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030-220-036
IN HOUSING COMPLAINT LETTER r ,, / 4/22/88 n -.'"x 30-22-3(or�; ` ra Wm. Philbrook 1255 Oro Dam e'st, Oroville .- Perm't it 9 8 78P E 1 L `'; O i - (uti MH) ELEC. 5 GAS -Z/ 4 7Q AIN .4,75-7, SUPPORT'STRUCTURE REQ. AAV' goMPACTION TEST REQ. /(}Q 3.0-22-3%, Permit #6132-78MHI Issued /D Permit #6492-7gB(onstal �awnin & /MH) g deck 30-22-3(e Perms #1432-79B(1einstall awning/MI 030-220-036 04-1087 HILST, LINCOLN 1255 W ORO DAM BLVD, OROVILLE Cont: OWNER RE TAG'ELEC r 030-220-036 04-1097 HILST, LINCOLN - 1265 W ORO DAM BLVD, OROVILLE Cont: OWNER DEMO SF' "" - 3� ;a� .;,� gtsM h��j -F�, t- ,� ;'�1.�j'' ,.y� R=.. � BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041097 LICENSED CONTRACTORS 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 Issued Date: 04/20/2004 APN' 030-220-036-000 the Business and Professions Code, and my license is in full force and I �1� r effect. License Class: License Number: oC J Site Address: W ORO DAM BLVD ORO Date: Contractor. Map Index: Description: DEMO SF (1200) W/3 porches OWNER -BUILDER DECLARATION I hereby affirm under penalty of pedury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: HILST LINCOLN permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a C/O MARCIA DEAN signed statement that he or she is licensed pursuant to the provisions of 2725 MARIPOSA AVE the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or CHICO, CA 95973-7630 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): b✓ 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 (Sec. 7044, Business and Professions Applicant' HILST LINCOLN ' Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does Contractor'' not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). O 1 am Exempt under Article 3_of the Business and Professions Code Date: a 6 I Owner,�?Ar� License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of pedury 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 Architect: is issued. Engineer: O 1 have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: O 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applica WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one S _� hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This permit is hereby—'ssued under the applicable provisions of the Butte County gode ancjlor " 1 hereby affirm that there is a construction lending agency for the Resoluti n do w rk indicated above for which fees have been paid. if performance of the work for which this permit is issued (Sec 3097 Civ.) Q By Date:-#421 Name: Address: PERMIT EXPIRES Daf ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter tl�a above mentioned property for inspection purposesel. �upon Print Name: / A C,, � l✓ / `v4 ` Signature: i , Date: l I \G..5 /Owner 0 Contractor ❑ Agent for Owner 13 Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP DATE:_ APN: D3 p� �f rf /� I �j� ZONING: OWNE 'S AST NAME: S OW ER'S��FI^^RST AME: �(i� PHONE:/ ���/ S STREET DRESS: O FAX CITY, ZIP: %% G (/"CA5 E-MAIL SITE ADDRESS: — p CITY. ZIP. / NEAREST CROSS STREET: TRACT/LOT P APPLICANT NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: E-MAIL" CONTRACTOR NAME:" PHONE STREETADDRESS: FAX CITY, ZIP: E-MAIL LICENSE NUMBM- LICENSE TYPE ARCHITECT/ENGINEER NAME: PHONE: STREETADDRESS: FAX CITY, ZIP: LICENSE NUMBER: E-MAIL DESCRIPTION OR SCOPE OF WORK: s ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: b Application Received by: Date: m/ Receipt number: �' Amount Received:�� KA—f— annV— i— :l-A-f1d COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION ' 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: ASSESSOR PARCEL NUMBER Proposed Building Use: Counter Technician: Date: pp f Items required in 'order to apply for a permit. All boxes MUST be checked OR marked NA in ord o apply. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans. ❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. Engineered truss details and layouts in duplicate. No faxes! ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. Energy compliance design and supporting documentation in duplicate. ❑ 7. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Data sheets and installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate. ❑ 9. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 10. Flood Elevation 'Certificate, wet -stamped and signed, in duplicate ❑ 11. Site plan and brisiness license approval from the City of Biggs ❑ 12. Letter of intent for non-residential buildings ❑ 13. Detached Accessory Building Form filled out by the owner ❑ 14. Hazardous Material Form ❑ 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable. ❑ 16. Other Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) ❑ 17. Fire Sprinklers............................................................................................ ❑ 18. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 19. Soils Report and/or Engineered Foundation required ........................................... ......... ❑ 20. Erosion Control Plan Required........................................................................ ........ ❑ 21. Fees as shown on the attached Schedule of Fees Due Sheet .............................. ❑ 22. City of Chico Plumbing permit........................................................................ ❑ 23. California Department of Forestry plan approval ❑ paid. Sent by: ............. ❑ 24. Planning approval (A) Use: (B)Parking: (C) Parcel Check: ❑ 25. Contact Land Development about _ Improvements, _ Drainagess ....................... ❑ 26. NPDES Form............................................................................................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... ❑ 28. Pre -Inspection for required....... ❑ 29. 'Contractor's license information. (Number, Name Style, Classification) ................... 0 30. Worker's Compensation Carrier and Policy Number .......................................... 31. Owner -Builder Verification (-/Given to owner, _Mailed to owner) ..................... ❑ 32. Letter of Signature authorization......................................:............................. ❑ 33. Recorded copy of Agricultural Acknowledgment Statement ................................. ❑ 34. Manufactured home utility clearance............................................................... ❑ 35. Existing violations and/or expired permits......................................................... ❑ 36. Deed Restriction......................................................................................... ❑ 37. ❑ Grant Deed, ❑ M.H. Title/Stalement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $ 38. Other: 44 !�_)w tii'66 bt ; U 0 - 39. Other: When issued Telephone and hold for pickup I have been informed of the above items and requirements for obtaining a building permit. Applicapg �Date: C, / 1. Index permi appliEatlon for the above items numbered: Plan Check Letter 2. Additional items required Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above.data by ❑ phone, ❑ mail, ❑ counter, by Date: Plans reviewed by: Date: Plans approved by: Date Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division O.B.- l 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 E32 ' I HAVE HAVE NOT signed an application for a building permit for the proposed work. �A.M:E: Ihave contracted with the following person (firm) to provide the proposedconstaction: CONTRACTOR'S LICENSE NO, 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: PHONE: CITY: CONTRACTOR'S LICENSE NO. 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 NOTE: This Owner -Builder Verification is required by Section 19831 and 19532 of the California Health and Safety Coda This verification must be completed and returned to our office before we are perrnifted to issue the permit. OVER, O. Bo -1 I OWNER BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit Building permits are not required to 6e signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract; you should ' be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several 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 far you ifyou do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific mfon=on about your obligations under Federal Law, contract the Internal itevemie Service (and, if YOU wish, the U.S. Small Business Administration). For more specific information about your obligations under Stage Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the stricture 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. In M I C. Vi ira, C.B.O. er, Building Inspection NOTE. T711s Owner BuilderLzformadon is required by Section 19930 ofthe California Health and Safety Code. OVER Demolition Permits Asbestos Notification Statement Date AP# Pursuant to section 19827.5 of the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 *of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at 6Y ' 0 Signature of Applicant I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable o this demolition project. Signatu of Applicant 2/19/91 BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BP041087 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: APN- 030-220-036-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 1255 W ORO DAM BLVD ORO Date: Contractor. Map Index: Description: RE -TAG ELECTRIC TO MH OK PER GARY p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the following reason (Sec. 7031.5 BROWN) Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a Owner: HILST LINCOLN signed statement that he or she is licensed pursuant to the provisions of C/O MARCIA DEAN the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 2725 MARIPOSA AVE she is exempt therefrom and the basis for the alleged exemption. Any CHICO, CA 95973-7630 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: HILST LINCOLN such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: 9 D Own. - ,;Z WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: 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. Architect: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is Issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy#: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code' issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. Date:-4_Iq B 4� Applicant: — 5� WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This pe it isereb is e o e pplic ble rovisions of the Butte County ode and/of I hereby affirm that there is a construction lending agency for the Res u ns do v or n c o is fee ha en paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By. Date: Address: PERMIT EXPIRES ON: ate ❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge It is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. VW Print Name: L : 6Z A % / T 1 I I Signature: Z /1 / Date: T Owner ❑ Contractor 0 Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP , D� ll� I DATE: --e74 APN: % D 1D_7;l1 ZONING: OWNER' LAST N ME: O N 'S FIRSTAME: X/dG�� �a PHONE: 5 o-11-6731 STREET ADDRESS:FAX CITY, ZIP: ^ E -WL' SITE ADDRESS: / � J!"5 CITY, ZIP - NEAREST CROSS STREET: TRACT/LOT Ek APPLICANT NAME: PHONE STREET ADDRESS: FAX CITY, ZIP: E-MAIL: CONTRACTOR NAME: PHONE: STREET ADDRESS: FAX- AXCITY, CITY,ZIP: E-MAIL: LICENSE NUMBER LICENSE TYPE: ARCHITECT/ENGINEER NAME: PHONE: STREET ADDRESS: FAX CITY, ZIP: LICENSE NUMBER E-MAIL' DESCRIPTION OR SCOPE OF WO .K. IV I ❑ Structure Built without permits ❑ Proposed Change of Occupancy (note previous use) EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. For office use only: Notes: Application Received by: Date: Receipt number: �(jf �(.� Amount Received:`��} IDe KA.0., i-A-f1d 7 .. O.B.- I OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit No building permit will be issued until this verification is received.. I personally plan to provide'the major labor and materials for construction of the proposed property improvement : YES 0' NO ❑ 2. I HAVEk7' HAVE NOT ❑ signed an application for a building permit for the proposed work 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: Cly. 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• OPE�WNER: `9 NOTE: This Owner -Builder Verification is required by Section 19531 and 19532 of the California Health and Safety Code. YUS verification must be completed and returned to our office before we are permitted to issue the permit . , 1 OWNER BUILDER MORMATION Dear Property Owner: OB. -I An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party ofrecord on such a permit Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. 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: 4 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several 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 rills for you if you do not cagy 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, ifyou 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 stricture 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 Pew, 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 102014 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 unttl the verification is returned. IY. - - Nfl 1 C. Vi ira, C.B.O. - er, Building Inspection NOTE. This Owner-Builderinfommdon is required by Section -79930 of the California Health and Safety Code OVER Lincoln Hilst AP#030-220-036 September 2, 2003 Page 3 Butte County Code, Chapter 24, Section 24-305.370 - Rubbish. "Rubbish" shall mean all nonputrescible solid wastes, combustible, or noncombustible, including, but not limited to, paper, cardboard, yard clippings, grass, ashes, wood, bedding, crockery, glass, metal and other similar materials, excepting compost boxes. Butte County Code, Chapter 24 Section 24-305 451 -Violator. An adult owner, tenant, occupant, resident or other person having possession, control or any other ownership interest in or the right of access to the premises, who is suspected or alleged to have violated or to be in violation of any Butte County Code provisions of the Chapters specified in Butte County Code Section 24-305.451. 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 with this notice is not accomplished by convection or abatement of the violation(s), enforcement may be pursued through the issuance of a citation to appear in the Butte County Municipal Court. Upon conviction, violators may be fined and a Notice of Violation may be recorded which will include a description of the action necessary to abate the violation. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction action: 1. Remove all garbage, rubbish and refuse from your property and maintain a regular removal schedule in accordance with Butte County Code, Chapter 31, Section 31-50. 2. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24-305.240. 3. Remove all inoperable/junk vehicles from the property. 4. Bring all residential and non-residential buildings to meet minimum standards. Obtain all required permits from the Building Division of the Department of Development Services for all additions and structures built without approvals and permits. 5. All unsafe buildings or structures must be abated by repair, rehabilitation or demolition as per the Butte County Code, Chapter 26, UBC, Section "Unsafe Building or Structures." You have thirty 30 days to voluntarily comply with ,the above directions or to present an acceptable plan for abatement or corrective actions. Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Gary Brown Lead Code Enforcement Officer cc: Department of Development Services, Code Enforcement r;:�:.• PF,�IMIT N0. 294a=.7.8P..,.�i � s � PERMIT EXPIRES OWNER Jay Wm. Philbrook 4 CONTR. owner 3 LOCATION (A.P. 30-22-3 1255 Oro Dam West, Oroville i } L' Temp. Power Pole a Called PG&E Temp.