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HomeMy WebLinkAbout030-211-044CODE VIOLATION 030 -211 -044 -- Substandard Housing see Scot (30 day) 3/22/01 30-211-44 C. OS BORN 1651 Oro Dam West, 0 oville Cor}; r • Luke Sherwood Contr Permit #k7184-78B,E(repair fire damage roof{'& wiring) SF 30-211-44 ontr: Duke Sherwood —O rmit#7211- -Orovil�s e 78B (reroof, re taild fireplace) SF s o/ 030-211-044 PERMIT#97-1718 DOZIER, Randy 1651 Oro Dam Blvd West, Oroville' Repairs/SF 030-211-044 PERMIT#97-1717 DOZIER, Randy. 1651 2 Oro;TDam Blvd West,Oroville Repairs/SF 0 I March 22, 2001 Randy Dozier 1651 Oro Dam West Oroville, CA 95965 RE: Substandard Housing 1651 %2 Oro Dam West, Oroville AP# 030-211-044 Dear Mr. Dozier: butte Co, LAND OF NATURAL WEALTH AND BEAUTY PLANNING DIVISION' DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA. 95965-3397 TELEPHONE: (530) 538-7601 FAX: (530)538-7785 This department has received a complaint alleging health and/or safety hazards at the above -referenced property. Butte County Assessor's records indicate that you own or control the property. On March 19, 2001, an inspection was made regarding the complaint and the following condition was observed which is in violation of the California Health and Safety Code, Section 17920.3 (a) 1, 3, 6; which pose health and safety hazards to the occupan-..s and render the dwelling substandard. This letter is your thirty (30) day warning letter to correct or abate the following violation: Any building or portion thereof including any dwelling unit, guest room or suite of rooms, or the premises on which the same is located, in which there exists any of the following listed conditions to an extent that endangers the life, limb, health, property, safety, or welfare of the public or the occupants thereof shall be deemed and hereby is declared to be a substandard building: Lavatory sink is non-functioning. (a) 1 2. Lack of kitchen sink. (a) 3 3. Lack of adequate heating. (a) 6 At the time the above -referenced property becomes vacant, it shall not be occupied until all violations are corrected. It is the County's goal to obtain voluntary compliance with the California Health and Safety Code. However, you should be advised that Butte County has an active code enforcement program which provides an effective means of enforcement. A re -inspection will be made to determine compliance. If voluntary compliance with this notice is not accomplished by correction of the above -referenced violations, enforcement may pe pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction and per Section 41-7 of the Butte County Code, violators may be fined and a Notice of Violation may be recorded which include a description of the action necessary to correct the violation. I l Randy Dozier March 22, 2001 Page 2 ; Furthermore, failure to comply will result in the Franchise Tax Board being notified of your non- compliance. You will then be prevented from claiming state tax deductions for taxes, depreciation, amortization, or interest expenses connected with the property as long as it remains substandard. This notice is given to you pursuant to Section 24436.5 of the California Revenue and Taxation Code. To comply with the California Health and Safety Code, Section 17920.3 (a) 1, 3, 6; you must obtain all required permits for repairs from the Butte County Department of Development Services, Building Division, 7 County Center Drive, Oroville, California. You have thirty (30) days to voluntary comply with the above -referenced directions. Should you have any questions concerning this matter, please contact me at 538-7601 Monday through Friday, 8:0.0 a.m. to 4:00 p.m. Sincerely, Scot Johnson Code Enforcement Officer SJ:dm cc: Occupant, 1651 % Oro Dam West, Oroville, 95965 Department of Development Services, Code Enforcement May 3, 2001 Randy Dozier 1651 Oro Dam West Oroville, CA 95965 RE: Building Code Violation 1651 Oro Dam West, Oroville A.P. #030-211-044 Dear Mr. Dozier: Eu ite 160unt� LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This is a courtesy notice to notify you that you are in violation of the Butte County Code, as follows, at the above -referenced location. Failure to obtain the required permits, inspections and approvals from this office for remodeling. Since permits and inspections are required for the above work, please submit three (3) complete sets of plans., apply for the required permits, and pay the appropriate fees. All work must stop until these permits are issued and you are authorized by our field inspector to proceed. The field authorization cannot be made until the existing work is inspected and approved. It is the County's goal to obtain voluntary compliance with the Butte County Code. However, you should be advised that Butte County has an active Code Enforcement Program which provides an . effective . means of enforcement if voluntary compliance is not obtained. Enforcement may be pursued through the issuance of citations, fines and the recording of a Notice of Violation including a description of the action necessary to abate the violation. You have thirty (30) days to voluntarily comply with the above directions or to present an acceptable plan for abatement or corrective actions to be taken by you. Should you have any questions concerning this matter, please contact Scott Rutherford or Michael Vieira in this office at the address or telephone number listed above., Ocerely, ` Mic ael Vieir Manager, Building Inspection MCV:sk cc: Assessor ✓ab...li� r%.rsr.a�>�'"xT".n+4�,rC�?i-,�c`• �:�`'`e"r��.�,.a�� COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530)'538-7541 CORRECTION NOTICE /alp �z-.��_�.� OWNER `PERMK 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 tta�ctjthis 'office immediately. Date4- Z —01 Inspecnr REV 10/92 s Assessor 00 Name DOZIER RANDY Asmt # I Fee # 030-211.044.000 Xddr1 Status JACTIVE ';, Status Date " 11651 ORO DAM W Tax a 000ORMAL OWNERSHIP' - JTRA 104-010. Addr2 10ROVILLE CA 95965 _ Situs 1651 W ORO"DAM BLVD. ORO `- Addr3 � Base Dt j0. Addr4 Land J AgPres J Etal J Notes Structure Fixtures 105,450 - . 0' Comments 3021104400 CONVERTED 09/08/88 Creating D oc#1 196881521.317 0 Date_ Bonds Growing IP I = 0, _ Current Doc# 1997819819 Date6-5l3-0l1-99-7-+ r Multi Situs Total L&I 137,239 -- 0 _,_„_...._.:. Fix. RP Killing Doc# �� Date J Flag1 'MH PP. 0, Asmt Desc PT LT 12 HOWARD SUB SuplCntl0 I FIag2 PP 0 � Zoning AR l Dwel J Asmt PP Pen Exempt 7,000 Acres 0.00' NIC 030 J Tax Pen PP Net "-'' 130;239 RIC# "LIC F-JI Appeal Pending /R Dt l QJ' Split Pending Stat HON IrT- -EXP XP` TAX AT — _t "'_ APER---PCLrir` � ► ►� c Find - 2000 sa, 08!08/2000 6:17:48 PM 4, f ,• 15, BUTTE COUNTY DEVELOPMENT SERVICES Complainant: Address: Phone Number: Other Comments: .............:...........:.:......,..:.,.,..:,:,.,.,.:,.....:,;,..,,:.,.......:.:::.:;.:+:,.., }:<::;:::>:::.........................,. }.... ...... r .+ ..:..::.::.: :. s;::k:::;io .,:,::,:•,..:::<;:::.::: :.:::.:.............. �' a aba e<:rm a� on:.. ::dgvastrilsk- ha r�7irF:��.,s{#:#fai€2€2:fkk�:«:.;::.:::.:.:.: -1 Inspector must draw a plot plan with all building locations: Additional comments from Inspector: 2• LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION Y� %°�•?`�?' °-' '7 ' DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-754.1 August 24, 1998 FAX: (530) 538-2140 RE: Building Permit # Randy Dozier Expiration Date: 97-1717 & 97-1718 1651 Oro DamBlvd.W. A P #/ 97 Oroville, CA 95965 030-211-044 With reference to the above subject, our records indicate that your building permit expir date and your permit falls into one of the categories marked below: (�] Permit work started, but not completed. Permit may be renewed for 1/2 the original building permit fee (plus a $20.00 filing fee). The renewal permit will extend the building permit for an additional year from the original .expiration date. Should you not renew your permit within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -builder form to be completed and signed by you where indicated and returned to this office together with the fee shown. Please return all copies of the application form. [ ] No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. After expiration of your permit, no work may be started until a new permit has been issued. [ ] A final inspection has not been made on permit work. Final inspection approval is required before occupancy. Our field ' inspector has verified that the building is occupied. Occupancy must cease until a final inspection can be made and final approval given. You have 30 days to voluntarily cease occupancy or to present an acceptable plan for abatement or corrective actions to be taken by you. If our records are in error or should you have any questions concerning this matter, please contact the Orovil l e office. Thank you for your prompt attention concerning this matter. MCV:ahb Attachments Yours very truly, 4L MicelC. V ira, C.B.O. Manager, Building Inspection Chico Office - 1469 Humboldt Rd/891-2751 Paradise Office - 747 Elliott Rd/872-6307 RESIDENTIAL 030-211-044 _ PERMIT#97-1717 DOZIER, Randy 11651 OOro Dam Blvd West,Oroville PERMIT N Repairs/SF 9/r/ PERMIT E)\. -. OWNER CONTR. 7 ASSESSOR PARCEL LOCATION • .. y 1 I 1, OFFICE COPY Address -p- GAS Meter By Date// ELECTRIC Datkf�'L • Meter By Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service ti Called PG&E JOB FINALED (Date) [ 'v Signature .f V=OK O = Not OK `=NottReApplicable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirt:ments - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer Location-Test-Fali-C/0 Zoncrate 4. Water Location -Test -Easement Needed (Sketch) 5. Electricity; Locatiort•Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Ti / /LYL / /Nat or/ /' tL/ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements - 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand lalveConnector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy 12. Permanent Foundation Only: License Decal Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MlscEt�NEou� Date DECK% COVER$, CAR PGA AGE land OK except #'a 1. Zoning RequirementsSetbacks-Easements 2. Footings; Sal"ize-0epthSpacing-Connectors-Steel 3. Decks; Girders and/or Joists-Decidng-Bracngstairs-Rays 4. WOW Awn.; Posts-Beams-Rftrs.-Connectors Shthg.4ifg.-Bracing 5. Alum. Awn.; Columns-ConnectionsSplic Decal -Enclosures 6. Carports; Windows -Doors 7: Electric 8. Fmtg.; Sils-AnchorsSuAs-Rttrs-Trusses 9. Siding; Nailing-VeneerSbxxo-Mesh 10. Root; Shtltg-Roofing 11. Ext.; Steps-Dcora•LAndings 12. Braced Wall, Panels Date Card B-1 Date Cana 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 Vofis-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater 8. Elec.; Grounding; Equip, w/S Circulating Equip.-flool Lghtg. Boxes-Enclosures-Panelboards4ns. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK O = Not OK - - = Not Applicable = Not Ready Date . JMERFLOOR (Plans) OK except #'s Setbacks-Easments-FloodSlope Mg., Main; Soils-Elec. Gmd. /f Ftg. Depth RESIDENTIAL (Single & Duplex) 3. Ftg. Garage; Soils-Steel-Elec. Gmd/ C Ftg. Depth 4. Ftg. Porches & Decks; SoilsSteel-/ P Ftg. Depth 5. Stemwalls, Main;*Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. SI! !Bti eNNrapped Jeer lreplace Ftg.-Steel W.V.; Fall -Fitting -Test -2 Way CJOSewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -ins. 14. Girders -Sills -Anchor BoltsJoists Vents Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permft OK e t #'s 1 Wa r Htr. en s b stion Air e ipe; T chor-Nail Protection n,.W.%QK rttin ch on 20. Shower Pan; Test, First Floor -Tub Access 21. Te!12, FS Shower, Second Floor -Tub Access as Pipe; Site & Anchors Date 10-6 -77 Card B-1 /L)" Date Card B-1 Date 99,-q- 7 Ca5A=1 Date Card B-1 Date ECTRICAL (Permit) OK exceat #'s ,k ted Filµare & Transformer Clearance -Ins. Protection & Switches at Doors No. of Conductors Installed Close to Edoe of Studs & C.J. OZE-:ground made up w/Mech Fastners-Bond Gas & Water 28 - Appliance Circuts in Kitchen & Conductor Size GFI ga. Cu or AI-A.C. Wire Size / / ga Cu or AI . - / ga Cu or AI Insulated Neutral 0 Yes 0 No 31 Senrice-Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. othes Closet Light -Shower UghtSpa Light 34. Smoke Detector D t'Y Card B-1 Date Card B-1 Datj Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except # s r . le� Vent Fan, Exhaust above insulation verflow, Size & Grade Air-Retum Air Vent 115 outlet 39. c Access &Platform if Furnace in Attic tu W041 Dateo-k _GL l Card B-1 " Date Card B-1 Date „q Card -1 Date Card B-1 Date01AMING (Plans) OK except #'s 46o"SO.Proper Materials & Anchors ells Studs -Nailing Spacing & Braces -Plates -Sound 42. ers & Floor Nailing top in Walls (rat proof) •ire tops, Furred CeilingsStairs-Chase eaders & Beams -Size & Bearing Date Flue -Fireplace Throat clearance ttiy�ess; Size & Romex Protection -Draft Stop -Ins. Baffles drm. Windows or Exiting Doors -Sill Hgt. & Dimensions i Framing Line Firewall & Openings Ext. Doors -One Y -Check Garage 3rd Story, 2 Exits i ea room- ise-Run-Landing-Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56 Ridig�� 8� esh-Drip Screed -Fd. Vents-Underflr. Access Glazing Area -Glass Protection -Skylights -Plastic s; ailin o s 60. Brace Interior / Vdarior Wall Panels 61. Insulation s -Ceilings Infiltration -Walls Windows Date ( 9 Card B-1 )0;0 Date Card B-1 Date Q._ r 9 Card B-1 Date Card B-1 Date FINAL (Plansf OK except #'s 63. Ext Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove. Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance 73. Elec. Outlets & Recepticales at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. In Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (G.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-FireplaeL-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throught House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/0 to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: (Rev. 12/96) - COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDIN IVISION - 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. 97-1717 ASSESSOR PARCEL NUMBER 030-211-044 ZONING BUILDING PERMIT OWNER RANDY DOZIER TELEPHONE 533-8403 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1651 ORO DAM BLVD W. OROVILLE CA 95965 15 @60 900 EST 14,100 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NO LEND MAILING ADDRESS Fireplace Total Valuation $ 15,000 ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 162.