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030-196-004
AP�o� 96-04 z CARL EBEL � k� 1260 Oro Dam Blvd., rp l Permit# 2725-75B(garage) i 30-196-4 Permit #641-77B(add 2 decks) 30-196-4 Permit #73-78B(new garage) "A �i� 030-196-004 03-3809 I SHISLER, DONICA r 1240 ORO DAM BLVD, ORO I CONT: OWNER ��pLED r FIRE DAMAGE TO FO A iY�N Y 030-196-004' - 10 SHISLER, DONICA 1240 ORO DAM BLVD,aQ''III�Lo CONT: OWNER I -3b- DEMO SF i ti 1 , t C� NOTES RESIDENTIAL A 030-196=004 03-3809 Address PERMIT NO. — SHISLER, DONICA i 1240 ORO DAM BLVD, OROVILLE CONT: OWNER FIRE DAMAGE TO FOUNDATION i — - 1 - Meter By Dat w SPECIAL CONDITIONS CHECKED 3 t, BY SRA FLOOD CERTIFICATE REQ. - .... FIRE SPRINKLERS REQ. - = " SPECIAL INSPECTION ITEMS VERIFY " USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER JOB FINALED (Date) Signature i t OFFICE COPY Address t GAS�i�( r Meter By Dat ELECTflI. Meter By Dat w JOB FINALED (Date) Signature i t it -'QK 0 = Not OK . = NotReadyable 7. MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s Utility Clearance 1. Zoning Requirements -Setbacks -Easements Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 2. Soils; Special MH Support Sketch 5. 3. Sewer; Location -Test -Fall -C/0 -Concrete Card B-1 Date Card B-1 4. Water; Location -Test -Easement Needed (Sketch) Card B-1 Date Card B-1 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 1. 6. Gas; Location -Test -Wrap;-/ P' L 'ft. / • P Nat. or/ P' L "ft./ P LPG 11. Verify #'s with Office Date Card B-1 Date.- � Card B-1 Date Card B=1 Date Card B-1 ' 7. Well Clearance & Disconnect S 1. 8. Utility Clearance Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. • Wood Awn.; Posts-Beams-Rftrs-Connectors. Shthg-Frg-Bracing 5. / Date Card B-1 Date Card B-1 ` Date Card B-1 Date. Card B-1 Card B-1 Date Card B-1 F Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. 1. Zoning Requirements -Setbacks -Easements Soils; Compaction -Structure Stability 2. Footings; Size -Spacing -Marriage Line 4. 3. Gas; MH Test -Demand -Valve -Connector Elec.; Pool Lighting; 15 Volts-GFI 4. Electricity; MH Test -Crossovers -Breakers -Clearances 7. 5. Drain; MH Test -Fall -Flex Connector Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- Ins. to Main Conduit 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PERMANENT END SYSTEM (ONLY) 1. Zoning Requirements -Setbacks -Easements - 2. Footings; Size -Spacing -Marriage Line 3. Blocking 4. Gas; MH Test -Demand -Valve 5. Electricity; MH Test 6. Water; MH Test 7. Water and Sewer Connected 8. Gas and Electricity Tagged 9: Exits 10. License Decals 11. Verify #'s with Office Date Card B-1 Date.- � Card B-1 Date Card B=1 Date Card B-1 ' MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s S 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. • Wood Awn.; Posts-Beams-Rftrs-Connectors. Shthg-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings t 12. Braced Wall Panels ' Date Card B-1 Date. Card B-1 Date Card B-1 Date - Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements • 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and. Lighting; Distance-GFI .5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures- Panel boards- Ins. to Main Conduit 9. Health Department Approval • . 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche 12. Enclosure; Fencing -Alarms 1 Date Card B-1 Dater Card B-1 Date - Card B-1 Date Card B-1 J OK 0 = Not OK - = Not Applicable . = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped Date 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel /J(! 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test Date 12. Electric Underground Date 13. Plenums & Ducts; Clearance -Material -Support -Ins. Date . Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 5. Access & Ventilation 16. Insulation all uds-Nailing Spacing & Braces -Plates -Sound Date Card B-1 Date Card B-1 Date Car -1 Date Card B-1 Date BING (Permit) OK except #'s W!ger Htr.; Vent- c6ess-Combustion Air Baffle Water Pi &Anchor -Nail Protection 19. D.W.V.; ittings & Anchor -Nail Protection 20. Sho er Pan; Test, First Floor -Tub Access 2J.4t Tub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors tre Sprinkler; Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s ture & Transformer Clearance -Ins. Protection Elec Receptacles Spacing -Lights & Switches at Doors ize Boxes & No. of Conductors Stapled 27. Romex Installed Close to Edge of Studs & C.J. . Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28'-2 Appliance Circuits in Kitchen & Conductor Size GFI 30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or Al 31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al Insulated Neutral 0 Yes 0 No 3 . Service -Riser Conductors & Ground Main Disconnect 3 quip. Clearances Panels-Motors-Mech. Equip. 3 lothes Closet Light -Shower Light -Spa Light ari�smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 36. A.C. Ducts Insulation & Support 37. Ven an, Exhaust above insulation 38. ndensate Drain & Overflow, Size & Grade Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet 40. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s I Is Proper Materials & Anchors all uds-Nailing Spacing & Braces -Plates -Sound ring Walls over Girders & Floor Nailing rap,6top in Walls (rat proof) tre Stops, Furred Ceilings -Stairs -Chasers -Tubs Afi,ol4eaders & Beams -Size & Bearing Date FRA (Continued) gers-Post Caps -Anchors -Connectors W. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng. ce ies or Type A Flue -Fireplace Throat Clearance 50. A� ccess; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 62. Gftrege Fore Protection Framing -RC Channel Pr�rty Line Firewall & Openings 64 --Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection I , "d on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer _58.Stucy6-Mtesh-Drip Screed -Fd. Vents-Underflr. Access ing Area -Glass Protection -Skylights -Plastic 6t 1W. Shpar Walls; Nailing -Bolts n61. graod Interior/Exterior Wall Panels Date ' G Card B-1 Date Card B-1 Date Card B, Date- Card B-1 Date FINALfl4ans4,0K except #'s 65. -Smoke Detector 66. Furnace nts-clearance-Comb, Air -Connector - In age; Above Floor-Ducts-Mech. Protection m Exiting G.F.I. Bath Fixtures & Tub Access -Spa Trim & Subpanel, Breaker Sizes & Labels fairs & Rails 71. Fireplace or Stove, Clearance -Hearth 72. Ele u lets at Wood Panel, Int. & Ext. 7 it t. & Appliance; Ground -Air -Gap -Cooking Clearance Ue,oelec. Outlets & Receptacles at Kit. Counter 75. Garage Fre Door; Swing -Landing -Closure A. uct in Garage -Damper T tr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 78. Plb.;. & Mech. Equip. Listed for Location 79. c. Receptacles in Garage (F.F.I.)-Romex Protection 1p86j on -Foam -Looked in Attic and Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 83. Following Instld./Drive O Yes 0 NoMalks 0 Yes 0 No/Planters O Yes O No 84. Stucc2 Brown -Finish 85. A . Unit Disconnect, Electrical -Plumbing BVIVents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings A 87. Water Well, Disconnect, Electrical, Plumbing ` 88. Exterior Elec. Trim, G.F.I. Receptacle -Underground n 89. V IlationThroughout House V 41!C ections from Previous Inspections Gast -Meters Tagged, Gas -Electric Wa & er Connected -C/O to Grade -HD Approval gy Compliance Certificate -Other Certificates . , Address Posted 96. Fire Sprinkle Date -(-�i Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: : r'..'.w.^�,.�-�-^--r-�''+-�r►MJ�.�r"a`-..'..i`t..,.-'Yr.��.•-.+ti..-�,�;,+•tiiKlkY 1�A'�,ty'�+3i""'y�'".►'"'�-i'n"'1•"7` COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT., SERVICES 411 Main Street • Chico, CA - (530):891-2751 7 County Center Drive - Oroville, CA -.(630) 538-7541 CORRECTION NOTICE 63 5-5�0� OWNER' PERMIT NO. A routine inspection indicates that'the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. It you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r6 L�� KK V FKV� 4-:11-M-4 7'2- J! .... COUNTY OF BUTTE BUILDING DIVISION , a DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately e-// //-/�& l 7-1" .t T COUNTY OF BUTTE BUILDING DIVISION .. DEPARTMENT OF DEVELOPMENT SERVICES - 411 Main Street :• Chico,ICA (530) 891-2751-_-.-_ 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER '� PERMIT NO. A routine inspection indic hat the following violations of butte county Ordinances exist at the above address and sh Id be corrected. Please notice this office when correction of work is completed. If you h e any questions pertaining,to this matter, or need additional explanation, please contact t ' office immediately. tt r. k 'p• yr s ✓ p :t s ! S t i Datg Ir1,Sp9ClOr� REV 10/92 insulation Certificate �ry G e -A t. BUILDING PERMIT. #: 0 3 _ 330 1 BUILDING OWNER: BUILDING LOCATION: v. Description of Installation ROOF Brand Name Material 3� . Thickness (inches) Thermal Resistance -Value) CEILING ` S Batt or Blanket Type L1 Brand Name Thickness (inches) Thermal Resistart�e_(R-V ue) Brand Name Loose Fill Type Contractor's minimum installed weight/ft �— lb Minimum thickness inches Manufacturers installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR -WALL S Material c�� Brand Name - Thermal Resistance -Value) Thickness (inches) RAISED FLOOR S Material � Brand Name Thickness (inches) Thermal Resistance (R- aloe) SLAB FLOOR N)/k Material Thickness (inches) Width (inches) FOUNDATIONXVALL Material l Mc Thickness Declaration Brand Name Thermal Resistance (R -Value) Brand Name 'l,;-ermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. um G ral Con actor (Buil r�)D, �a n w ice a Sign a and the Date Sub Contractor (Insulation Installer) License Number Date Signature and t iue THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 I ' COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PER IT NO. (Rev.12/96) APPLICATION AND PERMIT D 3'3FC11 ASSESSOR PARCEL NUMBER 030-196-004 ZONINGBUILDING '� PERMIT OWNER DONICA SHISLER TELEPHONE SO. FT, OCC. BUILDING VALUATION --32,928.00 .OWNERS MAILING ADDRESS 1636-A IRVIN SAN FRANCISCO CA 94122 672 R 101 C 1,313.00 CONTRACTORS NAME OWN 1\ TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDERS MAILING ADDRESS Fireplace Total Valuation $ 34 241.00 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 317.