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HomeMy WebLinkAbout031-281-103f_. 31-281-103�� RUNGE $ eather.Avenue,.Oroville Perm' 341�$AAP,E(u i 1, MH) 31-281-103 ELEC '�f�o HENRY T. RUNGE Jr, GAS ter/ 38 ' �'LP�� ' 72-85A (hay storage) COMPACTION ST RE�2�_ SUPPORT STRUCT, E REQ Atz 31-281-103 Contr: Ste& H Al Ser, Oroville Permit�3480-84MHTT 31-281-103 'r illi LIF3737-84E(•relocaee ele ser'/MH) E COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS " 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 AGRICULTURAL BUILDING EXEMPTION PERMIT Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticulutral products. This structure shall not• be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO ZONING AK O OWNER PHONE NO. 411 A,1 it OWNER'S ADDRESS &12O VdLl, LOCATION OF BUILDING USE OF BUILDING 7~0 SZ A C 'e b SIZE OF STRUCTURE / TYPE OF CONSTRUCT AN: WOOD FRAME STEEL CONCRETE--ZOTHER (Specify) TYPE OF SIDING ROOF COVERING FLOOR YPE 0L k _ wba a ` O OVC OZ le �1 ESTIMATEb COST OF CONSTRUCTION $ shall comply with the building front, side, and rear yard requirements of the applicable County [AG_Buildlngs Ordinances as follows: , � I S b �'� S 5 FRONT SIDES REAR - AG Buildings shall be a minimum of five (5) feet from any septic—tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated above and the proposed use conforms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Department of Public Works and will obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 1 10 — Z - S Signature of Owner Permit Fee - $25.00 The above described AG Buil ng is exempt from a building permit. � Receipt No. ri / Director of Public Works By Date PO —J`- i�� White - DPW, Yellow - Assessor, Pink - B. I., Goldenrod - Applicant t Permit #3737-84E Ted Runge 826 Feather Ave, Oro' i OFFICE COPY Address GAS Meter By Date ELECTRIC Meter By �� D COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER_ � I ! ZONING BUILDING PERMIT OWNER I - TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS , i � I CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS \ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 ;� 1~ Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome f� f Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00 e TYPE OF WORK New Addition n) Remodel E] Utilities❑'Installation ❑ Other E] Describe work: ��' •^'- - r -' i ! t'= t _ L Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 00 S AMP OR LESS V OR LESS 1 10.00 �, ) } l` .� 1 ti` ] Main service EA. ADD'L 100 AMP 2.50 j NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21h2sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): El 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 El I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUTLET N ON•RESID BRANCH CIRC ITS 2,50 ea NEW CONSTR. (POWER APPARATUS &1 NON•R ESE OUTLET CIR. / NON SINGL Ex zD@sOm . Occup(o FIXTURES BAL030 FIXED A POR EX. Occup. OUTLETS (RESID )RE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue[ against said County in consequence of the granting of this permit. Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition Or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GROuP I TYPE OF CONST. -I PARCEL PD HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY I PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. ` WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT v O ASSESSOR' PARCEL NUMBR_ `JJ� ZONI BUILDING PERMIT OWNER -� TELEPHOhrE SQ. FT. OCC. BUILDING VALUATION OWNW M NG ADDRESS i CON ACTO 'S NAME 1p C. ELEPHONE CONTRACTOR'S MAILING ADD ESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS I. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USEOF,Skher SPECIFY RUCTURE j J✓,/ SF ❑ Duplex❑ Mobilehome Ot Building sewer 5.00 Mobile Home S G W 10-00e TYPE OF WORKr-,/ New ❑ Addition R model ❑ Utilities �❑ Other ❑ Describe work:, Ir V I a—!9?, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR ILE SLESS 10.00 /�^7 Oc �` ✓ �_ Main service EA, ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 2Ih2Sgft 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. icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NE WCO NST NON -RE SID R. BRANCH CIRCTITS 2.50 ea NEw CONSTR POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occup( zALO30 P�OUTLETS OR FIXTURES 9AL®3o FIXED ALNS Ex. OCCUp. OUTTSP(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ^ 0 C2 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate onsent to Self -Insure. 