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 105.30 BUILDING ADDRESS 1651 1/2 ORO DAM BLVD W OROV Energy Plan Checking Fee $ $ PERMIT FEE $ 287.30 LOT NO. SUBDNIShDNS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex YK Mobilehome ❑ Other SPECIFY Each Trap 51 7.00 35.00 Solar or heat pump water heater 1 23.00 Water piping 15.00 15.00 Each as water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: REPLACE WINDOWS, TERMITE REPAIRS, REROOT, REPLACE ELE SERVICE, PLBG REPAIRS (CONV,DUPLEX TO Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home IS I GI W1 @20.00 PERMITFEE $ 85.00 SAF) ELECTRICAL PERMIT Fling Fee 20.00 Main Service 000V OR LESS 200A OR LESS23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.d 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: 12�- I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46,00 NEW CONST. DWELLING OCCURSO OR ADDNS. ( a ACC. BLDS. 9 O 3.50FT: 33.25 r.0W C s",S Mu T-Dur�ET @7.50 PSINGLE OUTLET OWER APPARATUCIR.S Ex. OCCu OUTLET OR FD(TURES BAL @ 1 .50 LN Ex. Occup. oin rED s A S16) ER, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00 PERMIT FEE $ 76.25 25 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 th.is permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 Cooling Hood 6.50 Ventilation 00 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.) J;L, I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r X Date -�1-- Sign re f pplica - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is regoired for excavations over 50" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 483.55 HA2. D. FEES IMP I FLOOD I CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. q By p Date / PERMIT EXPIRES ON Receipt No. 224248-372.00//224263-111.55 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT - COUNTY OF BUTTE, DEPARTMENT O�PD.EWLOPMENT SERVICES - BUIL ING DIVISION 7 COUNTY" C=ENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: RAJ 0 f, )h2 ASSESSOR PARCEL NUMBER: - D1,41 Proposed Building Use: _ Building Inspector: Date: Wtt.iweermit applicatiop,I w advised the following data must be su mi ed prior to permit processing and/or issuance: Date Received By s have been submitted; ----- ° ---------------------------------------------------------------------------- ❑2. Plot plans, 3/4 sets, signed by the prep er of plans. ---------- ------------------------------------------------ ❑ 3. Complete plans, 3/4 sets, signed by the preparer of plans.--- -'----------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- y. ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. -------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ----- -------------------------------------------------- ❑ 8. Hazardous Material Form. ----------------------- ------------------------------------------------ 09. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- 0 10. Fees of $ ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- s ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- Ell 5. ------------------------------------------ ❑15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- ❑ 17. Planning approval for (A) Use: (B) Parking: -------------------------- 1118. ------------------------- ❑18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19..Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- ❑20. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification)- ------------------------------------ ❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- ❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑ 24. Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25: Recorded copy of Agricultural Acknowledgment Statement. ----------------------------------------------- ❑ 26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- 028. Existing violations and/or exp ed permits- ------------------------ --------------------------------------------- 029. 11433 A, ❑Grant Deed, ElM.H. Title, C3Check to H.C.D $ .--------------- 1130. Other: /' ------- (Date) Wh,process,o actor. X XIC elephonephone J� '"�'! Q and hold for pickup at CA10 V i office. ❑ Deliverwith inspector. 1\ Applicant: -"`+'"' Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date:' By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application for flAabove items numbered: ❑ Plan Check List 2. Additional items required: L4✓ JAMVk4t6t / A40TEcL �/ Q. QdOn17 ,'l S i WA 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, ❑ Briilding Div Yon counter, by Date/ Plans reviewed by: Date: Plans approved by: / Date: 9 Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. V.� (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 030-211-044 ZONING BUILDING PERMIT OWNER RANDY DOZIER TELEPHONE 533-8403 SO, FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 1651 ORO DAM BLVD W OROVILLE CA 95965 15 @60 900 FST CONTRACTORSNAME TELEPHONE / I© CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'SMAJUNG ADDRESS Fireplace 00 Total Valuation $ -mu— ARCHITECT OR ENGINEER NONE_20.00 LICENSE NO. —Filing Fee $ 2O. D O Permit Fee $ lGARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ Q BUILDING ADDRESS 1651 1/2 ORO DAM BLVD W., CIRCIVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ IAT NO. BDN NS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE I SF M Du lex 0bilehome ❑ Other SPECIFY Each Trap 5 1 7.00 35.00 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IR REPLACE WINDOWS Describe Work: , TERMITE REPAIRS, REROOF, REPLACE ELE SERVICE, PLBG REPAIRS Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home s G W 920.00 PERMIT FEE s 85.00 ELECTRICAL PERMIT Fling Fee 20.00 600V OR LES9 Main Service zo. LEss 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.P 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: is 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by 'section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCURSO OR ADONS. ( ; ACC, BLDS, 3.5Qs; 3 s =RES. MULTI -OUTLET @7,50 OWER APPARATUS 6 SINGLE OUTLET CIR. Ex. OCCU OUTLET OR FIXTURES Z0 ® 1'10 BAL .s0 Ex. Occup. DlFlTLPTS AaID,°E 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating 15.00 —Cooling Hood 6.50 Ventilation PERMIT FEE $ -35-00 Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person -in any manner so as to become subject to workers'°.FEES compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date –1/ C/� � Signa ur ofApp I nt - Owner ❑Contractor ❑Agent An OSHA permit i squired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.�/�'d�� Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ IMP FLOOD I CDF I PARCEL PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. 224248 , WHITE-D.O.S.-B.O. CANARY -ASSESSOR PIN - SPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7'COUNT•Y CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: 82 1& Y' ASSESSOR PARCEL ER: Proposed Building Use: 44 Building Inspector: Date: At time of permit application, I as advised the following data must be submitted prior to permit processing and/o issuance: ❑ 1. All items have been submitted. 02. Plot plans, 3/4 sets, signed by the preparer of plans. 03. Complete plans, 3/4 sets, signed by the preparer of plans. 04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. 115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! 06. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. 118. Hazardous Material Form. 119. Manufactured Home data and installation instructions including Tie Down Specifications. ❑ 10. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approval/fees. ❑ 13. Flood elevation certificate. 1114. Sanitation and plot plan approval Health Department: 1113. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: ❑ 18. Contact Land Development about Cl Improvements, ❑ Drainage, ❑ Legal Parcel. ❑croachment Permit for driveway (construction approval prior to occupancy). 0. Pre -inspection for required. 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter of signature authorization. 025. Recorded copy of Agricultural Acknowledgment Statement. 1126. Letter of intent on building use. 027. Manufactured Home utility clearance. 028. Existing violations and/or expired permits. 029.11433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: When you issue the permit process as follows ❑ Mail to owner, ❑Mail to con ctor. Telephone /j c7� D V b 3 and hold for pickup at 01b v Ae office. ❑ Deliver with inspector Applicant: Date: EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS , Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant 1, CO&TY OF BUTTE DEPARTMENT 61" 'TLOPMENT SERVICES -BUILDING DIVISION 7COUN1AY CENTER DRIVE - OROVILLE; CALIFORNIA 95965 - TELEPHONE (916) 538-7541 s PERMIT APPLICATION DATA SHEET . ;4 . OWNER: dZ fea ASSESSOR PARCEL NUMBER: 0�'a Proposed Building.Use:Building Inspector: Date: At time of permit application, I v16 advised the following data must be submitted prior to permit processing and/o issuance: ' Date Received By ❑ 1. All items have been submitted.------ --------------'--------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans.----------=------------------------------------------------- _ 03. Complete plans, 3/4 sets, signed by the preparer of plans. - y ------------------------------------------------- _ 134. Engineered plans, 3/4 sets, with wet signature on plans. Allengineering must be shown on plans. -------- _ ❑5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ _ ❑6. Energy Design Compliance and supporting documentation .�------------------------------------=--------------- _ ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.-------------------------------------------------------- _ 08. Hazardous Material Form.------------------------------------------------------------------------------------------ _ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications .------------------ _ ❑ 10. Fees of $ %------------------------------------------------------------------------------------- _ ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate.---------------------------------------------------------------------------------------- _ ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- _ ❑ 15. City of Chico plumbing pennit------------------------------------------------------------------------------------ _ ❑ 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- _ ❑ 17. Planning approval for (A) Use: (B) Parking: __________________________ ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- I 9 ----------------------I9 croachment Permit for driveway construction approval prior to occupancy) ------------------ 0. Pre -inspection for required. Request to Building Inspector on ❑21. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ 0 22. -----------------------------------❑22. Workers' Compensation carrier and policy number. ----------------------------------------------------------- 023. Owner-Builder ----------------------------------------------------------❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - -------------------------------------- ❑24. Letter of signature authorization.-------------------------------------------------------------------------------- - ❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- _ ❑26. Letter of intent on building use. ----------------------------------------------------------------------------------- ❑27. Manufactured Home utility clearance.---------------------------------------------------------------------------' - 028. Existing violaoons and/or expired permits----------------------------------------------------------------------- _ ❑29. 11433 A, OGant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ --------------- D30. Other: When you issue the rocess as follows ❑ Mail to owner, ❑ llyto contf ctor. P Telephone 5 J�3 and hold for pickup at r0 vi/le-office. ❑ Deliver w th inspectors (Date) Applicant: "^• Date: k Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air pollution Date: By: Copy of plans sent ❑Health Department, ❑ Fire Department, ❑ Other: Date: By: 1. Index permit application forjhe above items numbered: , ❑ Plan Check List 2. Additional items required: i ' 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 kPlans reviewed by: Date: 3' Plans approved by:'`i'�*ri;; ,;msµ �+ Date: Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: ,Date: Yellow Copy - Department of Development Services, Building Division. <�� (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION Poo OWNERS MAIUNO ADO SS / ^„�^4 (/O !/ /7c/!G G, CONTRACTOR'S NAME TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRU TI LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ QO® ARCHITECT R NGINEER LICENSE No. Piro Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAWNG ADDRESS Plan Checking Fee S BUILDING ADDRESSI 1 Q , � l Energy Plan Checking Fee S eeg V i $ PERMIT FEE S t g. LOT NO. SUSDNLSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF Duplex O Mobilehome O Other SPECIFY Each Trap 7.00 3jr Solar or heat pump water heater 23.00 Water piping 15.00 lam i90 Each as water heater or vent 15.00 15 TYPE OF WORK New ❑ Addition O Remodel O .Utilities ❑ Installation ❑ Other K Describe Work: Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE _ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.OR mss 23.00 L'1 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: ❑ [,as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: O 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: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work,for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date _ _ Signature of Applicant - ❑ Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP. SO OR ADONS. ( d ACC. BLDS. 3.50FT. g61D MULTI OUTLET @7,50 PSO APPARATUS 8 SWGLE 0 r. CI0. EX. Occup. ovnzr OR FIXTURES� ®1.30 Ex. Occup. oFlxunFrs�aDOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE = 6, MECHANICAL PERMIT Fling Fee 20.00 Heating /5,00 Cooling Hood 6.50 Ventilation PERMIT FES S 00 Mobile Home Installation Fee $ Energy Inspection Fee b occ CONST. TYPE TOTAL FEE $ Do HAZ. 1 o. FEES IMP I FLOOD I COF PARCEL I Po HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date to Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 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 !L NO ❑ 2. I HAVE— HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. 1 have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: LCITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: SOCIAL SECURITY NUMBER: �- DATE: NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other S:00 or more for the entire project, and such persons are not licensed as -contractors-or subcontractors, then you may be an' employer. ' ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may 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 insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, /t 0-1 Mic el C. Vi ira, C.B.O. Ma ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER ELECTRICAL, MECHANICAL, AND PLUMBWQ CONSTRUCTION ( NOT PLAN CHECKED ) SHALL COMPLY WITH CURRENT EDITION -OF NEC, UMC AND UPC PROVIDE APPROVED VENT AND ADEQUATE COMBUSTION AIR FOR HEATER WOR W.H. Lbs L.9 4"086 Jz v V. NIAll ZS �J. Sz as— om swe _F EX TZD 9W om .......... ftxog J ti 6.9 X £ 8J M09 N3H OiN a NgHoirA -11,01, ONVUl WDOHX338 w.. . . . ....... ...... ................... .................. -------------- ------------ -------------- --- ----- ....... ogxtlz O Ga C)l 6°° V'Z. 6.6XV.9"a —6.6 x o VROH 03e HiV9 r HIVS cq w ;t Itz "Asolo m ZAZ Jz- Zzo SCX09 -7 BUM coumyy WLDING Drr .pAWMgNT 4pr t h N n 42'2 21' 21'2 3068 a i LOSE 7435 60 )35 O (�� AT JI I�_ TH Tara � ....__ 1 x —5'1 x 9'9 1 1 MO 1� 3 � .._._._._.._._.......... ......... _.... _._._._._.................. .............. ._._._.__._ RE CKRO01 I lM � M QZ I ! [ 60X48 .......... 1 O Kf ^ SR (I 8 h _............. 5040 3068020 3068 5040 SB�T4� 8' 34 37 75 T 62 ' LIVING AREA i21' 980 sq ft 67 k 14'7 42'2 /VFk--,, �-XG S ��^S otic/C a' � LIS 11 10'4 AJVAo eeGM and venWati0a per CH, l S, AC BUTTE CTY GJILDN DEPARNI' APPROVIE,13 0 N 00 115 192 — _[ 292 —_ i h sy i I I I I 1651 ORO DAM WEST 30'4 � � /6 S-1 Oki) QAmwft e— -NOTES' ,~ . . �^'. ` 04 \ v , s1'2 mmORO DAM WEST f114 N" rq,5W rcor/M& BUILDING DEPARTMENT ' \ 42'2 21' 21'2 3068 $$ 3D CLOSET'col LosETNO ui 6OX35 BATH)E 74 � 3-5 WH OoBATH UTILITY BED ROOM 7 h'4X io 51 x '9— co 8 ?9 c�, 5 4 x 9'9 lbloo N 24X60 ------------------------------------------------ --- - -----...------ ---- ---.. ---------------- ................ ...............................- ............ 0 RECKROOM EO LMNG ROOM, rrCHEW, co KITCHEN Y) 60X48 ff6'3 x 6'9 60X48 5040 3068L 3068 5040 68— T4 -1 1 8' 3-4-13-312-5 r LIVING AREA 21'— 67 147 980 5qft 4217 42.2 - zr 21'2 3068 o � 1� FE F \ so AT TH 1 m �{ �7 -- - --- ----------- 1 x 9 N / 5' x 9'9 a 9 .%� '+ ^ x60 7i 3 REW CKROO bo 1, x x 1� o KkC ^ Tel I 60X48[I �� sb 1� 8 N 5040 30683068 5040 L68 T4 8' 34 3'3 2.5- T LIVINgAREA02 5'2 2r F 14.7 i r 42'2 13 U n 10'4 N 00 1651 ORO DAM WEST 0 A A)vjo y 0 2.1 S-/ OIL Q QArm wff 12'6 21' 1216- 31'2 1651 ORO DAM WEST 74' 01 - CORRECTION NOTICE �_ ' OWNER / A routine inspection indicates that the f the above address and should be corre is completed. If you have any questions f� s please contact this ffice immediately. S e142 1, �r 1-4 4f PERMIT NO. ,iolations of Butte County Ordinances exist at se notify this office when correction of work to this matter, or need additional explanation, Date Inspector REV 10192 7 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES. ' 411 Main Street, Chico, CA - (916) 891-2751. 7 County Center Drive, Oroville, CA - (916) 538-7541 - CORRECTION NOTICE �_ ' OWNER / A routine inspection indicates that the f the above address and should be corre is completed. If you have any questions f� s please contact this ffice immediately. S e142 1, �r 1-4 4f PERMIT NO. ,iolations of Butte County Ordinances exist at se notify this office when correction of work to this matter, or need additional explanation, Date Inspector REV 10192 7 r COUNTY OF BUTTE ` BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES t' 411 Main Street, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 CORRECTION NOTICE 1)olicr 9-7-/7/ 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 notify this office when correction of work is completed. If you a any questions pertaining to this matter, or need additional explanation, please contacllKs office immediately. r—ez W Date OSI Inspector REV 10/92 f J •- COUNTY OF BUTTE ` BUILDING DIVISION Z DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street, Chico, CA - (916) 891-2751 " 7 County Center Drive, Oroville, CA;, (916) 538-7541. F OWNER CORRECTION NOTICE' I,P,` 1'5-1% PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 40 & .ate' C.-4- i 0 .cJ �.p r' Gf� a Oil/UyGc� (✓ / Q tet/ rj i r r i/5 lC ,O .tet /lv loo-�. �� .74 l `- 0 Date % %— 9-7 Inspector gVj 5 5-e REV 10/92 030-211-044 PERMIT#97-1718 l9au DOZIER, Randy 1651 Oro Dam Blgd West, Oroville ` Repairs/SF i 1 i� r Y i COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISIQN 7 County Center Drive - Oroville, California 95965 - Telephone (916)'5!!;7541 PERMIT � O, (Rev. 12/96) APPLICATION AND PERMIT ��� 12 / R" ASSESSORPARCEL NUMBER 030-211-044 ZONING B 6 ILDING PERMIT OWNER RANDY DOZIER TELEPHONE 533-840315 SQ. Fr. OCC.,/ BUILDING VALUATION OWNER'S MAILING ADDRESS 1651 ORO DAM BLVD W.0 OROVILLE CA 95965 '�60 900 E19T 1600 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAIUNG ADDRESS CONSTRUCTION LENDER NONE LENDER'S MAIUNG ADDRESS Fireplace Total Valuation $ 25 ARCHITECT OR ENGINEER NONE UCENSE NO. Filing Fee $ 20.00 Permit Fee $ 5�j 00 ARCHITECT OR ENGINEER'S MAIUNG ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1 ORO DAM BLVD W y Energy Plan Checking Fee $ $ PERMIT FEE $ • LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF Gly, Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7 7-0049.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 S (1110 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherXMBuildin Describe Work: REPLACE WINDOWS, TERMITE REPAIRS. REROOF, REPLACE ELE SERVICE, PLBG REPAIRS Gas piping system 1 - 5 outlets 15.00 sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE s 99.00 ELECTRICAL PERMIT Filing Fee 20.00 q . e0011OR LE: Main Service 200. OR LESS 23.0023,affi LICENSED CONTRACTOR'S DECLARATION t' 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. 1 OWNER -BUILDER DECLARATIONEx. 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 1 NEW CONST. DWELLING OCCUP. ( ACC.BUDDS. O 3.5QSST: M NOR EWADDNS. CONST. f& NON•RESID. iI LE 97.50 POWER APPARATus 8 SINGLE OUTLET CIR. OCCU . OUTLET OR FIXTURES 20 Q 1.00 BAL @ .50 Ex. Occup. OUTIFfSXED PRES D.PUNS OEa 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 66.00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 5; 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X .r Date �! 5 J _ Sign attLhre�of�Applica✓t - ❑ Owner '❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 270.00 HAZ. D. FEES IMP FLOOD CDF PARCEL Po HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicate ,above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date f1 a Dere Receipt No. 224248 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT COUNTY OF BUTTE- DEPARTMENT OFI)EVELiDPMENT SERVICES -BUILDING DIV ON 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538- 41 _ % PER LTJ40. (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 030-211-044 ZONING B ILDING PERMIT OWNER RANDY DOZIER TELEPHONE 533-8403 SO. FT. OCC. BUILDING VALUATION n 15 @60 900 OWNERS MAILING ADDRESS 1651 ORO DAM BLVD W. OROVILLE CA 95965 EST 1600 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MAIUNG ADDRESS ' Total Valuation $ 2500 ARCHITECT OR ENGINEER NONE LICENSE NO. Fills Fee $ 20.00 Permit Fee $ 54.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1651 ORO DAM BLVD W. OROVI LE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF &K Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7 7.00 49.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 15 00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherXq Describe Work: REPLACE WINDOWS, TERMITE REPAIRS, REROOF, REPLACE ELE SERVICE, PLBG REPAIRS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE s 99.00 ELECTRICAL PERMIT Filing Fee 20.00 OOOV OR LESS Main Service 20.AORLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER 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: RK I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason 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 TO Main Service TO 46.0E NEW CONST. DWELLOCCUCUP. EE OR ADDNS. ( 8 ACC. BLDS. 3S QS O. FT. NEW CONST. O NON-RESID. MULTI- C cUTLETI u @7.50 APPARATUS & SINGLE OUTLET CR. Ex. Occup. OUTLET OR FIXTURES 20 O 1'50 BAL @ .so FPPOR Ex. Occup. OUTLETSRESID.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 00 -23 PERMIT FEE S 66.00 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.) &K I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwithcorn ly with those provisions. X Date— % �/– 5�— Signa re f pplic- ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 270.