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 206,05 BUILDING ADDRESS 1240 ORO DAM R1.VD DROVE JE$ Energy Plan Checking Fee $ 23.00 PERMIT FEE $566,05 LAT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SFX Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 1 7.00 28,00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each as water heater or vent 15-00 15.00 TYPE OF WORK New j\ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RF.PT.ACF FIRE DAMAGED ON EX 0 ATTON Gas piping system 1 - 5 outlets 15.00. Building sewer 15.00 15.00 Mobile Home ISI GI W1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service ao.V OR LESS 200A OR LESS 23.00 23,00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwith 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 here y affirm under penalty of perjury that I am exempt from the Contractors License w or the following reason: I, s owner of the property, or my employees with wages as their sole compensation, ill 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. r❑ 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. O 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: Car er P icy Number he above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' c mpensation laws of California, and agree that if I should become subject to the w rkers' compensation provisions o section 3700 of the Labor Code, I shall f rthwit comp those provisi s. X Date gnature of Applicant -Owner ontractor ❑ Agent An OSHA permit is require for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUR SO OR ADDNS. ( a ACC. BLDS. 3•SaFT: 23.50 NEW CONST. MULTI -OUTLET NON-RESID. 7.50 PowLR APPARATLIs a SINGLE 011ILET C R. 00 Ex. Occup. OUTLET OR FDRURES BAL @ .50 Ex. Occup. OFlxurLEtDrsA RESID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 66.50 MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 6.50 Ventilation PERMIT FEE $ 41,50 Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 occ CONST. TYPE TOTAL FEE $ HAZ D IMP OOD CD p EL HD ISS This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date J~ Da ReceiptNo. 4414 5 ( �' WHITE-D.D.S.•B.D. CANAR -ASSESS R PINK -I SPECTOR GOLDENROD -APPLICANT COUNTY,®F BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION r� 7'6 urty Center Drive; Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 QV PERMIT APPLICATION DATA SHEET OWNER:, ASSESSOR PARCEL NUMBER " Proposed'Building Use: Counter Technician: Date: -( 0� Uowk Items required in order to apply fora permit. All boxes MUST be checked OR marked NA in order to apply. 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. _[T'� 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ` l� 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet ,signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ ,/ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form 0' 15.* Sanitation and-Me-ptan-a'ppto'Tatfmm-the-EnvireffffieRt�aW4ea4 4--DepaOanent-in-D' hico-Cf�8rovHle-as.appGcable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ' ❑ 19. Soils Report and/or Engineered Foundation required ................................................... 20. Erosion Control Plan Required........................................................................ ........ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. I" LA 10 6�0� d 22. City of Chico Plumbing permit....................................................................... ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ , 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ ` 28. Pre -Inspection for required....... 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number ........................................... V31. Owner -Builder Verification (_ Given to owner, Wiled to own !/. &Y! . r 32. Letter of Signature authorization ................................................ T°..Z! PRiv.r.F c o4�y e,ry 4,o r+ ............ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ' ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant eed, ❑ M . Title Statement of Facts, qLetter from Legal Owner, ❑ Check tQ H. D. t 38. Other:voC7lt C O(.�ML ❑ 39. Other: +g When issued Telephone - and hold for pickup. 1 �� I have been in or ed of a above items and requirements for ob aimng a bu' ing p It. Applicant: I. Index permit application for the above i ; numbered: Plan Check Letter ` I �''� 2. Additional items re 994. Contractor, designVner s advised of the above data by)6 phone, ❑ mail, ❑ counter, by Date: Contractor, designs advised of the aba ata by ❑phone, ❑mail, ❑ counter, b Date: Plans reviewed byDate: Plans approved by: Date Structural reviewed by: Date: Structural approved by" 2= Date: Note transfer by: Date:- Yellow: Building Division COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE, OROVILLE, CA 95965 TELEPHONE (530)538-7541 nn LLSCIlHEDULE OF RECEIPT OF FEES OWNER J[/v PROPROSED BUILDING USE 1. BUILDING PERM] --- Balance Due......... --- Additional Fees Due )0- - Revised Plan Checking Fee.... $ 2. SCHOOL DISTRICT FEES 1 (paid at School District Office) (form available after Pan Chec SHERIFF FEES (paid at Building Division) Residential............ X $360.00 =$ aol� Units Commercial (sq. ftg.)..... X $0.03 = $ Sq.Ftg. rRBAN AREA FEES 0�1111 Residential (per unit)..... . X # Units Amt. A.P. # 30—t 194 _00 DATE Q RECEIPT # DATE REC. (paid at Building Division) Commercial (Sq. Ftg.).... X = $ Sq. Ftg. Amt. 5. RECREATION DISTRICT FEES (paid at Recreation District Office) (form available after Plan Check) 6. THERMALITO DRAINAGE DISTRICT FEES �j $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK FEE $89.00 (paid at Building Division) 8. WATER TENDER FEES BATTALION # $200.00 (paid at Building Division) 9. NORTH CHICO SPECIFIC PLAN (paid at Building Division) Residential Zone X = $ Zone # Units Amt. .Commercial (sq. ftg.) ......... X = $ Sq. Fig. Amt. 10. OTHER At time of pe lication, I was advised the above fes are required to be paid prior to issuance of the permit. These fes , maybe chan ed d ' g the an� ch ng process. / APPLICANT 1 U DATE Pursuant to Government Code Section 66020, you lire hereby notified that items, 2, 3, 4, 5, 6, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original -Building Division Yellow -Applicant Pink -Owner (rev. 2/2003) COU-NTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Centerbrive • Oroville, California 95965 • Telephone (530) 538-7541 _ PERMIT NO. APPLICATION AND PERMIT F •C�y�/ SESSOR PARCEL NUMBER _ O� ZONING TELEPHONE HERS MOILING = BUILDINGPERMIT SQ. Fr, OCC. BUILDING VALUATION @7.50 - PERMIT FEE PAID NrROCTOR'S NOME / TELEP ONE .L COMMaCTOR'S MAILING ADDRESS older s - TRUCTION LENDER ' Fire lace Ex. Occup. ovn®Ts 610 - ER'S MAILWG ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE 10. 'Ficin Fee $ 20.00 Permit Fee $ 3 ARCNrrECT OR ENGWEERS MAJUNG ADDRESS Plan Checking Fee $ BURDWGADDRESS ("I Energy Plan Checking Fee $ . W $ JL PERMIT FEE $ IDT N0. SUBDNISIONS NAME PAaeEL PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00A. CJO USEOFSTRUCTURE SF kDuplex ❑ Mobllehome ❑ Other SPT Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Oth ❑ Describe Work: Gas piping system 1 - 5 outlets 15.00 Sr Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S O f z ELECTRICAL PERMIT Fling Feel 20.00 nna T.. ce..a�e f eoov oA ass 1 23.00 G✓�(L�j1•\% O� �� cors . MULTt ovn Er ►��ro. ANc @7.50 - PERMIT FEE PAID - $ POWER APPARATUS b SWGLE OU CI0. .L 20 @ I.so - Ex. Occup. ourLEr OR FKTURES SAL Ex. Occup. ovn®Ts 610 - 5.00 SRA$ Temporary Service 23.00 Mobile Home Facilities 20.00 Wisc. Wiring23.00 SHERIFF $ PERMIT FEE s & • C7 MECHANICAL PERMIT Firing Fee 20.00 OTHER 0 $ Heating li Cooling Hood 6.50 .S—O $ Ventilation PERMIT FBI= S Mobile Home Installation Fee $ $ Energy Inspection Fee $ C: C CONST. TYPE TOTAL FEE $ HAZ D. FEES IMP FLOOD COF PARCEL I PD I HO I ISSUE AMOUNT RECEIVED $ J I This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work DATERECEIVED Loo indicated above for which fees have been paid. � / By Date ®CMIDT � 3q �l PERMIT EXPIRES ON / To Whom It May Concern; I herby give permission to Donald Boeger and/or Paula Epperson to do work on my behalf at the Butte County Building Department for Use Permits, Building Permits, Sanitation Permits and any other necessary requirements I Will need for property address 1240 & 1260 Oro Dam Blvd., Thermalito, Ca. Also AP # 030 196 004. Thank you for your cooperation. Sincerely; .. . 1 Donica. Shisler FIRE DAMAGE REPORT OWNER. �M X I e r DATE: _ LOCATION: 1 24,(D►'0\bd La' � W A.P. # X30- CONTRACTOR: ZONING: C DATE TO INSPECTOR: JiO 3 PERMIT HISTORY ( ) NONE ( AS FOLLOWS: BUILDING INSPECTOR'S REPORT Building Description: Commercial/Usage: Residential # of Units: Currently Occupied ( ) Yes Abandoned/Vacant: Electric: Electric Currently ( ) On ( ff Condition of Electric Gas: `f Currently ( ) On ( �ff, Condition Sanitation: i Plumbing Working ( ) Yes (-1"170— Obvious Sewage Problems ( ) Yes ( ) No ; Mobile Home Condition of Utilities-( ) Damaged -Requires Permit ( ) Undamaged" No Permit Required Description of Damaged Area: Estimate Cost of Repairs: 7 4-v�- U e 0 CW Condition of )Foundation: ( Good ( 41 ) Poor Explain if repairs needed: Inspector: Sketch building on reverse and indicate area of damage. Date 0 Z- 4�'G 3 1 CDF/BUTTE COUNTY FIRE INCIDENT LOG DATE 10/15/2003 INCIDENT NUMBER 12121 LOGGED BY MAA REPORT TIME 6:20 LOCAL FIRE NUMBER 11043.Capt �nra� Fire RO DAMON STATE FIRE NUMBER acr data R.q BI CASE NUMBER -MEDICS LOCATION 1240 ORO DAM BLVD. WEST PRAA9 ECC RP I PHONE NUMBER 533-2686 I REPORT METHOD 911 WILDLAND FIRES ❑ ESTIMATED ACRES r=0 FIRE INFORMATION STRUCTURE FIRE RESIDENTIAL I FIRE INFO SENT HOW EMAIL BY MAA TO 63 I OTHER FIRE ( 7 -DAY LOGGED ❑1 INITIALS . FMJ MEDICAL AIDS INCIDENT NAME GUNTER PSA/OTHER r START DATE 10/15/2003 START TIME 1:45 HAZ MAT DIAMOND # 5.0 COMMENTS ' CAUSE MOKING 0 FF BUD ENGLAND MINOR BURNS TO NECK FROM LAND USE OMESTIC ' 1-0 DRIPPING HOT TAR ACRES, 01 TYPE OF ACRES DIAMOND 5 ONLY $ DAMAGE TYPE ALL OTHER DOLLAR DAMAGE 80000.00 SAVE 2000.00 ' INJURIES/FATALITIES ❑� # CIVILIAN INJURIES # CIVILIAN FATALITIES 0� EMD El OES El# FF INJURIES ^� 1� # FF FATALITIES 0 New Inciden FC -40 INFORMATION FC-40 ❑ DATE OF FC -40 INC, I r AGENCY INC # = INC P# FC -40 COMP DATE FC -40 COMP BY 1 1 ��--❑------�� County Notifications Q EARS Hard Copy Recieved [j EARS Checked Agenst EARS Computer , r -c c 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 0? 3VO ASSESSOR PARCEL NUMBER 030-196-004 ZONING BUILDING PERMIT OWNER DONICA SHISLER TELEPHONE SO, FT, OCC. BUILDING VALUATION .OWNERS MAILING ADDRESS 1240 ORO DAM BLVD OROVILLE CA 95965 CONTRACTORS NAME 0W TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAIUNG ADDRESS Total Valuation is ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ suIL1 40 R ORO DAM BLVD OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 35.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping ' 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEMO FIRE DAMAGED SINGLE FAMILY 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 Main Service ZDOA oR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License for the following reason: Ias owner of the property, or my employees with wages as their sole compensation, will do the work, and the sVucture is not intended or offered for sale.s owner of the property, am exclusively contracting with licensed contractorsMisc. to construct the project. 1 am exempt under Sec. Business and Professions Code for this Preason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number he above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the rkers' compensation provisions of se tion 3700 of the• Labor C de, I shall fo with c mply wit ose provisions. X Date Signat a of Applic t - e Co ctor ❑ Agent An OSHA permit is required for ex vations over 5'0" deep and demolition or construction of structures over 3 stories in heig Main Service 200A TO 1000A 46.00 NEW CONST. DWEUJNG OCCUP. OR ADDNS. ( a ACC. BIDS. SO 3—wFT. NEW SID. MULTI.OUTLET 97,50 POWEPPARATUS 8 SINGLER AOurLEr CIR. Ex. Occup. OUTLET OR FIXTURES 20 p 1.00 BAL @ .50 Ex. Occup. G. '(RR=.° 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Wirin 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under Code and/or of W incwhich fees have I By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. ate / 6 �� 6 �S ale Receipt No. WHITE-D.D.S.-B.D. CANAR -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION i County Center Drive • Orovilll�e„�California �A95965 • Telephone (530) 538-755441P IT NO. (Rev.12/96) APPLICATION AND PERMIT ZONING BUILDING PERMIT /SSESSORPARC0.NUMBEA 30-- y-� /�, /J TELEPHONE SQ, �, OCC. BUILDING VALUATION OWNER ' � / 1 / � CJC (� ",z, r NAME COTRUCnON LENDER I �NDERS MAILING ADDRESS KECT OR ENGINEER ARCNRECT OR ENGINEERS MAILING ADDRESS Fire lace Total Valuation $ TENSE NO. ' Filing Fee $ Permit Fee $ Plan Checking Fee $ $ Energy Plan Checking Fee v- $ D .PERMIT FEE $ LOT NO.SUBDNISIONS NAME `”""" PLUMBING PERMIT Each Trap USEOFSTRUCTURE Solar or heat pump water heater SF Duplex ❑ Mobilehome ❑ Other Water piping SPWV Each gas water heater or vent TYPE OF WORK Gas piping system f - 5 outlets New ❑ Additi ❑ Remodel ❑ Utilities ❑ stkllation ❑ ther Building sewer Mobile Home 15.1G W Describe Work: L� PERMIT FEE S T .PERMIT FEE PAID $ SRA $ SHERIFF $ OTHER $ DWELLING OCCUP. $ d ACC. BIDS. ) _. Mobile Home Facilities AMOUNT RECEIVED $ DATE RECEIVED DEPCIDT -44 36?41 ELECTRICAL PERMI Main Service EOOV L 2DOA OORRESS usS Main Service zow To iowA NEW CONST. DWELLING OCCUP. OR ADONS. d ACC. BIDS. ) _. 20.00 iling Fee 20.00 7.00 23.00 15.00 15.00 15.00 15.00 @20.00 ig Fee 20.00 23.00 46.00 OL 3.5tF Ex. O=p. . OUTLET OR FIXTURES TOTAL FEE $ Ex. Occup. OUTLETS ESID) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 1 2 0. 00 I Hood I 1 6.501 PERMIT FEt $ Mobile Home Installation Fee $ Fnprnv Insnectinn Fag $ -� O c- `roNs' TYPE TOTAL FEE $ HAZ I D. FEES LIMP I FLOOD I CDF I PARCEL I PD I NO ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMIT EXPIRES ON COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: `�' \ ASSESSOR PARCEL NUMBER V� (U " )V Proposed Building Use: ��i/�vO L Counter Technician: Q 11 Date: �� U Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9.. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and business license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ........ ❑ 20. Erosion Control Plan Required........................................................................ ........ O. 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. D 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainage ......................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. Contractor's license information. (Number, Name Style, Classification) ................... ❑ 30. Worker's Compensation Carrier and Policy Number .......................................:.. ❑ 31. Owner -Builder Verification (_ Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization.................................................................... ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed ❑ MTitle/Statement ofacts„❑ Letter fro Legal Owner, ❑ Check to H.C.D. $ . . 38. Other: CPA sj�� ❑ 39. Other: When issued Telephone,5/ and hold for pickup. I have been info ed of 6e abgre,items and requirements for obtaining a building permit. Applicant: V \-\` 1. Index permit application for the above it Nnumbere6l. 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Plans reviewed by: Date: Plans approved by: Structural reviewed by: Date: Structural approved by: Note transfer by: Date: Date: P M Plan Check Letter Yellow: Building Division Date: Date: Date Date: 0y Demolition Permits Asbestos Notification Statement Date /' "O+ 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 Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, 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 Applic nt OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. Signature of Applicant 2/19/91 T0:17759088379 P.2 Warren Asbestos Abatement Contractors Inc. waaci@yahoo.com P.O. Box 546 224 McCeton Drive Bangr, CA 85914 530-679-1100 Fax 530.679-1010 October 31, 2003 John Eagan Farmers Insurance RE: Proposal for Asbestos Abatement at 121.44 Oro Dam Blvd., Oroville, CA Warren Asbestos Abatement Contractors; Inc. hereby proposes to remove the asbestos containing materials from 12140 Oro Dam Blvd., Oroville, CA for the following amount: Ten thousand eight hundred dollars. -................................... The proposal to remove the asbestos containing materials from the aforesaid building, including demolition of the building down to the foundation, would be as follows: Twelve thousand six hundred dollars ........................................ Thank you for the oppom=ty to give you this proposal Please give us a call if you have any questions. sincerely, Martin Warren JAN -06-04 11:49 AM CALTEC 9162215182 P.01 Col -Tec i.k. VIRONIVIENTAL. INC. DATE:ty()' ��� -------------- T24L. tO 33-6 iiffzika-'-------------------------- ------ To /Ibc, c- t ------------------- FROMr -f ... >4r A— RE ------------- ----- REMNSE REQUMED- -YES+ �NO%4 - HARD COPY TO FOLLOW: YES( NO(? f- COMMENT'Sc CALTEC FAx# (530) 242-6549 lir YOU DO NOT. RECEIVE- ALL PAGES, PLEASE. Cop"ACT THANK YOUT US- LMMWL4:ML'V' P.O. BOX 123 Shasta- California 96087 - .- - (5ao�221-5003 -.. FAX -(5,30} 242=6549- '* JAN -06-04 11:49 AM CALTEC 9162215182 P.02 WORI-iSlll- N11) I'll- WATION IMP A.NI1F.s'I()S and INII-A I HC 6 0 V j:', .1? 1 "COR) V. A P.) I S'l A I I. 1. 1 1 -.1,) 1 6 D0,SII NAM v v VO 11: ;md 1. 0— 1.( )(WI 11.)14! 7to oroL)A.,A- u 3.. *NAN 11:1 UF,Ot; A 1.11411) Vl: I H.(1 1,\Ilz(#.l I.W Aliz tjof,�l I k'w�l LAIKAMR)KY W(WIN'. ANI) 'NANIF OF (.TI(I 11-111 N pnu t2I — ------ J(.)); ti TAR Ill]'' I)Xvv. Ib 4 ITO.IH1 )..D COMITITIoN 1) _PF. AHI) Wf ITACI If 11) 'N.T1111: T� . ......... ... .. H I Ij I PIP, UVALUATION (JF VO I I;Jq I IAI. 1:1)11. EXI'WOTT. . ..... -.111 1.9,AJAL). 151')tQ for, AS I I F(YS 1701- MDA 1!1 LN) THIS ED NO I V. 1: NU'ARENT OFFICE (SU,13, TATIOLN, IT. -IM TQ A'i 011t 11) DO' L CQNSUL C(Wf,1J:H(.T:N1I:t,JT OF AHV .,�(icll W I K. A (.'I I \1 ITY. TWI ill: 1)U; ()ITI(T ItY THU No'l F, ANY CHAII(JI: UI 1 111'. 1 -II(T. .','IIAI,l 1.0 NVI(i 1 1) *I -j 141 ) sl ICI 1. Cl IA ,lt;):. CAiJUS11A.1dil May, 1993 ..�r�,vF.,+-.w.rrrf,["''1F�'�4"�'<'iF��`_",�*r. ,,,,,,•�;,,,,r.uti� � Y .,, aY... �....� S. r,,.AA�..a. s_..,.n,r.-�-•.��..��., � ... r -, .�. . n 030-196-004 03-3810{ / SHISLER, DONICA 1240 ORO DAM BLVD, OROVILLE CONT: OWNER DEMO SF k \1 ,CO1 TY 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 - 030-196-004 ZONING BU ILD I NG P ER M IT OWNER DONICA SHISLIIi TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS "UNG ADDRESS 17M ORO r M BLVD OROVM.F- CA 9596 CONTRACTORNAME OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee V15.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING��ooD�RESS .7 Mo DAM BLVD OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ 3,5.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: DEMO FIRE DAMAGED SINGLE FAMILY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home SG W 1 @20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '. A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION 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, 1 will do the work, and the structure is not intended or offered for sale. l --I , as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service TO 1000A 46.00so NEW CONST. DWEWNG OCCUP. DWE200ALLING OR ADDNS. ( 8 ACC. BLDS. SO 3.5¢FT_ "NoN aESloT. MULTI -OUTLET g7.50 Pow ER APPARATUS a SINGLE OUTLET CSI R. - EX. Occup. OUTLET OR FDCTURES .00 BAL O I.50 Ex. Occup. 0 E°s g'.,.DERa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ;1 1 1 certify that in the performance of the work for which this permit is issued, I shall J�^1 not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with -those provisions. \ , \ 1 (f `� \ 0 ! C,t/, ) X ` �Date Signature of'Applicant = ❑ Owner ❑ Contr_actor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES IMP I FLOOD I COF PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have I�/V /I _ By pv `� PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date /GS (Date) Receipt No. I I,I I L / i� - r' WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT n RECORDING REQUESTED BY Bidwell Title & Escrow Company AND WHEN RECORDED MAIL TO Donica Shisler Name Mayra.. Gonzalez Street 23 Pirate Cove nddrm Daly City, La. 94014 City, state rn Order Na 0()�n010'111n1 11111111111111111111110111 Recorded Official Records Coo E ACBBf CMElUJJTTTT GRUBBS Recorder ROSEVIARY DICKSON Assistant 09:00AN 09 -Jul -2003 I REC FEE 10.00 I TAX 135.30 I 1 I I Barbara I Page 1 of 2 SPACE ABOVE THIS LINE FOR RECORDER'S USE Parcel No. 030-196-004 GRANT DEED THIS FORM FURNISHED BY BIDWELL TITLE & ESCROW COMPANY Documentary Transfer Tax is $135.30 The Undersigned Grantor(s) Declares) — ld compuW bnluli value of uiteiesTbi piopeity conveyed, br RI CityiTown of Q6J :1 ❑ full value less value of liens or encumbrances remaining at Unincorporated Area the time of sale O Monument Fee of $10.00 FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Jean Pixler, a Married Woman as Her Sole and separate Property hereby GRANT(s) toied. wcnan Donica, shisler , an unmarried woman and Mayra Conzalm , an urm►arr City Qio✓i l (X O Unincorporated Area as joint tenants the following real property in the ®Ci of , County of Butte, State of California: SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Dated: July 1 2003 Jean Pi STATE OF CALIF RNIA _—. } SS: COUNTY OF �jv%� Nota Public in and for On •�/ before me, the undersigned, a.Notary said County and state,; appeared Jean Pixley P r proved to me on the basis of satisfactory evidence) to be the person() whose name(A) is/a) subscribed to thewit I instrument the sane acknowledged to me that hA/.-she/t y in bAs/her/ti�ir authorized capacity(itfs), and that by hys/her/tb!6ir signature{§) on the instrument the person(J), or the entity upon behalf of which the person() acted, executed t, i strument. WITNESS my hasand ;�icia MAIL TAX STATEMENTS TO: Same as Above GA LA WILDER COMM. # 1399916 NOTARY PUBLIC-CAUFORNIA n BUTTE COUNTY . COMM. D(P. FEB. 22 2007' Y O.B.- I 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 Yk NO 13 Q I HAVE ❑ HAVE NOTXsigned an application for a building permit for the proposed work. 3. have contracted with the following person (firm) to provide the proposed construction: �M! 4. I plan to 'prov supervise, and ADDRESS: CONTRACTOR'S LICENSE NO. ons of this work, but I have hired the the major work: PHONE: —` 5. I- will provide some of the work but I the work indicated: NAME ADeRFc4 SIGNED: 1� a 'S LICENSE NO. to coordinate, contracted (hired) the following persons to provide PHONE TYPE OF WORK NOTE. This Owner -Builder Veri�cation is required by Section 195 '1 and 19532 of the California Health and Safety Code. This verifuation must be completed and returned to our office before we are permitted to issue the permit. OVER OB. -I I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by 'law to put their license number on all permits for which they aPPly- Ifyouplan to do your own work, with the exception of various trades that you plan to subcontract; you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and `other costs) is $300' or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several bbligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not cant' out these obligations, and these risks are especially serious with respect to worker's compensation insu arice. ♦ For more specific information about your obligations under Federal Law,.contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your .obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform then work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. rely. Mc 1 C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner-Builderinformatdon is required by Section 19830 of the California Health and Safety Code OVER r 0? 767s G4q/-tT PERMIT No. 735-78B,P,E ` PERMIT EXPIRES 1171 ^OWNER Carl J. Ebel CONTR. owner LOCATION (A.P. 30-196- ) Thermalito 1260 Oro Dam Blvd., TkEExma2k*H E r Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas- Serv.� Called PG&E JOB o os (Date) Z, oo d (Sig u e) 0 . i 1 i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS . BUILDING INSPECTION RECdRD BUILDING BUILDING (Cont'd) PLUMBING Setback !J Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physically handicapped Conformance of ex structure Aq ot Appliances Gas Piping & Test Temp. Gas / Slab Final Sanitation 444 Patio FIREPLACE Final Footings Footing C RICAL— Masonry Walls X Throat Rough r . Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test x Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath x Ventilation Permanent '9 Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Servi Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you vis t the job site.) VVV COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS r 7 County Center Drive — Oroville, California 95965 • Teli2sphone: X34-4541 _ APPLICATION AND PERMIT �r• ..,.,uu.1 ,y ou— V„«, uNU1LIM This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated j1 above for which fees have been paid. X /"`�� Date DIRECTOR OF PU IC WORKS Signature o Permi>teee or Agent Receipt No. 3 3 7' �? 7 �f � By Date���� o '7 White-D.P.W. - y�W�p•� Vsa",_ Pink Inspector — Gol en rod -Applicant Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALt1A ION Mailing Address 17— Telephone No. Telephone 4 3� Fireplace Contractor ,2.y—,z�_ Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address �� Gl�+c PLUMBING No. @ 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. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s C. tion FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma p 60' R/W Im vements Lawn sprinkler system 2.00 •� DP s c'd Parcel Approval tans Approval Permit Fee $F:� $ NEW ,R ADDITION ❑ UTILITIES ❑ OTHER [JELECTRICAL :No.1 @ FEE PERMIT FILING FEE $3.00 vQQ Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others Ranqe, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 601 �2 10 Receps., switches & fix outlets 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: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring x I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ A IV 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. r.51 certify that in the performance of the work for which this permit Js issued 1 shall not employ any 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 _T TOTAL PERMIT FEE $ �r• ..,.,uu.1 ,y ou— V„«, uNU1LIM This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated j1 above for which fees have been paid. X /"`�� Date DIRECTOR OF PU IC WORKS Signature o Permi>teee or Agent Receipt No. 3 3 7' �? 7 �f � By Date���� o '7 White-D.P.W. - y�W�p•� Vsa",_ Pink Inspector — Gol en rod -Applicant Building permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — 0;oville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT dq BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mai I i ng Address v Telep one No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 , Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F W Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Ple r -Re4'd Parcel Ap royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ Z4 9D i$ \ � ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Single Family ❑ Duplex Mobil Home Others ❑ ❑ ❑ Main service 600V OR LESS 10o AMP LESS 5.00 -L Main service EA. ADD100 AMP 2.50 Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELINGOR ADDNS. ACCLBLDGS.CCUP S) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter, 9, Di'v. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR MULTI.OUT LET NON-RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTtIRES BAL50 2j Ex. Occu / FIXED APPLNS. OR p.(FIXED (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I 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. ]2:I certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL INo. @ FEE PERMIT FILING FEE $3.00 Heating T V 00 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 Land Development Fee $ TOTAL FEE PERMIT $ cS auuwncc feP1eJCI1laUVWb UI Ule t,ounry UT Buiie io enier upon ine above-mentioned propperrttyy for inspection purposes. rte, X • atyDate" 8 - .7 4P Si ature of''Permitee or Agent Receipt No.) r % 7 -c"23a Ag 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. D�2 TQFJ OF.PUBLIC WORKS BY Date aa&kkag permit expires Date. 1179 A ."�ERMIT NO. 641-77B PERMIT EXPIRES / OWNER Carl Ebel CONTR. owner LOCATION (A.P. 30-196-4 1260 Oro Dam Blvd., Orov ille t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB F I N A L E D '5�7 (Date) (Signature) 1 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS., BUILDING INSPECT109 RECORD BUILDING BUILDING (Cont'd) PLUMBIN Setback Firewall Soil Pip Forms Parapets 1st F106 Main Bldg. Restroom Finish 2nd Flo r Footings Windows 3rd Floo StemwalI Siding To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulation Heaters Slab Carport / Footings / Prov. for physically handica ed Conformance of e)(. structure Appliances Gas Piping & est Temp. Gas Slab Final ZZ Z Sanitation Patio FIRkPLACf Final Footings Footing E EC RICAL Masonry Walls Throat Rough Relnf. Steel Final Fixtures Bond Beam i i FIRE SPIRINW11 ERS Motors stucco Final V Subpanels Mesh MEC ICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping N121316EUOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuit Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY AF BUTTE — DEPARTMENT OF PUBLIC WORKS " 7 CdOnty'Center Drive — Orovi Ile, California 95965 Teliphone: 534-4541 APPLICATION AND PERMIT 1-717 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 upon the above-mentioned property for inspection purposes. X �R &IL t e, Elh&Z—Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ 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 B IC WORKS BY ate 2- B(ding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address CD Q Aaw �, Tel one No. fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ I - $ Building Address _, PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 6-4,10 CJ 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 __► —� Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FeW. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking I Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd arcel Approval Plc/1 Approvol Permit Fee $ $ NEW ❑ ADDI TI:O:NX UTILITIES ❑ OTHER j] ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 •��' Main service 600V OR LESS 5.00 100 AMP OR LESS Main service EA. ADO'L 100 AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( DWEACCLBLDGOCCUP. &) 2¢Sgft NEW CONSTR(. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTPOWER APPARATUS & NON- R. 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 le of: Ex. Occup(OUTLETS OR FIXTURES)@ BAL @ 1 Ex. Occup. FIXED APP LNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 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 LAJ 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. 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 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X �R &IL t e, Elh&Z—Date Signature of Permitee or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ 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 B IC WORKS BY ate 2- B(ding permit expires Date BjJTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: (.?� A. P. # Address: Tenant: Building Location: Type of Inspection requested: Date of Inspecc%tion 2 9 Inspector 1. Housing / / 2. Financing 3. Change of Occupancy to 177 4. Other ( specify) Present use of building: A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and venfilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: C. Electrical 1. Service and ground- 2. round-2. Receptacles: 3. Fusing: 4. Comments:---------- D. omments• D. Plumb in 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: a E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: - 6. Comments: F. Commercial Buildings ' 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description) : 2. What action taken (give 3. What action recommended: tor description): - A..Information only - file. B. Hold for ten (10) days, then wri�.. latter° / / C. Write letter. =-s YFP M"4��"'�hV+ i ._..�- ..� _ ... y.. '._'4:'"".-^T.«.�w'alAlbesF'•�++!ae.m:.o!'l+�"'-�._�;., _ R •. v..r. .0 .-. - _ -�.. -.�_ .—.-.. �. �• n.: �' .pro � � r ®m � a � s CA)` 0 =-s YFP M"4��"'�hV+ i ._..�- ..� _ ... y.. '._'4:'"".-^T.«.�w'alAlbesF'•�++!ae.m:.o!'l+�"'-�._�;., _ R •. v..r. .0 .-. - _ -�.. -.�_ .—.-.. �.