1 shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of 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, c ts, and expenses which may in any way accrue against said County in co a enc;the granting of this permit. �( Date — Signature of Applicant — 0 Z Contractor ❑ Agent An OSHA permit is required for exc vations over 5'0" deep and demolitior, or construct- ion of structures over 3 stjjories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PO ND ssuE 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. 17 MF1 DIF PUBLIC WORKS r^ By Date -S ' PERMIT EXPIRES Da Receipt No. / �ri�V WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT W PERMIT NO. ,E(MH) PERMIT EXPIRES OWNER TED RUNGE. CONTR. owner ASSESSOR PARCEL 31-•2$1-103 LOCATION 827 Feather Avenue, Oroville F 1 F ' OFFICE COPY ^ Address I Me By E ECTRIC to Meter By Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E Temp. Gas Servi ci Called PG&E JOB FINALED (Date) 6 — I Signatur r.. J = OK ' 0 = Not OK = Not Applicable * = Not Ready ,, i MOBILEHOMES i I MISCELLANEOUS i Date MOB!HOME UTILITIES ( s) OK except N's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's Z ning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -.Easements So'Is; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors -Fall-C/0-Concrete- 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails r; -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing a ectricity; Lo tion -CI antes-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures r do rap:/ /"L"ft./ /"Nat. or/� "L"ft./ "LPG 6. Carports; Windows -Doors tility Clearance 7. Elec. Card -BI Date %Card- Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date .Card -BI Date Card -BI Date Date MOBIIEHOME INSTALLATION (P s) OK except N's Date POOLS (Plans) OK except N's Zoning Requirements -Setbacks -Easements 1, Setbacks -Easements k'footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability $/Gras; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining lectricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5 rain; MH Test -Fall -Flex Connector ¢ 5. Elec.; Pool Lighting; 15 volts-GFI &/Water; MH Test -Regulator -Connector I 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7 --Water and Sewer Connected -C/0 to Grade -HD Approval f 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8as and Electricity Tagged ! 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval Exits; Insp.-Sketch Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test on olf- C d B -I ate : � Card -BI Date lCard-BI Date Card -BI Date Card B -I Date Card -BI Date ,Card -BI Date Card -BI Date J = OK • 0 = Not OK = Not Applicable �E = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 50. 51. 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except p,'s 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 14. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. 18. Shower Pan; Test, First Floor -Tub Access Test Tub & Shower, 2nd Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic [_1 Yes Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes 1-1 No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. 83. Ventilation throughout House Glass Protection Corrections from Previous Inspections Card B -I Date Carc-BI Date Date MECHANICAL (Permit) OK except q's 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING Plans OK except q's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit jobsite) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner Owner's Address Mobilehome Mfg. `-- -� - ` ' �`� % Model ` " Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date / _ r. , -� 0- By,c:.r - THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS • 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. P —G. / / Ins ector tee'-L+'L� Date—_ _ i COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 5344541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 3q /z— '�:eI- mez A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector _� Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS' 196 Memorial Way, Chico — Phone: 891-2751• 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE R 3L,11z - A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work Is completed. If you have any question pertaining to this . I COUNTY OF BUTTE - DEP"RTNT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, C31ftiforni" 95965 - Telephone 916/534-4541 / APPLICATION AND PERMIT A SSESSOR6A$YCEI_, fMBER ....-/O 33 ZONING BUILDING PERMIT OWNER h TELEPHONE SQ. FT. OCC. BUILDING VALUATION O ER'S MA ING ADDR 5 + T R•S CONTRACME co TV I TELEPHONE 3 CONTRACTOR'S MAILING AD R SS Fireplace CONSTRUCTION LENDER UNKNOWN_ Total Valuation $ Filing Fee Filing $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee. $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home I S I G JW 1 10.00 e TYPE OF WORK ��/ New❑ Addition RemoJel❑ Utilities❑ l_1 Installation Other❑ Describe work: ,'<' �} i —� C/ _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 �a Main service EA. ADD'L 100 AMP 2.50 NEW CONS. DWELING O OR ADDNST ( ACCL BLDGS.CCUP.&) 21/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess io s Cod an y license is in full fore a d effect. License No. Classification n ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW NON.RESID RANCH CIRCUITS) CONSTR MULTI -OUTLET 2,50 ea B NEW CONSTR POWER APPARATUS & NON-RESID, (SINGLE OUTLET CIR. zo®soa Ex. Occup(o OR FIXTURES SALO 30 FIXED A FIXED APPLNS, OR ` EX. Occup. OUTLETS (RESID.) EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of onsent to Self -Insure. shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also ree to save, indemnify and keep harmless the County of Butte against all Iia 'lities, judgment costs, a d expenses which may in any way accrue against aid County in sequ nc of the granting of this permit. r %� Date © Signature of Applicant — Owner ContractoEV Agent Elwor An OSHA permit is required for excavations over 5'0' deep and demolition or construct -I ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP I TYPE OF CONST. PARCEL PD ND Issu This permit is hereby issued under sions the Butte County Code and/or i is d ove for which CTOA OF PUBLIC By PERMIT EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date 9 -Al0ll Receipt No. -.3 L tab WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1.. Owner's name: 2. 3: 4. S. 6. 7.. Installer's na BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville,,'CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET Is the site currently under permit? Yes / / No If yes, furnish permit number 2--Fir`7 ) Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) OR Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of.all setbacks.and easements? Yes/ No ( If no, clarify } r What is the mobilehome electrical rating? ----------------------- 620 Amps What is the mobilehome site service rating? -=------------------- 2 Q 0 Amps What is the mobilehome site circuit breaker rating? ------------- zoo Amps 8. Is there any other electric load,.,toe'-served by the mobilehome siteservice? ------------------------------------------------=-- Yes No (If yes., identify the load and size: (Load) (Amps); 9. What is the mobilehome site gas pipe size? ---------------------- (in.) , 10. What is the type of gas service?�--==------------------------- Natural /% LPG 11. What is the gas pipe length from meter or tank to the mobilehome? ot.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) . 3��0_ BUTTE COUNTY ..BUILDING DEPARTMENT APPRC)VFD MOBILEHOME SUPPORT DATA Kit If other than single wide, G Mobilehome Mfr. �� furnish Setup Model No.Year 0 W idth___2 (ft.) Box Length (ft.) Tagalong or Expando Size ft. x _ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) � - . ' � • Single `` ' •�' ` •' `" 1'. Wood either pressure treated or a — ` x (ft.)(in;) (in.) (in.) Center support Center support locations* footing sizes (in.) 114, 3Gx3 (ft.)(in.) (in.) (in.) r < • Cj a 3 0 (in.) (in.) foundation grade. 2. Other. (specify) Supporte.(check one) 21 1: Concrete block. . .2: Other•. (specify) tagalong or Expando,• show support details. *If center piers are other than drawn above, draw in locations, spacing, and dimensions. /,_ x3DI Typical Support (in.) (in.) Footing Size ; x (in.) (in.) 6 -- Max. Pier Spacing Max. Overhang (ft.) (in.) (in.) (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS VVV 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND' PERMIT PERMIT NO. / ASSESSOR PA E NUMB — 2 V-10 0,3 ZONING BUILDING PERMIT OWNER — TELEPHONE 3so .SQ. FT. OCC, BUILDING V LU ION O R'S M ILING ADDRESS 2 v LL.E CON7A TO 'S NAME ` TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ IS Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ s �= BUILDIN ADDRESS PLUMBING PERMIT Filing Fee 10.00 * Z Each Trap 2.00 Solar Water Heater 20.00 ' Water piping 5.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home 10-00ea 300 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities T Installation ❑ Other ❑ Describe work: 2—Lft� p xS^ Z V t F 1 Permit Fee $ O Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS100 AMP OR LESS 10.00 Q — Main service EA. ADD'L 100 AMP 2.50 7— SM NEW CONST.// DWELLING OCCUP.& OR ADDNS. l ACC. BLDGS. 2/20sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check One): F]I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI.OUT LET NON-RESID BRANCH CIRC ITS 2.50 ea NEW CONSTF POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occu 20®s0C OR FIXTURES BAL030 p�o XED A FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. �I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co quence of the granting of this permit. XO — Date Signature of Ap licant — wner Contractor ❑ Agent ❑ An OSHA permit is required for ex .,.tions over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCuP. GROUP I TYPE OF CONST.PARC r I1 PD ND ISSu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By — PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. .21S& I,--, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT - - 4�_ i . DESCRIPTION: , All that certain real property situate California,. described as follows:- DA0rCI T. in the County of Butte, State of Lot 11, in Block 57, as shown on that certain Map entitled, "MAP OF THERMALITO, BUTTE COUNTY, CALA.", which Map was filed in the Office, of the Recorder of the County of Butte, State of California, June 8, 1887. PARCEL II: That portion of abandoned Feather Avenue lying between the Southerly extensions of the Easterly and Westerly line of Lot 11, in Block 57, as shown on that certain Map entitled, "MAP OF THERMALITO, BUTTE COUNTY, CALA.", which Map was filed in the Office of the Recorder of the County of Butte, State of California,: June 8, 1887. PARCEL III: A right of way for road purposps over the following portions of Streets and Avenues heretofore abandoned. Tjhat portion of Nevada Avenue and Feather Avenue lying between the centerline of 8th and 9th Streets. That portion of the East half of 9th Street and the West half of 8th Street lying between the centerline of Feather Avenue and the centerline of Nevada Avenue, in Block 57, all as shown on that certain Map entitled, "MAP OF THERMALITO, BUTTE COUNTY, CALA.", which Map was filed in the Office of the Recorder of the. County of Butte, State of California, June 8, 1887. U Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT 84-39685 FOR RESIDENTIAL DEVELOPMENT OFF1CSAL. RECop BUTTE COUNTY-c,41.IF Section 26-8.1 of the Butte County Code requires 'this acknowledgem'6560RDS FEQ4JESTZ1 ;N be recorded prior to issuance of a building permit. OCT 13 10 49 The property described herein is adjacent to land or included within an area zoned. for ;agricultural purposes,' -and, residents of 'CLLUf T 1�i.. property may be subject to inconveniences or discomfort arising from ►tFCt�``')'� the use of agricultural chemicals, including, but not limited to herbicides, pestf(Rdes, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: SEE ATTACHED -LEGAL DESCRIPTION Date: 10 -a 3 - IK 1 PROPERTY OWNERS: No), - gRFD /MFNr State of Ca. ) On this the 23 day of October , 19 84, before ) SS. me,.the undersigned Notary Public, personally appeared County of Butte ) HENRY T. RUNGE JR. LY/XPersonally known to me- ,L/ Proved to me on the basis of satisfactory evidence. to be the person(s) whose names) subscribed to OFFICIAL SEAL. the within instrument and acknowledged that ANGELA D. HENDERSHOT executed the same for the purposes therein NOTARY PUBLIC - CALIFORNIA IN WITNESS WHEREOF, I hereunto set my hand PRINCIPAL OFFICE IN • BUTTE COUNTY MY COMMISSION EXPIRES SEPT. 7, 1986 contained. and official seal. Present A. P. -No. STATE OF CALIFOFiNIAt E COUNTY OF_ U to ;ss. 0 Lr On_O-c-toj0e)=2 +— 199.4 , before me, the undersigned, a Notary Public in and for Fsaid State, personally appeared HENRY T. RUNGE JR. C: m w` personally known to me'(or proved 'to me on the basis of satisfactory evidence) to be the person whose name is E a subcribed to the within instrument as the Attorney in Fact of N and acknowledged to me that he/she subscribed the name(s) OFFICIAL SEAL LL of,". CYNTHIA A. RUNGE _I� '; ANGELA D. HENDERSHOT r�U.. c �J'":�•••: t'r;m NOTARY PUBLIC - CALIFORNIA PRINCIPAL OFFICE IN _ ? E thereto as principal(s), and his/her own name as Attorney in BUTTE COU14TY F2ct. Y COMMISSION EXPIRES SEPT. 7, 1986 I WITN •my hand and official se N co co Signa (This area for official notarial seal) 0 o co „u -r L�TIe_S G -t-,E — L.p c. The i u L - GAS PPoPA N �- .o ,1�C H 'To 6e- 470 ' FA o /)% cetn ol= FV- A 'T- fi e- P-.