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL I PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated—above for which fees hav By PERMIT EXPIRES ON the applicable provisions Resolutions to do work een paid. pi lY (1 �Dat e p 4 D Dere Receipt No. 224248 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF VEVEL'OPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 030-211-044 20NIN0 BUILDING PERMIT OWNER RANDY DOZIER TELEPHONE 533-8403 SO. FT. OCC. BUILDING VALUATION 15 @60 900 OWNERS MAILING ADDRESS 1651 ORO DAM BLVD W., OROVILLE CA 95965 FST R&A& 160 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ 00 ARCHITECT OR ENGINEER NONE LICENSE NO. Filing Fee $ 20.00 Permit Fee 1— ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILOING ADDRESS 1 1651 ORO DAM BLVD W OROVILLE Energy Pian Checking Fee $ $ PERMIT FEE _ LOT NO. SUBDN1s IONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE. SF ` Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7 7.00 49.00 Solar or heat pump water heater 23.00 Water piping 15.00 15.00 Each gas water heater or vent 15.00 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: REPLACE WINDOWS, TERMITE REPAIRS, REROOF, REPLACE ELE SERVICE, PLBG REPAIRS Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home . Fs -T 61 W 1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 OOOV OR LES9 Main Service zo.A OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full 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: 69— I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 1, as .owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Main Service 200A TO 1000A 46.00 NEW CONST. DWEWNG OCCUP. OR ( . s0 3.5¢FT: cad Mu aTco NON RESIO. VTLET @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occu OUTLET OR FIXTURES 20 O 1'50 �,L p ,,o Ex. Occu . OUTL�EOTs R��GRE. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23.00,23.00 PERMIT FEE s 66.00 MECHANICAL PERMIT Fling Fee � 20.009 Heating 5"0 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.0 Policy Number (The above sections need not be completed it the permit is for work of a valuation of one hundred dollars ($100) or less.) W I certify that in the performance of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date ��� — Signa re plic - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is re uired for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ In occ coNsr. TYPED TOTAL FEE $ HAz. I D FEES IMP I FLOOD I COF PARCEL PO I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Date Receipt No. `a P F 3 7 A - 7 a 7. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINKANSPECTOR GOLDENROD -APPLICANT JOA 5 (Rev. 12/96) COUNTY OF BUTTE -DEPARTMENT OF'DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSORPARC'pK� EA / 0 V / .-. ZONING BUILDING PERMIT OWNER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESPe as_ ' 1 ✓ �' D CONTRAC'TOR'S NAME TELEPHONE CONTRACTO MAIUNG ADDRESS CONSTRUCTI LENDER e LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECTJORfNGINEER UCENSE NO. Filing Fee $ 20.00 ( Permit Feb r $ ARCHITECT OR ENGINEERS MAI ING ADDRESS Plan Checking Fee $ BUILDINGADDRESS' II Ila 5 ' � l//,l/// Energy Plan Checking Fee $ $ PERMIT FEE $ 010 LAT NO. SUBONISIONS NAME PARCEL MAP PLUMBING PERMIT Filing -Feel 20.00 USEOFSTRUCTURE SFDuplex ❑ Mobilehome O Other SPEC" Each Trap 7.00 11,019 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 &V D© TYPE OF WORK New O Addition ❑ Remodel ❑ .Utilities ❑ Installation ❑ Other / Describe Work: Q [( �.( W ►t DL(l s ; f fir++" I tP 'l�'n(A : +'� " Gas piping system 1 - 5 outlets 15.00 Building sewer15.00 Mobile Home S G W (P20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 R LF Main Service x. LEss 23.00 '}3, LICENSED CONTRACTOR'S DECLARATION 1 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. 'Ex. 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. O 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. 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: Carrier Policy Number (The above sections need not be completed H the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor O Agent An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO 1000A 48,00 NEW CONST. owELLu+o occuP. so OR ADDNS. ( 8 ACC. ILCCS 3.50FT. NO CONST. OMULTI-OUTLET QG 7.50 POWER APPARATUS. 6 SINGLE OUTLET CIR. Occup. OUTLET OR FLXTUREs ew ® I .50 Ex. Occup. 9 RES...) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation _ PERMIT FEt $ DO Mobile Home Installation Fee I $ Energy Inspection Fee $ occ CONST. TYPE ` �1 TOTAL FEE $ CJ ruz. o. FEES IMP FLDoO COF PARCEL PD ND ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date ReceiptNo. WHITE•D.O.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICANT(Date) OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. ' 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement: YES-- NO ❑ 2. I HAVF43- HAVE NOT ❑ signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: \ / ADDRESS: CITY: PHONE: / CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: PHONE: CITY: R'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTYOWNER: a SOCIAL SECURITY NUMBER:_ DATE: `% NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other co-'ts)-is S.00 or more for the entire project, and such persons are not licensed as -contractors-or subcontractors, then you may be an employer. " ' ' . ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security takes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. i rely, Mic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code OVER COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: �Q h�i/0 2 i G ASSESSOR PARCEL ER: 030 'c5` Proposed Build q Building Inspector: Date: / At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: 111. All items have been submitted. 02. Plot plans, 3/4 sets, signed by the preparer of plans. 03. Complete plans, 3/4 sets, signed by the preparer of plans. 04. 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! ❑6. Energy Design Compliance and supporting documentation. ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ❑ 8. Hazardous Material Form. 1__19. Manufactured Home data and installation instructions including Tie Down Specifications. 1110. Fees of $ ❑ 11. Impact fees as shown on the attached schedule. ❑ 12. California Department of Forestry plan approyal/fees. ❑ 13. Flood elevation certificate. ❑ 14. Sanitation and plot plan approval Health Department. 1113. City of Chico plumbing permit. ❑ 16. Plot plan and business license approval from the City of Biggs. ❑ 17. Planning approval for (A) Use: (B) Parking: 1118. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ❑ 19 ncroachment Permit for driveway (construction approval prior to occupancy). 0. Pre -inspection for required. 021. Contractor's license information. (Number, Name Style, Classification). 022. Workers' Compensation carrier and policy number. ❑23. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). El 24. Letter of signature authorization. 025. Recorded copy of Agricultural Acknowledgment Statement. 1126. Letter of intent on building use. 027. Manufactured Home utility clearance. 1:128. Existing violations and/or expired permits. 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $' 030. Other: When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to co actor. Telephone s3J"8 Q 3 and hold for pickup at 1/ office. ❑ Deliver with inspector. Applicant: Date: EXPIRATION OF APPLICATION Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment ori permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked and other department costs are not refundable. Original - Applicant "r'-�•-4-N t.fy`"' r-" V, �:..r.7y..x,r^�v.ro+v'SIR.�Y,:i`n.'i•:•%T,*.:�+f�f'*f'-t�",t-v'f''�''°�'� rF''l1'y'T-.-r't'r".-''r' :.i'.., rr` .. COUNTY OF BUTTE DEPARTMENT OF bRPA-'OPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538;7541 A,` � , r r' S PERMIT APPLICATION DATA SHEET OWNER: �Q 66 2 ASSESSOR PARCEL ER: D O 'ol l % a Proposed Building Use: Building Inspector: Date: / At time of permit application, livas advised the following data must be submitted prior to.permit processing and/or issuance: Date Received By ❑ 1. All items have been submitted .------------------------------------------------------------------------------------- ❑ 2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------ ❑3. Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- ❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ❑ 6. Energy Design Compliance and supporting documentation. ---------------------------------------------------- ❑ 7. Statement of Intent for Non -Heated and A/C Buildings. --------------------------------------------------------- ❑ 8. Hazardous Material Form. ------------------------------------------------------------------------------------------ ❑ 9. Manufactured Home data and installation instructions including Tie Down Specifications ------------------- El10. Fees of.3 ------------------------------------------------------------------------------------- ❑ 11. Impact fees as shown on the attached schedule. ----------------------------------------------------------------- ❑ 12. California Department of Forestry plan approval/fees. --------------------------------------------------------- ❑ 13. Flood elevation certificate. ---------------------------------------------------------------------------------------- ❑ 14. Sanitation and plot plan approval Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- D 16. Plot plan and business license approval from the City of Biggs. ---------------------------------------------- , ❑ 17. Planning approval for (A) Use: (B) Parking: - ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -- =------------------- ❑ 19ncroachment Permit for driveway (construction approval prior to occupancy). --------=------------------- 0. Pre -inspection for required Request to Building Inspector on 021. Contractor's license information. (Number, Name Style, Classification). - ❑22. Workers' Compensation carrier and policy number. ------------------- 023. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). 024. Letter Letter of signature authorization. ---------------------------------------------. ❑25. Recorded copy of Agricultural Acknowledgment Statement. --------------- 026. Letter of intent on building use. ------------------------------------------------ 027. Manufactured Home utility clearance. ----------------------------------------. ❑28. Existing violations and/or expired permits. ----------------------------------- 029. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ 030. Other: ,When you issue the permit, Rrocess as follows ❑ Mail to owner, ❑ ail to c actor. Telephone 5 vJ -3 and hold for pickup at C/�D►/, office. ❑Deliver with inspector. Applicant: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: Date: (Date) 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. r r r COUNTY OF BUTTE ./ w - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE :a 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. To REV 10/92 • - PEh'IT N0. 7184-78B El. ! PERMIT EXPIRES O wNER C. Osborn �oNTR. Duke Sherwood Cohtracting,Oroville ! 30-211-44 `LOCATION (A.P. i 1651 Oro Dam Blvd. W., Oroville E . R I Temp. Po er Pole Called PG&E A' Temp. lec. Serv. C Iled PG&E Tem . Gas Serv. `. Called PG&E NCO B FINALED � (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTI10N RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI Sidinq To out Slab Roof Sheathing Z Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handica ed Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing EL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam , vs7 FIRE SPRINKLERS Motors L r-ramin r i. - L& Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final --):z MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal Water Piping Sewer Gas Piping 1 EHOME 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 visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 53W 4541 APPLICAtION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of PPermitee or Agen Receipt No. 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 fo ich fees have been paid. DI ECT OF P IC WORKS By Date Building permit expires Date T BUILDING Owner Q/c SQ. FT. OCC. BUILDING VALUATION ©00 00 Mailing Address /G 1 02o 44-i co' Telephone No. Contractor GUde1� C'O //i Mailing Address 4/,2,f (SZjLjy O)q�, Fireplace Total Valuation ©e 0 P, � . ��6f Telephone No. 5-33 5L-y/d Permit Fee Building Address/(�'r 0�'O �/t'1 �1 Plan Checking Fee&/or Penalty Permit Fee Q. '10r d O� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 / onge/,lL C' Repair drainage or vent piping 1.50 g A. P. No. J (%'—�►�%� �� Zo i 8�'fZlanning Water piping 1.50 Each gas water heater or vent 1.50 F ien I Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 Parking EQA Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 8216 Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ is ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,(jQ Main service 600v OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service( EA. ADD•L 100 AMP 1.00 NEW CONST. OR ADDNS. ACCLBLDGS.CCUP. Y) 20sgft C CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of C lifornia Business & Profes ions Code under the name NEW CONSTR. BRANCH CIRCUITS) NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR (POWER APPARATUS a NON•RESID. ANGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTURES B L9; . OR Ex. Occup (OUTLETS OUTLETTSS (RESRESID) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No <3_ _%Misc. Classification_ Wiring 6.25 A ❑ 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. @ MECHANICAL No. FEEPERMIT 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 Land Development Fee $ TOTAL PERMIT FEE $ /ZS authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date Signature of PPermitee or Agen Receipt No. 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 fo ich fees have been paid. DI ECT OF P IC WORKS By Date Building permit expires Date T -4ERMIT NO. 7211-7'8B �• 7 Y . • +� PERMIT EXPIRES 12/15/79 p ##C . OS BORN ;PpOWNER y;CONTR. Sherwood yLOCATION (A.P. 30-211-44 1651 Oro Dam West, Oroville M e • + it yy� tlll� • f: I Temp. Power Pole Called PG&E Te p. Elec. Serv. Called PG&E emp. Gas Serv. Called PG&E JOB FINALED / nC (Date) (Signature) • i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING. (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidin To out Slab Roof Sheathing I Water Piping Piers ` Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handicaped Conformance of ex. structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio (REPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLEAS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Service Brown -Heating Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer R Final Final MOBILEHOME UTILITIES -------•---------- Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping 1 EHOME 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 visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. n X Date Z ? Signature of,PPeermitee or A t Receipt No. �Z`?1- 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. DI CTO PUBLI WORKS i'PIA5 Ar By ate Building permit expires Date �� S BUILDING Owner SO. FT. OCC. BUILDING VALUATION X00.0 Mailing Address R 4(�/ Telephone No. Contractor st, Mailing Address ��� ' Fireplace (f Q Total Valuation ^00 r 0 D '�(, s'"-- Tele hone No. — 0 Permit Fee Building Address 6 ,r-/ O Plan Checking Fee&/or Penalty Permit Fee ,ad 1571(j PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 okin/r'//4 Repair drainage or vent piping 1.50 A. P. No. �3 ® - -xii -pq4l-i4 Planning Water piping 1.50 Each gas water heater or vent 1.50 Fe &enitativrr Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans I Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 I5 s ec'd Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0 -- Permit Fee $ lis ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service eooV OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBLDGS.LING CCUP. Y1 2�sgft 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 s of: NEW CONSTR MULTI -OUTLET NON.RESID BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS fi NON.RESIO. SINGLE OUTLET CIR. EX. OCCuD{OUTLETS OR FIXTIIRES 50@25 APPLNS. OR Ex. Occup.(OUTLETS • OUTLETS (RESID.) EA) 2.00 t 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. �f 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. 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 Land Development Fee $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. n X Date Z ? Signature of,PPeermitee or A t Receipt No. �Z`?1- 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. DI CTO PUBLI WORKS i'PIA5 Ar By ate Building permit expires Date �� S W.1 BUTTE COUNTY DEVELOPMENT.SERVICES Complainant• Address: Phone Number. Other Comments: Inspector must draw a plot plan with all building locations: Additional Comments from Inspector. OWNER: LOCATION: lG5l�GS J fa Ono DO", vel 4) , CONTRACTOR Ovw n 8 y - PRE -INSPECTION FOR C l ct/ r� c�vc e A q >0-6s 1 uA all a��,�.�1� I PERMTr HISTORY.[ ]NONE [X]AS FOLLOWS: %i N TYPE OF OCCUPANCY: DATE: 8-// Y / 9 2 A.P.#: 030 'o) 11 - b�yzl ZONING: DATE TO INSPECTOR R -1/S 19 S— R��w;.� � t&-00)4 - MP9 BUILDING INSPECTOR'S REPORT ing Description: [ ] Commercial/Usage: [ ] ResidentiaV# of Units: Mobile Home: Yes[ ] No(y] [ ✓]'Currently Occupied. /6 S [ �Abandoned/Vacant. 14_ 1C. " [ Yes [ ] No Electric is currently : [ Pj'bn [ ] Off Condition of electrical? • Natural [ (Propane[' ] None[ ] Currently On[ ] Off[ ] Obvious problems: Nb A✓ %e nitation: Plumbing working Yes[ ,,,�No[ 166-1 r Well: Yes[ ] No[ Potable water: Yes[411N"o[ ] • E s Obvious Sewage Problems: ,/V® , tion Recommended: [ ]Issue . [ ]Hold for: Alt, rCL it�. pector•�5� /� /�, Date: O Stale of Califor %o RESOURCES ACiNCY ' . Jw.ID AP Dept union of Conservation Division of Forestry ^�RURAL VRAL FIRE REPORT FIRE NUMBER: R 7,4�0 RANGER UNIT (OR AGENCY): FIRE NAME: DATE FIRE STARTED: If Fire Started in Another Jurisdiction, or Zone I or II, Name It: / „ ■or0 MONSOONS C. LOCATION. Spot fire origin. Always give section location where possible. Otherwise give sub -division lot; R.F.D. box; etc. Sketch boundary of large fires, roads, railroad, zone line, etc. D. CLASS OF FIRE Vegetation Structural Vehicle Improvement Refuse" False Alarm Permit Escape SEC. Ito TWNI&���� ^ • Includes weed burning LRGE.� 1 t Pirooeturre Mile(e) in �+ Direction from Town of 41? F. WHAT BURNED? (a) if structure give number, kind, type of construction, stories, size. (b) if vehicle give make, model, year, license, driver's name and address. (c) If vegetation give type and area. ,(d) If other, describe fully. � /� �fl f r ,� t/G'� 1'g// •v f (�(Jc.�/ /INr% ,�.�i tit tv Vegetation Area Burned Acres H. CAUSE OF FIRE: 4 t <G Known(]; Log. ❑ Fire started in/on: Known ❑; Log. ❑ Material First Ignited: Known ❑; Log. ❑ Was "first aid" extinguisher used before crew arrived? /r%U Did Injury or Death occur? Explain: N 0 G. DAMAGE (Do not meAe duplicate entries below) Range Standing Grain Harvested Crop Industrial Bldg (s). Non -Indust, Bldg (s). D Building Contents Vehicles) -• - Vehicle Cargo Oil or Oil Products - - AL $ J. WEATHER WHEN FIRE STARTED Wind Velocity M.P.H. Wind Direction Humidity Fuel Moist. K. NAME AND ADD7ESS A/OF OWNERS O DGED PRQPERTY: / �6..�����> � Tenants Name and Address: L. INSURANCE CARRIER(S) Address: t V1, REMARKS M. DESCRIBE PROPERTY SAVED AND ESTIMATE VALUE: N. HOW MUCH INSURANCE WILL PROBABLY BE PAID? S e f Signature of REPORT MADE BY --Officer in charge t` -� �t1li+��C Q l XJ.Q C %✓►r•Utr. FvaM Fe -71 /? ^' P. RECORD OF ACTION ON FIRE :LAPSED TIMES ' ITEM T. ORGANI- $. LEFT FROM 4. NO. 6• DISFA TCHEO 6. ARR. FIRH ZATION ILOCATIONI OF MHN DAT[ TIME DATE TIMH S. RET. HOME 7. MILES TO FIR[ DAT[ TIME MO. & DAY TIME ITEM HOUR! MWS. TIME FIRE STARTED A,. /L - 7 ?e• DISCOVERY (2.1) TIME �< FIRE DISCOVERED BY INAMEI AT 1ILOCATIONI C (l/ r't a.�l� �'C, FIRST REPORT BY INAMEI 6- AT ILOCATION I �' 'r) WE►ORT TIME (3.2) Q SECOND REPORT BY INAMEI �-•� AT ILOCATION 1 r FIRE REPORTED , AT '���I�r J I ' r DISPATCH TO NAME TITLE LOCATION f}() GET (6.5)TIME TOTAL CREW MAN -HAS. S. VOLUNTARY LABOR (NOT PAID) No. OF MEN: --- MAN-HOURS T. PAID PICK-UP LABOR (ON TIME BLIP) No. OF MEN: MAN-HOURS U..................................................................TOTAL MAN-HOURS EXPENDED (O•R•b•T) WAS FIRST Gy j OFFICER. CREW OR PATROLMAN LOCATION ON WAY TO FIRE 20 ATTACK CK TIME O� C•-'(;.7,/"( �AJ/� FIRST SUPPRESSION 1�.[•� _AND/OR ' CREW WORK BEGUN DY NAME TITLE NAME CON 1s TIME G. FIRE UNDER CONTROL MOP -UP lg-S) E •BI I 17 WORK FINISHED AND LAST MAN LEFT FIRE _ � Q. OVERHEAD ACTIVITY (ALL MEN NOT ASSIGNED TO REGULAR CREW DUTY) $. ORGANI• 4. LOCATION 6• DISPATCH[O 6. ARRIYao 7. Ray. Home S. MAN-HOUR! NAM[ Z. TITLE ZATION Noma BAS[ CHARGEABLE DATA TIME DATE TIME DATE TIME a i ° na:ez, 7Wxoz,,et1j /T5 ?o /o / ' .7 / TOTAL OVERHEAD TIME WHO WAS RESPONSIBLE FIRE BOSS? � � - � j / f"� L r��J.Y, R. CREW ACTIVITY (ORGANIZED CREWS ONLY) CREW NAME T. ORGANI- $. LEFT FROM 4. NO. 6• DISFA TCHEO 6. ARR. FIRH ZATION ILOCATIONI OF MHN DAT[ TIME DATE TIMH S. RET. HOME 7. MILES TO FIR[ DAT[ TIME 9. MAN-HOURS CHARGEABL! �ii�r..�.. •1I/r 14 ,1 Z S t' •"tom ' f_ r r TOTAL CREW MAN -HAS. S. VOLUNTARY LABOR (NOT PAID) No. OF MEN: --- MAN-HOURS T. PAID PICK-UP LABOR (ON TIME BLIP) No. OF MEN: MAN-HOURS U..................................................................TOTAL MAN-HOURS EXPENDED (O•R•b•T) Gy j F. VEHICLE SUMMARY b. ORGANI• TYPE ZATION C. NO. D. TOTAL MILES E. PUMPING OR WORK- ING HOURS REMARKS: A osF Asmt # 000 Fee # 030 -211-04 )- Name U S MORTGAGE Status ACTIVE Status Date FTE5 Addrl 5825 W SAHARA AVE J �, - Tax 000iNORMALOWNERSHIP : TRA 104 Add12L-AS VEGAS NV 89146-3178 ;j !, Situs 1651 W ORO DAM BLVD:OROVILLE : G - - Addr3 _ —J Base Dt 08!15!2002'; Land '3 072, Addr4 - - -j Q TimberPreserve Structure 109,710; AgPres 3021104400 CONVERTED 09!08!88 Fixtures 0" Etal _ _ _ - -,` _ Growing 0 Creating Doc# 196881521317 Date F �I Notes Current Doc# 200280045085 Date 08!29!20021 r Bonds Total L&I 142,782'] 0i Killing Doc# _ _ Date �.1 Multi Situs Fix. RP , r- Flagl MH PP Q Asmt Desc PTN LT 12 HOWARD SUBS; SuplCnt 1FIag2 PP 0 Q Zoning AR Dwe!i-J! 910 MH Exempt 7,000, - - _ Net X35 7 NICll-''I Acres/Sq Ft 0 J, 030 r� Asmt PP Pen — — - - ' rp Tax PP Pen R!C# r Appeal Pending TIR Dt j Q Split Pending R!C Stat ' PHY OWN EXP TAX HON ATT SIT APR. PCL Find ��II -- _ -- -- - - -- - - _ j - _- 2002 AUpton 11!20!2002 1:51.35 PM j