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HomeMy WebLinkAbout030-350-095L_..-, 6GF05 y COMPLAINT TO INSPECTOR Building Code Violation Complaint to inspector 30 day violation letter AV 10 day violation letter Abated or Closed" p-3 5 WILLIAM BARTLEY 165 12TH. ST.ROVILLE 7 PERMIT #2.90-%6P BLDG. SE .7�NST)S tds% d�/!� Q•'' 30-35- Q 2. CLINKINGBEARD 1465 12th. St, Oroville Permit ##4681-78B,.P,.E.(reroof_.SF new siding & win ows) C x►n 1' ke) AA V i�V 30-35-1 Contr: linkingbeard > Permit #2230-79P,M(plgb & ele/ 4681-78) SF , soeQ' 010167 %i/0 -35-4T - Contr: O.W. Clin ingbear Permit #4982-79B(lst renewal/4681-78) laa30-35-95 PErmit#3826=wood burning stove/SF) 030-350-095 PERMIT#97-2327 CLINKINGBEARD, O.W. 1465 12th St., Oroville Replace Decking/SF 030-350-095 05-2577 YARBROUGH,GRETCHEN 1465 12TH ST., OROVILLE CONT: OWNER -t ADD -DEN B07-1340 030-350-095 MISCELLANEOUS Demolition DEMO EXISTING HOUSE (1338) 1465 12TH ST M & T CONSTRUCTION INC u O 3 5 i '! - Ji 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.net\dds PROJECT INFORMATION Site Address: 1465 12TH ST Owner: Permit NO: B07-1340 APN: 030-350-095 M & T CONSTRUCTION Issued Date: 06/19/2007 By KEJ Permit type: MISCELLANEOUS PO BOX 7463 Subtype: Demolition CHICO, CA 95927 Expiration Date: 06/18/2008 Description: DEMO EXISTING HOUSE (1338) (530) 228-7243 Occupancy: Zoning: AR & Contractor Applicant: Square Footage: M & T CONSTRUCTION M & T CONSTRUCTION Building Garage RemdUAddn PO BOX 7463 PO BOX 7463 CHICO, CA 95927 CHICO, CA 95927 Other Porch/Patio Total (530)228-7243 (530)228-7243 FEE INFORMATION DBMSC Demolition $58.00 Total Charged: $58.00 Fees Paid: $58.00 Balance Due: $0.00 Receipt No: B3575 LICENSED CONTRACTOR'S DECLARATION OWNER / BUILDER DECLARATION Contractor (Name)State Contractors License No. / Class / Expires M & T CONSTRUCTION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License /-7// 0!251-7.34 Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a peril to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9 (commencing with kection 7000) of Division 3 of the Business and Professions Code, and my license pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) is in full for nd ect. of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects X 06/19/2007 the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: Contractors Signature Date -11, 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 Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does WORKERS' COMPENSATION DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations: the work himself or herself or through his or her own employees, provided that such improvements ❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR are not intended or offered for sale. If, however, the building or improvement is sold within one WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the year of completion, the owner -builder will have the burden of proof that he or she did not build or performance of the work for which this permit is issued. improve for the purpose of sale.). HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by E] ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code: Section Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. The Contractors License Law dows not apply to an owner of the property who builds or improves My Workers' Compensation insurance carrier and policy number are; thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractor's License Law.). Carrier: Policy Number: Exp. Date: (This section nee not a completed if the permit is oror one hundred dollars ($100) or Tess. ElI AM EXEMPT under Section B. & P.C. for this reason: CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS 9clompensation SSUED, I shall not employ any person in any manner so as to become subject to the Workers' laws of California, and agree that if I should become subject to the workers' X 06/19/2007 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those Owner's Signature Date provisions X C 06/19/2007 I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building Signature Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte ATTORNEY'S FEES. County to enter the above mentioned property for inspection purposes. I hereby certify that I am the property owner orauthorized to act on the property owner's behalf. CONSTRUCTION LENDING AGENCY CA,,&I,�j 06/19/2007 I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for -Name of Permittee [SIGN] Print Date the performance of the work for which this permit is issued. (3097 civ. code) ❑ OwnerContractor OR; Agent for Owner Agent for Contractor FILE COPY Lender's Address City State Zip DEMOLITION PERMIT ASBESTOS NOTIFICATION STATEMENT 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 or local agency which is authorized to issue demolition permits as to any building or other 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 application. Compliance with this section shall not be deemed to supersede any requirement of federal law." Attached is a copy of the Asbestos NESHAP Notification of Demolition and Renovation form for the project located at (Address) (City) (Zip Code) Assessor's Parcel Number Date Signature of Applicant I hereby declare that a written asbestos notification to the United States Environmental Agency is not applicable to this demolition project located at jv� -!� 12�" —/ / �40 g s-9 � Is (Address) (City) (Zip Code) Date 6 h-0 °7 Signature of Applicant CL, -,I— BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 A FEE WILL BE REQUIRED AT TIKE OF APPLICATION Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name Y _ ^ ,- First N me s Mailing Addresspto '� �D City to- Cib Sta Zip Phone Z.Z�Fax E-mail E-mail CONTRACTOR Name Address PO City �� v ` Stat Zipp9 S`i'47 Phone Fax E-mail Lic. # ` �� Class APPLICANT INFORMATION A RCHI TECT/ENGI NEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name Address City State Zip Phone Fax E-mail PPLICANT SIGNATURE PERMIT NO. Ui (Nd PROJECT LOCATION API v 3-U -7 Property Address City BIN # . WORKER'S COMPENSATION Policy Number A Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address DESCRIPTION OR SCOPE OF WORK: 9 Sq FT- LiviI Garao Open Cov ❑ Structure Built without Permits - El Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. t 0-3 5 �= WILLIAM BARTLEY 1465 12TH. ST.$ ROVILLE //aa (w PERMIT #290-76P BLDG. SE .7/II�IST)SI joor� 4Vw# ev--3 0-35-93 .P". CLINKINGBEARD 1465 12th. St�-OOro ille Permit #4681-78B,P,E(reroof SF new sidizig & w n 30-35-f - Contr: linkingbeard Permit #2230-79P,M(plgb & ele/ . 