- A V 49- y o r t=ij(�oFP,0 /V 7l” NOTE -,—All Materials & Workmanship Shall Be in Accordance with Recognized Good Practices and of a quality prescriber for the Specified use in the Uniform Building, Plumb=ing & Mechanical Codes and -the National Electrical Code. This set of pans and specifications MUST bt keof on the ' ,. !o�� i Q,I �,:mes and it is unlawful to mase ar;y c!;ang.'s or alterafions on same without wrifton permission from the Department of Pub- lic ;Works, County of Butte. �t S0' -'rA S7A LL I NJ A Iq rW y o u�- A setback of 5 ft. from the property lines and a "setback of 50ft. from the road centerline shall be clear' of structures or equipmenf except for a 2 ft. eave overhang. Utility conn, 4ft. ofthe i 157/ directly beh 19 i :AUJ.D. :131 half of the,°r 'BEAo� H0,- mobilehome REA' 4. A permit will be required for the 7"z installation of the mobilehome., a1� '17oJf i �. F ko /n tions shall be within )bilehome'either d or within the rear dside (left) of the U BUTTE COUNTY a BUILDING DEPARTMENT ti APPROVED THERMALITO IRRIGATION DISTRICT 410 GRAND AVENUE --�� OROVILLE. CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: =`n nt'rr "venur+ Owner's Name: ,if-iry PurQ^ Date: ncto*sQr 23. -1 F ' Address: P.O. Pox I J A 7 Acct. No: Oroyi 11e, r °5'15S A.P. No.: 31-28--103 Phone: 58•)--341'3 No. Units: Applicant/Agent: Y Agents Proof: Address: Fees: Phone: Applicat on $ 10.1q Arrearag? Preliminary Review By: Date: CSA 26 51;() T �' Remarks: SC -0 R 1 St mo. S.C. Other Ta,) Total Fees Collected By: Date: 10-23-84 Field Review By: � /.':.. r.. Date: Remarks: 1/ . �7 iHEALTH NOV 131984 MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMAT ICA I.4:�(OWl ,lCcalifornia Date of TID approval of completed building sewer (early connection). ❑ 30 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("existing construction", prior to Mar. 5, 1974). ❑ 180 days after date above, or on date of D.P.W. approval of completed building sewe,, which ever comes first ("new construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID 826 Feather r? „a, Oroville APIs 031 io3 41n, t� i' H0TJ S T Z7G_r REPAT R. P R.00 rF AM CONNERLY & ASSOCIATES, 2215 21ST STREET, SACRAMENTO, CA 95818 (916) 456-4784 APPLICANT PROPERTY ADDRESS CITY, STATE, ZIP MAILING ADDRESS CITY, STATE, ZIP PHONE NUMBER DATE : ............ QR:t.....P............ T.............. _......._.....�.........hla�l�h .................................................... - FORK WRITE-UP - SEP Z V 1993 Barry Stefonick 826 Feather lw_e-r— hU•e Oroville, Ca 95965 SEE PROPERTY ADDRESS SEE PROPERTY ADDRESS (916) 533-9274 September 17, 1993 'Oroville, Calftmia The following work is to be performed by licensed contractors and/or the homeowner for the purpose of bringing the subject property, which has been found to be substandard, into compliance with local housing/building codes and regulations. The contractor or owner, in the case of an owner performing his/her own work, shall be responsible for determining the applicable code requirements and for performing work in compliance therewith. Estimates shall be based only on the work specified in this work write- up. Contractors discovering or suspecting an error or omission in either this write-up or plans (when applicable) shall promptly report to the Housing Rehabilitation Consultant (916-456-4784) so that items in question may be investigated for possible addition to required work. All word, must be performed in compliance with published "grades and standards". Materials must match, be of equivalent quality, or exceed those published on "materials list". If not listed, "medium grade" should be assumed. Owner's preference for style and color should be followed wherever possible. Please see attached Materials Allowance Breakdown for j;zuidelines pertaining to allowances Any measurements and drawings attached hereto are to be considered approximations unless otherwise stated. The responsibility for determining the exactness of structural measurements and other specifications shall be that of the contractor and shall be a condition implicit in all bid or proposal submittals. 1 HOUSING REPAIR PROGRAM WORK WRITE-UP - ---------------------------------------- ---------------------------------------- < V. _ A copy of the building permit will be required BEFORE construction begins and shall be provided by the contractor. The contractor will secure all necessary permits to complete the entire project_ and must submit to the local entity a signed -off building permit- at the completion of the project. IT IS THE CONTRACTOR'S RESPONSIBILITY TO ASCERTAIN, OBTAIN, AND MAINTAIN RECORDS OF ALL REQUIRED PERMITS. NNINEDIUMOWWWWRAMW Provide dumpster service or daily removal of construction debris for duration of contract. Premises to be left in a broom clean condition on a daily basis. $ 3. SMOKE DETECTORS If the value of this bid exceeds $1,000, smoke detectors will be required in each sleeping room and in each hallway leading to sleeping areas and on each floor. Smoke detectors shall be hard wired and interconnected with battery back up in areas of new work and may be the battery type in other areas that are existing. (QUANTITY; ) Strip and dispose of existing deteriorated roof covering over residence. Remove and install .024" aluminum baked on white enamel roof with 3" polystyrene foam insulation. Attach roof to perimeter edge with heavy gauge facia/overhang. All vents to be extended in accordance with UBC and approved vent caps installed when necessary. ALL ROOFS TO HAVE 25 YEAR GUARANTEE. F 5. HEATING Provide and install a new single, 35,000 BTUH gas wall furnace with wall mounted thermostat. Install new vent piping. Install blower unit, including all electrical connections. (LOCATION : Family Room ) $ 2 HOUSING REPAIR. PROGRAM - WORK WRITE-UP - Provide and install all materials necessary to replace the ceiling panels where needed. All new materials shall match existing. Clean all interior ceilings of all rooms. Remove all dirt and grease to achieve a sound painting surface. Fill all irregularities in areas to be painted with approved fillers and sand [or texture] to match existing surfaces in kind. Paint interior ceilings of all rooms with a. premium quality latex paint installed as per manufacturer's specifications. Paint color to match existing as closely as possible. SUBTOTAL $ OVERHEAD/PROFIT $ TOTAL $ Any deviation from this bid in cost, materials, labor or scheduling shall be documented in a change order in accordance with the- provisions in the owner/contractor agreement. PREPARED BYectoD CELIZ Inspr 3 q- I_�-q3 DATE HOUSING REPAIR PROGRAM - WORK WRITE-UP - The undersigned hereby certifies that the above information is accurate to the best of his/her knowledge, that he/she agrees to abide by regulations and specifications set forth in this proposal and attached Materials Allowance Breakdown, and that he/she has the authority to legally bind and negotiate for: COMPANY NAME: ADDRESS: TELEPHONE: CONTRACTOR LICENSE: EXP. DATE: DATE I ACCEPT THIS PROPOSAL SUBJECT TO LOAN APPROVAL AND EXECUTION OF OWNER./CONTRACTOR AGREEMENT. OWNER DATE OWNER DATE I HOUSING REPAIR PROGRAM - WORK WRITE-UP - MATERIALS ALLOWANCE BREAKDOWN September 17, 1993 Material allowances are applicable only on those items identified in the attached Work Write Up. These allowances, when listed, are minimum purchase prices which are intended to maintain a given level of quality. All items purchased as "allowances" must be approved by the homeowner. At the owner's request, the contractor will submit all receipts for allowanced items. If'it is determined that the contractor has spent less on a.11owanced items than the amount specified in this Breakdown, that amount will be credited to the "Owner" in the form of a. change order reduction in the original contract amount. ALLOWANCED ITEM PRICE Water heater (50gal) $250 Kitchen sink (stainless steel, 20 gauge min) $ 75 Kitchen sink. (cast-iron porcelain) $160 Fixtures (bath and kitchen, Delta or better) $ 70 Water closet $150 Bathtub ( cast iron) $250 Bathtub/shower surround (cultured marble) $500 Shower pan (cultured marble) $250 Enclosure (tempered glass) $120 Electrical Bathroom exhaust fan (no light) $ 25 Light fixtures (interior and exterior) $ 20 Light fixtures (florescent kitchen) $150 Doors Exterior (steel, prehung, 6 panel) $100 Interior (prehung) $ 50 Screen door (security) $ $0 Screen door (regular) $ 50 Cabinetry Kitchen cabinets $150/LF Counter top (formica) $ 17/LF Bathroom vanity (including cultured marble -top) $400 Bathroom medicine cabinet $ 50 Appliances Oven/stove (4 burner gas stove/oven) Air conditioner (1,400 BTU window unit) Wood burning stove (or pellet) Floorinz Vinyl (medium to high quality) Carpet (medium to high quality) Miscellaneous Gable end attic vents .j 5 $350 $500 $1,300 $ 15/yd $ 21/yd $ 30 Environmentaf Health S E P z u 1993 Oroville, California Tom Reid Division of Environmental Health Building Official Building Inspection Division County of Butte 7 County Center Drive Oroville, California 95965 Gentlemen: I/We request an inspection of the property identified below for the purpose of - obtaining financial assistance for home repairs under the Butte County Community Development Block Grant Rehabilitation Program. I/We understand that if this inspection uncovers health and safety violations, we may be required to remedy these problems whether or not we receive financial assistance under this program. Signed: Owner Date e ep one