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035-222-006
SHOP WITHOUT PERMITS 1/29/82 1 n • 3'11.2= - Jim Walker 4762 Virginia St., Oroville (CONST,PRI,SHOP FOR ENGINE REPAIR W/0 PERMITS.) 1/29/82 035-22-2-006 X92,-0356 ,HUNTER, GARY CONTR: CONNELLY, WILLIAM 47,'62" VIRGINIA, ST, OROVI REPAIRS/SF- r 9.3- 035-22-2-006 92- HUNTER, GARY CONTR: 'CONNELLY9 WILLIAM/11 4762 VIRGINIA ST, OROVILL� DEMOLISH SHOP 035-222-00 �1. GARCIA, MARTIN �,,,L�� Cont: OWNER 4762 VIRGINIA AVE, ORO �' REROOF 03s- aaa2 REHABILITAION INSPECTION , `• A. -P. # 35=222-6 3-10-92' a E E 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)536-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. 4BP041553 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' 05/28/2004 APN: 035-222-006-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 4762 VIRGINIA AVE ORO Date: Contractor: Map Index: t Description: RE -ROOF (14) 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 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: GARCIA MARTIN & TELMA to its issuance, also requires the applicant for such permit to file a G CT t 5 5 STERLING IN signed statement that he or she is licensed pursuant to the provisions of CA 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 95928-7639 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not I I intended or offered for sale (Sec. 7044, Business and Professions GARCIA MARTIN & TELMA Code: The Contractors' State License Law does not apply to an Applicant: 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.). 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 Contractor: not apply to an owner of property who. builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: - $'o Owner: License #: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect' is issued. Engineer: ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 Census Code: 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 Y v w I forthwith comply with those provisions. Date: �' c2 6' OV Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and. shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of. compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY - This perm' is ereby' s d un er the a licable provisions of the eiitte County .oda 2nd/ �- I hereby affirm that there is a construction lending agency for the Resoluli ns t do Yk�iMR paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Me�haven UX Name: By: Date: PERMIT EXPIRES ON: Address: Date ❑ 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 o Butte County. I hereby authorize representatives of Butte County toenterupon the above mentioned property for inspection purposes. , Print Named LP 1� ry-N <Ar .L 14- Signature: Date: ,moi Owner ❑ Contractor EIAgent 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 FAM (530)538-2140 WEBSITE: www.buttecounty.netkdds PERMIT NO. BP041553 LICENSED CONTRACTORS DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of Issued Date: 05/28/2004 APN: 035-222-006-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 4762 VIRGINIA AVE ORO Date: Contractor: Map Index: Description: RE -ROOF (14) 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 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: GARCIA MARTIN & TELMA to its issuance, also requires the applicant for such permit to file a 5 STERLING CT signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section CHICO, CA 7000) of Division 3 of the Business and Professions Code) or that he or 95928-7639 she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an Applicant: GARCIA MARTIN &TELMA pP owner of property who builds or improves thereon, and who does such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ I am Exempt under Article 3 of the Business and Professions Code Date: - $'Q � Owner: License #: 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 Architect: is issued. ❑ 1 have and will maintain workers' compensation insurance, as Engineer: required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S.F. Policy #: Valuation: $0.00 I certify that in the performance of the work for which this permit is Census Code: 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: . - �2 R— O � Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This perm is Nereby' s d un er the a plicable provisions of the Butte County godp enrV r 1 hereby affirm that there is a construction lending agency for the Resoluti s t do rk i di v r is fe shave een paid. performance of the work for which this permit is issued (Sec 3097 Civ.) UX Name: By: ` Date: PERMIT EXPIRES ON: Date Address: ❑ 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 o Butte County. I hereby authorize representatives of Butte County upon the above mentioned property for inspection purposes. , yto�enter Print Named `� A -� yk (' ( L A- Signature: q? Date: `") e2 �_` O XO-ner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor _�, C �R ° �O T 1'F o BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES ° BUILDING PERMIT APPLICATION _ o AND SUBMITTAL REQUIREMENTS 0 24 HOUR INSPECTION#: OROVU-LE: (530) 538-7636 ■ CHICO: (530) 891-2834 cQUN'�yOFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OF APPLICATION OWNER - Name --�" / Address City to I Zip Phone Fax E-mail APPLICANT NAME CONTRACTOR Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail ` Lic. # Class APPLICANT NAME ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Map Book Fax E-mail ` State License Number APPLICANT NAME Name Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const Subdivision Name Map Book Page --1 Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO 1663 BP BIN # LOCATION AP#�3f��ZZZ- Property Address vl"� WA=d Cross Street 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 escri do or Sc eo fel jlo Sq. Footag ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be 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. Re ' eefd by: Vl� Receipt M. '7O AN Amount I IO Bldg SRA Sheriff SMIP Il�urr�a yin— TotalII << t SUBMITTAL REQUIREMENTS The following"drawings and specifications must be submitted'to the Building Division in order to apply fora permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK Residential, New, Remodels, Additions, and Accessory Structures: ❑ L 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans; signed;by the preparer. NO GRAPHPAPER! t ❑ 3. 3 Engineered plans (if required) witfi'wet signature on plans AND 2 sets 'of stamped and signed'_ calculations. 4. 2.Engineered truss'details and layouts (if required) (1VO FAXES!). ❑ \ 5: 'Letter from Engineer or Architect for truss design review.� � ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑- - 9.. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (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. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ .2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval 'from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed -calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ • 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (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. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department.. If you have questions or would :like"additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMSSUILDING F0RMS0dgApp1SubRgmts.doc Page 2 of 2 REV 430-04 "ill RESIDENTIAL 035-22-2-006 92-0356 HUNTER, GARY CONTR: CONNELLY, WILLIAM 4762 VIRGINIA ST, OROVILLE REPAIRS/SF f I 1 f i - .ja f { I s IF r 1 ' R JOB FINALE Signature J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single = Date UNDERFL20R (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2.,.F.t6., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Pj?(s-Fireplace Ftg.-Steel 910'D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. Uf,,das Pipe; Size -Anchors - yard gas piping: size -test ater Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Dat Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except A's -- --16.-Water Htr_: Vent -Access -Combustion Air- Baffle --- - - 17. Water Pipe; Test & Anchor -Nail Protection ------tutu-- 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------------ 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ---tutu-- Date Card B-1 --- - Date ----------Card B_1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ti's 22 -Fixture & Transformer Clearance -Ins. Protection - - - 23,Eiec_Receptacles Spacing -Lights & Switches at Doors ;Size Boxes & No. of Conductors -Stapled _%l-. 6mex Installed Close to Edge of Studs & C.J. 26r-Egoip Ground made up w/Mech. Fastner and as & Water tutu- - - -- -----------------------tutu---tutu-- - ------------------ 2-;L. -Ap lance Circuts in Kitchen & Conductor Size!GFI - - --- - ------------------------------------------------------------ e ize r r ga. Cu or AI-A.C. Wire Size ! / ga. Cu or At 29--RarTge-e'r . / I ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No tutu -tutu-- -- - - - - -- -- --- -- -- - -- - - -- - --- 0 Service -Riser Conductors & Ground -Main Disconnect ---------- - ------------------------------------------------------------------- 31. Equip_Clearances Panel s- Motors- Mac h_ Equip_ tutu -tutu-- ----- 32. Clothes Closet Light -Shower Light -Spa Light -tutu---------------------------------tutu-----tutu--tutu-tutu-- ----- ----------- ---- 33. Smoke Detector -tutu-- tutu- --tutu--tutu-- - ---------------------------------------tutu-- Dateand B- Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) C* except h's 34. A.C. Ducts Insulati & Support --------tutu-----tutu---tutu------ --------------------tutu---tutututu----tutu-- 35.Vent Fan; Exhau above insulation _ 36. Conden^ate ain &Overflow Size &Grade FurnaA,;ETI: Access -Comb Air -Return Air Vent_115-outlet------- es -tutu---------turn38 AtticPlatform if Furnance in Attic ------------------------------------ -------------------------------------------- Date Card B-1 Date Card B-1 ------------------------------------ ----------------------------------------- Date , Card B-1 Date Card B-1 Date FR/ MING (Plans) OK except a's f----------------------------------- ils. Proper Material & Anchors --tutu-- ------1 �-7---- - --- ---------------------------------------------------- 4�! Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------------i ,--------------- ----------- ------------ --------------------------- a.1! earing Walls over Girders & Floor Nailing tutu -tutu --------- --------------------------------tutu-- -------------------------- 4 'raft Stop in Walls (rat proof) ----------------- - ----------------------------------------------------------- ire -Stops: Furred Ceilings -Stairs -Chases -Tub ----tutu--tutu-- ----------------------------------------------------------- Headers & Beam -Size & Bearing & Duplex). Date FAA10ING (Continued) -- - - an ers-Post Caps -Anchors -Connectors 46. ng. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Ring. or Type A Flue -Fireplace Throat clearance It'-ccess; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions �9--6aragE ire Protection Framing amine Firewall & Openings _ - - tutu- 57�Ckt. oors-One 3' -Check Garage -3rd Story, 2 Exits airs: Width -Headroom -Rise -Run -Landing -Fire Protection tutu- - ood on Roof Overhang -Attic Vents -Rafter Outriggers 5 iding-Nailing Veneer 56-9teese- Mesh -Drip Screed -Fd. Vents-Underflr. Access -------------tutu-- -- _zing Area -Glass Protection -Skylights -Plastic 5 .dear Walls; Nailing -Bolts 5JL-4ftsulation-Walls-Ceilings 60. Infiltration -Walls -Windows Date % Card B-1 Date Card B-1 tutu - 77 -tutu-- -- �z --------tutu-- Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61_,Es1. Steps -Door & Sidelight Protection -Landings smoke Detector - ---------------------------- 63!5urnace; Vents -Clearance -Comb. Air -Connector- -------- Above Floor -Ducts -Meeh. Protection ---tutu-- ------------------- 64 -Bedroom -Exiting ----tutu-- f58-G.F.I. & Bath Fixtures & Tub Access -Spa �ec. Trim & Subpanel; Breaker Sizes & Labels ---------------y'--------------- 63Stairs & Rails ------------------------tutu-----tutu-- -- r ce or Stove: Clearances -Hearth - --- ------------------ tlec. Outlets at Wood Panel: Int. & Ext. -- •- tutu-. _...- - tu--------------------tutu-- it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance -ut &---c.------Outlets---& Receptacles tutu -- tacles at Kit. Counter ---------- - tutu-- ------ 7Door: Swing Landin9 Closer -------------------------------- de_t-irrGarage-Damper 74!Wtr. Htr Vents -Clearance -Comb Air-Connector-P.R.V. . In/�Garage: Above Floor-Mech. Protection tutu- - 7brPlb. Elec. & Mech. Equip. Listed for Location 6 ec. Receptacles in Garage: (G.F.I.)-Romex Protection --tutu-- --- 7' nsulation-Foam-Looked in Attic ❑ Yes - --- - 7t:- Deck Construction -Post Caps --tutu-- ---tutu-- - - - 7 n. Vents & Crawl Hole Door -Drainage & Wood -Earth Cle 1 Looked under Floor ❑ Yes ' ollowin instld. Drive ❑ Yes ❑_WWalks ❑ Yes No; Planters ❑ Yes ❑ No --- ------------ --- 81. SteCLo Brown -Finish 82nnect. Electrical, Plumbing tutututu------�ft------------. sc-------tutu-- - 8 nts Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ^isconnect. Electrical, Plumbing xt r Elec. Trim; G.F.I. Receptacle- Underground -- --- fenj slaont Throughout House - - -- --tutu-- ------tutu-- BYGI ss- Protection- - -------_---- --tutu-- Corr ctions from Previous Inspections - tutu--------------------- a . as Test Meters Tagged Gas -Electric ------------tutu-- '---------------tutu-- --pp ---tutu-- 9 . Connected -C/O to Grade -HDA Approval ----------------- --tutu-tutu--- ------------------- p+ia�nce Certificate -Other Certificates ----------------tutu-tutu----�--------tutu-- ----- ------- tutu-- - -- - -- - - --- --- --tutu-- Date 2 i and B- - - Date -- Card B-1 --3 - - -S tutu-- -- tutu-- - Date Card B-1 -- - -Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: J=OK O=Not OK =Not Ready' MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements s 2. Soils; Special MH Support Sketch - '" 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water: Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L -ft. / /-Nat. or/ /"L"ft./ /"LPG -. 7. Well Clearance & Disconnect 8. Utility Clearance Date _ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (F4ans)OK except #'s - 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Depth-Spacing-Connectors-54eei 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Con nectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings r Date Card B-1 Date . Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures: Conduit Entries -Terminals -Listed 7. Elect; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 A A COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE I-4 ti Tom, ER -655-4 PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleasgL onta-"is office immediately. Date �7 �'T "f 4nspector REV 11/81 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751'' 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE 74U. A.; 1,f OWNER PERMIT NO.. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. f= ` 4 Date Inspector, REO 1/91 Connerly and Associates February 24, 1992 Page 2 2. Repair, clear or replace the dwelling sewer line as necessary to provide sanitary sewer service. Discontinue the discharge of laundry water onto the ground surface. Discontinue usage of the washing machine outside of the dwelling. 3. Eliminate the moisture beneath the home by properly constructing the underfloor access opening, grading the lot or otherwise -directing water away from the underfloor space. 4: Provide: approved steps for the -rear porch. 5. Screen or-otherwise:,eliminate. vermin access to the -underfloor- area., 6.-- Provide, adequate underfloor:- and. attic _ space :ventilation.. 7: Secure. theloose- roof -overhang. fascia board.' Replace.: any dry rot-wood.--- 8 ot wood:' 8 : Provide. -the -required . separation between the -hot :water. heater -vent and wood._ Provide-- a rovide-a temperature: and.pressurerelief valve properly •vented to.the.outside_forthe:hovwater.- heater: 9. ,Repair or replace the leaking kitchen sink. trap. 10. Properly vent the plumbing fixture drains. 11. Repair or replace the leaking kitchen sink faucet. 12. Make the shower enclosure watertight. 13. Replace all dry rot or termite damaged flooring." Eliminate any infestation " of termites. Areas of flooring are weakly supported. Provide adequate support for the floor including the bathroom and rear bedroom. 14. Verify proper installation and combustion efficiency of the wall furnace. Repair or replace a necessary. Connerly and Associates February 24, 1992 Page 3 15. Repair or replace the living room ceiling covering. 16. Provide a smoke detector for the rear bedroom. All repairs, reconstruction, replacement- or patching shall be completed to the extent necessary to result in a. finished product. This may require new materials. Inspection permits shall be obtained as required. Very truly yours, Thomas Reid,: Director: Divisiow. of Environmental : Health-, TR/mlf_' cc: Jim --Glanders Gary and Doris .1 -Hunter- Iw Address ' C]1469 Humboldt Road . Reply to: Chico, California 95928 Telephone: (916) 891 -2727 - February; 24;-:1992.` Connerly, = and -Associates 2215 21st -Street_. Sacramento, CA�-95818.-3 DEPARTMENT -OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH 7 County Center Drive . Oroville, California 95965 Telephone: (916) 538-7281 Fax: (916)`538-2140.' 747 Elliott Road . Paradise,- California 95969 Telephone: (916) 872-6308 RE: Rehabilitation Inspection- - 4762'Virginia.Street); Oroville; CA 95966 AP# 35-222-6 Gentlemen: An inspection was made of the above premises as part of the Butte County Rehabilitation Project currently underway. The dwelling is a one story wood frame and wcod siding structure with a composition roof and a perimeter concrete foundation. The original siding has an overlay of aluminum siding. The dwelling is served by public water, sewer, natural gas, and electricity. This Department recommends work to be completed as included within the Contractor Rehabilitation Work Specifications dated August 13, 1991. The following items are required to comply with minimum requirements of the California State Housing Law. 1. Provide a review of the electrical system by an electrician and complete -w=k .as necessary to insure an adequate number of grounded_ and�proteeted �zcircuits outlets, an fixtures. This may require a new service box and deadfront gas*weIl,Ras l~considerable dwelling rewiring. All °zipcord" type wiring such as the outside, 12.mp washing machine wiring, kitchen ceiling fixture and wiring within the kitchen cabinet tshall.Pbe-.removed. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95965 - Telephone: 916,'538.7541 • APPLICATION AND PERMIT PERMIT N 92-356 / ASSESSOR PARCEL NUMBER 035-222-006 ZONING RN BUILDING PERMITfi OWNER GARY HUNTER TELEPHONE SO. FT. OCC. BUILDING A UATION CONT EST 9,000 I OWNER'S MAILING ADDRESS 4762 VIRGINIA STREET OROVILLE CONTRACTOR'S NAME WILLIAM CONNELLY TELEPHONE 533-1516 CONTRACTOR'S MAILING ADDRESS 5490 DEBBIE AVE OROVILLE Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is 3 16s LENDER'S MAILING ADDRESS Filing Fee $ ' 15.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4762 VIRGINIA STREET OROVILLE Permit fee $ PLUMBING PERMIT Filing Fee 15.00 Each Trap 2 5.00 ®.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home I S I G I W @ 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: REPAIRS PER HOUSING INSP. _ C,aUMCr- PATE AUGUST 13, 1991 �gam, ��©� Permit Fee $ wok - Contractor ELECTRICAL PERMIT Filing Fee 15.00 F 2—y la9y 600V OR LESS Main service 200AORLESS �ojy 18.50 1b?. Main service 200A TO 10o0AI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): NjJ 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. ,:kClassification'a-era' ❑ 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 CONST. ( DWELLING OCCUPM OR ADDNS. ACC. BLDGS. /35 3.64 sq.ft. NEW CONSTR MULTI -OUTLET NON•RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 20 76 EX. Occup. OUTLETS IPRESID IRE A.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ $ o — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g LHood 6.50 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 agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequen a of th granting of this permit. X Date �� Signature of Applicant — Owner ® Contractor ❑ Agent ❑ An OSHA permit is required for excavatio s over 5'0" de and de ol'tion or construct- ion of structures over 3 stories in height (�¢� Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEES Z HAz DFEES IMP FLOOD cDF PARCEL PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DTOR PUBLIC By PERM XPIRES Date applicable provi- resolutions to do have been paid. WORKS Datec%. -F— Receipt No. I�J~SZZ — l— WHITE-D.P.W., YELLOW -ASSESSOR, PINK- SPECTOR, GOLDEN ROD -APPLICANT ... •.. ...rsr....,r��t^_ v..y.T',GLO..i:�:Y r_1.w'(-�����.`� COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 OWNER Proposed Building Use PERMI,TAPKICATION DATA SHEET Permit No. -B,mildi J"5 ..� A. rrp/�_ No. _ Inspector YOjY�J& U Date ZZ/" o /7 -,F-- At At time of permit application, I was advised the following data must be submitted priorio permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. 2: Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions ....... i . �0. ...................... Fees of $ ........................ Z _11: Chico" Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid ............... 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ....................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to i Building Inspector (Date) 21. Contractors license information '(No., Name Style, Classifications ... + 22. Certificate of Workmans Compensation Insurance .................. -- 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... etter of signature author zation................................... 26.�KSinq 27. ' When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 5_35"/S�/� and hold fo pickup Q1Z'0 office. Deliver w/inspector. Other Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance:. (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone---mai [—counter by ..date Contractor, designer, owner, was advised of above required data by—phone —mal l_counter by date Plans checked by Sets of plans on hold in Copy—DPW Date Plans approved by File cabinet AP folder Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916:538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMB RZONING/� o3S - 22Z-00� BUILDING PERMIT OWNER/� �� rv,.� � TELEPHONE S0. FT. OCC. BUILDING VALUATION 66 OWNER'S MAILING/ADDRESS i' �[�� �, I �� �� 4? CONTRArrCT,,OR'S NAME W ; l ^^ �oill N�� TELEPHONE T-33 -1 CONTRACTOR'S MAILING ADDRESS v /� .51-&o f% biE G (ffG `� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Z:) Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ (- ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS - Penalty $ BUILDING ADDRESS Permit fee $ cJJ PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 5-,0 CJ Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7.00 '?.C5® Each qas water heater or vent 7.00 ' USE OF STRUCTURE SF4!1' Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 JS'C�D Mobile Home S I G I W @ i5.00 TYPE OF WORK New 7, Addition ED Remodel❑ Utilities Installation[] Other Describe work: �cAme4e,UU/N ,PW%E (/jZ3, Permit Fee $ 52 Old Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AA00ORLESS 2OR LESS 18.50 Main service 20CATO1000A) 37.50 CONTRACTORS LICENSE LAW " 1 declare under penalty of perjury (check one): ) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification ❑ 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 CONST.DWELLING OCCu 86 OR ADDNS. ( ACC. BLDGS. 3-72P.6* sq. 5 NEWCONSTR ULTI.OUTLET NON .RESID. BRANCH CIRC ITS @ 5.00 POWER APPARATUS e (SINGLE OUTLET CIR. ) ! Ex. Occup(OUTLETS OR FIXTURES 76d 20 454 FIXED APLNb. EX. Occup. OUTLETS P(RESID )HEA.) I 3.00 Temporary service 15.00 I Mobile Home Facilities 15.00 Misc. �Virin g 15.00 Permit Fee $ , — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling Hood 6.50 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Si nature of Applicant - Owner 9 PP ❑ Contractor ❑ Agent ❑ An OSHA ion of structures tover 39stories oinehe ght ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ /95735 f HAz DFEES IMP FLOOD CDF PARCEL PD HD I ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date I Receipt No. U 5 NHITE-D.P.W.. YELLOW-♦_nw11anw Piur-Iu aPrf Tnw Win. nrunnn_.wP��ur �uN a�®p®p HOUSING RFPAT R P ROCIRAM 10-PNERLY & ASSOCIATES, 2215 2.1ST STREET, SACRAMENTO, CA 95818 ( 916) 456-4784 >>e :::::::R:ENA:...... :AT:IO;N::::W.OR K;:;.SPEC::F;I:CA:T;I:ON9:.::::::::::::: ..............•.... WORK WRITE-UP - APPLICANT Gary and Doris Hunter PROPERTY ADDRESS 4762 Virginia St. CITY, STATE, ZIP Oroville, CA 95966 ��� Z MAILING ADDRESS CITY, STATE, ZIP PHONE NUMBER DATE : SEE PROPERTY ADDRESS SEE PROPERTY ADDRESS No phone at residence. August 13, 1991 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 work 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. Allowances, when listed, are guidelines for purchases. All. items purchased as "allowances" must be approved by the homeowner. 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 =====_________ 1. PERMITS A copy of the building permit will be required BEFORE construction begin and shall be provided by the contractor. The contractor will secure a]. necessary permits to complete the entire project and must submit to th local entity a signed -off building permit at the completion of th. project. IT IS THE CONTRACTOR'S RESPONSIBILITY TO ASCERTAIN, OBTAIN, AND MAINTAI: RECORDS OF ALL REQUIRED PERMITS. $ '01SO 2. DlLKU SERV I U Provide dumpster service or daily removal of construction debris fo duration of contract. Premises to be left in a broom clean condition oi a daily basis. 3. ELF=.I LCAL Replace the main service entry panel with 100 amp CB main service in rain -tight entrance panel box, (Crouse -Hinds 3C -002 -AR or any approve - equal). Check for re -use of existing weather head/periscope or provide ne weather head/periscope. Service feeds to meet all current local an, national electrical codes for replacements. Reconnect existing circuit to new panel. Balance loads for existing circuits. New circuits: GFCI breaker of the same amperage on circuits feeding th bathrooms, kitchen counter outlets, one in garage, one in laundry, ani any exterior outlets; a 21) amp circuit breaker for the laundry outlets one 30 amp (240V) for th'e water heater if existing; one 50 amp (240 V for the stove; four 15 amp (120V) for lights/general purpose; three 2. amp (120V) dedicated for the kitchen; one 20 amp (120V) general purpos outlet circuit; and.two blank spaces. Provide and install No. 8 bare copper hard drawn ground wire from th grounding terminal of the service entrance box and fastened to the stree side of -,the metallic water service pipe and to a. rod t/2" x 8' r_oppe ground set. 1" above grade. Use a bronze grounding clamp. Ground wir must be in conduit where exposed to any externa]. damage. ID all existin, and new circuits at service panel/sub panel(s) in ink. Rewire the existing runs in the attic. All existing switches, outlets receptacle boxes, and junction boxes need to be checked fo: serviceability and replaced as necessary. All receptacles within 6 ft o all sinks or bathtubs shall be GFCI protected. Exposed wiring in th garage [below 7'] must.be encased in walls or in approved metal tubing. 2 HOUSING REPAIR PROGRAM - WORK WRITE-UP - ---------------- Provide and instal]. new outlets in the following locations: 3 in th, kitchen (1 GFI and 2 standard); 1 additional for washer/dryer; 1' in bacl bedroom; 1 in master bedroom. Provide and install light switch in back bedroom and bathroom and r.ui wiring to light fixture. Provide and install new outdoor type light fixture on back porch. Provide single switch and install inside the house. Lower air conditioner on/off switch to an accessible height. CV 4. BACK E� D MIM Remove plywood subf loor . vAl�w Replace posts and piers as'needed. to ensure new subfl.00r is level. Provide and install 3/8" particle board underlaymen .. rev -fely nail an glue all edges and fields. Apply joint filler at all seams for Smoot finish. Grind smooth all ridges and uneven surfaces on floor.. Fill all crack. and depression; with crack filler. Install owner -provided carpeting ove a 100 oz. sponge or 5/8" bonded urethane pad (contractor. -provided). (APPROXIMATE SQUARE YARDAGE: 13 ) (90 // $ l! Grind :smooth all ridges and uneven surfaces on floor. Fill all crar_l; and depressions with crack filler. Provide and install new medium grad carpeting over a 100 oz. sponge or 5/8" bonded urethane pad. Propert owner has choice of carpet. (APPROXIMATE SQUARE YARDAGE: 13 ) (CARPETING ALLOWANCE: $21 SY) B. PLUMBI fx Replace hot and cold water flerpipe under kitchen sink. Replace drain piping under kitchen sink. All piping to be secured wit approved fastener, at intervals specified in UPC. 3 HOUSING REPAIR PROGRAM s WORK WRITE—UP — 7. IL'LE�t IQ B y Remove acousiACR1-Eype ceiling mater.i.n.] in kitchen and 1.i.virig room. ].I needed: install new 1/2 thick regular. GWB as per code aria manufacturer's specifications on kitchen and living room ceilings. Apply metal corners'on all outside edges. Tape, top, and texture. (Texture t( match existing textures.) Paint living room ceiling with a premium quality latex paint installed a.: per manufacturer's specifications. Paint color to match existing a.:' closely as possible. Paint kitchen wall with a premium quality semi gloss latex enamel installed as per manufacturer's specifications. Color to match exi.stinj as closely as possible. (APPROXIMATE SQUARE FOOTAGE: 360) $ 8. BATHROOM Secure baseboard to wall i.n.areas where it is not securely fastened. Securely fasten sink to wall and repair surrounding GWB as necessary. Remove wall covering around tub and repair,exposed dryrot. Provide and install a breakdown fiberglass stall shower kit. Install a per manufacturer's specifications. Caulk with white, mildew resistan caulking.. (STALL, SHOWER ALLOWANCE: $ 275) 9. �{ITCHE� Provide and install a. new free standing gas oven/cooktop. Haul awa• existing appliance. O V $ -7 �v 10. ZU_RNA Z Test and clean existing furnace. Replace all damaged parts. t $ '30� SUB rOTAJ1 $ 10 S OVERHTAD/PROFIT $ TOTAL $ 4 HOUSING REPAIR PROGRAM WORK WRITE-UP - Any deviation from this -bid in cost, material.s, labor or scheduling shat' be documented in a change order in accordance with the provisions in.thr owner/contractor agreement. PREPARED BY SCOTT FRICKER Associate Program Manager DATE The undersigned hereby certifies that the above information is accurate to the best of his/her knowledge, and that he/she has the authority ti legally bind and negotiate for: COMPANY NAME: ADDRESS: TELEPHONE : LICEtdSE : EXP. CONTRACTOR DATE. I ACCEPT THIS PROPOSAL, SUBJECT TO LOAN APPROVAL AND EXECUTION 01 OWNER/CONTRACTOR AGREEMENT. OWNER DATE OWNER DATE 5 V Tom Reid. Division of Environmental Health Jim Glander Building Inspection Division 7 County Center Drive Oroville, California 95965 Gentleman: I/We request an inspection of the property identified below for the purpose of obtaining financial assistance for home repairs under the County's 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: Property lAd rresus Phone ate /Z "_?Z -- ate BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: `, -►�� wA Address Tenant: Building Locat ion: Type of Inspection requested: 1. Housing. 2. Financing LL 3. Change of Occupancy to ' fT 4,. Other (specify).. �+ G �,. A 5.� �- cJ ;- 'Present use, of bu ilding,:*A114 A Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink:' 5. Hot and cold water to fixtures: 6. Heating, facilities: 7. Natural light and. ventilation: 8. Room and space requirements: 9.. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connectior-to.sewage disposal: •'12. Connection to water'.supply: 13. Rubbish and garbage facilities: 14. .Com ents• " 01r Date of Inspect on S Inspector B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and:roof construction: 5. Fireplaces:' 6. Comments•` C. Electrical. 1. Service and ground: 2. Receptac" es: ' 3. Fusing: 4. CoMInents:� D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4..• Comments: E. Other ' 1. M�intenanci and repair:. - 2. Fire hazards: .s ,-_-3. Safety hazards: -� 4, Weat},er protectiori: . 5.Ijuderfloor and attic ventilation: F. Cormlerci.al Buildings 1.. Rcof covering: 2. Distance to property.lines: 3. Physically handicapped: ~4. Restroom floors and :calls: 5. Exits: 6 . unrrovemants 1. zoning :_. _ 8. Cozmmerit, -•- G. Field Problezis or Vicla;.ioras = 1.Problem o 'eiolatiors Give cclnplUt.a description): , 1., r 2. What action - taken (give cT�pigte description) _ i• - 0 -A_ - !J n - _ — _ 3. What a Hon recommended: O T7 A. s:nfonuation OIll.y -�; B. Hold for ten. (10) days., then wri; a Letter.. - r Write letter. /% D. Other: / / J / 1_,LP y �-•-• -� is .��L lr �' / � �- � -� .�'��..� � ✓v / �. Y V ��/ � v /✓i . '^� - ^/( O �/ Cit/ L � / L - - ' / L- dJ2 � �o ���J � \ ��1 ci��.+w•"�,:�`5f%si1+K'�+�;i�pc_l`�.. - ir..•:��jp�"�S7°, rw: .. t..�•P"H'"" ,,.-r.s-N"'iQ3e7r1yj�jr�7,..k��+�,�,p��y`3yr„'°' �, 035-22-2-00,692=0360 HUNTER,, GARY ; CONTR: CONNELLY, WILLIAM 4762 VIRGINIA ST, OROVILIE - DEMOLISH.SHOP JT. I'..•�r , h(,.,�ti. K��._`'�R i%i.. .t �, a V, "tea COUNTY OF BUTTE - DEPARTMENT OF' PUBLIC WORKS PERMIT NO. 7 County Center Drive - Orovllle, California 95965'- Telephone: 916!538-7541 92-361 .. APPLICATION AND PERMIT ASSESSOR PARCEL NUMB R 035-222-006 ZONING RN BUILDING PERMIT OWNER GARY HUNTER.•SON E TELEPHON S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - 4762 VIRGINIA STREET' OROVILLE CONTRACTOR'S NAME WILLIAM OONNELiY TELEPHONE CONTRACTOR'S MAILING ADDRESS •� 5490 DEBBIE AVE ` OROVILLE : , �. , Fireplace CONSTRUCTION LENDER -. UNKNOWN , Total Valuation $, LENDER'S MAILING ADDRESS f` Filing Fee $ 15.00 Permit Fee $ 5,00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 472VIRGINIA Si'R�'T OROVILLE Permit tee $ 30,00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each gas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex[] Mobilehome❑ Other SHOP SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer -I-15.00 Mobile Home S G W@ 15.00 " TYPE OF WORK New Addition[] Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: DIM SHOP EnLT W/O PERMITS _ ' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 20CATO1000A) 37.50 _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): t 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. t License No. 62 1; �1 Classification 'Q FlRES( 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 CONST. / DWELLING OCCUP.&\ OR ACDNS. 1 ACC. BLOGS. // 3.54sq.ft. NEWCONSTR ULTI-OUTLET NON -R ESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76r1 FIXED Ex. Occup. OUTLETS IREA.) ID 3.00 Temporary service 15.00 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;lnsurance 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., I 4 `• 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. t MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling r Hood • 6.50 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 agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t said County in con . quence f the granting of this permit. /'� Date X klW,, t ' i'`- �(J" ` Signature of Applicant — Owner Con+rac+or ❑ Agent ❑ An OSHA permit is required for exc8vations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Ener Inspection Fee $ Energy P DCC CONST TYPE TOTAL FEE $ 30.00 HAZ I DFEES I IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees By �ECR PUBLIC PERMO' EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date _ Z 4 - — 1% Receipt No.309fi5R P WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916%538-7541 APPLICATION AND PERMIT PERMITNO. 2-360 ASSESSOR PARCEL NUMBER 035-222-006 ZQNING RN BUILDING PERMIT OWNER .- GARY HUNTER TELEPHONE S0. FT. OCC. BUILDING VAL ATION OWNER'S MAILING ADDRESS 4762 VIRGINIA STREET OROVILLE CONTRACTOR'S NAME WILLIAM CONNELLY TELEPHONE CONTRACTOR'S MAILING ADDRESS 5490 DEBBIE AVE OROVILLE Fireplace CONSTRUCTION LENDER • UNKNOWN Total Valuation is Filing Fee $ 15,00 LENDER'S MAILING ADDRESS Permit Fee $ 15,00 ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4762 VIRGINIA STREET OROVILLE Permit fee $ 30.00 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other SHOP SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W 1 15.00 TYPE OF WORK New F1 Addition Remodel[] Utilities❑ Installation❑ Other Describe work:FP .Mn SHOP RITTT.T W/o PFRMTTq _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 1000A) _ CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license Is In full force and effect. License .Jo.l 69%C ZT Classification ��Q LfL.RL ( ❑ 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 CONST. ( DWELLING OCCUP.&\ OR AODNS. ACC. BLDGS. _37.50 3.6Qsq.ft. NEW CONSTR ULT"OUT LET NON.R E SID BRAN H CIRCUITS @ 5.00 POWER APPARATUS 6 (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 20 76d FIXED APLNS. EX. Occup. OUTLETS PIRESID ,OR EA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I`�tr I have placed on file with the County of Butte Building Department Jif a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Cooling g Hood 6.50 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 agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue again t said County in con quence f the granting of this permit. X k-cVIDate �® ��P i Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA ion of structures toverr3gstoraesoineheight'ons over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ OCc CONST TYPE TOTAL FEE $ 30,00 HAz 1 DFEES IMP I FLOOD COF PARCEL PD I HD ISSUE i This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees OR PUBLIC By PERM E PIRES Date applicable provi- resolutions to do j have been paid. WORKS Date 4 �f Receipt No. } j$g WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Y' COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 u:Y PERMIT,APPLICATION DATA SHEET y' Permit No. OWNER�/✓�% A�P. No. 0c3� Z. Z U4 Proposed Building U �t/l� Bui�P lding Inspector <D Date z Z- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED ' APPROVED 1. All items have been submitted. .......... ' ! 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4..Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7.;Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit............ ...................... 16. Plot plarrand business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required . Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... ,22, Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature au$h. orizattl'on % 26. 1,q5ee_fo5 NOtrfiQi4'�26�/ ` 27. When you issue the permit-, process as follows: Mail to owner. Mail to contractor: Telephone 33' /. 6 p 076—and hold for ickup at 40office. Deliver w/inspector. Other '_ V ' t Applicant , Date 4 Copy of Haz-Mat form sent Health Dept. Fire Dept. Alr Pollution Date Copy of.plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle newItem not checked above). . 1. Index permit for above items No. 1 2. Additional items required: Contractor, designer, owner, was advised of above required data by_phone_—naIil_coun Contractor, designer, owner, was advised of above required data by_phone_mall_coun by ..date by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT N0. q2 � V ASSESSOR PARCEL NUMBER Q�35-ZZz�00� ,' ZONING V BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING AOOR SS 7Gz Ir Al A ST -ITE CONTRACTOR'S NAMEIf 11 M ,t41- ONE 574 i CONTRACTOR'S MAILING ADDRESS n .5 P �' �� Q Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ f5�ac? ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Ll7l�o2 �,'r i N � ft ST I�� Permit fee $ cid PLUMBING PERMIT Filing Fee 15.00 Each Trap 1 5.00 Solar or heat pump water heater 1 20.001 J LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ S►LOther LCU2 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S I G I W @ 15.00 TYPE OF WORK New 7, Addition❑ Remodel[] Utilities❑ Installation❑ OtherJK Describe work: Jkc-> _hri llt W-0 d tii/iL Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600v OR LESS 200A OR LESS 18.50 Main service 20CATO 100oAI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification 17I, 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 CONST.( DWELLING OCCUP.&\ OR ACDNS. ACC. BLDGS. I 3.64sq.ft. NEW CONSTR.ULTI-OUTLET NON.RESIO BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d FIXED APLNS. Ex. Occup. OUTLETS P(RESID )REAJ 1 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. bVirin 9 15.00 Permit Fee $ — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 15.00 Heating Coolin g Hood 6.50 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 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. X Date Si nature of Applicant - Owner 9 pp ❑ Contractor ❑ Agent ❑ An OSHA ion of structuresover39stories oin height. excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE$3a HAz I DFEES I IMP I FLOOD CDF I PARCEL I Po I HD 17SSUE This permit is hereby issued under the sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date I I 0 l (9s Receipt No._19- wHirc-o_P.w._ vri nw.•....... oi....,�mr�tn- ......- ............... ......- Demolition Permits Asbestos Notification Statement Date AP# 635" Pursuant to section 19827.5 of,the California Health and Safety Code, all demolition permit applicants are required to fill out this form. "19827.5. A demolition permit shall not be issued by any city, county, city and county, or state and local agency which is authorized to issue demolition permits'as to any building or structure except upon the receipt from the permit applicant of a copy of each written asbestos notification regarding the building that has been required to be submitted to the United States Environmental Protection Agency or to a designated state agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations, or the successor to that part. The permit may be issued without the applicant submitting a copy of the written notification if the applicant declares that the notification is not applicable to the scheduled demolition project. The permitting agency may require the applicant to make the declaration in writing, or it may incorporate the applicant's response on the demolition permit appli— cation." Attached is a copy of my written asbestos notification to the United States Environmental Protection Agency for the demolition project located at Signature of Applicant OR I hereby declare that a written asbestos notification to the United States Environmental Protection Agency is not applicable to this demolition project. COUNTY OF BUILDING DEPT APR 0 8 1992 2/19/91 v Signature of Applica