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Home My WebLink About035-222-04435-222-44 2�1 - — . 9 900 r REDMAN Penny- ELEC o.� N� °;��n aw GAS ,Z/ /g COMPACTION TEST REO' r% SUPPORT STRUCT REQ iC/' ' `rt AB JED - -22- -0444 f, ' 035 _ Permit#92-1901 MHI - ?•'Al k .. - :... ..:� r.. �.. '..t _,.'a � ..�i0^iM�ia ..t -i.. ..r :. �i..- ..R .e.r.,.__. a. _.�...,... ...._ _. tilh+.',. ._ '�.� a _:_......9. e�e..a,i:..Ga .,,.*.. ....'�w.:7•.:,.�Aer$�r.ira�. _u ,.. „�. 3E. ��_ E+1+ AP OWNER PERMIT MH UTIL,CLEARANC DATE- INSPECTOR . ELECTRIC GAS'- Support Struc., Compaction Test Re . -Service: .Size Other - Load T:, e.. Pipe :..Size, *... 'Len th YES _ .NO 'YES I NO l cr-cl MOBILEHOME INSTALLATION ACCEPTANCE COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS — 7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 T£LEPIHONE: (916) 538-7541 „l. PERMIT NO.q12- Address or location of mobilehome 4/9'/0 V F r,71 AIt a Fl , , t�r�✓t �hQ 'x; Owner's name 7<',Mrty T1F'6C gjmc Owner's address 1-70:5 /lam vr=r r r Insignia or hud number A 317801 Manufacturer's name otSe. C4 pq11, , Serial number of V.I.N. C &/! .41 L( •.'r X Year of manufacture I (Offic'ral Appr vir(g al lotion) 7 /(Date) 't i E IF THE MOBILEHOME IS MOVED OR RELOCATED, THE MOBILEHOME INSTALLATIONg ACCEPTANCE SHALL BECOME INVALID. THIS FORM SHALL NOT BE USED WHEN THE MOBILEHOME IS INSTALLED ON A FOUNDATION SYSTEM. x33 �? 2 _,? _ O •S�f ! ;.']3 �' 51313 _, ;,,,. White`-_'Owner;:;Yellowx-:Installer„Pi.nka- D P W.',.K +1 -. �_,.3 f i'..._� y._ _-_ .4i4 RESIDENTIAL 92-1900 35-222-44 REDMAN, Penny 4 ' 4910. Virginia Ave, Oroville mh utilities A OFFICE COPY Address j GAS Date Meter By ELECTRIC Date Meter By i i4OB FINALED (Date) Signature J=OK O=Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) ' = Date UNDERFLOOR (Plans) OK except ti's • Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47, Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water 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 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except ti's 16. Water Htr.: Vent -Access -Combustion Air -Baffle --------------------- ------------------------------- 17. Water Pipe: Test & Anchor -Nail Protection 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 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. Elec. Receptacles Spacing -Lights & Switches at Doors - ------------- 24. Size Boxes & No. of Conductors -Stapled --------- -------------------------------------------------------------- 25. Romex Installed Close to Edge of Studs & C.J. ------------------------------ -------------------------------------------------- 26. Equip. Ground made up w!Mech. Fastners-Bond Gas & Water ------------- - - ------------------------------------ 27. ----- -------------- ----- 27. 2 Appliance Circuts in Kitchen & Conductor Size1GF1 ----------------------------------------------------------- --- 28. Subfeed Wire Size r / ga. Cu or At-A.C. Wire Size / ga Cu or At -------------- --------------------------------------------------------------- ---- 29. Range Circ. ! ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --- -- -------------------------------------------------- 30. ------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect ---------------------------------------- - --------------------------------- 31. Equip. Clearances Panels-Motors-Mech. Equip. ------------- ------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light ---------- ----------------- -------------------------------------- --- 33. Smoke Detector ------------------------------------------- ----------------------------------------- Date Card B-1 Date Card B-1 --------------- ------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support --------------------------------------------------------------------------------- 35. Vent Fan; Exhaust above insulation -------------------------------------------------------------------------------- 36. Condensate Drain & Overflow; Size & Grade ------------------------------------------------------------ 37. ------------------------------------------------..--_37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet ---- - - - --- ---------------------------- -- --- ----- ---- - -- - - -- -- 38. Attic Access & Platform if Furnance in Attic ------------------------------ -------------------------- -Date - ---------------- CardCard_--- ---------------DateDate--------------Card Card B-1 --------------- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except ti's 39. Sils. Proper Material & Anchors ------- - ---------------------------------- 40. Walls Studs -Nailing Spacing & Bracing -Plates -Sound ---------- -------------------------------------------------------- 41. Bearing Walls over Girders & Floor Nailing ---------------------------------------------------------------- 42. Draft Stop in Walls (rat proof) -------------------------------------------------------------- 43. Fire Stops: Furred Ceilings -Stairs -Chases -Tub ------------ ----------------- ------------------------------------------ 44. Headers & Beam -Size & Bearing ------ 49.- Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ----------- - _ _ 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers ---------- --------- - 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic ------------ 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows --------------------------------- Date _______ ---Card B-1 Date _ Card B-1 Date Card -B-1 Date Card B-1 Date FINAL (Plans) OK except ti's 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector ------------------------------ 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meeh. Protection --------- ---------------------- 64. Bedroom Exiting 65. G F.I & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ----------------- 67. Stairs & Rails -------------------------------------- 68. Fireplace or Stove: Clearances -Hearth ----------- - - - - - 69. Elec. Outlets at -Wood Panel; Int. & Ext. 70. Kit Fixt_& Appliance; Grnd_Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door: Swing -Landing -Closer --------------------------------- - ---- 73.-.A.C.-Duct in -Garage-Damper 74 Wtr. Htr Vents -Clearance -Comb Air-Connector-P.R.V. . In Garage: Above Floor -Meth. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location -------- ------- -------- ---------- --- - 76. Elec. Receptacles in Garage: (G.F.I.) -Romex Protection 7;. Insulation -Foam -looked in Attic ❑ Yes ------------------------------------------ -------------- 78. - Guard -Rails & Deck -Const Caps ---------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes --- -- ----------------------------------------- 80. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No ----------------- 81- ----------------81. Stucco: Brown -Finish 82. A.C. Unit: Disconnect. Electrical, Plumbing -------------------------------------- 83. Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to Openings ------------ ----------------------------------- 84. Water Well; Disconnect, Electrical, Plumbing ------------------------------- P -- --- 85. Exterior Elec. Trim; G.F.I. Rece tacle-Underg round 86. Ventilation Throughout House - - -- - ------------------------- -------------------------- 87. Glass Protection ...... - -------- ---------- 88. Corrections from Previous Inspections ------------------------------------------------------------ 89. Gas Test -Meters Tagged; Gas -Electric ------- ----------------------------------- 90. Water & Sewer Connected -C/O to Grade -HD Approval ----------- ------------------------- ------------ 91. Energy Compliance Certificate -Other Certificates -------------------------------------------------- ---- Date Card B-1 Date Card B-1 -------------------------------------------- -- ------ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: A,: f J=OK O=Not OK Not = Not Readyable MOBILE HOMES { Date . MOBILE HOME UTILITIES (Plans) OK"except Yis 1 oni . g' Requirements -Setbacks -Easements+' oils; Special MH Support Sketch 3 ,, Location -Test -Fall -C/O Concrete ater,, Location -Test -Easement Needed (Sketch) ectricity; Location-Clearences-Grnd-jdVnp-Concrete Gas; Location -Test -Wrap: ; /"L"ft. /•'Nat. or/ /"L"ft./ /'LPG _7 wall Clearance & Disconnect t, tility Clearance r e ti MISCELLANEOUS Date _ DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors'' I Shthg.-Rfg.-Bracing r r - e 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 1 6. Carports; Windows -Doors •i + 7. Electric %rte 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses t 9. Siding; Nailing -Veneer -Stucco -Mesh 10: Roof; Shthg-Roofing nF._ i Dat ,Card B-1 Date Card B`1 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1.-' Date MOBI HOME -INSTALLATION (Plans) OK except #'s4 s. mg Requirements -Setbacks Easements, Footings; Size-Spacin - rriage Line. • ,. 3. G ;MHT mand-Valve onnecYorr Elec .icily; MH Test -Crossovers -Brea ers-Clearances rain MH Test -Fall -Flex Connector , 6 ater,; MH Test -Regulator -Connector x'r ater and Sewer Connected -C/O to Grade -HD Approval V 8. Gas and Electricity Tagged ,s r 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Ak Card B-1 . � r -� f. },. 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 k? 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -:t t+" Dead Men -Lining, ` r 4. Elec.; Receptacles and Lighting, Distances-GFI,_, 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed, t 7. Elec.; 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 (. e l - Y ri Mme - .s'+' it 1 • + S.. COUNTY OF BUTTE - BUILDING: DIVISION t DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916). 891--2751 7 County Center Drive, Oroville, CA - (91 -6) t38 -7W , '747 Elliott Road, Paradise, CA - (916),872-6307 CORRECTION NOTICE WNER rPERMIT'NO. i 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. Ifyou have any questions.pertaining to this matter, or need additional explanation, please contact this office immediately. Ilar i � � _-.: `_," y. . �.. {' - Aa'vF'L.+ii-�.�-4`(3..�r�°-.i4i�~^"7'J�,^'•'C'S�'.' COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVECOPMENT.SERVICES 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 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. ff you have any questions pertaining to this matter, or need additional explanation, please con/t�act this office immediately. _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.'538-7541 APPLICATION AND PERMIT PERMIT NO. 92-1901 r ASSESSOR PARCEL NUMBER 035-222-044 ZONING RN BUILDING PERMIT OWNER TELEPHONE 742-7656 SQ. FT. OCC. BUILDING VALUATION OWNER'S _,Ledman ADDRESS 170 Ramirez St. 4 Marysville 901 .95 CONTR A C T OR'S NAME Unknown TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 35.00 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 SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New ❑ Addition O Remodel ❑ Utilities ❑ instaiiationKi Other ❑ Describe work: MHI (MHU #92-1900) Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A TO 100M 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 OCCUP.&� OR ACDNS. 1 ACC. BLDGS. 3.60sq.ft. NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 761 FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) j 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 d I 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. 14( 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 ments, costs, and expenses which may in any way accrue a Ins said ount in consequence of the granting of this mit X Date J Signature of Ipplicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S 70.00 Energy Inspection Fee $ DCC CONST TYPE TOTAL FEE $ $105,00 HAz ZFE IMP ^— FLOOD EDF -- FARCE PD D SSUE This permit is her y issued under the sions of the B Co t ode and/or work Indic ed b r which fees D OF PUBLIC By p XPIRES Date applicable provi- resolutions to do have been paid. WORKS at�/D Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT lzel COUNTY OF BUTTE Ut-PARTMENT OF UBLIC WOR D ;' BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLf., CALIFORNIA 95965 - TELEPHONE (916) 538-7541 1-1 PERMIT APPLICATION DATA SHEET OWNER hCA1111 Proposed Building Use A,P. No. d35 -- 22 2-0 W Building Inspector Date l9" ` At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . 8. 9. Engineered truss details and layout in duplicate (required prior to plan check). Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 0 3 YLO 10. 11. Fees of $ ................................. Impact fees as shown on attached schedule . .............................. - 12: California Department of Forestry plan approval/fees......................... . 13. Flood elevation letter (100 year flood) by California Engineer. ......... ►...... 14. Sanitation and plot plan approval Health Department. ...'"�..... . 15. City of Chico plumbing permit. ........} -- 16. Plot plan and business license approval from City of Biggs/Gridley. ... ti..`....... . 17. Planning approval for (A) Use: (B) Parking: k . ........ - 18. 19. Contact Land Development about (A) Improvements (B) Drainage. r . Driveway permit (construction approval required to occupancy). prior 20. Pre -inspection for Pre -Inspection request required_'. . . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .......... .... . 22. Certificate of Workmans Compensation Insurance ........................... 23. Owner -Builder Verification (Given to owner , Mail to owner )......... i(a 1) AIN 24! Recorded copy of Agricultural Acknowledgement Statement ................. .t 1 f3 1 25. Letter,of signature authorization ............................... `�/. 26. Copy of recorded deed of parcel creation and 60 right of way to a public�road ....... 27. 28. Letter of intent on building use................... . �.t..�.�J....... . Mobilehome utility clearanceA........................ ..................:4(26-91} CAO 29. Documentation of legal access . ....................................... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . .............. . 31. Existing violations/expired permits . ....................................... ' 32. Plan check list . ..................................................... 33. 34. When you issue the peri it, p�� as follows: Mail to owner. _ l� Telephone ``11 77 and hold for pickup at Other Parcel Creation Pl1 Acreage Applicant Mail to contractor. _office. Deliver with inspector. `'/3 Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution 4bite' Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior 1. Index permit for above items No. 2. Additional items required: ce: (Circle new item not checked above). Contractor, designer, oww, was advised of above required data by _ phone --mail Counter byg? Date Contractor, designer, owner, was advised of above required data -by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by T-Idg -Date mnli- Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works COUNTY OF BUTTE - DEPAR17=- OF -PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVIL-:E, CALIFORNIA 95965 - TELEPHONE (916)5387541 OWNER �!ti�yr,, �" 1 �DII�I/U A.P. NO. 3 S" Zz DATE PROPOSED BUILDING USE 3 ^ S REC. # -DATE REC __a<1. School -Distric -Fees (paid at District --Office} ........................... / 2. Sheriff Fees - - (paid at Building -Department) - Residential ... �. X�7C.. _$ �/o9� unit amt. Commercial(per sq.ft.) X =$ sq.ft. amt. 3. Urban Area Fees (paid at Building Department - - - Residential (per unit) X =$ # units amt. Commerical(per sq.ft.) X _$ sq.ft. amt. 4. Recreation District Fees (paid at District Office) ........... 5. Drainage District Fees (Contact Land Development) 6. Other 7. Other At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. I APPLICANT �P�/L l�'L DATE 3 �2 A BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM (One Form Per Building) School District v 5 a114 A.P. Number 20 - 0 Jurisdiction Property Owner dmam ,1 Property Location/Address �q/D V/Y-C) llt(C� H 0� . Building Department No. City = County Subdivison Lot No. Residential Development 0 0 Sq. Footage No. of Living MHI Addition (Group R) Units ` Commercial/Industrial Sq. Footage New Addition (Including Exterior ,Roofed,,Areas) Building Depa ment Representative Date (Floor Plans reviewed by School District Personnel) District Identification No. T5- + n -v�- LI�+�a,-,—,&�chool District certifies that (Applicant) (Street Address) (Phone u er) A,. fiD. a. s�e� (City) has complied with the requirements of Resolution No. representing q b o square feet. District Re Paid by Check Number Bank Number Paid by Cash (State) 9i-�:2- IV Remarks:. (Zip Code) by payment of $ .