-Elec. Serv. a y ✓ 0 Called,PG&E 1 10 Temp. Gas Serv. I J1 Called PG&E JOB FINALED (Date) t c (Signature) n ice, COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ` BUILDING BUILDING (Cont'd) f PLUMBING Se ack Fir all Soil Piping For Para is st Floor ` Mai Idg. Restro Finish 2 Floor Foo 'n s Window 3rd loor Stem II Siding To outs Slab Roof SheaAdna Water Pi In Piers Roofing Sewer Garage Fdn. Vents Fixtures ! Footin s Garage Vents Water Htr. / Stemwa l l Insulation Heaters Slab Prov. for phy Carort sical Appliances / handica ed Carport Conformance of ex. Gas Piping & Tesi\\ Footings V structure X Temp. as \i Slab Final Sanitation / Patio FIRE ACE Final ! Footings Footing E� ECTRkAt- Masonry Walls Throat Rough Reinf. Steel Final Fixtures �. r Bond Beam FIRE SPRINKLE Motors f Framing TestWater Htr. ;! Stucco Final Sub anew Mesh MECHANICAL Grd. F ' It Prot. Scralgh HeatiAq Service Brq4n Co Ing T. P. Pole F nish D is nder round rior Lath entilation Permanent t oor Closer Final Final a MOBILEHOME UTILITIES------------------- 3 Elec. Pedestal Water Piping 7— 'r— > Y > Sewer 7,. Gas Piping NOBILEHOME INSTALL ON - - - - - - - - - - - - Support Elec. `Continuity Water Piping Drainage s Gas Piping DATE REMARKS OR CORRECTIONS �t al oti ,� � r � w ✓ Z t tl W � Fro + f'1' . G • � $) � � „[ �✓ $ rr 3 t of ®.F a trvl C -e, G✓i f'l CiL ,� f o ,. P-2 8t C A b C G o P- S Tfi +tea ri-�/ jog& r —� g O Q 4b V (NOTE: An entry must be made on this form each time you visit the job site.) l MOBILEHOME INSTALLATION INSPECTION CHECK LIST < 1. Is the mobilehome located with quired separation from lot lines and buildings and generally conform to plot plan? Yes No_ �' 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes41-1110-, 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec.. 5082 & 5083) Yes No 4. Is the mobileh e level? (Sec. 5088) Yes i/No_ 5. If more t 'ngle unit, are crossover connections properly installed? (Sec. 5088) Yes N 6. Water A. Is flexile connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) 'Yes _ o_ - ,B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No, B. Does it have minimum V per foot slope and is it properly supported? Yes C. Are any leaks detected in drainage system after run n g 3 -gallons of water through each fixture including washing machine standpipe7.Yes_ No D. IfcoV not State of California approved; does station have required trap and vent? Yes 8. Gas Piping and Gas Vents r A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6t•ft`, long," \Note;i All—piping% is to be at least as large as the mobileehh me gas line ihl'et without reductions other than the mobilehome connector. Yes (/NoB. Test OK as per following procedure? Yes V No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C.. Are all appliance vents properly installed? Yes fl No 9. E,:ectrical ``des►„j A: Is service large enough to provide adequate amperage -to mobilehome (must equal,rating•of mobilehome with a minimum of 0 amp), and bther.facilities on lot, i.e., water pumps, garage, cabana, etc.? Yeso B. Is there proper clearances around panels? Yes !- No! C. Is power supply cord or feeder assembly properly fused? Yes V No D. Is continuity test satisfactory as per the following procedure? Yes �No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on” position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle Length_ Width Vehicle Serial No. _524 State Identification No. Additional Information or Comments: r I II COUNTY OF BUTTE ;.'`DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 . CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with.the requirements of the California Administrative Code, Title 25, Chapter�5, _under permit number L 1 forthefollowing location: Owner k. -_� �_A t' to . 1 F, , Y ' v Owner's Address 17 �� :" n k-.. {i—+. - 1 •1-: c-�. Mobilehome Mfg. ModYear l3 Insignia No. Serial No. "' ZJ / C— 7 It is hereby certified for occupancy at the above described location and may be occupied. ry Director of Public Works Date tATA r- /n X By V THIS CER IFICATE IS VOID WHEN MOBILEHOME ISIRELOCATED White,- Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS A 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT X95%✓% authorize representatives of the County of Butte to enter upon the abov mentioned propert for inspection purposes. X O Date nature of Permiteee or Agent Receipt No. ZZ2 #4/9 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. DIRECTO OF U LIC WORKS BY Date &;,-r- 7 Bllkiding permit expires Date (%/ BUILDING Owner h SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address -33 / 0 Tel ep honetlo. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee PLUMBING No. @ FEE f I {'1r1 VV PERMIT FILING FEE $3.00 Each Trap 1.50 n 1Z 1 epair drainage or vent piping 1.50 A_a— A. P. No. Zoning Water piping 1.50 Each gas water heater or vent 1.50 S� Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 t EQA P arking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P s Recd Parc royal Pla s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ $ 8C ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP LESS 5.00 Single Family Du lex Mobil Home Others 9 Y ❑ P ❑ ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V ' 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 NEW CONSTDWELING OR ADDNS. C ACCLBL GS.CCUP. !f) 22sgft 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 l f st e o: Y NEW CONSTR MULTI.OUTLET NON.RESID BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS s NON-RESID. SINGLE OUTLET CIR, Ex. Occup{OUTLETS OR FIXTIIRES 5 L� Ex. Occup. OR P•�OUTLETS (RFIXED APPLNS. ESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 coI 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. ivf I certify that in the performance of the work for which this l�J 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 $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ 1 TOTAL PERMIT FEE $ {Z authorize representatives of the County of Butte to enter upon the abov mentioned propert for inspection purposes. X O Date nature of Permiteee or Agent Receipt No. ZZ2 #4/9 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. DIRECTO OF U LIC WORKS BY Date &;,-r- 7 Bllkiding permit expires Date (%/ CQUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO i ~ 7 County Center Drive — OroviIle, California 95965 let Telephone: 534-4541 �APPLICATION AND PERMIT F% IAIAZW I- v - _ vnta YS' �ec`eiptnature of Permitee or Agenty Date% •- o71? No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant uilding permit expires Date BUILDING OwnerSO. � �m • / 'L lJeeoo FT. OCC. BUILDING VALUATION Mailing Address SS ©eo ! yV —S T /J ®/C . Telephone N 5_ —1 JL 3. Contractor EatCr Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address •2Plan Checking Fee Vor Penalty Permit Fee p u.E PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. �Z 2 — -L ngJ Planning Water piping 1.50 Each gas water heater or vent 1.50 Flims' q• Saaitat+eri I FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improveme. is Each additional outlet .30 Building sewer 5.00 Bldg. Recd Parcel royal PI ;pr -V -I Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ —� f4 2 9,1ff 7A ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 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 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST DWELING OR ADDNS. ACCLBLOGS.CCUP. 51 ft 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 st le of: Y NEW .ESI D, BRANCHCIRMULTI-OUTLET NON -REBID BRANCH CIRCUITS/ 2.50ea NEW CONSTR. (POWER APPARATUS e NON-RESID. SINGLE OUTLET CIR, Ex. OCCUo(OUTLETS OR FIXTIIRES a ,Z Ex. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 • I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of F-1 'Workmen's Compensation Insurance. IVI I certify that in the performance of the work for which this FF11 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 author'ze representatives of the County of Butte to enter upon the abov - entioned property for inspection purposes. VI/I ���.//? %� Land Development Fee %f ca ho TOTAL PERMIT FEE C� This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR QrP)UBLIC WORKS F% IAIAZW I- v - _ vnta YS' �ec`eiptnature of Permitee or Agenty Date% •- o71? No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant uilding permit expires Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: Oew V/ 1,1/ -//--g t�4A,-F5 3. Is the site currently under permit? Yes /i// No ( If yes, furnish permit number��0 FI NAS ) OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) • i clear of all setbacks and'easements? Yes M/ No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- © Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes / / No (I£ yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural />C/ LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand?'------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) • i MOBILEHOME SUPPORT DATA 1yx --� -- Typical Support in.) (in.) Footing Size 0 r_� &' (ft.)(in.) (in.) (in.) -- Max. Pier Spacing (ft.) (in.) x J -- Max. Overhang (in.) (in.) (in.) (ft.)(in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COON-ry JILDING DEPARTMENT APPROVED If other than single wide, Mobilehome Mfr. �x- furnish Setup Model No. Year Width -/0�/O (ft.) Box Lengthy (ft.) Tagalong or Expando Size O ft. x %Z ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7,\.1973;; furnish manufacturer's installation manual and structural setup sheets (if not on file with the ;oun,y�f Butte). All center supports measured from front of `�+ mobilehome unless otherwise specified.- Footings (check one) Single 1. Wood either - ALLIJpressure treated or foundation grade. x (ft.)(in.) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes ` Supports (check one) (in.) \VI` 1. Concrete block. x F-1 2. Other (specify) (ft.)(in.) (in.) (in.) �✓ 4 Expando, � ---Tagalong or show support details.. (ft.)(in.) (in.) (in.) 1yx --� -- Typical Support in.) (in.) Footing Size 0 r_� &' (ft.)(in.) (in.) (in.) -- Max. Pier Spacing (ft.) (in.) x J -- Max. Overhang (in.) (in.) (in.) (ft.)(in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. BUTTE COON-ry JILDING DEPARTMENT APPROVED THERMALITO IRRIGATION DISTRICT 410 RAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533.0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: /e? Owner's Name: Date: ' Address: f 4/ 4o �"/�Acct. No: A. P. No.:.30 Phone: �3 `�`/ j' No. Units: Applicant/Agent: / Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By: �' }'f-� Date: %k' CSA 26 Remarks: SC -OR ` 7� 1st mo. S.C. Other Total Fees - Collected By: - �-�-- Date: Field Review By: Date: Remarks: MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: ❑ Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). k 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID V DECLARATION REGARDING LOTS OR PARCELS I certify that as owner sof the property r. acquired by deed in Volume _ Official Records of But County, (AP# 0,3p -2W - 0- ODS- D Page Z� ), I am requesting permission to build or install an additional living unit on this property. I will not divide the aforementioned property for sale, lease, rent, or financing unless,all applicable land division laws and map requirements are com- plied with. I am conversant with the present zoning regulations affecting the aforementioned property, and declare that I shall not violate same. ,I represent that the proposed T use of the additional living unit is �cok OUP, OWL and that further I shall not change this proposed use of the additional living unit unless and until I receive written approval therefor from the County of Butte. I fully understand that pursuant to Chapter 20 of the Butte County Code and §11535 et seq of the Business and Professions Code that if I, in the future, sell, lease or finance the area on*or.adjacent to said improvement without fully complying with the applicable laws and ordinances, that I shall be guilty of a misdemeanor and therefore, subject to the aforesaid penalties and imprisonment pursuant to law. Further, this statement shall be properly acknowledged and recorded at the request of the County of Butte. ` • OFFICIAL RECOR0 er 0SS BUTTE CL'UNTY-1 LIF. `" /,f^ 0S Address LOUISE KLU;:til COUNTY RECORD, FEE Date U358- - - - - - - - - - - - - - - - --- - - - - - - - - - - STATE OF CALIFORNIA ) ss COUNTY OF Butte ) On this 30th day of May 197 g, before me, F. Wilson _ ,.a Notary Public in and for the County of Butte State of California, residing therein, duly commis- sioned and sworn, personally appeared Jay Wm. Philbrook known to me to be the person whose name is subscribed to the within instrument and acknowledged to me that he executed the same. IN WITNESS WHEREOF I have hereunto set my hand and affixed my official seal in the County of Butte the day and year in this certificate first above written. S96-1275 sty o OFFICIAL SEAL F. WILSON NOTARY PUBLIC - CALIFORNIA �z? �+ 'krFORMR BUTTE COUNTY My comm. expires JAN -3, 1981 Notary Public OWNER: DATE: kq S— LOCATION: I2sS ornD ll. a► -r, Blvd Wa- . nrW l� A.P.#: «30 - CONTRACTOR: G ZONING: i DATE TO INSPECTOR: 02 O S PERMIT HISTORY[ ]NONE XIAS FOLLOWS: Uq—I If i TYPE OF OCCUPANCY: �. BVMDE%INSPECTOR'S REPORT g Description: (# [ ] Commercial/Usage: [ ] Residential/# of Units: [ ] Currently Occupied. [ ] AbandonedNacant. :tric: [ ] Yes [ ] No Electric is currently : [ ] On [ ] Off Condition of electrical? Natural[ ] Propane[ ] None[ ] t Obvious problems: itation: Plumbing working Yes[ ] No[ ] Mobile Home: Yes[ ] Y Currently On[ ] Off ] I Well: Yes[ ] No[ ] Potable water: Yes[ ] No[ ] Obvious Sewage Problems: n A i A A n A cription of Damaged Area: e U f } nate valuation of Damaged Area: ector• "`��---=� Date: 1 No[ ] DAY/DATE FROM 0800 @@@@@@@@@@@@@@@@@& INC# 5-A9 rlRE#106 REPORT TIME / S LOCATION: /1pi1G-l- CAUSE: /yq DAMAGE:` "3 ,-6-0 i SAVED: "M_p- " V � LAND USE: V NE ENANT R. MISC:: @@@@@@@@@@@@@@@@@@c ii CDF / BCFD DAILY INCIDENT LOG DAY/DATE yW@@@@@@@@@@@@@@@@@@ r NAME D;i�0 * Z>/) M /. I PAGE OF 7 U7L) —A--I-`/"CJC-)Z> @@@@@@@@P@@@@@@@@@@@ @@@@@@@@@@@@@@@@@@@ 7 NAME - I/TYPE A n -r TI\AL . AI M rmrroni TIIAC/ D (1 / n /9 I CTA �DIb3 @@@@@@@@@@@@@37@@@@@@@@@@@@@@@@@3p@@@@@@@@@@@@@@@@@@@@@@@ Kir+ In�Li I morw �� MAMG %� �'C15� L TYDF LOCATION: CAUSE: ENGINES: CDF BCFD CO.# UA 1. OFFICER: DAMAGE: --ey- Y, SAVED: SORES WT DOZ OTHER E UIP: CREW AA AT HC MEDICS LAND USE: /fit / OWNER/TENANT ACRE/TYPE TOTAL WRA 4pA/ MISC.: vR.P. @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ @@@@@@@@@@@@@@@ INC# LOME# NAME 4nF TYPE ,Lo REPORT TIME START TIME/9'Y—I' CONTROL TIME' R.O. STA. - LOCATION: 6. yy BAT. :S CAUSE: ENGINES: CDF BCFD CO.# OFFICER: DAMAGE- 46- SAVED: 6 FUSE: f4-t>1.-4 SQ/RES WT DOZ OTHER E UIP: ACRE/TYPE CREW AA AT HC MEDICS TOTAL AM OOWNFR/TFNANT Lam` WRA U__ - v @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ IICPVn 1 1 IMC 1 HR I iii -IC LVIV 1 INVL 1 IMC n. V. LOCATION: I RtiT &PLODom. Iy BAT. CAUSE: ENGINES: CDF BCFD CO.# OFFICER: DAMAGE: SO/RES WT DOZ CREW AA AT HC SAVED: OTHER EQUIP: MEDICS v MISC. VIOLATION CHECK LIST A.P. # �� _ Q 3 Address %,2S Owner Owner's Address Owner's Phone No. Super ervisoral District Tenant's Name Phone No.,. Type of Violation in Detail with Code Section Priority No. $' /1-3 P 5� Specific Plot Plan with C/V Noteddes no Penalties Required .1st. Notice Sent 2nd. Notice Sent ate Date Comments and/or Determination i Disposition For Citation Citation (Date) (Date) Department Recommendation to Court ' Court Action Notice of Violation Recorded (Date) I 0✓ W BUTTE COUNTY DEPARTMENT OF PUBLIC HEALTH Division of Environmental Health 7 County Center Drive .Oroville, CA 95965 (916)538-7281 April 22, 1988 CERTIFIED MAIL - RETURN RECEIPT REQUESTED Lincoln Hilst SS 1265 Oro Dam Boulevard West Oroville, CA 95965 RE: Housing Complaint - 1255 Oro Dam Boulevard West, Oroville, CA - AP# 030-22-0-003-0 Dear Mr. Hilst: This department received a complaint alleging health and safety hazards in the above listed mobilehome. The Butte County Assessor's records indicate you are the owner of the property. On April 15, 1988, I visited the property and the tenant allowed me to inspect her mobilehome. The following conditions were observed which are in violation of the California Administrative Code, Title 25, Chapter 2, Subchapter 1, Section 1504, Section 1640 (a)(8), (c) (1 thru 7) and (h) (1 thru 4) ; and Section 1704 (b) (1) , (e) (1) (4) , (f)(4), (g)(1), and (h)(1); and which pose health or safety hazards to the tenants, and render the mobilehome substandard and unsafe for human habitation. 1. Room addition on north side of mobilehome had roof blown off and interior is open to elements. 2. Room addition walls are not supported. 3. Bathtub enclosure has holes and is not weathertight. 4. Bathtub faucets cannot be shut-off and leak constantly. 5. Bathroom wall heater is not secured to wall and is located so shower curtain is in contact with front of heater. 6. Electrical wiring has open splice in water heater compartment. Wiring is exposed in switch by sliding door to room addition. Kitchen wall receptacles are inoperative. 1 Lincoln Hilst SS April 22, 1988 Page 2 7. Window is missing in rear exit door. Window is broken in living room. 8. There is no gas shut-off for water heater. P.G.& E. notified tenant that water heater is unsafe. 9.. Front stairs lack proper handrails. These conditions shall be corrected as follows and within THIRTY (30) DAYS from receipt of this notice. Obtain required permits for mobilehome repair from the Department of Housing and Community Development, Division of Codes and Standards, Northern Area Office, 6007 Folsom Boulevard, Sacramento, CA 95819, (916)445-0135. Obtain permits for room addition and stairs from the Butte County Department of Public Works, 7 County Center Drive, Oroville, CA, prior to making repairs. 1. Reconstruct room addition on north side of mobilehome.• Replace missing roof. '2. Reinforce room addition' walls and supports. 3. Replace badly damaged bathtub enclosure, making walls waterproof. 4. Repair or replace defective bathtub faucets, eliminating leaks. 5. Properly install bathroom wall heater, and provide clearance from combustibles. 6. Eliminate open splice in water heater compartment. Provide cover plate and eliminate exposed wiring in switch by sliding door. Correct or replace inoperative wall receptacles in kitchen. 7. Replace missing window in rear exit door, replace broken window in living room. 8. Provide shut-off valve on gas service to water heater. Have water heater checked for safe installation and operation. 9. Provide proper handrails on front porch stairs. A reinspection will be made. Failure to comply will result in the Franchise Tax Board being advised of your noncompliance. 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 your pursuant to Sections 17299 and 24436.5 of the California Revenue and Taxation Code. Lincoln Hilst SS April 22, 1988 Page 3 If ,you have any questions concerning this notice, contact me at the above listed address or telephone number. Sincerely, Howard J. Snyder Jr., R.S. Supervising Sanitarian Division of Environmental Health HJS/mlf cc: Public Works - Jim Glander ❑ Compjaint-Date ❑ Other -Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT ZONING Owner: i G�/f'I 7–�^/S A. P. # Address f �1 C �Y� ��� �U Gf' Ul/ Date of Inspection Tenant: Inspector ._AR� Building Location: /c�-�e� ®fr`Q ���yy( A111d WP", +;– Type of Inspection requested: A. 1. Housi g / / 2. T 4. Work W/0 Permit Financing / / 3. Change of Occupancy to / / 5. Other (spec i Present use of building: 5'• — Sanitation (Housing) \ 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Stairs:(Rise, Run, Headroom, 1HR, Tolerance$,Handra 15.• Comments: B. Structural I. 2. 3. 4. 5. 6. Piers and footings: Floor construction: Wall construction: Ceiling and roof construction: Fireplaces: Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: s Lim i. Plumbing 1. Fixtures connected and 2. Gas water heater: _ 3. Gas heating vents: _ 4. Comments: E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic 6. Energy:. 7. Comments: F. Commercial Buildings vented: ventilation: 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1. Problem or violation (give complete description): �Ox� 2. What action to en jgive corn Tete description): 3. What action recommended: ;/N(A- Information only - file. B. Hold for ten days, then write letter. %% C. Write letter. / /'D. Other: f hz✓�-r cam. �., r�,Q, S�X.�- s r PERMIT NO. 6492-78B PERMIT EXPIRES 'OWNER Jay Wm. Philbrook CONTR. owner LOCAT30-22-3ION (A.P. ) 1255 Oro Dam West, OroviBe f .S t t r' � r ,1 - ,k :c i Temp. Power Pole Called PG&E Temp. Elec. Serv. n Ci/ned PG&E Serv. iled PG&E yAe.Gas S ( LED �f _ (Date) (Signa ure) I COUNTY OF BUTTE :, DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD - BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Pipin Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out ' Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phsically handica edy Conformance of ex. structure Appliances ` Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. _ Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping E OME 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.) I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 T e l tp li o ri e: 534-4541 APPLICATION AND PERMIT aULIIU11LV IVPItlJCIILaIIVtlJ UI IrIC k UUIIIy UI DUMC LU VIRUF UPUII Intl above-mentioned property for inspection purposes. Date- $ig tur Are 6 Receipt No. (oj / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF,PURLIC WORKS By ` ate k,- 2,E B ding permit expires Date BUILDING Owner d 1 1L,13F SO. FT. OCC BUILDING VALUATION CO r p D `n1 Mailing Address 2 5 0�D A(� v J [�'jTeh' 1L, t; C14. C1594:,:,551ep a—el'$ Contractor ow (3 E V_ Mailing Address Fireplace Total Valuation / .00 Telephone No. Permit Fee Building Address , 5 ORZ) Plan Checking Fee&/or Penalty Permit Fee &,00 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 �t�Q�1 Repair drainage or vent piping 1.50 r�17Z A. P. No. (� -� Z C-�� 3 Zing & Planning Water piping 1.50 Each gas water heater or vent 1.50 F n t eDept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvem nts Each additional outlet .30 Building sewer 5.00 Bldg. P ns Recd Parcel Approval L000l Plans Approval Lawn sprinkler system 2.00 NEW M____ ADDITION ❑ UTILITIES ❑ OTHERE] Permit Fee $ $ 1 N STRI L N 1 N 6 I4N D 1DEGV ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 1000V OR 0 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home [j], Others ❑ Main service EA. AOD'L 100 AMP 2.50 • Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST OR ADDNS. ACCLBLDGS.LING CCUP. !) 20 sq ft CONTRACTORS LICENSE LAW 1 am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: %� NEW CONSTRES'.. MULTI.OUTL T NON•RESI D. ` BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS B NON- R RESID. SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIIRES Ig L@; EX. OCCU FIXED APPLNS. OR p'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 LALI am exempt from the Contractors License Laws of the State of California- -Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave 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. @ F_EE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 1 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 $ lot aULIIU11LV IVPItlJCIILaIIVtlJ UI IrIC k UUIIIy UI DUMC LU VIRUF UPUII Intl above-mentioned property for inspection purposes. Date- $ig tur Are 6 Receipt No. (oj / White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF,PURLIC WORKS By ` ate k,- 2,E B ding permit expires Date C ' PERMIT NO. 1432-79B PERMIT EXPIRES OWNER Jay W. Philbrook 'CONTR. nwnPr LOCATION (A.P: 30-22-3 1255 Oro Dam West, Oroville I .i . Temp. Power Pole• i 1 ailed PG&E t T p. Elec. Serv. I Called PG&E emp. Gas Serv. Called PG&E JOB i a FINALED (Date) ' (Signature) Reinf. Steel COUNTY OF.BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD B ILD NG BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Car ort p Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas PI In &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings 'j Footing ELECTRICAL MasonryWalls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer I Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLA'ION ........ . ..... 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 — yy'DEP,�RTMENT OF PUBLIC WO K 7 County Center Drivle - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above- ntioned property for inspection purposes. X v6 m�, Date Si nature of Permitee or Agent ReceiptNo.� White-D.P.W. - Yel�ssor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the B p County Code and/or resolutions to do work indicated abo f r which fees have been paid. 0 OF P BLIC WORKS411,1 Dat Building permit expires Date BUILDING OwnerW ht SQ. FT. OCC. BUILDING VALUATION C) c, Mai I i ng Address O W ��r'l Telephone No. $ —/3 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee , OO Building Address S Plan Checking Fee&/or Penalty Permit Fee 6 a PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 y�Q A, Lbs Repair drainage or vent piping 1.50 A. P. No. �V p?p� — Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fges W-- ani a Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. P . ns Rec'd Parcel royal P s Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ire ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 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 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 OR AODNST %ACCLBLOGSCCUP. S) 22 sq ft 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 st le of: %� NEW CONSTR BRANCH CIR T NON.RESID ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. (POWER OUTLET CIR. Ex. Occup (OUTLETS OR FIXTURES 5 L 1�4 Ex. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 =1 am 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 IaJ 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 N0.1 @ FEEPERMIT FILING FEE J$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 I Land Development Fee is TOTAL PERMIT FEE $ �p authorize representatives of the County of Butte to enter upon the above- ntioned property for inspection purposes. X v6 m�, Date Si nature of Permitee or Agent ReceiptNo.� White-D.P.W. - Yel�ssor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the B p County Code and/or resolutions to do work indicated abo f r which fees have been paid. 0 OF P BLIC WORKS411,1 Dat Building permit expires Date