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HomeMy WebLinkAbout039-270-017M AP 39-27-17 Calvin Johnson f Yocum St,, Durham 39-27-17 + _ Calvin Johnson _ ! SE Corner of Yocum.St. & Ord Ferry Rd., t, Durham Permit #1229=76B(demolition/old storage oldg,) ` 3.9-27-17 i Permit #122-76P,E(5util.1 Z14 EI,EC , GAS SUPP T TRUCTURE Q C ACTIN TEST REQ -) -27-17 !CONTR, Beich Mo a Home Sales, Chico permit #147 6MHI 4 �- o2 ! Issued _ P 039-27-0-017 96-0�l87 B JOHNSON, Calvin 9490 Yokum, Dayton (reroof/storage) B08-1050 039-270-017 + MISCELLANEOUS Electric Panel REPLACE ELEC PANEL & WEATHER 9490 YOKUM ST r JOHNSON, CALVIN & GAIL I i �l BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION (IVR): (530) 538-4365 OFFICE: (530) 538-7541 FAX#: (530) 538-2140 ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds FEE INFORMATION DBE Single Phase Service-Resid $59.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 06/05/2008 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I 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 is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those X signature Date WARNING: FAILURE TO SEC WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip 00 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a peril to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE LP OFFERED WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: Owner's Signature Date hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter, the above mentioned property for inspection purposes. I hereby certify that I am the lop�rty owne or authorized to act on the property owners behalf. fx,%�,vi , f J49n 06/05/2008 VN Owner Contractor OR.Agent for Owner Agent for Contractor FILE COPY PROJECT INFORMATION Site Address: 9490 YOKUM ST Owner: Permit NO: B08-1050 APN: 039-270-017 JOHNSON, CALVIN & GAIL Permit type: MISCELLANEOUS 4120 PINELL ST Issued Date: 06/05/2008 By KCG Subtype: Electric Panel SACRAMENTO, CA 95838 Expiration Date: 06/05/2009 Description: REPLACE ELEC PANEL & WEATF (916) 202-4073 Occupancy: ' Zoning: A40 Contractor Applicant: Square Footage: JOHNSON, CALVIN & GAIL Building Garage Remdl/Addn 4120 PINELL ST SACRAMENTO, CA 95838 Other Porch/Patio Total (916)202-4073 FEE INFORMATION DBE Single Phase Service-Resid $59.00 LICENSED CONTRACTOR'S DECLARATION Contractor (Name) State Contractors License No. / Class / Expires I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. X 06/05/2008 Contractor's Signature Date WORKERS' COMPENSATION DECLARATION I 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 is issued. ❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My Workers' Compensation insurance carrier and policy number are; Carrier: Policy Number: Exp. Date: (This section need not be completed if the permit is or one hundred dollars ($100) or less. I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those X signature Date WARNING: FAILURE TO SEC WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for the performance of the work for which this permit is issued. (3097 civ. code) Lender's Address City State Zip 00 Balance Due: $0.00 Receipt No: OWNER / BUILDER DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that requires a peril to construct, alter, improve, demolish, or repair any structure prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$500]; Please check one of the following: I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE LP OFFERED WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of the property, who builds or improves thereon, and who does the 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 improvement is sold within one year of completion, the owner -builder will have the burden of proof 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 License Law dows not apply to an owner of the property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors License Law.). ❑ I AM EXEMPT under Section B. 8 P.C. for this reason: Owner's Signature Date hereby certify that I have read this application and state that the above information is correct. I agree to comply with all City and County ordinances, rules, regulations, and State laws relating to building construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless Butte County, its officers, agents and employees from any and all claims and liability for personal injury, including death, and property damage caused by, arising out of, or in any way connected with the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte County to enter, the above mentioned property for inspection purposes. I hereby certify that I am the lop�rty owne or authorized to act on the property owners behalf. fx,%�,vi , f J49n 06/05/2008 VN Owner Contractor OR.Agent for Owner Agent for Contractor FILE COPY BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION" OFFICE #: (530) 538-7541 FAX #: (530) 538-2140 oo A FEE WILL BE REQUIRED AT TIME OF APPLICATION C .� Website: www.buttecounty.net/dds OV N� PLEASE PRINT CLEARLY "When filed, this application and all supporting material becomes subject to the California Public Records Act. All related to this application is subject to public inspection and will be posted on the County's website for electronic access. OWNER INFORMATION Last Name d14 Filaq�e Mailing Address o y0 /{ V M5 I City t o State �� Zip Phone?�� �67. Fax E-mail - APPLICANT INFORMATION CONTRACTOR Name 0 IL mtr) Address Zip City Fax State Zip Phone Fax E-mail Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Fax E-mail State License Number APPLICANT INFORMATION Name S owner Address City State Zip Phone Fax E-mail APE!�/ MINA PERMIT NO. BIN # PROJECTLOCATION Property Address e City �� f co -1050 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 DESCRIPTION OR SCOPE OF WORK. Zoning Flood Zone SRA I Yes I No c�CiYl exec 'wal Type Const. Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): For office use only: Zoning Flood Zone SRA I Yes I No Occ. Type Const. �J Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-2140 Fax www.buttecounty.net/dds OWNER -BUILDER INFORMATION An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ° If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $500 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. ° If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal ° income tax withholding, federal social security taxes, workers/ compensation insurance, disability insurance costs, and unemployment compensation contributions. There may be financial risks to you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. ° For more specific information about your obligations under federal law, contact the Internal Revenue Service (and, if you wish, the U.S. Small business Administration). For more specific information about your obligations under state law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through thier own employees, without a license contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board's automated telephone information system at 1-800-321 -CLSB (2752) or by accessing thier website at www.CSLB.ca.gov. PLEASE COMPLETE AND RETURN THE ENCLOSED OWNER -BUILDER VERIFICATION FORM SO THAT WE CAN CONFIRM THAT YOU ARE AWARE OF THESE MATTERS. THE BUILDING PERMIT WILL NOT BE ISSUED UNTILL THE VERIFICATION IS RETURNED. OWNER BUILDER VERIFICATION PLEASE COMPLETE THIS FORM AS REQUIRED BY THE STATE OF CALIFORNIA (SENATE BILL NO. 831 EFFECTIVE JULY 1, 1980). NO BUILDING PERMIT WILL BE ISSUED UNTIL THIS VERIFICATION IS RECEIVED. 1. 1 PERSONALLY PLAN TO PROVIDE THE MAJOR LABOR AND MATERIALS FOR CONSTRUCTION OF THE PROPOSED PROPERTY IMPROVEMENT YES OR NO) 2. I�(I-IAV�/HAVE NOT) SIGNED AN APPLICATION FOR A BUILDING PERMIT FOR THE PROPOSED WORK. 3. I HAVE CONTRACTED WITH THE FOLLOWING PERSON (FIRM) TO PROVIDE THE PROPOSED CONSTRUCTION: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 4. I PLAN TO PROVIDE PORTIONS OF THE WORK, BUT I HAVE HIRED THE FOLLOWING PERSON TO COORDINATE, SUPERVISE, AND PROVIDE THE MAJOR WORK: NAME ADDRESS CITY PHONE CONTRACTORS LICENSE NO 5. I WILL PROVIDE SOME OF THE WORK BUT I HAVE CONTRACTED (HIRED) THE FOLLOWING PERSONS TO PROVIDE THE WORK INDICATED: NAME ADDRESS PHONE TYPE OF WORK Description: REPLACE ELEC PANEL & WEATHERHEAD Reference Number: B08-1050 Applicant Name: JOHNSON, CALVIN & GAIL Owner's Name: JOHNSON L IN & G AP # :039-270-%017 Signature of Property Owner: Date: __ y 9 PERMIT NO. 1229-76B PERMIT EXPIRES OWNER Calvin Johnson CONTR. owner LOCATION (A.P. 39-27-17 SE corner of Yocum St. & Ord Ferry Rd., Durham Temp. Power Pole Called PG&E Temp. Elea Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (4ate e g ure) i� ,i COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING ffUTb0,ING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets list Floor Main Bldg. t Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Water Htr. Stemwall Slab -Vents Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & T st Temp. Gas Slab Final _ �� Sanitation Patio FIREPLACE Final Footings Footing r, ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRES RINKLERS' Motors Framing Test !Ir Water Htr. Stucco Final Subpanels Mesh M NICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Vie Finish Ducts Under ound Interior Lath Ventilation Pen anent Door Closer Final Fina DATE T REMARKS OR CORRECTIONS \_ (NOTE: An entry must be made on this form each time you visit the job site.) �. BOUNTY OF BUTTE — ,Q'EP.,ARTMENT OF PUBLIC WORKS 7 County Center Drive — '0roville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT above-mentioned property for inspection purposes. v y y Iry X ateH`7� Signature of Permitee 09— gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORATPF PUBLIC WORKS ��ildinag Date Z� permit expires Date BUILDING Owner S.Q. BUILDING VALUATION Mai I ing Address^OTe 717 J +T.O ephoneC�Firepl Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ g Building Address PLUMBING No. @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 ^�Gas A. P. —�7 Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. .Sa� FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma p 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER _ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service 100 AMP OR01 OR LESS5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family ❑ Duplex.❑ Mobil Home ❑ Others OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONS, DWELING 0 OR ADDNST ( ACCLBLDGS.CCUP. 9 2¢sq ft NEW RES'.. MULTI.OUTLET NEW CO I T ( BRANCH CIRCUITS) '2.50ea ' ' NEWCONSTR. POWER APPARATUS & NON •RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9,•Div. 3, of the State of California Business & Professions Code under the name Style of: Ex. Occup(OUTLETS OR FIXTURES)50 @251 BAL@1 09 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's.Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 authnri�c r ..��I...... ..s •. ,. n...._.. TOTAL PERMIT FEE "— above-mentioned property for inspection purposes. v y y Iry X ateH`7� Signature of Permitee 09— gent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTORATPF PUBLIC WORKS ��ildinag Date Z� permit expires Date #:°bks UGY- ChlC° '? p�bllc health 1� 31AA GpER�vl=°�me�tal es Z yes within To:©Mpg SID' VarlaSce ReAu cemelvt lack vatlarce is FIkow. a setbac 1 re�la a Seth gewag 1 6 opal ins to,i Te St 19 to ext4a� �g a44= gt'Ye t chew 410 e °pf�.. on is -req ire °f a 01% tue arta ,ration �t°blem• IAT calve °f th �atea z� ted C's; S° sal forty f tine area tea 9 %40 Ni f grate r = varia�ee 1 a -. `The 4r. pttacWe <. s 71 ; i' I '- .-=-rte-`� �- .---- •-- -� � --:-5_��5� � t 1 71 �I .. -__-T^�T-•i-i-�'ti"-:��L_ _ j i i <; j • -__. - _-- ___ i _ _ _ _�i.__ • .._-�` i...r-'f / - •1 1 : --! y_— —.--- — — —� : r�--__. ' 1 1 —T� 1 �_a I L � i �_.1_ � t'o1 - �--'%-.\�..•--_� ___I.��_C_ � ' -1 ice--__.__!_�! 1 _' i I f � . -!-:- -..�• __ __- .. I.� :..x._:41-.- � ^• i - I-^: � f I ..160-- _ _ 77 r— .---_ _ �-.l � I I � ' !..—_ I -_ _ _— _ _ 'sem— --_-_ �-.__, � ;•T'. '-�, -- --._ -- —;—rel-L•�— -•_-_- -�_ �-��T� ' 1 ! � �•-_ i -rte_____.37 -77 -- 1 � � I i i' t --�—T--- — ---- -- — -- — — — — — ---- -- • is 1 f i - - l 1 �- -- _ -- --- _.. -- ..7N- 1760 �� ..1 �- .._.. _.,._..12.0 � ..: COUNTY OF BUTTE DEPARTMENT OF PUB'i_IC WORKST COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the Ca 'fo nia d inistrative Code, Title 25, C pter 5 under permit number J for the following location: C� �02if1�//2� wnPr C _f��L��Ii� /,0x/f/-S0/V- rlop Owner's Address ff OX S7 C _D �2�%i?/, lv�OJ` 71 Mobilehome Mfg. Model OX! Year LZ Insignia No. 9-,& Serial No. s- % It is hereby certified for occupancy at the above described location and may be occupied. Director of P blic Nor Date B THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED � '�Yiv.�.v'�l+iw+..wt;t?;� �>-..Y�,.,-,�•'+"+rw�SL'..:,r4+f1'"'.� '�vN:���,,� s-�, �:... s '.. z. 4_"P'r „..,�'�.y'N''wK COUNTY OF BUTTE DEPARTMENT OF PUB'i_IC WORKS „� - T'COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 - CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the al'fo nia d inistrative Code, Title 25, Chapter under permit number for the following location: S G--- p./^ C. U!?1 S 7--t-l- /0/2® )' .. T'7 - PAv'Tinn/ 's Address 13 ox S c/2 D —,,� &x%2>,- Sl�� Mobilehome Mfg. �111C"2C0 S T' Model 702 , Year -192 Insignia No. -?— Serial No. &S-74, It is hereby certified for occupancy at the above described location and may be occupied. Director of P blit Wor Date B 9th THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED r • 3s .S / �r�' �C�Cie'e� l�V ✓ 1 J _ee& jr Or '.#0 util. MH 1228-76P,E - PERMIT NO. 5 EFE ;76 , PERMIT EXPIRES 3 OWNER Calvin Johnson CONTR. owner LOCATION (A.P. 39-27-17 SE corner of Yocum St. & Ord Ferry Rd.,-Durfram �WV7V4 Te m p . Po w e o l e Calle G&E Temp. ec. Serv. C led PG&E Te p. Gas Serv. Called PG&E JOB/FINALED(Date) 4 (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUIUDING Setback Forms Main Bldg. Footings Stemwal I Slab Piers Footings Stemwal I Slab Carport Footings Slab Patio Footinas Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer BUILDING (Cont'd) Firewall Parapets Restroom Finish Windows Sidin Roof Sheathing Roofing Fdn. Vents Garage Vents Prov. for physically handicapped Conformance of ex. structure Final FI Footing Throat Final E FIRE SPRINKLERS Final N MECHAI ICAL Heating Cooling Ducts Ventilation Final DATE ? —�� _] 4 REMARKS OR CORRECTIONS d YPXOv94biG7 �� ��-- 0/1:f TZ) 0-clevzoo— �/ -s 7-F-sT o D v E 2 cv o? -72o % 76- PLUMBING Soil Piping 1stFloor 2nd Floor 3rd Floor Water Piping �/ . L &— /'(P Sewer .r� — ,� O Z4 Fixtures Water Htr. Heaters Appliances Gas Piping & Test oZ % Temp. Gas �— Sanitation Final ZI/ " -7 ELECTRICAL Fixtures Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent 2s Final -- '41- y 2 to —76 Cepa o V,oDE ev (,.dj.Ze: ?D DO.k PILE ,�-3 -7 Ce (NOTE: An entry must be made on this form each time you visit the job site.) i MOBILEHOME - INSTALL-ATION° INSPECTION CHECK LIST 1. Is the mobilehome located wit equired separation.from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes4,1 No •3. Are footings and supports properly sized, spaced, and braced as pproved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes —40--4p 4. Is the mobilehome level? (Sec. 5088) Yes _Io 5. If more an a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flelwo--Col nector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes B. Test – Does water piping withstand working pressure or 50 lbs. air test? Yes C. Backflow- If ��/ot State of California approved, does'station have backflow device and pressur� � alve? Yes_ No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes B. Does it have minimum k" per foot slope and is it properly supported? Yes E--. No C. Are any leaks detected in drainage system after running 3-glons of water through each fixture in uding washing machine standpipe? Yes No_ D. If co i State of California approved, does station have required trap and vent? Yes o 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an 'approved 3/4" minimum mobilehome connector not more than 6 it. long? Note: All piping is to be at least as large as _the mobileh gas line inlet without reductions other than the mobilehome connector. Yes% o B. Test OK as per following procedure? YesNo 1. O _ , pen appliance connector valves. - 2.?'Shut off a liance burner and pilot valves. 3. test with manometer to 10"-1411'water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. tonnect gas mete}..to mobilehome with connector, turn on gas„ test connections with soapy water.*: �.' •t� C. Are all appliance vents properly installed? Yes L�1No 9. Electrical A. Is service large enough to provided amperage to mobilehome (must equal rating of mobilehome with a minimum of 1amp) and other facilities on loti._e,3 water pumps, garage, cabana, etc.? Yes No / OO e4 V1, (� / C> C) Sc v/GC B. Is there proper clearances around panels? Yeg No_ C. Is power supply cord or feeder assembly properly fused? Yes _No_ D. Is continuity test satisfactory as per the following procedure? Yes "No 1, De -energize electrical wiring system of the mobilehome at the pedestal, 2. e sure that the power supply cord or feeder assembly conductors, including neutral conductor, ave been.disconnected, 3. ch all breakers and switches in the mobilehome to the "on" position. 4.nn� ect one lead of a test.instrument to the mobilehome grounding conductor and apply the other lead to each rn.obilehume supply conductor, including neutral, 5. AlJ1, on -current., carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. on p.etion of the above procedure, the power supply cord orfeeder.assembly conductors. shall be connected to the site service equipment. A further continuity test shall then be made between the.grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for.water and sanitation? 11. If everything okay, sign off card and tag services. r MOBILEHOME DATA Manufacturer and/or Namestyle _ q-7 s Length 21�2 , Width Vehicle Serial No. S a e Identification No, / Additional, Information or Comments- .• COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephone: ,534-4541 Z � APPLICATION AND PERMIT C, $ gnoture of Per ee or Agent B �A/�+ Y Date Receipt No. � White-D.P.W. - Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B ing permit expires Date BUILDING Owner --� SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address or ele one No. Fireplace Contractor_ L2_2 Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 0 /L CUt Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping Each gas water heater or vent 1.50 _ ( /�—�%"d ZO"' Gas piping system 1 - 5 outlets 4,,6 Each additional outlet .30 Fees W..C. S Ar, n Fire Dept. Fire Zone Use Permit Building sewer —5r89 Q, EQADp Parkin Declare ion Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 $Plans4. PI ns Recd Parcel Approval P Pla Approval Permit Fee NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 V OR LE Main service 100 AMP ORSLESS 5.00 Q Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service OVER 600V 1100 AMP OR LESS 25.00 Main service// EA. ADD•L 100 AMP 1.00 NEW OR ADDNST l ACCDWELBLDGS.LING CCUP. &) 22sgft NEW CONSTR. MULTI -OUTLET NON-RESID. . BRANCH CIRCUITS) 12.50ea dN bj NEW CONSTR (PO ER APPARATUS & NON.RESID, (SINGWLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: , ` UU Ex. Occup(OUTLETS OR FIXTURES)@� BAL@1 FIXED APLNS. Ex. Occup.( OUTLETSPRESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee s s WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 'have placed on file with the County of Butte a certificate of ❑ Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. // X Date^ �6�76 TOTAL PERMIT FEES SC Thts permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated paid. above for which fees have nF DIRECTORPUBLIC WORKS $ gnoture of Per ee or Agent B �A/�+ Y Date Receipt No. � White-D.P.W. - Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant B ing permit expires Date I P-&� V- e. l* d n J a - 9 5 - / :-,% 0 1 7 —,0 F2 fit I LI I -j I kL i In'. : I I, I L L 0,4 q &I V -V On GIs? I 1.� 1: 14,-1 i 17Y"T', A L 7 0, 01 T L -L+f-I r-1 if it 7 it -4- /no 17 L -T —17- -T I ;-7 I 14-L. I f J I I I An' i 1 1 1 1 1 1 1 1 1 I T --4 L TODI :F4— r ;mt � I I 7 —Z—I i To I t T t ot;) I T JH+ -itt �T- L L P't -Ile& 6-1 I -A isse Ticaft(ink •tt4_7 ty, 11:M b la -M h'i 1L. Lt. ents-, 21L- 101 19. ter. I J- J. J 17 6A 7 -T—I I LUL- if no I I i rj -1-T C. iff if -i A te on eolf. r e TT e ro perMit C:t4vi. i0o, ?T 'i f J L4X— A I L — I UP %WW I it I Ir %qy 1- 1 7 lotiltrut Ons IOLC laU —bo! imobil 7 t -T— L4' It ` 1 1 • r 7 'y�j 3 oo—/2(, •—"� _ � � ����=vim+ �� %r% r � 67 CCJJy f d-� _q—,2-2 -6 -,ce/ --( I i t ,� - . • �=, °t ., �� `\' _/ < � \ ., { `\ i ` '` �� � 7 � ti a � , r , r �, i 1 �. l � - -' � � ti . �. ,�t . 'r . �• �. �, `1 i i 1 � - , ,� - � _ �^ .` �. �_ � \ `\ i ` '` �� � 7 � ti a \, �� - ` � � � • N _� . � — i f COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT aUulul ILa IC p I C J CIILaLIVCJ UI Lilt! k Uunty DI MULLU LU enter upon the above-mentioned property for inspection purposes. X �� r Date 7 Signature of Permmiit� r Agent Receipt No. / I - White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Wr1PUBLIC WORKS Date L/_ "jam — Z.,6 Iding permit expires Date Lt --Z,-77 BUILDING Owner CJ 0 fiINS661 SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor E> C ^9 al L pf1i C_ E oral Valuation /� Mailing Address S (S 6 /I/ QE Permit Fee Plan Checking Fee&/or Penalty /C . el hone No. S-7 / Permit Fee Building Address •`C C'© PLUMBING No. @ FEE PERMIT FILING FEE $3.00 ® C ',t- Q - Each Trap 1.50 b F4 v Ii?� Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No.Gas Zoning 8 Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 FSso4etiott FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plan—s— Parcel Declaration parcel Ma P 60' R/W Improvem is Lawn sprinkler system 2.00 Bldg. IaP ns Recd I Parcel. roval I Plo pprova1 Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 97 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home,K Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADDNS. ( DACCLBLOGS.LING CCUP. &) 2¢sgft NEW CONSTR. MULTI.OUTLET NON.RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS &) ( NON RES,D. (POWER OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: a j� y �d _ Ex. Occup(OUTLETS OR FIXTURES)50 @250 BAI_ @ 1 FIXED APPLNS. OR EX. QCCU P• OUTLETS (RE51 D.1 EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification _��� y-6 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ave placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEEQ �� 0 aUulul ILa IC p I C J CIILaLIVCJ UI Lilt! k Uunty DI MULLU LU enter upon the above-mentioned property for inspection purposes. X �� r Date 7 Signature of Permmiit� r Agent Receipt No. / I - White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR Wr1PUBLIC WORKS Date L/_ "jam — Z.,6 Iding permit expires Date Lt --Z,-77 T. BUTTE COUNTY DEPARnIENT OF PUBLIC'WORKS 7 County. Center Drive, Oroville;_ CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: ffy--Z"--Z 2. Installer's name:.–���� 3. Is the site currently under permit? Yes / No (If yes, furnish permit number OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 Wit. away fr septic tank and leach fields and clear of all setbacks and easements? Yes / / No / (If no, clarify — ) . f 5. What is the mobilehome electrical rating? ----------------------- fps 6. What is the mobilehome site service rating? `00 Amps 7. What is the mobilehome site circuit breaker. rating? Amps 8. Is there any other electric load to be served by the mobilebome \ siteservice? ------------------------------------------ ------------ Yes / / No / �-- (If yes, identify the load and size: (Load) (Amps) 9. 'What is the mobilehome site gas pipe size? -----___-_-______-_____ (,) 10. What is the type of gas service'? ------------------------------ Natural / / LPG /vi 11. What is the gas pipe length from me::er or tank to the mob-116home? _ � (ft.) 12. What is the mobileh-me gas demand? -------------------------- (BTU) (This information not required if Pipe length less than 6 ft, on natural gas or less than 50 ft. on LPG.) MOBILE1;iC1ME Mobilehome Mfr. ` Setup Model No. Year/-L>--� t /r Width (ft.) Length_ (ft.) - (Draw support details below) . On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets :(if. not .on file with the County of Butte). Sin le — Footings--(check.one; i 1. -Wood :either 'I t pressure treated or Cen er Center Suppor �fdn. grade.: Supp rt Footing Sizes Locat'ons, (in.) /_„`,2. Concrete pad. 3.. -Other, -'specify 41 -j 110 Su orts (check one; Concrete block 4 (� x �,g / / 2. Concrete piers f 71nT' e ° o 3. Steel piers 4. Other, specify Typical Support Footing Size (f"f� in. in. (in,) in.) r. Max Pier Pier. ..... Lj ., S Spacing f ft.)Ti - ft in in.* *If center piers are other than drawn above, draw in locations, spacing, and dimensions. q Max. Overhang I tt: in. �Ui'TE COUNT BUILDING DEPARTMENT APPROVED %,i f 039--'27-0-017 96.--'O%B , JOHNSON, Calvin 9490 Yok,um,.Dayton, (reroof/s.torage) COUNTY OF BUTTE- DEPARTMENT OF IDEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone 916 538-75411 PER NO. APPLICATION AND PERMIT dA y' ASSESSOR PARCEL NUMBER 0 ZONING Ah BUILDING PERMIT OWNER ."t CATIVTN r TELEPHONE SO. FT. OCC. BUILDING VALUATION 3W OWNERS MAILING ADDRESS 0490 YOKINC14=0 95928 CONTRACTORS NAME MNER TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDERS MAILING ADDRESS Permit Fee $ 15.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ - BUILDING ADDRESS 9490 YOKUM, DAYMN PERMITFEE $ 35.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other STORAGE SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOP Mobile Home S G W �,, @20.00 e. PERMITFEE $ Contractor ELECTRICAL PERMIT Filin_q Fee 20:00 Main Service a OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No.FIXED OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: NJ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING UP. OR NS. ( a ACC. ) SO. NEW CONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) _3.50T. 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .50 APPLNS. OR Ex. Occup. (OUTLETS (R S D.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply #ith those provisions. q X - ;SG — Date. / 1 �/ / Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent �- An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is o c CONST. 7PE J.+ TOTAL FEE $ 35.04 HAZ. D. FEES IMP FLOOD I CDF PARCEL PD HDA This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have �f BY PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date Y///A (Date) Receipt No. P -V 63 WHITE -D. D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION V 0 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7S_gzm NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 039-270-017 ZONING SKA A40 BUILDING PERMIT OWNER CALVIN JOHNSON TELEPHONE SO. FT. OCC. BUILDING VALUATION 5 SQ OWNER'S MAILING ADDRESS 9490 YOKUM ST, CHICO 95928 CONTRACTOR'S NAME OWNFR TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20,00 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 9490 YOKUM, DAYTON PERMITFEE $ 35,00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDN510N'SNAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other STORAGE SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF Mobile Home S I G W 1 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main ServiceOOOV OR LESS ( zoOA OR LESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR OR ADDNS. ( 8 ACC. BIDS. ) SO. 3.5¢ FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET Us Ex. Occup. (OUTLET OR FIXTURES) 20 @ 1.00 BAL 0 .SO Ex. Occup. ounEEDrsPPUNS j ea ( ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply kith those provisions. X _ _ _ Date Signatur� plic - ❑ Owner ❑ Contractor ❑ Agerlt ��_- An OSHA permit is r uired for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee is Energy Inspection Fee $ o c coNSLJ TOTAL FEE $ 35.00 HAZ. D. FEES IMP FLOOD CDF PARCEL PD HD ISS This permit is hereby issued under the of the Butte County Code and/or indicated above for which fees have By PE ITEXPIRESON applicable provisions Resolutions to do work been paid. Date �� (Date) Receipt No. 083 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT c COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBERc7 ^ �^ ZONING s �. BUILDING PERMIT OWNER C TELEPHONE S ' SQ. FT. OCC. BUILDING VALUATION OWN]t MAILING ADD , 9S CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNIaOWN Total Valuation $ 3 p LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ / ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS ' / G O O t �-/ff `% V PERMITFEE S PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 USE OF STRUCTURE SF ❑ Duplex ❑ MobilehomeI OtherMA C Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 1 5.00 Building sewer 15.00 TYPE OF WORK � New ❑ Addition ❑ Remodel Utilities ❑ Installation ❑ Other e Describe Work: �� /,t7 ��_t r Mobile Home IS I GI W @20.00 PERMITFEE S Contractor ELECTRICAL PERMIT Filin Fee 20:00 Main ServiceE00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S 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 the Business and Professions Code,POWER and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I,' as owner of the property, am exclusively contracting with licensed contractors . to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X �—-- Date �j Signature of App nt - ❑Owner ❑Contractor J Age t An OSHA permit is equired for excavations over 5'0" de_ep'.and demolition or construction of structures over 3 stories in height. NEW CONST. DWELLING OCCUP. SO. OR AD DNS. ( & ACC. BLDS. ) 3.5¢ FT. NEW CONST. MULTI.OUTLET NON•RESID. ( BRANCH CIRCUITS ) @7.50 APPARATUS (d SINGLE OUTLET CIR. ) Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.0 SAL Q :00Occu EX. FIXED APPLNs. OR p. ( OUTLETS (REBID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE _ Contractor MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. nPE TOTAL FEE $ HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD HD IssUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMITEXPIRESON I (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Attention Property Owner: An "owner -builder" building 'permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement : YES[ ] NO[ ]. 2.. I HAVE[ .] HAVE NOT[ ] signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work,. but I have hired the following person to coordinate, supervise, and provide the major work: NAME: - , ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide'the work indicated: NAME . ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: SOCIAL SECURITY NUMBER: %DATE: NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. 0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sin^cerely. • 1 Michail C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. OVER Elton Johnson 9490 Yokum Dayton, CA 95928 RE: F039-270=917 Dear Mr. Johnson: ,6ufte Co, L A N D O F N A T U R A L W E A L T H A N D B E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538.7681 RONALD D. McELROY Deputy Director Per our conversation on June 23, 1992, this is a warning letter to notify you that you are in violation of the Butte County Public Works policy, as follows, at the above referenced location: The Department of Public Works advises that the public 'right-of-way is located 33 feet from the center line of either side of Yokum Avenue. Vehicles that are parked within this area are required to have license plates and current registration properly displayed. The public right- of-way, whether or -not the entire area is actually used for highway purposes, is not to be encroached upon. The term "encroachment" includes any structure or object of any kind or character placed, without the authority of law, either in, under or over any County highway. Although parking of properly registered vehicles is allowed within the public right of way,, the intent of this policy is to preclude the permanent parking and or storage of vehicles which are not operable on the public right-of-way, which may create a safety hazard. - In order to comply with the.Butte County Public Works policy, you are hereby directed to remove your vehicles from within the public right-of-way. A re -inspection will be conducted on or about July 13, 1992. Vehicles parked within the public right-of-way will be towed. You should be aware that Butte County has entered into a' code enforcement program that seeks voluntary compliance with Butte County Code, but provides an effective means of enforcement if compliance is not obtained. is rCa June 30, 1992 Elton Johnson 9490 Yokum Dayton, CA 95928 RE: F039-270=917 Dear Mr. Johnson: ,6ufte Co, L A N D O F N A T U R A L W E A L T H A N D B E A U T Y DEPARTMENT OF PUBLIC WORKS WILLIAM (Bill) CHEFF, Director 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 Telephone: (916) 538.7681 RONALD D. McELROY Deputy Director Per our conversation on June 23, 1992, this is a warning letter to notify you that you are in violation of the Butte County Public Works policy, as follows, at the above referenced location: The Department of Public Works advises that the public 'right-of-way is located 33 feet from the center line of either side of Yokum Avenue. Vehicles that are parked within this area are required to have license plates and current registration properly displayed. The public right- of-way, whether or -not the entire area is actually used for highway purposes, is not to be encroached upon. The term "encroachment" includes any structure or object of any kind or character placed, without the authority of law, either in, under or over any County highway. Although parking of properly registered vehicles is allowed within the public right of way,, the intent of this policy is to preclude the permanent parking and or storage of vehicles which are not operable on the public right-of-way, which may create a safety hazard. - In order to comply with the.Butte County Public Works policy, you are hereby directed to remove your vehicles from within the public right-of-way. A re -inspection will be conducted on or about July 13, 1992. Vehicles parked within the public right-of-way will be towed. You should be aware that Butte County has entered into a' code enforcement program that seeks voluntary compliance with Butte County Code, but provides an effective means of enforcement if compliance is not obtained. Elton Johnson AP#039-270-017 June 30, 1992. Page 2 You have under July 13, 1992 to voluntarily comply with the above'directions. Should you have any questions regarding this matter, please contact this office at the address or telephone number listed above between 8:00 a.m. and 5:00 p.m. daily, Monday through Friday. Very Truly Yours, illiam Chefub Director of lic'Works WC:WM:jl cc: Code Enforcement, Wanda Munsinger Officer W.G. Robbins, CA Highway Patrol m