��o -��Date If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act-(CEQA), this,project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92) hib'set of plans and 9pecificatlons MUST be apt on the job at all times and'it is unlawful to ake any changes or alterations %.same without ritten permission from the De i.,Public forks. County of<Butte. COTE:—AII Materials & Workmanship Shall Be in cordance wit cognized Good Practices and of a quality . r ,cPied for the Specified usZ in the Uniform Building, Plumbing & Mechanical (oAgand 'MENT E ®, Y BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Cznter Drive, Oroville;,CA PHONE: 538-7541 MOBILEHOME INSTALLATION SHEET 1. Owner's Name:��t/dt/�1 2. Installer's Name: .6.11cl,t/Q&)Az 3. Is the site 'currently under permit? Yes �. No (If yes, furnish permit number / OC /M�j ) OR. Is the site an existing site? Yes F1 No (If yes, furnish two plot plans.) 4. Will the mobilehome be located at least 5 ft, away from septic tank and leach fields and clear of all setbacks and easements? Yes 2No [--] (If no, clarify 5. What is the mobilehome electrical rating? -------------- CA k 21 e— Amps --- 6. What is the mobilehome site service rating? ------ � �� Amps 7. What is the mobilehome site circuit breaker rating --- �� D Amps P 8. Is there any other electric load'to be rved by the mobilehome site service? ------- --- ----------------- Yes No (If .yes,. identify- the.aload.. andusize �., (Load;) (Amps) 9. What is the mobilehome site gas pipe size? -------------- / (in.) 10. What is the type' of gas service.? -- - - - - ---------- Natural- LPG 11. What is the gas pipe length from meter or tank to the mobilehome?--------------------------------------------- � * 12. What is the mobilehome gas demand? ---------------------- (BTU) *(This information not required if pipe length less than 6 ft. o natural gas or less than 50 ft. on LPG.) BU17E COUNTY IA PWF-RR ® NEXT PAGE -MUST BE COMPLETED TO PROCESS P WPARTMENT� ` ' E D 1 z MOBILEHOME SUPPORT DATA / If other than single wide, '41 Mobilehome Mfr.. d(f� (� SGGi,�✓E furnish Setup Model No.: Year /�'7d Width 4,?7 (ft.) Box Length (ft.) Tagalong cr Expando Size ft, x ft: On.all mobilehomes manufactured -after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). FOOTINGS (check one)7XI, 1. Wood=pressure treated or foundation grade..a 2. Other -(specify) SUPPORTS (check one)F/Y' 1. Concrete block.a 2.' Other (specify), Pier Footing Sizes and Locations . SINGLE -WIDE MULTI -WIDE Line 1 .�- Lie I , Line 2 — — — — — Main Beams Line 2 Main Beams .. Line , ----------- ...r_Line Tag or Triple Line 4 ,e ._Line .1 .. Line 1 Piers: Line 1 openings: -Size -Min- ----- k Size -kin- ------------------ -- -. - Spacing -Max.,_. --7-7---- r_ ,. o _- .. Each Side of Openings From Ends -Max, ------- " With Width Over --------- Line 2 Piers' - Size -Min. -----=-- --- fx U .._ Spacing -Max. - —,. - /7 S ." From Ends -Max;.------- Line 3 Piers:_ (Under Bearing Wall Only) Size-Min------------------- .fx Spacing. -Max---------------- From Ends -Max. --- ---------- _ Line 3 Roof 'Loads : % It ;ftX R a4tc Al � /L / S Size -Min------------- :-30 , x x x x x k Location (From Front) Line .4 Piers:_ __. .. _ _ Line 5 P-iers: �,(Under- Bearing. -.Walls.- Only_)._ Size -Min._---------- Size-Min----------------- Spacing-Max.--------- =- ,f Spacing ,Max---------------- ' f_ From Ends -Max,------ From Ends -Max -------------- Line 5 Roof Loads: Size -Min.------------ LocLion,(From Front) ..x ..x "A ..x �fx ox o COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO 7 County Center Drive - Oroville,`Callfornle 95965 -Telephone: 916.'538-7541 -Z: APPLICATION AND PERMIT ASSESSOR PAF�ffL�J,�Y-2644 7 LLL ZOTIr BUILDING PERMIT OWNER PENNY REDMAN TELEPHONE 742-7656 $O. FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS 1703 RAMIREZ ST #14 MARYSVILLE CONTRACTOR'S NAME UNKNOWN TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' 20.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4910 VIRGINIA AVE OROVILLE Permit fee $ 20,00 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❑ Mobilehomeg Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 45,00 TYPE OF WORK New 1 Addition U Remodel ❑ Utilities a Installation[) Other ❑ Describe work: MN U TO REr?•ACE FIRE DAP'IAGED HOUSE Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 18.50 Main service 200A TO IOOOAI 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ 1 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 LJ 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) 1, 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 OCCUR.&) OR ACDNS, l ACG. BLDGS. 3.64sq.ft. NEW MULTI -OUT LET NON-RES, SID BRANCH CIRC ITS @ 5.00 POWER APPARATUS & (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 @ 761 FIXED APLNS. EX. Occup. OUTLETS P(RESID.)REA.� I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 15.00 Misc. Wiring g 15.00 Permit Fee $ 48.50 — 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 FiIingFee 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 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 a In t said ou ty in consequence of the granting of this permi X SGL Date b�L3 Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHAwork permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE 128.50 HAZ DFEES IMP PARC FLOOD COF PARCEL PO HD Iss This permit is hereby issued under the sions of the Butte County Code and/or indicated above for which fees /� RECTOR OF PUBLIC By 4r'J wt� PERIfAITTEXPIRES Date applicable provi- resolutions to do j have been paid. WORKS DatJ,43�/ . Receipt No. 116864 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT '� d ' "t �^4.,r t r� r+�} � 1s '� i�1tt'� } "�+�"'i�+S's�"�-'t'<1'Y �'►'+�°'' ip ° � "`y � ';rA' '•N �'� � gty t.. a. � ;.� Art -. r. COUNTY OF BUTTES PARTMENT�O RUBIACM n WO y. BUILDING DIVISION `Y 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 = TELEPHONE (916) 538-7541 __`N P RMIT APPLICATION DATA SHEET OWNER (iNIV { /r//r~/V f # A. P. No. C/�`5� ZZZ77 Proposed Building Use, Building Inspector AO Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED By 1, All items have been submitted. ..................................... 2. Plot plan /4 sets, signed by preparer of'plans. ........................ 3. Complete plans, 3/4 sets, signed by preparer of plans. ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ............. 5. Hazardous Material Form.............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non-Heated and A/C Buildings. ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .......................................... 11. Impact fees as shown on attached schedule............................... ` 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood y I' ornia Engineer. .. :: l 14. Sanitation and plot plan approva Health Department. .......... 15. City of Chico plumbing permit. ... Y................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). . . Pre-Inspection reque-f 20. Pre-inspection for s required. . to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification). .......... 22. Certificate of Workmans Compensation Insurance. .......................... 23. Owner-Builder Verification (Given to owner Mail to owner )............ - 24. Recorded copy of Agricultural Acknowledgement Statement. .................. - 25. Letter of signature authorization......................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use.......................................... . 28. Mobilehome utility clearance........................................... 29. Documentation of legal access . ........................................ 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ........ ..... 31. Existing violations/expired permits...................................... . 32. Plan check list . ................................ 33. 34. Wh•eye you issue the per99} * proce s as follows: Mail topy�ner. Mail to contractor. V Telephone %`f %and hold for pickup at 011P office. Deliver with inspector. Other Parcel CreationtaL ti ,� Acreage Applicant ��/� �� Date 3 Copy of Haz-Mat form sent Health Dept, Fire Dept. Air Pollution Date Copy of plans sent Health Dept. ire Dept. Other Date By The following data must be submitted pridto permit is ance: (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 _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mai Counter by _ Date Plans checked by Date Plans approved by Date. Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works 6)169 (!�tI6_ 4-r 6dlt _151�-1_2 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 NUMBER 7- Z-6V�P ZONING BUILDING PERMIT OWNER I ONJ�l1_ TELE H NE 6�6 SO. FT. OCC. BUILDING VALUATION r •^^ OWNER'S,lMAIL N^,F-� _ 63 �, ply � CONT A T 'S�A _E TELEPHONE CONT'RACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $—V5–.00– LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ P2Cy_ OJ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 15.00 D 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❑ Mobilehome2( Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home @ 15.00 ZZ, l(N TYPE OF WORK New ❑ Addition ❑ Remo�d/eI ❑ UtilitiesInstallati/o�n ❑ Other ❑ Describe work: ,L�� !/ TO (PE�Q(T6 z• i%C _ 0,, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 600V OR LESS 200A OR LESS 18.50 Main service 200A To 10o0A1 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 ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do tbe-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. 3.60sq.ft. NON-RESID CO R BRANCH MULTI. 0 UTLECIRCUITS @ 5•00 POWER APPARATUS Q\ (SINGLE OUTLET CIR. / Ex. Occup( OUTLETS OR FIXTURES 20 9 76d FIXED APPLNS. EX. Occup. OuTLETS1RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 / Misc. Wiring ' 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 FiIingFee 1 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. 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 Si PP ❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr3Qstoriesoin height. excavations over 5'0" deep and demolition or construct- Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEES HAz I DFEES I IMP I FLOOD I 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 DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. WNITE-D.P.W.. YELLOW-ASeESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 7-1 PERMIT NO: 16-93 Lake Oroville Area Public Utility District 1960 Elgin street OROVILLE, CALIFORNIA 95966 533-2000 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION BUILDING SEWERS This verification form must be submitted to the.Butte County Department of Public Works Building Department prior to issuance of a building or occupancy permit, whichever is applicable. Prior to final approval by Butte County of a Building or an Occupancy Permit, a copy of this verification form, signed off by Lake Oroville Area Public Utility District, must be submitted to Butte County. Date: March 9, 1993 Applicant: Penny J. RE1MQ 0 Applicant Address: 106 C Street, Marysville, CA 95901 Applicant Phone No.: Home 742-6465 Work 742-7656 Property Location (s): 4910 Virginia Avenue Paxton Subd. - Lot 64 A. P. No. (s): 35-222-44 Fees due: No fees due. Reconnection new line required. Application for service approved: LAKE OROVILLE AREA PUBLIC UTILITY DISTRICT Inspection(s) made and successful test(s) observed: Location: Date: Lake Oroville Area Public Utility District release to close permit: Date: By: 92-2524-3 Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEIY�EMENT ; FOR RESIDENTIAL -DEVELOPMENT > Section 26-8.1 of the "Butte County_ Code _ requires this "acknowledgement be recorded � � —��4 �� R prior to issuance of a building permit..- ec Fee I Cash l� 5.00 5 00 The property described herein is adjacent Recorded I to land or included within an area zoned Official Records I for agricultural purposes, and _residents County of i of this property may be subject to incon- Butte veniences or discomfort arising from the Candace J. Grubbs 1 use- of agricultural chemicals, including, Recorder I but not limited to herbicides, pesticides, 2:00pm 8 -Jun -92 I PUBL XX 1 and fertilizers; and from the pursuit of agricultural_ "operations including, - but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,. -smoke, noise, and odor. Butte County has established agricul- tural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property. situate in the County of Butte, State of California, described as follows: the real property in the City of " County of Butte State of California. described as Lot 64, as shown on that certain map entitled "Map of Paxton Subdivision, in the Southwest quarter of Section 20, Township 19, North, Range 4 East, M.D.B.&M., Butte County California", which map was filed in the office of the Recorder of the County of Butte, State of California, April 4, 1923 in Book 8 of Maps, at page 50. a Date: ��- PR ERTY OWNERS: State of On this the day ofdfi�-- , 197Y, before me, the SS. undersigned Notary Public, ersonally appeared. County of�U�f ) - Present A.P. No. }� u Personally known to me. El Proved to me on the basis of s tisfacto��,,yy evidence. to be the person(s) whose name(s) �614!jA/ J iCedVl, cvvl subscribed to the within instrumentacknowledged that executed the same for the purposes therein contained.—IN WITNESS WHEREOF, I hereunto set my hand and,official seal. PAUL W. FARRIS COM.59665 NOTARY PUBLIC9CALIFORNIA BUTTE COUNTY otary rudlic END OF DOCUMENT ?661 `• I IVO,, S�b�M L i. O , 1 2 3 -4 RV-- o INCIDENT NO. 1 0 1 DEL CORA FIRE DEPARTMENT `OCCUPANT NAME ^' •' RELATIONSHIP ESTIMATED LOSS - PROPERTY i 9 0 0 ALARM EXPOSURE NO. TIME MONTH DAY Entries contained In this report are YEAR DAY STATE OF CALIFORNIA Intended for the sole use o/ the OUT OF JURISDI 1 OFFICE OF THE STATE FIRE MARSHAL State Fire Marshal. Estimations TEL. •.CODE , and evaluations made hereinrepre- .sent "most :likely" and "most RADIO 4 9. probable" cause and effect. Any Of TIRE CITY CH CHECK IF YES ' representation. as to the validity or !OX VERBAL accuracy of reported conditions OTHER EZ+ DIO outside the State 'Fire Marshal's 'ADDRESS ROOM / APT. NO. CITY Office, is neither intended nor implied. ZIP TELEPHONE NO. (DEPARTMENTAL USE) 1 2 3 -4 RV-- o INCIDENT NO. 1 0 1 DEL CORA FIRE DEPARTMENT `OCCUPANT NAME ^' •' RELATIONSHIP ESTIMATED LOSS - PROPERTY i 9 0 0 ALARM EXPOSURE NO. TIME MONTH DAY CODE YEAR DAY COUNTY 01ST/ OUT OF JURISDI 1 0'.0 SOURCE TEL. •.CODE PI o4j1 RADIO 4 9. CO � Of TIRE CITY CH CHECK IF YES ' !OX VERBAL OTHER 'ADDRESS ROOM / APT. NO. CITY ZIP TELEPHONE NO. 1 (CALL BACK) 9-ri CIL Ma L-1 OWNER'NAME ADDRESS >a.,Tn.; c+ 4 CITY ZIP- CENSUS!PARCEL NO. "- n rpm - > Marysvi11-e 90-1 035-22-2-044- IMANAGER NAME ADDRESS C TELEPHONE NO. A.. -INFORMATION, ( PAGE 17) 2 3 2 9: 4! ,2 3, 4. FIRE DE PT :+'10 B. PROPERTY CLASSIFICATION .( PAGE 19) C. PROPERTY TYPE ( PAGE 41 ) CODE EXTENT OF DAMAGE - SMOKE INCIDENT N0. ESTIMATED LOSS - PROPERTY i 9 0 0 CONSTR DATE EXPOSURE NO. TIME MONTH DAY CODE YEAR DAY COUNTY 01ST/ OUT OF JURISDI 1 0'.0 _. 0...1_... •.CODE TYPE o4j1 '0 048 3 4 9. CO � Of TIRE CITY CH CHECK IF YES ' i 2 3 2 9: 4! ,2 3, 4. FIRE DE PT :+'10 B. PROPERTY CLASSIFICATION .( PAGE 19) C. PROPERTY TYPE ( PAGE 41 ) CODE EXTENT OF DAMAGE - SMOKE INCIDENT N0. ESTIMATED LOSS - PROPERTY i 9 0 0 CONSTR DATE EXPOSURE NO. TIME MONTH DAY CODE YEAR DAY COUNTY 01ST/ OUT OF JURISDI FORM OF HEAT CAUSING IGNITION 0'.0 _. 0...1_... •.CODE TYPE o4j1 '0 048 3 4 9. CO � Of TIRE CITY CH CHECK IF YES ' CODE CODE EXTENT OF DAMAGE - SMOKE TYPE�OF INCIDENT ESTIMATED LOSS - PROPERTY i 9 0 0 CONSTR DATE `1 1. 1 Building CODE PRE T2 POSY 7, 1 El 2 POE _.PORTA9LE. EXTINGUISHERS - EFFECTIVENESS. PROPERTY CLASSIFICA'104 (COMPLEX EFFECTIVENESS FORM OF HEAT CAUSING IGNITION 0'.0 6 Undetermined •.CODE TYPE PROPERTY CLASSIFICATION (INDIVIDUAL) 1 4 1 1 ;Single Fam, year round' CODE EXTENT OF DAMAGE - FIRE 4- Conf iried to- building �`�of origin ' CODE EXTENT OF DAMAGE - SMOKE CODE EXTENT OF DAMAGE - WATER ESTIMATED LOSS - PROPERTY i 9 0 0 ESTIMATED LOSS - CONTENTS F. -AREA. MATERIALS & SMOKE SPREAD ( PAGE 63 ) CODE AREA OF ORIGIN CODE `TYPE'OF"MATERIAL'FIRST IGNITED 2 0:: Flammable insufficent informat CODE' 'FORM OF'MATERIAL FIRST I.NITED $s 6) accelerant 'CODE "' "MAIN'AVENUES SMOKE'SPREAD { t"" - -- -H."PROTECTION FACILITIES -( PAGE 911117 1 .2 3' 4 t 6' CODE SPRINKLERS.- TYPE - CODE 4 SPRINKLERS - EFFECTIVENESS CODE STANDPIPES - TYPE CODE 1 STANDPIPES-- -EFFECTIVENESS - - - •- , CODE -PORTABLE EXTINGUISHERS - TYPE CODE.. _.PORTA9LE. EXTINGUISHERS - EFFECTIVENESS. J. -MISCELLANEOUS (PAGE 109) FIREFIGHTER! CIVILIANS ' N0. INJURED -•NO. OF DEATHS N0. INIUR EG N0. OF DEATHS IS ;2 i '3 4 CTION I .1 PROPERTY MANAGEMENT PVT FED STATE COUNTY CITY DISTRICT FOREIGN OTHER 1, 2 3 4 S 6 7 8 CODE STRUCTURE, BUILDING OR VEHICLE - PROPERTY TYPE BUILDING 1 Building single NO. STOR IES1 STRUCTURE. BUILDING - CONSTRUCTION TYPE EXT. WALL INT. WALL FLOOR -ROOF FIRE RATED N/C C B N/C MB N/C CO 'TES NO 2 3 a S 8 7 B E. LOCATION & CAUSE ( PAGE 49 ) CODE PRIVATE 9RIGAOE - TYPE LEVEL OF ORIGIN 1,0 7n. 1 Ground floor CODE - TYPE ' SOURCE OF HEAT CAUSING IGNITION ' 9 8 No equipment involved CODE EFFECTIVENESS FORM OF HEAT CAUSING IGNITION 0'.0 6 Undetermined CODE TYPE ACT OR OMISSION CAUSING IGNITION 1 7 Incendiary, person unknown G. SPREAD OF FIRE ( PAGE 77 ) CODE PRIVATE 9RIGAOE - TYPE MAIN AVENUES FIRE SPREAD 0', 7n. Horizontal openings CODE - TYPE ' -' 'TYPE MATERIAL CAUSING SPREAD 2'0 EFFECTIVENESS - Flammable, insuff. information CODE EFFECTIVENESS -FORM MATERIAL CAUSING SPREAD 8 6 Accelerant CODE TYPE ACT OR OMISSION CAUSING SPREAD - 1 7, Incediary, person unknown I. PROTECTION FACILITIES ( PAGE 97.) CODE PRIVATE 9RIGAOE - TYPE CODE PRIVATE RRI;AOE - EFFECTIVENESS CODE SPECIAL HAZARD PROTECTION - TYPE ' CODE SPECIAL HAZARD PROTECTION - EFFECTIVENESS - CODE SIGNAL OR WARNING SYSTEM TYPE CODE EFFECTIVENESS CODE SIGNAL WARNING SYSTEM - MEANS OF ACTIVATION •. CODE SIGNAL WARNING SYSTEM - TYPE DETECTORS CODE WATCHMAN EFFECTIVENESS CODE OTHER FACILITIES EFFECTIVE ES EL MED 2 O )N 3C RL D = STR = CT PRELIMINARY FIRE INVESTIGATION REPORT DATE '_z':03/04/39 -- Incident No. 101 Case No. 89-14-12 14 —_–__ — Fire No. _ _ Location 4,91 O V i. r -a i rz i_ a Ave _ Victim HARSHBARGER, Benson. Victim Address '1703 Ramirez St, #4, Marysville CA 95901 Property OwnerHARSHBARGER, Benson Owner Address sea above Victims Ins. Co.._g�,i_�r.._rc�.LPolicy No. DFS 023711-1 Owner Ins.' Co._ ..... Policy No. Has a cause determination been made ? YES NO ` was there any structural damage? YES NO Give a Summary of cause investigation below- - be breif - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - Fire units arrived to a fully involved, single family wood framed. house. The structure was a vacant building that had been unsecured prior.to the fire. The fire cause investigation found that there were multiple points of origin within the structure and the intensity of the fire and burn patterns _indicate that flammable liquids were used as ay'fire accelerant. The house',, was completely,empty, prior to the fire and had no'fuel load, to speak of, other the the structure itself, to account for the intensity of the fire.,There were also several burn -'through areas on the livingroom floor,.and in the service room. Interviews with -neighbors gave a description,of a posible suspect, to follow up on. Fire.cause determined to.be incendiary, followup investigation to continue. Cause determination: Acidental Criminal Undetermined Col.) it e—o e"d* aau e OROVILLE, CALIFORNIA GENERAL CLAIM CLAIMANT: Penny Redman Owner has decided not to do work. Permit #93-1145 B- AP#035-222-044, Receipt #141024, dated 4/27/93. ADDRESS: 1703 Ramirez St. #14 CITY & STATE: Marysville, CA 95901 IMPORTANT: May y 13 1993 SEE INSTRUCTIONS GATE OF CLAIM: , ON REVERSE SIDE SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES DATE DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY) AMOUNT Owner has decided not to do work. Permit #93-1145 B- AP#035-222-044, Receipt #141024, dated 4/27/93. Total Permit Fees Paid --------------------------------- $310.10 Retain Building Permit Filing Fee ------------ Total Permit Fees Retained----------------------------- 15.00 TOTAL REFUND DUE----------=---------------------------- T295.10 TOTAL 295 10 I. the undersigned, declare under penalty of perjury that the services or articles claimed hev been patio or delivered, and that this claim is true and correct as stated. /\ Dated this........�+...................... day of .......... 19 Z,c at ()YQl/4..4rS.lr,.......... Calif. CtiL'� St atpro of Claimant I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified ovrn performed or de- livered and that there is a Budget Appropriation 0 or Specific Board Approval0 (Check one) for the s 93 Oroville , Calif. Dated this.....13t1'1.................... day of ,May................... 19..at .............................. ...... ................................................... Department Head or Authorized Deputy Dept. n Exp Code ....44Q -0Q2 ................... Code ........4.2,1,0.5.0.0 ....................PAYABLE FROM.........COn&L....P$Ym31rS.......................................... FUND DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY DEPT. & SUB. PROJ. SUB. OBJ. CLAIM NO. INV. NO. INV. DATE ENCUMB. GROSS AMT. I F Xe -G �. o3S- wa� �,�ehn y i2ec� r�v� y/oZ� O k(aJ-yLS vi LCt., C�3 cSgd/ h CERTIFICATE OF ROOF.COVERING OWNERS NAME: A.P. #: ADDRESS: PERMIT #: BUILDTNG SIZE/AREA: BUILDING USE: FIRE HAZARD ZONE ALLOWED ROOFING FROM LISTS BELOW [� VERY HIGH #1, #2 HIGIT = #1, #2, #3` ` [� MODERATE #1;�#2, *3;,•44 LIST #1'• �' w� .'.; LIST #3 CLASS 'A' ASSEMBLY ❑ CLASS 'B' ASSEMBLY F] CLASS 'A' PREPARED ROOFING ❑ BUILT-UP ROOF PER 3203(e) ❑ CLASS A OR B PREPARED ROOFING ,��, LIST #2 ASBESTOS CEMENT SHINGLES Fj METAL ROOFjING~ \ ' �J CONC. OR CLAY TILE (OTHER FIRE RETARDANT ROOFING) ❑ SLATE SHINGLES LIST #4 (O':C'III;R NON-(,UMB(JS'I'113I-,I-, 00I1:NG) F]CL,ASS 'L' 'L35# ASf'IIA1�1.' SII.LNGI;I?S I HEREBY CERTIFY,iI INSTALLED ROOF COVERINGIAS INDICATED ON THE ABOVE BUILDING, TN CONFORMANCE;WITH,,STATE AND. LOCAL REQUIREMENTS. FIRM NAME/OWNER (Please Print) STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF GENERAL CONTRACTOR/OWNER DATE THIS CE'R'TIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO F:[NAL INSPECTTON APPROVAL. January 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. q3-11415 ASSESSOR PARCEL NUMBER 035-222-044 • 40 ' ZONING RN BUILDING PERMIT OWNER 1.4 Penny Redman TELEPHONE 742-6465 S0. FT. OCC.1 BUILDING VALUATION 9 0 R 51,840.00 OWNER'S MAILING ADDRESS 1703 Ramirez St., #14, Marysville 95901 CONTRACTOR'S NAME .Ro Tate TELEPHONE CONTRACTOR'S MAILING ADDRESS Magnolia Rd., Marysville 95901 Fireplace CONSTRUCTION LENDER UNKNOWN p Total Valuation $ 51,840.00 ' Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 190.75 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 95.35 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee m01.10 PLUMBING PERMIT Filing Fee 15.00 4910 Virginia Ave. Oroville Each Trap 1 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[3 Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 Mobile Home S G W @ 15.00 TYPE OF WORK New Addition U Remodel ❑ Utilities ❑ Installation❑ Other ® Describe work: Pprm Fnt,ndgt-inn _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200AA 00OR LESS 2OR LESS 18.50 Main service 200A TO IOooA) _ 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 OCCUPM OR ACDNS. ACC. BLDGS. I/ 3.64sq.ft. NEW CONSTR. MULTI—OUTLET NON-RESID BRANCH CIRC ITS @ 5.00 POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 760 FIXED APLNS Ex. Occup. OUTLETS P(RESID )REA.) I .3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Ho g '15.00 Permit Fee $ Contractor — WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate 'of Consent to Self -Insure. IV 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 becomesubject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, ju rents, costs, and expenses which may in any way accrue aga st aid C my in consequence of the granting of this per it. X iY Date ��o�� 7i Signature of Applicant — Owner Cantraatar ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee S Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ 310.10 HAz DFEES IMP FLOOD COF 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 DIRECTOR OF PUBLIC By PERMIT EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Date Receipt No. 141024 WHITE-D.P.W.. YELLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - ORO`CALIFORNIA95965 - TELEPHONE (916) 538-7541 Y PERMIT APPLICATION DATWSHEET OWNEIle R_/% il/ � A. No. 3 � Proposed Building Use f�/f/-� �r,E/W AVIV/ Building Inspector f Date Z7 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. .......... -rrC Plot plans, 3/4 sets, signed by preparer of plans . .......................... complete plans, 3/4 sets, sigRied by prepay oplans . ...................... .4. Engineered plans and calbky4 sets ith wet signature on pan ............. 5. Hazardous Material Form . ............. . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... in, --Fees of $......................................... 11. Impact fees as shown on attached schedule . ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year floo ) b California Engineer . ................. . Sanitation and plot plan approval OE) Health Department . ............ 15. City of Chico plumbing permit: ...................................... . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: 18. Contact Land Development.about (A) Improvements (B) Drainage. ........... 19. Driveway permit (construction approval required prior to occupancy). ..... . 90- Pre -inspection for' required. .. euila g Inspector t (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . .................................... 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list. ...... ... . . 33. FI,) /P? a t SUf'p�A-171V 6 Ddc vyi of -e- 7-. 34. L v /I y5f° �G Dy When you issue the permit, process as follows: Mail to owner. Mail to contractor. i.%Telephone and hold for pickup at office. Deliver with inspector. Other. Parcel Creation PG`s � Acreage 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 permi�tJ'ssuanc7: (Circle new item not checked above). 1. Index permit for above items No.-Gz��.� , r a 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by Date Contractor, designer, owner, was advised of above required data by _ phone -mail Counter by _ Date. Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works q "� 4 ��iUO