4681-78)SF An11-W4-/;C?1/in1ringbear-35 tr: Permit #4982-79B(1st renewal/4681-78) OR 30-35-95 PErmit#3$ wood burning stove/SF 030-350-095 PERMIT#97-2327 CLINKINGBEARD, O.W. 1465 12th St., Oroville Replace Decking/SF Flvl .6 � /-i-- 9 9 ,f COUNTY OF BUTTE. .... . BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 County Center Drive • Oroville, CA • (530) 538-7541 t CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please call for re -inspection when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact the Building Inspector as indicated below. ///1 f-f-wArl _ '%f ew Date, / ,�- 6�/ 1 GS Inspector 1t 0 -- REV REV 4/05 Phone #x FOR RE -INSPECTION CALL: 538-7636 OR 891-2834 APPLICANT INFORMATION CONTRACTOR Name City �7bD U� /) � Address Zip 6S City Fax State Zip Phone Book Fax E-mail Planner Lic. #Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City �7bD U� /) � Address Zip 6S City Fax State Zip Phone Book Fax E-mail Planner State License Number APPLICANT INFORMATION Name � T ero Address�LlJ�/ ��� City �7bD U� /) � Stalm Zip 6S Phone Fax E-mail : 111 For office use only: ZoningAK Property Address �'y -� Flood Zone Cross S eet ) SRA I Yes No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS � �,RVICES t, (530) 591-2534 ..,APPLICATION ..y.net/dds i'CLEARLY" PERMIT Bp - BIN #A PROJECT LOCATION API 6-_\. 5_S6 v O 9 � 1 Property Address �'y -� Ci d. Cross S eet ) WORKER'S COMPENSATION Policy Number Carrier if (ring anyone other than license contractors, a certificate of worker's co ensation must be shown at the time of permit issuance. LENDING AGENCY Name Address It SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a per it. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. Tilim 3. Engineered truss details and layouts in duplicate (if required). No faxes! 4. Energy compliance design and supporting documentation in duplicate: ❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. 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. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538.7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire 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. REQUEST FOR 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 check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS/OV. , 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET it OWNER: ASSESSOR PARCEL NUMB ` ' 3� 10 U BE Proposed Building Use: A�i1 -� Permit Technician: Date: � �' Z Items required in order to apply for a permit. All boxes MUST be checked OR marked NA in or ear t apply. 15 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. c(1l 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! 0 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 AIC for Non -Residential Buildings. ❑ 8. Manufactured homes: (A) Installation manual, including 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. 0 11. Letter of intent for non-residential` buildirigv. ❑ 12. Hazardous Material Form 0 13. Acknowledgement of building permit application without required clearances. 0 14. Other A aining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) 15. Sanitation and site plan approval from the Environmental Health Department in ❑ Chico ❑ Oroville, as applicable ( 17> O16. Fire Sprinklers..................:......................................................................... ❑ 17. Agricultural Buffer clr and site plan apr from the Ag Commissioner Sent by ❑ 18. Soils Report and/or Engineered Foundation required ........................................... 0 19. Erosion Control Plan Required........................................................................ q/ 20. Fees as shown on the.attached Schedule of Fees Due Sheet .............................. 0 21. City of Chico Plumbing permit........................................................................ .0 22. Site plan and business license approval from the City of Biggs .............................. 0 23. California Department of Forestry plan approval O paid. Sent by: ............. E/V6L-24. Planning approval for (A) Use: �{ Parking:�C) Parcel Check:-.---..../SOCTO 0 25. Contact Land Development about _ Improvements, _ Drainage ........................ 'D7 ' 26. NPDES Form.: .................. ❑ 27. Encroachment Permit for driveway from the Public Works Dept ........................... 0 28. Contractor's license information. (Number, Name Style, Classification) ................... 0 29. Worker's Compensation Carrier and Policy Number . ........................................ q/r 30. Owner -Builder Verification (_Given to owner,/�il.ailed to owner) ..................... p/ 31. Letter of Signature authorization.................................................................... 0 32. Recorded copy of Agricultural Acknowledgment Statement ................................. 0 33. Existing violations and/or expired permits....................:.................................... O34. Deed Restriction..........................................................::.............................. O-/ 35. ❑ Legal description, ❑ M.H. Title, title search, registration or MCO...................�.{{.... r , 36. Other: v 1- ,( C 042Ac tat DY�1 , n� lei , Qi S ❑ 37. Other: t -t GY �bS( ! - When issued Telephone and hold for pickup. -u <D�'�-� I have been]nformed of the above items'and requirements for obtaining a building permit. (� Applicant: ALI'l �+ Date: "►' ��' G�. 1. Index permit application for the above items mbered: Plan Check Letter 2, Additional items required �: /4 3 _ Contractor, designer, owner, was advAeof the above data by ❑ phone, ❑ mail, ❑ counter, by Date: Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, .❑ counter, by Date: Contractor, designer, owner, was advised of the above dat by hone, 0 mail, ❑ counter, by Date: Plans reviewed by: 0. Date: Plans approved by: gj /� Date: Structural reviewed by: Date: Structural approved by: Date: Note transfer by: Date: Yellow: Building Division OWNER COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 k OF FEES DUE PROPOSED BUILDING USE V 1. BUILDING PERMIT FEES --Balance Due ........................................................ $ --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ --Revised Plan Checking Fee ................................. $ ILS2. SCHOOL DISTRICT FEES Oyby'l (paid at District Office) 1 d1�_ o l 6 3. SHERIFF FEES (paid at Building Division) Residential .................................... x $360.00 = $ Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5. RECREATION DISTRICT FEES 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 0 8. WATER TENDER FEES (Battalion $200.00 (paid at Building Division) 9. CSA 87_TRAFFIC FEE / $2500.0 r 0 (paid'at Building Division) 10. OTHERsm A.P. # DATE RECEIPT # DATE REC. At time of permit application,'I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking pros. APPLICANT DATE 9— i;25" Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) C Department 0.f PUIDHC C o u n t Y. o f B Q t t J. Michael Crump, Director 00 �Uc WOF� Vlorks e LAND DEVELOPMENT DNISION Storm Water Management Program 7 County Center Drive Oroville, CA 95965 (530) 538-7266 (FAX) 538-7171 National pollutant Discharge Elimination System (NPDES) Phase II Construction Storm Water Permit and Storm Water Pollution Prevention Plan (SWPPP) Acknowledgement BLESS THA11d ACRE Project Description: Project Location andlor Parcel Number: , By signing below, I, the project ownet/owner's agent, certify that this project WILL NOT DISTURB 1 acre or more of land and that I, therefore, do not need to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board. Phased projects that contain ss than one acre but when combined with subsequent phases total mo multiple site.build-outs of lere il will require a Construction Storm Water Permit from. the State of than one acre of disturbed so California Regional W ater Quality Control Board. I am aware that submitting false and/or inaccurate information or failure to apply for a Construction Storm Water Permit from the State of California Regional Water Quality Control Board for a project. that disturbs one acre or more of land may result in revocation of grading and/or other permits or other sanctions provided by law. Signed: "7 Title: Date:�� Butte County Department of Development Services • ,e�Trs, Hasa f[ N O T E S 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 www.buttecalnty netidds acOp"�+o RESIDENTIAL APN: Permit No. Owner: 030-350-095 OS -2577 YAR.BROUGH, G RETCHEN Site Address: 1465 12TH ST., OROVILLE - CONT: OWNER Contractor: I ADD -DEN - - Type of Permit: _ I SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: SIGNATURE: CHECKED BY v=OK 0 = Not OK RESIDENTIAL (Single. & Duplex) 'z DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First flr-Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 6a Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping . 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test �° °° s` 0 10 UF, Gas Pipe; Sz Anchrs-Sz Test 11 Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgrnd DATE IMECHANICAL 13 Plenums & Ducts; Clrnc-Materia ISupport-Insultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv lnsultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16 Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE IFINAL 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Cirnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cirnc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Cirnc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnls 83 lnsultn-Foam-Looked in Attic 38 lnsultn-Walls-Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Cirnc Drnge Planters ❑ Yes ❑ No °4t, 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs DATE JELECTRICAL 90 Wtr Well, Dscnnct, Elec, Plmb 40 Fxtr & Trnsfrmr Cirnc-Ins Prtctn 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntltn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl { 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz 9a ❑CU or ❑AL 98 Address Posted AC Wire Sz 9a ❑ CU or ❑ AL 99 Fire Sprinkler _ 48 Range Circ 9a ❑CU or ❑ AL Oven Circ 9a ❑ CU or ❑ AL Insulated Neutral ❑ Yes ❑ No c' 0•`c oma`° o•`c 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Clrncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector r=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Cirncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; SzSpacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Cirncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs ❑ Foundation ❑ 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S -C O V E R S -C A R P O R T S *G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; SoilsSz-DpthSpacing-Cnnctrs-Steel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg Frmg-Brcng 5 Alum Awn; Columns-Cnnctns-Splice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnis DATE IPOOLS 1 Setbacks -Easements 2 Soils; Compaction -Structure Stability 3 Pool Structure; Steel -Cnnctns-Th ickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFI 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcitng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool Ightg Boxes -En clsrs-pnlboards-Insultn to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Encisr; Fencing -Alarms 13 Bonding, Diving board or Slide o' mac O' 01 Pool Drawing Butte County Department of Development Services www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965• (530) 538-7601 Telephone (530) 538-7785 Facsimile September 14, 2005 Ocie W. and Donn_ a M. Clinkingbeard Trustees 1465 12`h Street Oroville, CA 95965 RE: Formal Warning Notice Butte County Code Violation Address: 1465 12'b Street, Oroville AP# 030-350-095 Dear Ocie W. and Donna M. Clinkingbeard Trustees; Through our courtesy notice on July 14, 2005, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the following specific violations: 1. The accumulation of junk in public view. Your failure to eliminate the stated violations is cause for the issuance of this formal warning notice. This is notice that as of this date, our records indicate that the following violations to the Butte County Code still exist: • Butte County Code, Chapter 24, Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. • Butte County Code, Chapter 24, Section 24-95 - The AR (Agricultural -Residential) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the AR zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. The determination that this violation exists on the property is based on the following definition in the Butte County Code: y Ocie W. and Donna M. Clinkingbeard Trustees AN 030-350-095 September 14, 2005 Page 2 Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. • 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. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: 1. Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24- 305.240. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten (10) days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises, the violation concerns, a description of the violation, the date of your convictions and the action necessary to corrector abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, r Nick Hoekstra Code Enforcement Officer NH:ajf cc: Department of Development Services, Building Division 21 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 �4 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the.age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On September 14, 2005, I served the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Ocie W. and Donna M. Clinkingbeard Trustees 1465 121h Street " Oroville, CA 95965 I declare under penalty of perjuryunder the laws of the State of California that the foregoing is true and correct and that this declaration was executed on September 14, 2005, at Oroville, California. 41i�'seJ. Foots Office Assistant BUTTE COUNT' DEVELOPMENT SERVICES COMPLAINT FORM This information is not available to the public!!!!!!! DO NOT COPY FOR THE PUBLIC OR THE FIELD INSPECTOR!! The following information is required for Housing Complaints and the Complainant MUST BE the person living at the complaint address! Complainant: Address: Phone Number: The above information is not available to the public!!!!!!! (2) R Butte County Department of Development Services www.buttecounty.net/dds 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile September 14, 2005 Ocie W. and Donna M. Clinkingbeard Trustees 1465 12`x' Street Oroville, CA 95965 RE: Formal Warning Notice Butte County Code Violation Address: 1465 12`h Street, Oroville AP# 030-350-095 Dear Ocie W. and Donna M. Clinkingbeard Trustees; Through our courtesy notice on July 14, 2005, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the following specific violations: 1. - The accumulation of junk in public view. Your failure to eliminate the stated violations is cause for the issuance of this formal warning,notice. This is notice that as of this date, our records indicate that the following violations to the Butte County Code still exist:. • Butte County Code, Chapter 24, Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. • Butte County Code, Chapter 24, Section 24-95 - The AR (Agricultural -Residential) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the AR zone without a Use ,Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be 'Junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. The determination that this violation exists on the property is based on the following definition in the Butte County Code: Ocie W. and Donna M. Clink-ingbeard Trustees AP# 030-350-095 September 14, 2005 Page 2 Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. • 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. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24- 305.240. This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises, the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Nick Hoekstra Code Enforcement Officer NH: aj f cc: Department of Development Services, Building Division 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 •24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address is Department of Development Services, Building Division, 7 County Center Drive, Oroville, California 95965. I am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On September 14, 2005, I served the foregoing 10 Day Notice on the person(s) named below by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville, California. Ocie W. and Donna M. Clinkingbeard Trustees 146512 th Street Oroville, CA 95965 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on September 14, 2005, at Oroville, 11 California. lise J. Foots Office Assistant Butte County Department of Development Services www. b utte c o u nty • n etld d s 7 County Center Drive Oroville, CA 95965 (530) 538.7601 Telephone (530) 538-7785 Facsimile September 9, 2005 Ocie W. and Donna M. Clinkingbeard Trustees y 1465 12`h Street Oroville, CA 95965 RE: Formal Warning Notice Butte County Code Violation Address: 1465 12`h Street, Oroville AP# 030-350-095 Dear Ocie W. and Donna M. Clinkingbeard Trustees; Through our courtesy notice on July 14, 2005, you were notified pursuant to Section 41-2 of the Butte County Code of the presence of code violations on your above -referenced property. According to our records, the courtesy notice has not resulted in abatement or correction of the following specific violations: 1. The accumulation of junk in public view. Your failure to eliminate the stated violations is cause for the issuance of this formal warning notice. This is notice that as of this date, our records indicate that the following violations to the Butte County Code still exist: Butte County Code, Chapter 24, Section 24-65 - Applicability of zoning regulations. All uses of land within a zoned district not specifically authorized or permitted by regulations are prohibited. Butte County Code, Chapter 24, Section 24-95 - The AR (Agricultural -Residential) zone does not "specifically authorize" large accumulations of junk. The storing of more than 100 square feet of "junk" on a parcel is one of the items used to determine that a "junkyard" condition exists. A "junkyard" is not an allowed use in the AR zone without a Use Permit. "Automobiles and other vehicles, dismantled, in whole or in part" are considered to be "junk." Chapter 11, Section 11-4 forbids people, whether at a licensed junkyard location or not, from storing junk in public view. The determination that this violation exists on the property is based on the following definition in the Butte County Code: bcie W. and Donna M. Clinkingbeard Trustees AN 030-350-095 September 9, 2005 Page 2 Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. • 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. In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions, you are hereby requested to take the following abatement or correction actions: Remove all "junk" in accordance with the Butte County Code, Chapter 24, Section 24- 305.240. This is your final wamin . Unless you contact this office and make the proper arrangements to correct or abate the violation(s) voluntarily, within ten 10 days from the date, of this letter, enforcement shall be pursued through the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this warning letter. Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines) and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of Violation will include a description of the premises, the violation concerns, a description of the violation, the date of your convictions and the action necessary to correct or abate the violation(s). Should you have any questions concerning this matter, please contact me at the address or telephone number listed above. Sincerely, Nick Hoekstra Code Enforcement Officer NH:ajf cc: Department of Development Services, Building Division . 1 2 3 4 5 6 7 8 9 .10 11 12 13 14 15 16 17 18 .19 20 21 22 23 24 25 26 27 28 PROOF OF SERVICE BY MAIL I am a citizen of the United States and employed in the County of Butte; I am, and was at the time of the service hereinafter mentioned, over the age of eighteen years and not a party to the within action. My business address,is Department of Development Services, Building Division, 7 County Center Drive,. Oroville, California 95965. I am readily familiar with the County's practice for collection and processing of correspondence/documents for mailing with the United States Postal Service and that said correspondence/documents are deposited with the United States Postal Service in the ordinary course of business on the same day. On September 9; 2005,. I served the foregoing 10 Day Notice on the person(s) named below ,by placing a true copy thereof in a sealed envelope, with first class postage thereon fully paid, addressed as indicated below, and by placing said envelope. In the appropriate place within the Department of Development Services where mail is collected for mailing with the United States Postal Services on the same day. X In the United States Postal Service Mail in Oroville,.California. Ocie W. and Donna M. Clinkingbeard Trustees 146512 1h Street Oroville, CA 95965 I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that this declaration was executed on September 9, 2005, at Oroville, California. , • l Atg' e J. Foots Office Assistant Ocie W. and Donna M. Clinkingbeard APN: 030-350-095 14 July 2005 Page 2 Butte County Code, Chapter 24, Section 24-305.240 - Junk. Any worn-out and discarded material in general that may be turned to some use including, but not limited to, any old iron, wire, copper, tin, lead, rags, paper, bags, lumber, empty bottles, bones, parts of bicycles, tricycles, baby carriages, automobiles, and other vehicles, dismantled, in whole or in part, kept, stored, located, situated or piled in public view, and all other similar personal property ordinarily defined and classified as "junk" kept, stored, located, situated or piled in public view and not screened from public view by a fence. 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 correction 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 fin -.d and a Notice of Violation may be recorded which will include a description of the action necessary to abase 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 "junk" in accordance with the Butte County Code, Chapter 24, Section 24- 305.240. 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, Nick Hoekstra Code Enforcement Officer NH: mjs cc: Department. of Development Services, Code Enforcement .. -z ., ,s .... ., .. ..v+.. ..rw. .v .... ,r,. rT.�•+4'": r.:r ro-2-••,i. �r ..-rte. 030-350-095 PERMIT#97-2327 CLINKINGBEARD, O.W. 1465 12th St., Oroville Replace Decking/SF I r r r r r .. -z ., ,s .... ., .. ..v+.. ..rw. .v .... ,r,. rT.�•+4'": r.:r ro-2-••,i. �r ..-rte. 030-350-095 PERMIT#97-2327 CLINKINGBEARD, O.W. 1465 12th St., Oroville Replace Decking/SF I r r COUNTY OF BUTTE -DEPARTMENT OF`DEVEl OPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 53 x7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT ��= '7 ASSESSOR 301 350-W5 Z°"I"° ILDING PERMIT OWNER O.W. CLINKINGBEARD TELEPHONE 533-2598 SQ. FT. OCC. BUILDING VALUATION EST OWNER'S MAILING ADDRESS 1465 12T1I ST., OROVILLE CA 95965 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER NONE Fireplace LENDER'S MAILING ADDRESS Total Valuation is ARCHITECT OR ENGINEER NON); UCENSE N0. Filin Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checkiri Fee $ BUILDING ADDRESS 1465 12TH ST. , OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $ Q LAT NO. SUBDNIS ION'S NAME PARCEL MAP PLUMBING PERMIT Filing Feel 20.00 USEOFSTRUCTURE SF OxDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: REPLACE DECKING ON DECK Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 1@20.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( Toon OR mss 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 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: O 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 ( TO 46.00 DWE200ALLING CCU000A NEW CONST. DWELLING LDs. OR ADDNS. ( 6 ACC. BLAS. s0 3.5QFr. NON-RESIID? MULTI -OUTLET CIRCUITS @7.50 POWER APPARATUS 6 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES 20 Q 1.00 SAL p .50 Ex. Occup. ouTLEEDTs RE 16.°eA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT 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.) D 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,_ r.�•.�-.Date . �-_ "/ Signature of Applicant''- ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 45.00 HA2. D. FEE IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under thea licable provisions of the Butte County Code and/or Re lLilt ns to do work en paid. indicated abov=te lO/28/97of _ B6r­ PERMIT EXPIRES ON 10/28/98 Dela ReceiptNo.,_� � WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING SION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 53 541P MIT NO. (Rev. 12/96) APPLICATION AND PERMIT r I::: � ASSESSOR PARCEL NUMBER 030-350-095 ZONING )BUILDING PERMIT OWNER O.W. CLINKINGBEARD TELEPHONE 533-2598 SO, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1465 12TH ST., OROVILLE CA 95965 EST 1000 CONTRACTOR'S NAME OWNER TELEPHONE ' CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER NONE LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER NONE LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ 25.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 1465 12TH ST., OROVILLE Energy Plan Checking Fee $ $ PERMIT FEE $49-00 LOT NO. • SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF CXXDuplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each oas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: REPLACE DECKING ON DECK Gas piping system 1 - 5 outlets 15.001 Building sewer 15.00 Mobile Home I S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 Main Service Zoon oa UES 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class LIC. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, 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 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. sD 3.5QFT. NON-RESNFW rID. MAUNLCTI.00UTCETIT. 97.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. OCCu OUTLET OR FIXTURE 20 @ 100 B . Ex. Occup. ouiELErs ) EE 5.00 —Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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.) � I certify that in the performance of the work for which this permit is issued, I shall y P p 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 LG==� �% _ Signature of Applica - ❑ 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 �"sT• TYPE TOTAL FEE $ 4 HAZ. D. FEE IMP FLOOD COF PARCEL PO HD ISSU This permit is hereby issued underthe a licable provisions of the Butte County Code and/or Re utions to do work indicat ove for whi fees ha n paid. ate 10/28/97 PERMIT EXPIRES ON 10/28/98 Dale ReceiptNo. 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 NO C3 2. I HAVE 0 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:-- l� Sr (3 if,��; 19s�x�$�e CITY:�n. �.P �° -��' PHONE: 9(G fr CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to cooidinate; supervise, and provide the major work: NAME: ADDRESS• (� (��.� �• CITY:IV 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: Ca, X'� y 9 NOTE. Thu Owner -Builder Verification is required by ction 19931 diidd I.T932—of?!te— California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible parry of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being, performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you 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: ;4i 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. 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 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 contrac!grs 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. 4irely, l C. Vi ira, C.B.O. r, Building Inspection NOTE: This Owner-Builder,Information is required by Section 19830 of the CaliforniaHealth and Safety Code- OVER ode OVER (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. ASSESSORP C.J ZONING BUILDING PERMIT OWNER r I �A F�r TELEPHONE SO- OCC. BUILDING VALU TION OWNERS �{l Z DRESS _ `^�• LLL 1/O. ..r j%j CONTrR'S NAME ELEPHONE TELEPHONE– CONTRACTOR'S CONTRACTORS MAILING ADDRESS CONSTRVN LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHREC O ©�NEF,A .� LICENSE NO. Filing Fee $ 20.00 Permit Fee $ c5� ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS Energy Plan Checking Fee $ t/ -& � $ PERMIT FEE $ 19LIC. 00 LOT NO. SUBDNISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee '20.00 . USEOFSTRUCTURE SF Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 ` Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Reel ❑ Utilities ❑ Instal ❑ er m Describe Work: � `� Gas piping system 1 - 5 outlets 15.00 Buildingsewer 15.00 Mobile Home S G W @20.00 PERMIT FEE S ELECTRICAL PERMIT I Fling Fee 20.00 Main Service 20aAORLES3 1 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wfth Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by 'section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑—t ce�tity that-in-tfie performance of the work forwhich 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 4 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A To 1000A 46.00 NEW OR ADDNS.T ( �3 ACC. UDS. 3.5¢F°' NOr+RE°SINEW D M."T., UTLET @7,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FD=RES aA�L 9:50 LNS Ex. Occup. ouTTE°s AEsI°•°EA. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wirina 23:00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling` Hood 6.50 Ventilation PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee $ occ " ZJ TOTAL FEE $ f"T D �� IMP I—. I COF PARCEL PD HD ss UE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been By Date PERMIT EXPIRES ON (Da!e provisions to do work paid. Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �l {Y 1 JJ)PERMIT NO. 290-76P f- - E I' M It MH UTIL. PERMIT NO. PERMIT EXPIRES 21/77 OWNER WILLIAM BARTLE i' ICONTR. OW N E R )LOCATION (A.P30-35-62 ) °t 1465 12TH. ST., OROVILLE ( I 1 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Dat -x'-) y - t (Signature) i . . THEmmrAu�8`nwIRRIGATION ��U�U(T ' 410 GRANDAVENUE meov/LLs.CALIFORNIA e5e6o TELEPHONE 533-0740 , CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: X -7 -Ti-I Owner's Name: Phone: t � No. Units: ' A,,' --^~-g^^` Agents Proof: Address: Fees: Phone: | Application $ | ----- � ArrearagePreliminary -"- � '-. CSA 26 Remarks: SC -OR 1st rno. S.C. ~ Other *� Tota/ Fees � �8�� �----- Collected By: -----_-_- Field Revi Date: 3 Date: MONTHLY SERV|CE HAR(3ESVV|L . COMMENCE AUTOMATICALLY UPON: R1Date ofT|D approval of completed building ' sewer(early uonnection). L]- 30 days after date above' or on date of D.P.W. approval of completed building newer, which' first ("existing construction''' prior to Mar. 5' 1974). o«a' uonn*» 0 18Odays after date above, mrondate ofD.P.V' approval ofcomp|dbuilding umw*r.which ever comes ('»ovoonntruotion''.after Mar. 5' 1974). ` D IST . RIBi WHITE TID,. YELLOW - APPLICANT,'PINK -Di GOLDENROD -DPW tOTID ' ` Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer COUNTY OF BUTTE — DEPARTMENT OFA UBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Firewall Parapets Restroom Finish Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Prov. for physically. handicapped Conformance of ex. structure Final FIREPLACE Footing Throat Final Final Heating Cooling Ducts Ventilati Final FIRE SPRINKLERS MECHANICAL DATE REMARKS OR CORRECTIONS Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Z Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Fixtures Motors Water Htr. Grd. Fault Pri Service Temp. Pole Undergroun Permanent Final " ELECTRICAL I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 2 �D — 76 APPLICATION AND PERMIT al'i101146 t"Pru5unid0veS or the County of butte to enter upon the above-mentioned property inspection purposes. t X DateV/ - IJ/j .4go/ 1 ignature of/Per/miittee or/Agent / Receipt No. �LL�9r V' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By �(l— Date permit expires Date — -27 BUILDING Owner fJ (,,,C_ M 13,9rD e SO. FT. OCC. BUILDING VALIDATION Mai I i ng Address I n '0 5T. Telephone No. 5-33,Joo Fireplace Contractor fen Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address 6 7.t 57- PLUMBING No. @ FEE PERMIT FILING FEE $3.00 3,06 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. p - 3 _ (, L Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W . Sanftat}en Fire Dept. Fire Zone Use Permit Building sewer 5.00 2) EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ 00 $ QO NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE J$3.00 i e tJ N T.9 LA Ti ab.l Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (morethan 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures y A2 al (610 Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring H- 1 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.1 @ I 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 TOTAL PERMIT FEE $ O al'i101146 t"Pru5unid0veS or the County of butte to enter upon the above-mentioned property inspection purposes. t X DateV/ - IJ/j .4go/ 1 ignature of/Per/miittee or/Agent / Receipt No. �LL�9r V' White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By �(l— Date permit expires Date — -27 ,!-wo PERMIT NO. -78B P E „ PERMIT EXPIRES t OWNER OW CLINKINGBEARD 1 t IONTR. ovmer a 4 LOCATION (A.P.�� k 1465 12th. S Oroville L Temp. Power Pole Called PG&E ```� e 4f Elec. Serv. /7-7 J7Called PG&E Gv-6 p. Gas Serv. " 7— Called PG&E edl O BO ' FINALED 1-7 J +. (Date) i (Signature) r _ t COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ' BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) Subpanels Grd. Fault Prot. PLUMBING Setback Firewall Soil Piping Cooling Forms . Parapets 1st Floor — 1 Main Bldg. Restroom Finish 2nd Floor Door Closer Footings Windows 3rd Floor Elec- Service StemwalI Siding To out Gas Piping Slab Roof Sheathing Water Piping Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas PipingTest Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Wator Htr_ .9uuu%P Mesh rinai MECHANICAL Subpanels Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOMEINSTALLA= - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS C'auS .f rll -5 r evu&9�/* 71 — 0 vo - G 'Y,. �°JJ ,n f. T a-,�rQr���vv✓�a 'F- sv�' — ` NOTE: entrmust be ma o is rm eac tim you visit the jobsite.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC• WORKS 7 County Center Drive - Oroville, California 95965 Telephone:, 53,4-4541 APPLICATION AND PERMIT BUILDING Owner W C L tN� SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Telephone No. Contractor Mailing Address C7 S— + C Fireplace Total Valuation C�.4, Telephone No. Permit Fee Building Address 1� Plan Checkin Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 TraD 1.50 -7—Each ,4- t) / 14ew , (,(,(7 Repair drainage or vent piping 1.50 A. P. No. 3 Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 44_ etj SalitatFan I 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 I Improvements Each additional outlet .30 Building sewer 5.00 BW9-&owe-Reo:d Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [0 permit Fee $ $ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 Main service 1000V OR 0 AMP ORSLESS 5.00 Single Family'❑(, Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD -L loo AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADD'L 100 AMP 1.00 CWE OR ADDNS.NE WCONST - ACCLBL GS.LING CCUP. 6) 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 st I Of: r Y NEW RESID, MBRANCU LT OUTLET NON.RESID BRANCH CIRCUITS( 2.50ea NEW CONSTR. /POWER APPARATUS a NON.RESID. (SINGLE OUTLET CIR. 0@ EX. OccuD(OUTLETS OR FIXTI1RESj 5BAL EX. OCCU FIXED APPLNS. OR p•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 � ^ 6 License No. 17 J I 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. 0I have placed on file with the County of Butte a certificate of J�-� l orkmen'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. 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 MECHANICAL No. @ FEE PERMIT FILING.FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ Land Development Fee $ $ TOTAL PERMIT FEE _$_j7 tL authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I X --W Date Signature of Permitee or entQ� Receipt No. Xt /-/ 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 shave been paid. I CTO OF LIC WORKS By Date l� 7 wilding permit xpires Date �� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 ` APPLICATION AND PERMIT AA a+u anu„�e ,eF+Ieoav naau veo uI enc VULLIRy UI Ou"V lV GIIICI up ... lflc above-mentioned property for inspection purposes. C X L `, ` Date Signature of Permitee or*rent Receipt No. 4�i White-D.P.W. - Yellow -Assessor - Pin�spector - 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 0 BLIC WORKS By Date (� q -7,P Iding permit expires Date F-1(4 -7 J BUILDING Owner UUSQ. r FT. OCC. BUILDING VALUATION e Mailing Address Telephone No. �® Contractor A tQ i Mailing Address I Fireplac Total Valuation �` \ elephone No. Permit Fee Building Address 6 Plan Checking Fee &/or Penalty Permit Fee -- PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1,50 U /`e Repair drainage or vent piping 1,50 s S j�� A. P. No. ^ .7 rLv Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F MI5' Fire Dept: Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60 /W ' Improvements Each additional outlet .30 Building sewer 5.00 Parcelprove � � Plans pp`7t rowel Lawn sprinkler system 2.00 _A NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ ,'S�' $ r 6V& ELECTRICAL No.1 @ I FEE jeav�L PERMIT FILING FEE $3.00 Single x Mobil Home h Family DupleOthers ❑ � Main service 600V OR LESS 100 AMPORL ESS 5.00 Main service EA, ADD'100 AMP 2.50 rMain "i. t "� service OVER 600V25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCC1}p. q OR ADDNS. % ACC, BLDGS. /✓ 20S 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 styI Of: f , Occup. A:` NEW CONST R. BRANCHMIILTI-OCIR T NON-RESID � BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 8 NON-RESID, SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTI]RES g L FIXED APPLNS, OR EX. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 ` Mobile Home Facilities 15.00 " License No.1-5_3 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. VI 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 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 Land Development Fee $ TOTAL PERMIT FEE $ a+u anu„�e ,eF+Ieoav naau veo uI enc VULLIRy UI Ou"V lV GIIICI up ... lflc above-mentioned property for inspection purposes. C X L `, ` Date Signature of Permitee or*rent Receipt No. 4�i White-D.P.W. - Yellow -Assessor - Pin�spector - 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 0 BLIC WORKS By Date (� q -7,P Iding permit expires Date F-1(4 -7 J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 f Tel ephone: 5,14-4541 ` APPLICATION AND PERMIT BUILDING Owner 14 SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. oqr Contractor r Mailing Address !cam Fireplace Total Valuation hone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 , Each Trap 1.50 Repair drainage or vent piping 1.50 -- A. P. No. 2 -- 2s -r 6,A Zoning & Planning Water piping 1.50' ) 5 Each gas water heater or vent 1.50 F Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 .� ' EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bld Parcel Approval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER permit Fee $ $ .% �j� --� 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 25.00 100 AMPP OR LESS O Main service/ EA. ADD'L 100 AMP 1.00 OR ADONS. ACCNEW CONST. LBLDGS.LING CCUP. S) 20Sq}t C 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 I Of: O Y %TSU NEW RESID,CONSTBRANCH CIRCUITS) NON-RESID � BRANCH CIRCUITS 2.5.Oea NEW CONSTR (POWER APPARATUS fi NON-RESID. SINGLE OUTLET CIR. EX. Occup{OUTLETS OR FIXT11RES gioj 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 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. RI I have placed on file with the County of Butte a certificate of 1� Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X N`,f 1 -- w . Date Signature of Permitee or ent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating / Cooling ' Ventilation Hood 2.00 Permit Fee $ " $ 1 Land Development Fee $ TOTAL PERMIT FEE is /I/ 16zo This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. D REC OF PU LIC WORKS Date 1 Zf Building permit expires Dat COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS- ;PERMIT NO. 7 -County Center Drive = Oroville, California 95965 - Telephone: 916/538-7541, .., ' .�'`� j%�j _� l �J APPLICAtION SND PERMIT �,/ ASSESSOR PA fi CEL NUMBER,-, r. �-• .) may- c ' d ZONING BUILDING,PERMIT ' OWNER"_ TELEPHONE' SQ.FT. OCC. J BUI.LDING.VALUATION:,. OWNER'S M AILING''ADORESS� CONTRACTOR'S NAME -- (tr1/�r')__ TELEPHONE - CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee ,$ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ % ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ,.. Permit fee $ 4? -7 x,7 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping ' 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE';) SF [ Duplex❑ Mobilehome❑ ft Other ( SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00ea TYPE OF. WORK New ❑ Addition ❑ Remodel ❑ //Utilities ❑ Installation[] Other ❑ Describe work: %I </ fl �� a7 y. �// .- ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 _ Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury '(check one): \ - ❑ I am licensed under,provlslons'-of Chapt. 9, Div. 3 of the Business/POWER and Professions Code -and my license is in full force and effect. License No. Classification + {FIXED �® 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively`; contracting with licensed contract- ors. (Sec. 7044)_ I+ 1 am exempt under Sec. , Business and Professions Code for this reason 1 •' K•. !r NEW CONST. DWELLING OCCUP.EI , OR ACDNS. ACC. BLDGS. �z2sgft NEW R. MULTI-OUT NON.RESID. BRANCH CIRCUITS) 2.50 ea APPARATUS tr (SINGLE OUTLET CIR. Ex. OCCup�OUTLETS OR FIXTURES 120 @eALO 30 APPLNS. OR EX. OCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE ' I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department. a Certificate of Workmen's Compensation Insurance or a Certificate of Consent•to Self -Insure; I shall not employ any person in any manner so as to become subject to the W.'C. laws of California.' Notice to Applicant: If after making this'statement,.should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filirig Fee 10.00 Heating Cooling g Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this appli1cation>and state that the above information is correct. I agree -to comply to all County.Ordinances and State Laws relating to building construction; and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property.for inspection purposes. I also agree to, save, indemnify arid keep harmless"the County of Butte against all liabilities, ,judgments, costs, and expenses,which may in any way accrue against said County in consequence of the granting of this permit. Date ���.% G Y Signature of Applicant � ' Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. I{ Mobile'Home Installation Fee $ Energy Inspection Fee $ ,. TOTAL PERMIT FEE l $ Occup. I'CONST.TYPE1 SCHOOL FLOOD PARCEL I PD I NO I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR -OF PUBLIC WORKS By "''`b -Date PERMIT EXPIRES Date ��/� Receipt No. L WHITE-O.P.W.. YELLOW-ASOC350R. PINK -INSPECTOR. GOLDENROD -APPLICANT Permit#3826-87 O.W. CLINKINGBEARD 1 465 12th St, ORoville n COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �f APPLICATI OICANCITERMIT ASSESSOR PA IN UCS ER _ ZONING BUILDING PERMIT OWNER i TELEPHONE SQ. FT. OCC. BUILDING VAL TION OWNER'S MAI LlG ADDRESS ,�;,� �L�r cg /r CONTRACTOR'S NAME � TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 1< ) () 10 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS/� S s Permit fee $ ,sv PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer .5.00 Mobile Home S I G I W 0.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: C(,571e Ile i Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e101 OR LESS 10.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. - License No. Classification - 1, as the owner, or my employees with wages as their sole compen- sation, will do tbe'work,land"the�stfucture isnot intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licen`ed contract- ors. (Sec. 7044) ae1 I am exempt under Seq. _ , Business and Professions Code for this reason '{ ' NEW CONST. DWELLING OCCUP.y , OR ADDNS. ( ACC. BLDGS. /20sgft NEW CONSTR. MULTI -OUTLET NON-RESID 2,50 ea BRANCH CIRC S POWER APPARATUS e (SINGLE OUTLET CIR. I 2oeeoc Ex. Occup OUTLETS OR FIXTURES .00030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed -on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ® I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement,should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot� Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequen a of the anting of this permit. X Date J aLl`�l ` Signature of Applicant — wnero Contractor ❑ Agent ❑ An OSHA permit is requi&d or excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCu P. CONST.TYPE SCHOOL I FLOOD PARCEL I PD No 139UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECT F PUBLIC WORKS B Date PERMIT EXPIRES Date Receipt No. U3�/l WHITE-D.P.W., YELLOW-ASSE350RY EL LO W- P14 -INSPECTOR. GOLDENROD -ADPL I CANT GOLDENROD -APPLICANT A 1 . 1 tq, COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed.property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed wor - 3. I have contracted with the following person (firm) to provide the proposed construction: Name &J (,J �� Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and pro�e the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: ! _� Name Address Phone Type of Work Signed: Property Owner Social Security Number Date — 0 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit.