HomeMy WebLinkAbout035-221-032
LResolution
ode Violation
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35-221-32 i M
HEELER PHAIR / PHAIR, Robert A. 4g9, s
4875 Virginia ve, Oroville 35,
Permit##6113-80B (reroof /SF)
Contr : Don George Roofing, Oro -221-
4875
221 4875 Virginia St.,Oroville
035-221-032 06-1864 (additio & install aluminum siding)
MOSS, PATRICIA
4875 VIRGINIA AVE, OROVILLF� €"
Cont: OWNER
REPAIRS(MISC)see inside
B07-0319 035-221-032 A.
MISCELLANEOUS Demolition`
DEMO OF SF DWELLING
4875 VIRGINIA AVE
MOSS PATRICIA MARIE
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: 4875 VIRGINIA AVE
Owner:
Permit No: B07-0319
APN: 035-221-032
MOSS, PATRICIA MARIE
Issued Date: 02/21/2007 By KCG
Permit type: MISCELLANEOUS
6755 IRWIN AVE
Subtype: Demolition
OROVILLE, CA 95966
Expiration Date: 02/21/2008
Description: DEMO OF SF DWELLING
(530) 533-5344
Occupancy: Zoning: RN
Contractor
Applicant:
Square Footage:
MOSS, PATRICIA MARIE
Building Garage Remdl/Addn
6755 IRWIN AVE
OROVILLE, CA 95966
Other Porch/Patio Total
(530)533-5344
FEE INFORMATION
DBMSC Demolition $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B1897
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Fxpires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a 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 Section 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing with Section 7000)
is in full force and effect.
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 02/21/2007
the applicant to a ciW penalty of not more than five hundred dollars [$500];
Please ck one of the following:
Contractor's Signature Date
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
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contradofs License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
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.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑
ElI, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law down 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
Contractors License Law.).
Carrier. Policy Number. Exp. Date:
(This section need not a competed if the permit is or one hundreddollars ($100) or less.)
❑ I AM EXEMPT under Section B. & P.C. for this reason:
I RTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
SUED, I
-
02/21/2007
shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
compensation ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Own&s Signature Date
provisions.
X 02/21/2007
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 State 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, indemnify, 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 arising out of, in any way connected with
the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or sutpidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned prope/iy or inspection purposes. I hereby certify that I am the
P arty owner or am au orized to act on �wnefs bepalf.
-
CONSTRUCTION LENDING AGENCY
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)
er l ❑ Contractor Oji; Agent for Owner ❑Agent for Contractor
FILE COPY
Lender's Address City State Zip
a Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 75965
(530) 538-7601 Telephone
(530) 538-7785 Fax
www.buttecounty.net/dds
OWNER -BUILDER INFORMATION
An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed
by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from
possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by
law to put their license number on all permits for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and
protection:
° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 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 government 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 to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance.
° For more specific information about your obligations under federal law, contact 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 thier own employees,
without a license contractor or subcontractor, only under limited conditions.
A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is
providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321
-CLSB (2752) or by accessing thier website at www.CSLB.ca.gov.
PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE
AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED.
OWNER BUILDER VERIFICATION
PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). 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. (YE)OR NO)
2. I OV
/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK.
3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION:
NAME
ADDRESS CITY
PHONE CONTRACTORS LICENSE NO
4. 1 PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE
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
Description: DEMO OF SF DWELLING
Reference Number: B07-0319
Applicant Name: MOSS, PATRICIA MARIE
Owner's Name: MOSS, PATS IA MARIE AP # : 035-221-03
Signature of Property Owner: Date: D
DEMOLITJON' PERMIT
ASBESTOS NOTIFICATION STATEMENT
Pursuant to section 19827.5 of the California Health and Safety Code, all demolilitm
permit applicants are required to fill out this firm.
"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 wriling, or it may incorporate the applicant's response on the
demolition permit application_ Compliance with this section shall not he 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) (Cit}) (Zip Code)
Assessor's Parcel Number
Date
Signature of Applicant
OR
asbestos notitic;ation to t States
applicable-to-this,demolition.,project la ace ed -at
offl-PA-MA11 � N
9 A �Z
. .
Date�—
Signature of Applicant
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
APPLICANT SIGNATURE
X
PERMIT
NO.
T
BIN #
PROJECT LOCATION
Property Address O < �—
City q9`7<2
CrC'
'U 2 7
WORKER'S COMPENSATION
Policy Number
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
SCR/PTION OR SCOPE OF WORK.
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits'
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
OWNER INFORMATION
Last Name
D S
First NarrOe
Gi4l
Mailing Address
S e1 LO C
City
J
Stat
Phone
Phone
Fax
Fax
E-mail
Lic. #
APPLICANT SIGNATURE
X
PERMIT
NO.
T
BIN #
PROJECT LOCATION
Property Address O < �—
City q9`7<2
CrC'
'U 2 7
WORKER'S COMPENSATION
Policy Number
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
SCR/PTION OR SCOPE OF WORK.
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits'
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
CONTRACTOR
Name
A
t
Address
Occ.
City
State
Zip
Phone
Fax
E-mail
Lic. #
Class
APPLICANT SIGNATURE
X
PERMIT
NO.
T
BIN #
PROJECT LOCATION
Property Address O < �—
City q9`7<2
CrC'
'U 2 7
WORKER'S COMPENSATION
Policy Number
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
SCR/PTION OR SCOPE OF WORK.
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits'
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
ARCHITECT/ENGINEER
Name
A
t
Address .
Occ.
City
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT SIGNATURE
X
PERMIT
NO.
T
BIN #
PROJECT LOCATION
Property Address O < �—
City q9`7<2
CrC'
'U 2 7
WORKER'S COMPENSATION
Policy Number
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
SCR/PTION OR SCOPE OF WORK.
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits'
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
APPLICANT INFORMATION
Name
A
t
Address
Occ.
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
PERMIT
NO.
T
BIN #
PROJECT LOCATION
Property Address O < �—
City q9`7<2
CrC'
'U 2 7
WORKER'S COMPENSATION
Policy Number
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
SCR/PTION OR SCOPE OF WORK.
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits'
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA I Yes No
Occ.
Type Const.
17
035-221-032 b6-1864/1
�. MOSS, PATRICIA
G875'VIRGINIA AVE; OROVIILE ,'
N OTE -S Cont. OWNER ` -
1- REPAIRS(MISC)see in"side
RESIDENTIAL
APN: Permit No.
Owner.
Site Address:
Contractor.
Type of Permit
i
i
I
t
1
I
t
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDR16NS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
CHECKED BY
DATE JOB FINAL.ED:
2S
SIGNATURE
a
1
I.
T
i
t .
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDR16NS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
ENV HLTH CLEARANCE
CHECKED BY
DATE JOB FINAL.ED:
2S
SIGNATURE
a
a = Not OK
RESIDENTIAL (Single & Du'p,lex)
DATE [UNDERFLOOR
1 Zoning -Setbacks -Easements -Rood -Slope
2 Ftg Main; Soils-Elec Grnd $ Ftg Dpth
3 Ftg Garage; Soils -Steel -Flet Gmd " Fig Opth
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth '
5 Stemwalts Main; Steel-Blockouts Wrapped
6 Stemwalis Garage; Steel-Blockouts-Wrapped
6a Hold Downs and Special Anchrs
7 Slab.�Steel Wrapped
8 PiersFrplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgitrService Test
12 Elec Undrgmd
13 Plenums & Ducts; Cirnc-MaterialSupportansultn
14 GirdersSills-SillsBolts-Joists-Vnts-Cripples
15 Acc & Vntltn
16 Insulation
DATE jFrRAMING
1T Sills Proper Materials & Anchrs
18 Walls Studs4 ailing Spacing & Braces-PlatesSound
19 Bearing Walls over Girders 4 fir Nailing
20 Draft Stop In Walis (rat proof) •
21 Fire Stops; Furred Ceilings -Stairs -Chasers -Tubs
22 Headers 8 BeartisSi &•Bearing'
23 Hangers-P•osi'Caps-Anchrs-Gnndns
24 Ceiling JOisUU& Ties-PKtR-Roof Brac TrussShthg
25 Frpic Tie's" or Type A Flue=Fr * is Throat Cirnc
26 Attic Ac—c'; Sz &'Binz Pitch-&4ft Stop -Ins Baffles
27 Bdrm Wndws or, Exiting Doors -Sill "t & Dimensions
28 Garage Fire Prtdri Framfng-RC Channel
29 Prprty Line Firewall & Opngs' .
30 Ext Doors -One 3'-Ohedc Gauge 3rd Story, 2 Exits
31 Stairs; Wid6i-Hdrm4Use4Run4:anding-Fire Prtctn
32 Piywd on Roof Ovrtmg-Attic Vnts-ft Outrgm
33 Siding-lWriing Veneer
34 Stucco LathWeep Screed-Fndtn Vnts-Undrflr Acc
35 Glazing Are PrtctnSkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace In6Ext Wall psis
38 Insults Walls -Ceilings
39 Infiltration Walls-Wndws
o'
_ DATE JELECTRICAL
40 Fxtr & Tmsfrmr Clrnc-Ins Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Gmd made up wIMech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Apptnc Cires in Ktchn & Cndctr Sz GFl
47 Subfeed Wire Sz oa D cu or DAL
AC Wire Sz ya D CU or D AL
48 Range Ckc oa D CU or DAL
Oven Circ ya D cu or DAL
Insulated Neutral DYes 0 N
49 Service -Riser Cndctrs & Gmd Main Dscnnd
50 Eqp Cimcs pnts-Motors-Meth Eqp
51 Clothes Closet LI-Shwr LI -Spa Lt
52 Smoke Detector
UAin [PLUMBING
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr Nail Prfctn
56 Shwr Pan; Test, First fir -Tub Acc
57 Test Tuti & Shwr, 2nd fir - Tub Acc
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler, Test
60 Yard Gas Piping
DATE MECHANICAL
61 AC Ducts Insultn & Support "
62 Vent Fan, Exhaust abv Insults
63 Condensate Drain & Ovrfiw, Sz & Grade -
64 Furnace Vent Acc-Comb Air RtrnlVent 115 Outlet
65 Attic Acc & Pitfrin if Furnace in attic
DATE JIFINAL
66 Ext Steps -Door & SideLt Prtctn-landings
67 Smoke Detector
68 Furnace Vnts-Cimc-Comb, Air-Cnnctr
In Garage; abv-fir-Duds-Meth Prtctn
69 Bedroom Exiting
70 GFl A Bath Fxtrs & Tub Acc-Spa
71 GFl Arc Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, Guard/Handrails
74 Frptc or Stove, Cunt -Hearth
7S Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Cimc
77 Elec Outlets & Reptcts at Ktchn Counter
78 Garage Fie Door, Swing -Landing -Closure
79 AC Duct In Garage -Damper.
80 Wtr Htr; Vnts-CIrnc-Com Air Cnnctr-PRY; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
81 Pimb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptels in Garage (GF) Romek Prtctn .
83 lnsultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth
86 Cirnc Dmge Planters D Yes D No
87 Stucco Brown -Finish
88 AC Unit Dscnnck Elec-Pimb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Cimc to Opngs
90 Wtr Well, Dscnnc% Elea Pimb
91 Ext Elec Trim, GFl Rcptcl-Undrgmd
92 Vntitn thru House
93 Glass Prtctn
94 Corrections from previous Irispclns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-VO to grade -HD ApprA
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
d
+=OK
O = Nei
MANUFACTURED HOMES
DATE I U PERMANENT FOUNDATION (J SOFTSET
1 ZoningSetbacks-Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; FaI1/C/0-Concrete
4 Wtr; Loctn Test-Easeinent Nebded-Regulator
5 Elec Loctn-CImcs-Gmd 'Amp -Concrete
6 Yard Gas; Loctn Test Wrap Nat Q or LP( -1
Inch Sz Ft Lngth
7 Blckng; SzSpadng-Marriage Line
8 Gas; MH Test -Demand Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs
10 Drain; MH Test -Fail -Flex Cnnctr
11 Wtr& Sewer Connected -CIO to Grade
12 Gas and Electricity Tagged
13 Tie Downs Q Foundation El
14 Exits
15 Cert of Occupancy
16 HUD Iabellinsignia Numbers Serial Numbers
Drawing
MISCELLANEOUS-
DECKS`Ct)YERS`CARP0RTS•GARA GES
1 ZoningSetbacks-Easements
2 Ftgs; SoilsSr-DpthSpacing-CnnctrsSteel
3 Decks. GirderslJoists-Dcldng-Brcing
Stairs-CuardlHandralls
4 Wood Awn; Posts-Beams4btrs-C_nnctrsShthg.
Frmg-Brcng
5 Alum Awn; Columns-CnncfnsSplice4Decal-Enclsrs
6 Carports; Wndws-Doors
7 Electric
8 Fang; Sills-Anchrs-Studs-Rftrs Tnisses
9 Siding; Nailing—Veneer—Stucco-Lath
10 Root; Shthg-Roofing
11 Ext; Steps -Doors -Landings
12 Braced Wall pnts
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnncbu Thidmess .
Dead Men-Uning
4 Elec RcptdslUing; D"rstance GFl
5 Eiec Pool Lting; 15 volts -GR
6 Elec.Endsrs; Conduit Entries-Terminals-IJsted
7 Elec Bonding; Metal w/5'-Crcitng Egp-Htr
8 Elec Gmdng; Eqp w%5' Crdtng Eqp-Pool Ightg .
Boxes- &- —s-pnlboardsansulfi•to Main Conduit
9 Health Wo Apprvl .
10 *Plmb; Cir Test-Wtr Supply Test
11 U Niche ,
12 Endsr; Fencing -Alarms
13 Bonding, Diving board or Slide
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP061864
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS 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 : License Number.
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under.penally of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit 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 pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
71.as
t'to a civil penalty of not more than rive hundred dollars ($500).):
owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for the purpose of
sale.).
Issued Date: 08/03/2006 APN: 035-221-032-000
Site Address: 4875 VIRGINIA AVE ORO
Map Index:
Description: MISC REPAIRS- SHEET ROCK, PLUMBING,
KITCH FLOOR
Owner: MOSS PATRICIA MARIE
2781 S VILLA
OROVILLE, CA
95966
Applicant: MOSS PATRICIA MARIE
2781 S VILLA
OROVILLE, CA
95966
❑ 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed Contractor:
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article of the Business aid Professions Code
Date:r/C4 _�, Owner:
WORKERS' COMPENSATION DECLARATION
I 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 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy #:
Q I certify that in the performance of the work for which this permit is
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' cow ensation coverage is
unlawful, and shall subject an employer to criminal .penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION: LENDING AGENCY
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Address:
License #:
Architect:
Engineer:
otal Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
Thiq nermit is hereby issu under_We e applicable provisions of the Butte
Resolutiod'6w'or1P Akcated abo)k for which fees have been paid.
By: /
PERMIT EXPIRES
ty Code and/or
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it Is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize repres/ennttatives off Butte
9 County to enter upon the above mentioned property for inspection purpos .
Print Name: / "�Y) " r l y' Signature:
Date: -
❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
.» DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR. INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP061864
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS 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
Issued Date: 08/03/2006 APN: 035-221-032-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : License Number:
Site Address: 4875 VIRGINIA AVE ORO
Date: Contractor:
Map Index:
Description: MISC REPAIRS- SHEET ROCK PLUMBING,
p
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
KITCH FLOOR
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
to .its issuance, also requires the applicant for such permit to file a
Owner: MOSS PATRICIA MARIE
signed statement that he or she is licensed pursuant to the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
2781 S VILLA
7000) of Division 3 of the Business and Professions Code) or that he or
OROVILLE, CA
she is exempt therefrom and the basis for the alleged exemption. Any
95966
violation. of Section 7031.5 by any applicant for a permit subjects the
applic tb a civil penalty of not more than five hundred dollars ($500).):
1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044; Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
Applicant: MOSS PATRICIA MARIE
such work himself or herself or through his or her own employees,
2781 S VILLA
provided that such improvements are not intended or offered for
sale. If however, the building or improvements are sold within one
OROVILLE, CA
year of completion, the owner -builder will have the burden of
95966
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
Contractor:
pursuant to the Contractors' State License Law.).
❑ I am Exempt under Article of the Business a d Professions Code
Date: Owner.
WORKERS' COMPENSATION DECLARA ON
I hereby affirm under penalty of perjury one of the following declarations:
License #:
131 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.
❑ I have and will maintain workers' compensation insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
Engineer:
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Policy#:
otal Square Ft: '10S.F.
FX/1 certify that in the performance of the work for which this permit is
Valuation: $0.00
issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if 1 should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
3
Date:
Applicant:
WARNING: Failure to secure workers' co ensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
I �i I/� �V �� • "l�
CONSTRUCTION LENDING AGENCY
This permit is here issu under t e applicable provisions of the Butte County Code and/or -
1 hereby affirm that there is a construction lending agency for the
Resolutions to o ort" d'cated abo for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
e: -
By''\\�
Name:
V
PERMIT EXPIRES ON:
Address:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the.scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that 1 have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos i
/Vev1 67! l Signature:
Print Name: / " y�
— r.
Date:
❑ Owner ❑ Contractor Agent for Owner ❑ Agent for Contractor
ts. c. tsunaing vermis ui-io-uv pg i
BUTTE COUNTY
i DEPARTMENT OF. DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
- OFFICE #: (530) 538-7541
A FEE WILL BE°REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
APPLICANT INFORMATION
OWNER INFORMATION
Last Name
City
irst Name '
AddressYED
I /L'I f �C
City
State
State
Zip
Phone --�.3_S3
Fax
FaxWI&R
E-mail
or—
APPLICANT INFORMATION
CONTRACTOR
Name
City
Address
- - - -
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
Lic. #
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
- - - -
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT INFORMATION
Name
Address
City
State __T
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X c�J
For office use only:
Zoning
Pro e ld�s
Flood Zone
Cross Street
SRA I
Yes
I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc
PERMIT
0.
BP
BIN #
PROJECT LOCATION
AP# 0-�)s as I. �-
Pro e ld�s
Ci
Cross Street
SRA
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
t
Date:( '?J-
LENDING AGENCY
Name
1. -41 v*
uescription or
C' 1) 4, r) L7�
CITU, wC/��
Sq FT- Living
❑ Proposed Change of Occupancy
(Note previous use):
of
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Receive by:
Amount: Bldg
SRA
Receipt #:
Sheriff
q5 6 ���
SMIP
t
Date:( '?J-
Other
�j
`� Total
Page 1 of 2
REV 8-12-05
SUBMITTAL & PERMIT REQUIREMENTS.
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. 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!
El2. 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...
❑ 3. Engineered truss details and layouts induplicate,(if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and AIC 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. I .
❑
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)::
El
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
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
4�"n
Fs
TUSSIONEX® CIII (hydrocodone polistirex/chlorpheniramine polistirex) Extended -Release Suspension is indicated for the relief of cough
and upper respiratory symptoms associated with allergy or a cold.
Each teaspoonful (5 ml-) of TUSSIONEX°contains hydrocodone polistirex equivalent to 10 mg hydrocodone bitartrate and chlorpheniramine
polistirex equivalent to 8 mg chlorpheniramine maleate.
TUSSIONEXO is contraindicated in the presence of known allergy to hydrocodone or chlorpheniramine. The most common adverse
reactions associated with TUSSIONEX°are sedation, drowsiness, and mental clouding, which may impair the mental and/or physical
abilities required for potentially hazardous tasks.
As with other drugs in this class, the possibility of tolerance and/or dependence, particularly in patients with a history of drug dependence,
should be considered.
Please see accompanying Full Prescribing Information.
I I h Marketed by UCB Pharma, Inc.
J Manufactured by UCB Manufacturing, Inc.
Tussionex and Pennkinetic are registered trademarks of UCB Manufacturing, Inc. TU224-1205
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
f,
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 material -for construction of this proposed
property improve ] NO [ ].
2. I HAVE [ ] HAVE NO [ ] signed an application fora building permit for the proposed
work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME: _
ADDRESS:
I
PHONE: CONTRACTOR'S LICENSE NO:
4I plan to provide portions of the work, but I have hired the following person to coordinate,
supervise,and provide the major work:
L_ •
NAME:
ADDRESS-.-
PHONE:
DDRESS: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:
PROPERTY OWNER:
DATE:
if
NOTE: This Owner -Builder verification is required by Section 19831 and 19832 of the California
Health and Safety Code.
This verification must be completed and returned to our office before we are permitted to issue the
permit.
Rev'd 11/4/2004
Butte County Department of Deuelopmen.t
Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530)538-7785 Facsimile
www.buttecounty-net/dds
OWNER -BUILDER INFORMATION
Dear Property Owner:
i
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their own
work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if
that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the city or county. They are also required by law to put their license number on a'll permits for which they apply. i
If you plan to do your own work, with the exception of various trades that your plan to subcontract,'you should be
aware of the following information for your benefit and protection:
o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials!
and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
o If you are an employer, you must register with the state and federal government as an employer and you are subject
to several obligations including state and federal income tax withholding, federal so " cial security taxes, workers'
compensation insurance, disability insurance costs, and unemployment compensation cntributions.
o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to workers' compensation insurance.
o For more specific information about your obligations under federal law, contact 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 own,ers 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 contractor is to secure an "owner -builder" 'building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners.unless they are performing their own work personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board's
automated telephone information system at 1-800-321-CSLB (2752) or by accessing their website at www.CSLB.ca.gov.
Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware
of these matters. The building permit will not•be issued until the verification is returned.
Sincerely,A�� lei URN
ti
Scott Rutherford
Manager, Building Divi ion
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
www. b uttecounty. net/dds
ADMINISTRATION * BUILDING' PLANNING
July 11, 2006
Patricia Marie Moss
2781 S. Villa Ave.
Oroville, CA 95966
RE: Substandard Housing
Violation address: 4875 Virginia Ave., Oroville CA 95966
AP#: 035-221-032
Dear Patricia Marie Moss;
This department has received a complaint alleging health and/or safety hazards at the above -
referenced property. Butte County Assessor's records indicate that you own or control the
property.
On July 5, 2006 an inspection was made regarding the complaint and the following conditions
were observed which are in violation of the California Health and Safety Code, Section 17920.3
(a) 1, 13; (b) 2, 4; (d); (i) which pose health and safety hazards to the occupants and render the
dwelling substandard.
This letter is your thirty (30) day warning letter to correct or abate the following violation:
1. Water heater must be maintained in a good and safe condition and working properly (f)
2. Bathroom sink is not functioning (a) 1
3. Water damage in bathroom (a) 13
4. Damaged or deteriorated walls in bathroom (b) 4
5. Defective or deteriorated flooring in kitchen (b) 2
6. Exposed light fixtures and missing switch plate covers throughout residence (d)
T. Unauthorized camping or otherwise occupying a recreational vehicle.
8. The accumulation of junk in public view.
a
Patricia Marie Moss
APN: 035-221-032
July 11, 2006
Page 2
9. The accumulation of garbage for more than seven (7) days in public view.
This is an advisory notice that these uses are in violation of the Butte County Code, as follows:
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 24-125 - The R -N (Residential -
Nonconforming) 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
R -N 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.
Butte County Code, Chapter 24, Section 24-260 (a) - Camping Limitations and
Prohibitions. No person shall place or park or allow the placing or parking of any trailer
coach, recreational vehicles, tent trailer or tent, or otherwise occupy or allow the
occupancy of any parcel (as defined in Section 24-305.310) for the purpose of camping
(as defined in Section 24-305.095) on public or private property within the County for a
period in excess of 9 days in any one calendar year, except in an outdoor recreational
facility, campground, recreational vehicle park, or hunting/fishing camp, lawfully
established and maintained pursuant to this Chapter.
Any building or portion thereof including any dwelling unit, guest room or suite of rooms, or the
premises on which the same is located, in which there exists any, of the following listed
conditions to an extent that endangers the life, limb, health, property, safety, or welfare of the
public or the occupants thereof shall be deemed and hereby is declared to be a substandard
building.
At the time the above -referenced property becomes vacant, it shall not be occupied until all
violations are corrected.
The determination that these violations exist on the property is based on the following definitions
in the Butte County Code:
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.
i
Patricia Marie Moss
APN: 035-221-032
July 11, 2006
Page 3
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.
Butte County Code, Chapter 24, Section 24-305.095 - Camping. Occupying or
maintaining for occupancy any place for temporary living, sleeping or other human
occupancy purposes. "Camping" does not include: The parking or storage of an
unoccupied and otherwise unused trailer coach, recreation vehicle, or tent trailer on a
privately owned parcel, as defined in Section 24-305.31; occupying a trailer coach, or
recreation vehicle, connected pursuant to county permit to permanent sewage disposal
and water supply systems; or occupying a trailer coach or a recreation vehicle for any
accessory use allowed in the applicable zoning district.
It is the County's goal to obtain voluntary compliance with the California Health and Safety
Code. However, you should be advised that Butte County has an active code enforcement
program which provides an effective means of enforcement. A re -inspection will be made to
determine compliance. If voluntary compliance with this notice is not accomplished by
correction of the above -referenced violations, enforcement may be pursued through the issuance
of a citation to appear in the Butte County Municipal Court.
Upon conviction and per Section 41-7 of the Butte County Code, violators may be fined and a
Notice of Violation may be recorded which include a description of the action necessary to
correct the violation.
Furthermore, failure to comply will result in the Franchise Tax Board being notified of
your non-compliance. You will then be prevented from claiming state tax deductions for
taxes, depreciation, amortization, or interest expenses connected with the property as long
as it remains substandard.
This notice is given to you pursuant to Section 24436.5 of the California Revenue and
Taxation Code.
To comply with the California Health and Safety Code, Section 17920.3 (a) 1, 13; (b) 2, 4;
(d); (f) you must obtain all required permits for repairs from the Butte County Department
of Development Services, Building Division, 7 County Center Drive, Oroville, California.
In order to bring the property into compliance with the Butte County Code and avoid further
enforcement actions, you are hereby requested to take the following abatement or correction
action:
1. Remove all garbage, rubbish and refuse from your property and maintain a regular
removal schedule in accordance with Butte County Code, Chapter 31, Section 31-50.
2. Remove all inoperable/junk vehicles from the property.
3. Cease and desist camping activities on the property in accordance with the Butte County
Code, Chapter 24, Section 24-260(a).
Patricia Marie Moss
APN: 035-221-032
July 11, 2006
Page 4
You have thirty (30) days to voluntary comply with the above -referenced directions. Should you
have any questions concerning this matter, please ,contact me at 538-7541 Monday through
Friday, 8:00 a.m. to 4:00 p.m.
Sincerely,
Wendy Jones
Code Enforcement Officer
WJ: mjs
cc: Department of Development Services, Code Enforcement
51
Butte County Department of Development Services
TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR
7 County Center Drive
Oroville, CA 95965
(530) 538-7601 Telephone
(530) 538-7785 Facsimile
www.buftecountv.net/dds
ADMINISTRATION * BUILDING * PLANNING
July 11, 2006
Occupant
4875 Virginia Ave.
Oroville, CA 95966
RE: Substandard Housing
Violation address: 4875 Virginia Ave., Oroville CA 95966
AP#: 035-221-032
Dear Occupant;
This department has received a complaint alleging health and/or safety hazards at the above -
referenced property. Butte County Assessor's records indicate that you own or control the
property.
On July 5, 2006 an inspection was made regarding the complaint and the following conditions
were obseived which are in violation of the California Health and Safety Code, Section 17920.3
(a) 1, 13; (b) 2, 4; (d); (f) which pose health and safety hazards to the occupants and render the
dwelling substandard.
This letter is your thirty (30) day warning letter to correct or abate the following violation:
1. Water heater must be maintained in a good and safe condition and working properly (f)
2. Bathroom sink is not functioning (a) 1
3. Water damage in bathroom (a) 13
4. Damaged or deteriorated walls in bathroom (b) 4
5. Defective or deteriorated flooring in kitchen (b) 2
6. Exposed light fixtures and missing switch plate covers throughout residence (d)
7. Unauthorized camping or otherwise occupying a recreational vehicle.
8. The accumulation of junk in public view.
Y
Occupant
APN: 035-221-032
July 11, 2006
Page 2
9. The accumulation of garbage for more than seven (7) days in public view.
This is an advisory notice that these uses are in violation of the Butte County Code, as follows:
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 24-125 - The R -N (Residential -
Nonconforming) 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
R -N 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.
Butte County Code, Chapter 24, Section 24-260 (a) - Camping Limitations and
Prohibitions. No person shall place or park or allow the placing or parking of any trailer
coach, recreational vehicles, tent trailer or tent, or otherwise occupy or allow the
occupancy of any parcel (as defined in Section 24-305.310) for the purpose of camping
(as defined in Section 24-305.095) on public or private property within the County for a
period in excess of 9 days in any one calendar year, except in an outdoor recreational
facility, campground, recreational vehicle park, or hunting/fishing, camp, lawfully
established and maintained pursuant to this Chapter.
Any building or portion thereof including any dwelling unit, guest room or suite of rooms, or the
premises on which the same is located, in which there exists any of the following listed
conditions to an extent that endangers the life, limb, health, property, safety, or welfare of the
public or the occupants thereof shall be deemed and hereby is declared to be a substandard
building.
At the time the above' -referenced property becomes vacant, it shall not be occupied until all
violations are corrected.
The determination that these violations exist on the property is based on the following definitions
in the Butte County Code:
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.
Occupant
APN: 035-221-032
July 11, 2006
Page 3
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.
Butte County Code, Chapter 24, Section 24-305.095 - Camping. Occupying or
maintaining for occupancy any place for temporary living, sleeping or other human
occupancy purposes. "Camping" does not include: The parking or storage of an
unoccupied and otherwise unused trailer coach, recreation vehicle, or tent trailer on a
privately owned parcel, as defined in Section 24-305.31; occupying a trailer coach, or
recreation vehicle, connected pursuant to county permit to permanent sewage disposal
and water supply systems; or occupying a trailer coach or a recreation vehicle for any
accessory use allowed in the applicable zoning district.
It is the County's goal to obtain voluntary compliance with the California Health and Safety
Code. However, you should be advised that Butte County has an active code enforcement
program which provides an effective means of enforcement. A re -inspection will be made to
determine compliance. If voluntary compliance with this notice is not accomplished by
correction of the above -referenced violations, enforcement may be pursued through the issuance
of a citation to appear in the Butte County Municipal Court.
Upon conviction and per Section 41-7 of the Butte County Code, violators may be fined and a
Notice of Violation may be recorded which include a description of the action necessary to
correct the violation.
Furthermore, failure to comply will result in the Franchise Tax Board being notified of
your non-compliance. You will then be prevented from claiming state tax deductions for
taxes, depreciation, amortization, or interest expenses connected with the property as long
as it remains substandard.
This notice is given to you pursuant to Section 24436.5 of the California Revenue and
Taxation Code.
To comply with the California Health and Safety Code, Section 17920.3 (a) 1, 13; (b) 2, 4;
(d); (f) you must obtain all required permits for repairs from the Butte County Department
of Development Services, Building Division, 7 County Center Drive, Oroville, California.
In order to bring the property into compliance with the Butte County Code and avoid further
enforcement actions, you are hereby requested to take the following abatement or correction
action:
1. Remove all garbage, rubbish and refuse from your property and maintain a regular
removal schedule in accordance with Butte County Code, Chapter 31, Section 31-50.
2. Remove all inoperable/junk vehicles from the property.
3. Cease and desist camping activities on the property in accordance with the Butte County
Code, Chapter 24, Section 24-260(a).
Occupant
APN: 035-221-032
July 11, 2006
Page 4
You have thirty (30) days to voluntary comply with the above -referenced directions. Should you
have any questions concerning this matter, please contact me at 538-7541 Monday through
Friday, 8:00 a.m. to 4:00 p.m.
Sincerely,
Wendy Jones
Code Enforcement Officer
WJ:. mj s
cc: Department of Development, Services, Code Enforcement
•
4 r .
PERMIT NO. 6113—$013_ _
t, PERMIT EXPIRES 1215/$1
l
OWNER MELLER PHAIR
CONTR. Don George Roofing
ASSESSOR PARCEL 35-221-32
LOCATION 4875 Virginia Ave, Oroville
e
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E /I
Temp. Gas Service
Cal led PG&E
JOB FINALED (,) ate) / 2
Signatur
V = OK
0 = Not OK r-
- = Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firew kl'& Openings
2.
Ftg., Main; Soils -Steel -Flet. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Widt eadroom-Rise-Run-Landing-Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywoo n Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Sidi -Nailing-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
S cco Mesh -Drip Screed-Fdn. Vents-Underfir. 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
Shear Walls; Nailing -Bolts
9. Gas Pipe; Siie-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
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protect ion-Land i qds
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air-2nector-
In Garage; Above Floor-Ducts-Mech. rotection
15. Water Pipe; Test &Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub A ess
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Break Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clear ces-Hearth
64.
Elec. Outlets at Wood P nel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Applianc ; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Re eptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door Swing -Landing -Closer
68.
A.C. Duct in Go/age-Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Ven -Clearance-Comb. Air-Connector-P.R.V.-
In Garage; A ove Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
23.
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
70.
Plb., Elec. Meth. Equip. Listed for Location
71.
Elec. Rec ptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulatio -Foam-Looked in Attic E) Yes
25.
2 Appliance Circuits in Kitchen &Conductor Size
Guard ils &Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. ents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Look d under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Fol wing instid.: Drive [D Yes ❑ No; Walks El Yes E] No;
PI nters ❑Yes 0 N
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Scco; Brown -Finish
29.
Equip. Clearances; Pane I S-Motors-Mech. Equip.
77,
C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
ents 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
8y.
Ventilation throughout House
Card B -I
Date Card -BI Date
.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
3.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI
Date ^ and -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
Date
FRAMING(Plans) OK ext t q's
Comments at Final:
36.
Sills; Proper Materi & Anchors
_
37.
Walls; Studs-N5Kng, Spacing & Bracing -Plates -Sound
-_-
38.
Bearing Wal over Girders & Floor Nailing
39.
Draft St in Walls (rat proof)
40.
Fire tops; Furred Ceilings -Stairs -Chases -Tub
_
41.
ader &Beam -Size &Bearing
.42,C
Hangers -Post Caps -Anchors -Connectors
43.
44.11
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-R np. _
place Ties or Type A Flue -Fireplace Throat
�- -
45.
Attic cess; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Win or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Pro tion Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
it _ OK
0 = Not OK
— =Not Applicable MOBILEHOMES
= Not Ready _ t
,w
1
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except a's
1• Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC.:(Plans) OK except N's "rT
1. Zoning Requirements—Setbacks-Easements + -
2. Soils; Special MH Support—Sketch �..
2• Footings; Size—Depth—Spacing—Connectors "g+
3. Sewer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Railsef.,•
4. Water; Location—Test—Easement Needed (Sketch) "}`>-
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.-/ / Amp—Con-crete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures"
6. Gas; Location—Test—Wrap:/ /"L"ft:/ /"Nat. or/ •'/"L"ft./ /'LPG
6. Carports; Windows—Doors y
7. Utility Clearance
7. Elec. aVF`-,
Card -B1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
DateCard-BI Date
MOBILEHOME:INSTALLATION (Plans) OK except k's
I. "Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability %R
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Elec.; Receptacles and Lighting; Distances—GFI A -
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI' r-
6. Water; MH Test-Regulator—Connector
7. Water and Sewer Connected—C/O to Grade—HD Approval
6, Elec.; Enclosures; Conduit Entries—Terminals-Listed r3;t'
7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater;;,Y�_
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip. -Pool Lghig.'
Boxes—Enc losures— Pane Iboards—Ins. to Main in Conduit.,,
9, Exits; Insp.—Sketch
10• Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test ,
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI . Date
Card -BI
Date Card -Bl Date F '°
. FJ
t:
r•w '
P
' J
.Zh
ti j,• _
f
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A'-
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454
APPLICATION AND PERMIT
PERMIT NP.
1 � D
It-
AS§vESSOR PARCEL NUMBER
_
Z NING
BUILDING PERMIT
O WNE k7a 1
`ESS
TELEPHONE
S0. FT. OCC. B ILDING VALUATION
OWNER'S MAI LIN A D
7- �I r 1 hqA��-- V t l
CO RACTOR'S ME QTELEPHONE
3
-
CON'TRACTOR'S MAILING 1WRESS
V I
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
V
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
r—,� USE OF STRUCTURE
SF L� Duplex Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New❑ Addition Remodel Utilities❑ Installation[]Other
Describe work:
t�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
8001 OR LESS
Main service 100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. ( DWELLING OCCUP.y)
OR ADDNS. ACC. BLDGS.
22 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the BusinesseD
and Professions Code and my license is in full force and effect.
License No. *tN40 Classification
El1, 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 -OUTLET 2.50 ea
NON.RESID BRA CH CIRC TS
NEW CONSTR // POWER APPARATUS.9
NON-RESIO. %SINGLE OUTLET CIR,
zsa
Ex. OCCUR(OUTLETS OR FIXTURES BAL01
FIXED APLNS.
Ex. Occup.(OUTLETSP(RESID .)OR EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
7.50
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
S
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.
I 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 saKF Dounty in c nsequence of the granting of this permit.
X Ci w ` �.�— '
Date /
Signature Of plicant - Owner ElContractor E]Agent[
An OSHA mit is required for excavations over 5'0" deep and demolition or construct-
ion of stru ures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ �� t
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
NO
I Issue
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
�TOOFBLIC
BY
PERMIT EXPIRES D to
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
-
Receipt No. (74 o 6/
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT