REX TELEPHONE SO. FT. Occ. BUILDING VALUATION OWNERS MAILING ADDRESS 1290 12TH STREET, OROVILLE CONTRACTORS NAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'! MAILING ADDRESS Total Valuation ARCHITECT OR ENGINEER E NO. —Filing Fee $ 20.03 Permit Fee $ 15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1290 12TH STREET, OROVILLE Energy Plan Checking Fee $ PERMIT FEE S 35. 00 LOT NO. SUBDIVISIONS NAME IPLUMBING IPARCEL MAP PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF LX Duplex 0 Mobilehome 0 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 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0 Describe Work: DEMO SF & BARN —Gas piping system I - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE ELECTRICAL PERMIT Filing Fee 20-00 R UE Main Service '�Oo' . vA R LIE S'�' 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing %�ith 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 11-aw f the following reason: 1. as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. 0 1, 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 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: 0 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. 0 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 Pe, above sections need not be completed if the permit is for work of a valuation - , On e 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 with c mpl, Wfththo a Lrovisions. ot LI Date a— — I — bgn Zture 8f A*IiEc�ant - 0 Owner 0 Contractor 0 Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. %E��ING.00CUP. so OR ADDNS. C LOS. 3.50FT., NEW c' ' - Z�tcTiocu,,TL,-�, @7.50 N.N.REsND.T OWER APPARATUS ( PSINGLE CUTLET ,.. ) Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL @ .50 OFITXLEDAP - OR" 5.00 Ex. Occup. U ETS (PR=.� E Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Filing Fee 20.60- Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTALFEE$ 35.00 HAZ. I D. FEES IMP FLOOD I COF PARCEL PD I HD 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. 11 Byd��t Aoox/ Date PERMIT EXPIRES ON ' / (M t,) ReceiptNo. 258157 i tK F I w T WH71TED.D.S.-B.D. CANIARY-ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT COUNTY OF BUTTE - DEPARTMEWE OF DF,-VELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive 9 Oroville. CaliforY Va 95965 * Telephone (530) 538-7541 PERMIT NO (Rev. 12/96) APPLICATION AND PERMIT o -3o - n af� I .. 8 U I LD I NFP—E—R—M -IT----- owmm R-0 0 Twjpmkd I "I'll"�'ll""I'll"��������������������'ll""I'l���������������,ll,"'I SO. FT. OCC. Sul 11 11 111'1111111LUATION OWMMI W"Q ACOMS c vucmwo lima ota 6CBFX/�_ WNTA.01CUMV MAIM CONSTRUC"m "Im Erel, umum VA"m man= F, c, Total Valuation ARCWrWT OR 04MM UCOGENQ Filina Fee $ 20.00 ARCHTWr OR 040MM'S WALM ADOPM Permit Fee $ _TK=1 Plan Checkina Fee $ SULDMAMAM Energy Plan Checking Fee s PERMIT FEE S Urrm SUSM09MMAK PAWAM MAP PLUMBING PERMIT Illing Fee 20.00 USEOFSTRUCTURE SF §(.Dupkx E3 Wbilshome 13 Other Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each cas water heater or vent 15.00 TYPE OF WORK Now 13 Addition C3 Remodel 0 1.1111111m C3 kw1allation 0 Other Describe Work: S, F GAS piping ristem I - a Outlets 15.00 Building tower 15.00 hlobile Home @20.00 IS I G1 W1 PERMIT FEE ELECTRICAL PERMIT Fian4 Fee 20.00 JVlain Service = OOAR 23.00 Win Service 2MA TO 1000A 46.00 WW CoNsr- OR ADOW. IT. ZM =.O.' @7.SO Ex. Occup. OUTUET OR RMAS 2* : 1-1 DAL M O=AMUM R Occup. 5.00 ME,,6.0 —Ex. Temporary Service 23.00 Wbile Home Facilities 20.00 Msc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt S Ntbile Home Instaflation Fee Energy Inspection Fee $ occ co"T. Typo- ITOTAL FEE$ (JU K44 1 0. MM I LMP I R=T Thi3 permit is her eby imed under the &ppkable prolin, of the Butte County Code and/or Rewlutions to do wori( indicated above for which fe" have been paid. By Date PERMIT EXPIRES ON ------ tReceipt Mo. 7757 =77 Demoliti 0 on Pelrm:4ts Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmentai Protection Agency or to a designated state agency, or both, pursuant to Part'61 of Title 40 of the Code of Federal Regplations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli- cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to is moli i project. /Siin"afure of Applicant 2/19/91 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your Si Please complete and return this information at your earliest opportunity to avoid unnecessw in processing and issuing ' your building permit. No building permit will be issued'until ft, verification is received. _cl 4. I personally plan to. provide the major labor and materials for construction of the prop6ied rr% P irn %,tya + AMC W^ ri I HAVE�i HAVE NOT 13 signed an application for a building permit for the proposed W�&,, I have contracted with the following person (firm) to provide the proposed constructloh:rif-'-"'.."';;��'..-�.. N A ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. I plan to provide portions of this'work� but I have liked the'&llowmig p_ers6ni6­` c'ddrd s4pervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. 1 will provide some of the work but I have contracted (hired) the following persons to provide the Work indicated': NAME ADDRESS PHONE TYPE OF WORik"" SIGNED: PROPERTYOWNER:_ SOCIAL SECURITY N1 DATE: -2— NOTE: This Owner -Builder Verification is required by Section 19831 and 19832 oflhl� Cal�fornia Health and Safety Code. This verification must he -completed wd returned to our office before we are permitted to issue thepermit OVER I OWNER BUILDER INFORMATION I Dear Property Owner: An applicarion 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-buildee, you are the responsible party ofrecord on such a permit.. Building permits are not required to be signed by property owners unless they are personally perfo 'ingtheir nn own work. If your work is being 7 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 cir for which t y or county. They are also required by law to put their license number on all permits hey apply. If you plan to do your own work, with the exception of various trades that you plan to sub�ontract, you sh6uld'. be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than y"our inu'nediate faraily, and the work (including a�ateoals and other costs) is S300 or more for the entire project, and such persons are not licensed as contradors or subcontractors. then you may be an employer. If you are an employer, you must register with the State and Federal Goverranents as an employer and y'o'u'are subject to several obligations. including state andfiederal income tax withholding, f�deral social securit -Y taxes, workers compensation insurance, disability insurance costs, and unemplo�yment compensation contrib ons. Uili, �here 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 inforTnation 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 peIrsonally 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 i s to secure an "owner buildee' building perrnit� erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are hot required to be signed by property owners unless they are performing their own work personally. Information about licensed contractprs may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street� Sacramento, CA. 958 14. Please complete the "Owner Builder Verification" 1pn 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. +irely, —/(' ok--, Mic el C. Vigira, C.B.O. 2er. M ger, Biu?itilding Inspection 0 NOTE. This Owner-Builder.Information is required by Section 19830 of the Call(ornia Heafth and Safety Code - OVER Rex & Tarrena Bell February 26, 2004 Page 3 You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions. Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Nicholas Hoekstra Code Enforcement Officer NH: pa cc: Department of Development Services, Code Enforcement COPY Butte County Department ofDevelopment Senices YVONNE CHRISTOPHER, DIRECTOR www.buftecounty.netldds 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile ADMINISTRATION * BUILDING * GIS * PLANNING May 18, 2004 Rez and Tarrena Bell 1290 12'h Street Oroville, CA 95965 RE: Formal Warning Notice Butte County Code Violation 1290 12'h Street, Oroville AP# 030-132-020 Dear Mr. and Mrs. Bell: Through our courtesy notice on Febryary 26, 2004, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the following specific violations: 1. The accumulation ofjunk in public view. 2. The accumulation of garbage for more than seven (7) days in public view. 3. The keeping of inoperable vehicles in public view. Your failure to eliminate the stated violations is cause for the issuance of this formal warning notice. This is notice that as of this date, our records 'indicate that the following violations to the Butte County Code still exist: Butte County Code, Chater 24, Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authonized or permitted by regulations are prohibited. Butte Counly Code, Chgpter 24, Section 24-95 - The AR (Agricultural -Residential) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is on6of the items used to determine Rex and Tarrena Bell AP#: 030-132-020 May 18, 2004 Page 2 that a "junkyard" condition exists. A "junkyard" is not an allowed use in the AR zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 114 forbids people, whether at a licensed junkyard location or not, from storingjunk in public view. Butte County Code, Chgpter 31, Section 31-50 - The owner or tenant of any premises, business establishment or industry shall be responsible for the satisfactory removal of solid waste accumulated on said premises. To prevent propagation, harborage or attraction of flies, rodents or other vectors and the creation of a nuisance, solid waste, excepting non-flammable inert material, shall not be allowed to remain on the premises for more than seven (7) days. Non-flammable inert materials stored on a premises shall not be allowed to become either a harborage for rodents, insects or other vectors, nor a public nuisance. Such inert non-flammable materials which are not properly stored shall not be allowed to remain on a premises for more than thirty (30) days. The determination that this violation exists on the property is based on the following definition in the Butte County Code: Butte Counjy Code, Chgpter 24, Section 24-305.240 - Junk. Any wom-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled *in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. I Butte Co]j= Code, Chqpter 24, Section 24-305.170 - Garbage. "Garbage" means every accumulation of animal or vegetable waste, matter that attends or results from the preparation, consumption, decay, dealing in, or storage of meat, fish, fowl, fi-uits, vegetables or other food products and shall include any food container in which there is putrescible material either solid or liquid. Butte County Code, Chgpter 24, Section 24-305.370 - Rubbish. "Rubbish" shall mean all nonputrescible solid wastes, combustible, or noncombustible, including, but not limited to, paper, cardboard, yard clippings, grass, ashes, wood, bedding, crockery, glass, metal and other similar materials, excepting compost boxes. 0 Butte County Code, ChEter 24, Section 24-305.451 - Violator. An adult owner, tenant, occupant, resident or other person having possession, control or any other ownership interest in or the right of access to the premises, who is suspected or alleged to have violated or to be in violation of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24-305.45 1. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: 2 Rex and Tarrena Bell AP#: 030-132-020 May 18, 2004 Page 3 1. Remove all garbage, rubbish and refuse from your property and maintain a regular removal schedule in accordance with Butte County Code, Chapter 3 1, Section 31-50. 2. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240. 3. Remove all inoperable/junk vehicles from the property. This is your final warnin ., Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, I within ten (10) clays 'from the date of this letter, enf6rcement shall be piirsued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises, the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Nicholas Hoekstra Code Enforcement Officer NH:cs cc: Department of Development Services, Code Enforcement 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to theWithin action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. 1 am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing With the United States Postal Service and that.said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On May 18, 2004, 1 served the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sea -led envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X 'In the United States Postal Service Mail in Oroville, California. Rez and Tarrena Bell 129012 th Street Oroville CA 95965 I declare under penalty of pe�ury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on May 1.8, 2004 at Oroville, California. G7 g- " ict PAUtant H,