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041-110-027
11 -1 41-11"' A -7 —727 SEARS PORTER:REALTY NE/corner Oro -=Pen z 0 -aalia & J1 0 v Messilla Valley Rd., roro r P,-:-rmit# 423 75E(for well) 41-11-27 Lestie!1Ataniels NE corner Oro-Pentz Magaba Hwy & Messilla Valley Rd., Oroville Issu it 5-79P,E(util.,* ELEC. G S AS Su CT REQ. COMPACTION OMPACTION TE 41-11-27 ALAN K -ID NE cornerr 1 VAlley Rd & Pentz Rd 9"- 1'- la v Oroville p, Permit#1054 83B',%,Lrepair as pe SI #13-81)SF Fl Permef_<3886 41 #3886'-84B(lst renewal/1054-84) 4 1 - Lj Contr Smith Consthftg A/l/fg PErmit#4029-87B,E(repair fire damage)SF 4 PERMIT 96-'03 .0 17-1Ad-02'7*','_ 6 i-- KINKAID-,� Alan Bruce ,,2818-:M.essilla Valley., Rd. 40rb , ville Reroof/SF. 64t-1 5-027 ALLEN,ROBERT 10 2818 MESSILLA VALLEY RD, BUTTE VALLEY Cont: OWNER. ELECTRIC UP -GRADE 641.110-76% 03-206-8--' 06-1789- 2 7 XVT P2 E ALLEN,ROBERT4 '2 8 IX MESSIL' i A -LLEYR.D,� L I VA OROVIBLE ii 0 C6ht.: -REL1XNCE_P9QPAr.NE' GAS,PIPING/SF 41-11-27 CC:;�DD y r'� `:� �-'!:r',;�rx•K�:.('�+'�+''y`.*a'r"'�f'�...'r+a�"?LC}l�„y,S�<e��'K'.':'+: P -_a. f ,.,.�� ,...q,.r�i. '�., r",a.�a.. , � y i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT (Rev. 12/96) APPLICATION AND PERMIT a �� ASSESSOR PARCEL NUMBER 041-110-026 ZONING BUILDING PERMIT OWNER AII.M ROBERT5-19-158.5 TELEPHONE SO, FT. OCC. BUILDING VALUATION . OWNER'S MAILING ADDRESS 2818 MESSIUA VALLEY Rn 4 CONTRACTOR'S NAME RELIANCE PROPANF TELEPHONE 872-8951 CONTRACTORSMAILING ADDRESS 6434 SIMAY CA 9 969 CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER - LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDINGADDRESS 2818 MESSIL A VALLEY ROAD OR 59 Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF © Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation'V Other ❑ Describe Work: CAS PTPTI4C' MR X70 �_FM A�M tlrx' Gas piping system 1- 5 outlets 1 15" Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE S 35.00 ELECTRICAL PERMIT Filing Fee 20.00 Main Service OOOV OR LESS 200A OR LESS 23.00 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. 2'� License Class 8 Lic. No. -7 T�3/ 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 Main Service 200A TO 1000A 46.00NEW CONST. DWEwNG OCCUP. OR ADONS. ( s , g�S. SO 3.50FT; NON-RESIDD ONS MULTI -OUTLET 97.50 POWER APPARATUS & SINGLE OUTLET CIR. 1 Ex. Occup. OUTLET OR FIXTURES 20 BAL @':550 Ex. Occu . ounEDTSA REESIO.OFR.A 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 ; Misc. Wirina 23.00 PERMIT FEE S 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. Of I have and will maintain workers' compensation insurance, as required by Section 1 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 -<4.c4i MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number 7KIC !?tyn i bmf. si S (The 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. % %O o�/ _ -%/�G/ X Date _ Signature of Applicant r.;l bwner ❑ Contractor Agent ' An OSHA permit is required for excavations over 60" d4ep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE ,/�R TOTAL FEE $ 35.00 FEES I IMP I FLOOD I CFF PARCEL PD I HD I ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have S�/ / /y� PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. Date 7,/4 3 / l/ Ile)/4/ Pe to) Receipt No. 'A'N 1 L 41 GV WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT �►'Yr.rer`h.*�.-�e+f�-r •?k-.lf;�..i.....,,r+'� �".,,;s-=+1^'�-1«:�v��^'."A"-'ti4e�+r"�'..�^.e�,,...<ro� t COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 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 notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, grease contact this office immediately. ' I Date �Inspector % REV 10/92 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center DriveOroville, Calif6rhia' 95965 • Telephone (530) 538-7541 PER IT (Rev. 12/96) APPLICATION AND PERMIT h 3 -AQ � ASSESSOR PARCEL NUMBER 041-110-026 ZONING BUILDING PERMIT OWNER ALLEN ROBERT TELEPHONE 532- 585 SO. FT. OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS 2818 MESSILLA VALLEY ROAD 0g0yTLT,F., CA 95965 CONTRACTOR'S NAME RELIANCE PROPANE TELEPHONE 872-8951 CONTRACTORS MAILING ADDRESS 6434 SKYWAY PARADISE, CA 95969 CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESSEnergy 2818 MESSILLA VALLEY ROAD OROVILLE Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF It] Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation)] Other ❑ Describe Work: GAS PTPTNC: FOR H90 L=. AND SIVA Gas piping system 1- 5 outlets 1 15.00 L5, 00 Building sewer 15.00 Mobile Home S G W 920.00 PERMIT FEE $ 35.00 ELECTRICAL PERMIT Fling Fee 20.00 Main Service zo.A OR LESS 23.00 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 fu force and effect. License Class C2 Lic. No. 7 5'/ 31 G 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 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. Q� 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 Barrier and policy number are: Carrier %Wn 1 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 fortit comply with thos provisions. / X `' _ Date 7 a 3 U Si ature of Ap `ant ✓Owner ❑ Contractor An OSHA permit is required for excavationover 5'0" ep and demolition or construction s of structures over 3 stories in height. Main Service 200A TO 1000A 46.00 NEW CONST. DWELLING OCCUP, So OR ADDNS. ( & ACC. BLDS. 3.5¢FT. NEWNCONST. MULTI -OUTLET ISAN91:1 CIRCUITS @7.SO NO-RESID. PowFa APPARATUS a SINGLE OUTLET CIR. Ex. OCCU CUTLET OR FO(TUREs BAS @': 0 Ex. Occup. DuntTs g61p.) EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 35.00 HAZ. D. FEES IMP I FLOOD CDF PARCEL I 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. ((`� `B___ r�/VDate l0 PERMIT EXPIRES ON 7 le)4 I Date ReceiptNo. a �� UU WHITE-D.D.S.-B.D. CANARY -A S SOR PINK -INSPECTOR GOLDENROD -APPLICANT NOTE:—All Materials & Workmariship hall Be in Accordance wither bed fore+h e Sp � if P use in the of a quality ores P{um ..& Maanicaodes and `Uniform Building, 4,,m9 ch Ae National Electrical Code. All utility cor, to to within 4 tir;;ction of on the left (road) home. sl i nis set of plans and specifications MUST bs <ept on the job at all times and ' unlawful to i� Lf /m4elr�h 'es-o�lt�ca�nsoTi same without written permisson from the Department of Plfhl;. Works. Countv of Bift+A 9/ s Theillg-Setbac side property lin centerline of the rnum of a 2 ft. ea out of all easem �e-ptic system and location e4 to be "as per Butte County Health " Dept. Re- quirements. tions shall be outside the rear SOP�G e mobile home e of the mQbilP 6 2 2.0' a TR,4 I I R T permit v Q inc{�;l1..,+inn T SYti F� s�Ci 4-'% IV' � old AWL D R oRd LAI FRoA1,^Gl be 5 ft. from the 50 ft. from the permitting a maxi- rhang but entirely 6e required for the BUTTE COUN' ILDING DEPARTMW r o m s F.a vironmentR-1- Health Sub e San.-itta.tion° Cl®ax*encs Location flans approved for.- Sewage -Disposal Water Supply Hold f final f or t� Water SI)PP .y 'nom Gleerw:'ce O.K. faro Water Su :p -Y .. 'le, s ce fcr : bedraam. mobile home. ether Vleara'a' ce for addition ®l Note wam.eesvx-mvacan^•^^� .me�aaa�acarame u r'.c+cr�••�•,-•- au .maucssvo�� �ma.•ae� �Sa�+ ar�:an _ gate PERKINS MOBILE AUTO GLASS WINDSHIELD REPAIR & REPLACEMENT 511 Pearson Rd. • Paradise, California 95969 (530) 877-5543 OVER 28 -YEARS EXPERIENCE www.perkinsmobileautogiass.com ' We Will Come To Your Office Or *Home M, yam' � � , � � • 1 BUTTE COUNTY DEPARTMENT OF DEVELOPMENTSERVICES ` BUILDING PERMIT 24 HOU_ R INSPECTION #: (530) 536-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netWds PERMIT N.O. BP 061789 ' LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that 'I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 ofIssued Date: 07/25/2006 APNt 041-110-027-000 the Business and Professions Code, and my license is in full force and , effect. ; License Class: License Number: Site Address: 2818 MESSILLA VALLEY RD BTV Date: Contractor: Map Index: OWNER-BUILDERp DECLARATION I hereby affirm under penalty' of of perjury'that I am exempt from the . Descri Description: ELECTRICAL SERVICE PANEL UPGRADE Contractors' State License Law for the following reason (Sec. 7031.5 ' Business and Professions Code: Any city or county which requires a permit to constrict• alter, improve, demolish, or repair any structure, prior , ' = Owner: ALLEN ROBERT W MARIA A to its issuance, also requires the applicant for such permit to file a 2818 MESSILLA VALLEY RD signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95965-9156. 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).): 0-l"1, as owner of the property, or my employees with wages as their ' sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Applicant: ALLEN,ROBERT W & MARIA A Code: +The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 2818 MESSILLA VALLEY RD ". such work himself or herself or through his or her own employees, ` OROVILLE, CA ` provided that such improvements are not intended or offered for sale. If however• the building or improvements are sold within one year of completion, the owner -builder will have the burden of .,95965-9156 (530) 693-0816 . proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property am exclusively contracting with , licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does , Contractor:. not apply to an owner of property who builds or,improves thereon, - and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: PLLL D e Owner: WORKERS' COMPENSATION DECLARATION License #: t I hereby affirm under penalty of perjury one of the following declarations: - ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit Architect: is issued. Engineer: C3 have and will maintain workers' compensation insurance, as , required by Section 3700 the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: Valuation: $0.00 I certify that in the of the work for which this is Census Code: performance permit issued. I shall not employ any person in any manner so as to l become subject to the workers' compensation laws of California. 55 and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall `,��n forthwith comply with those provisions. y J �� Date: ©-2 Applicant WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor ,_A_ ;M --f --A f--- ' CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Birtte County Cody andlor I hereby affirm that there is a construction lending agency for the Resol do s to do work ind' ed abG`ve for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) y M , /�y�' n MI�/i\ Namp- B : i� L�u �i L "1 t Date: LL..77 V PERMIT EXPIRES ON: ( /—.TIJ I Address: Date ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. Cl Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of.this project. O Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. = f Print Name: O Q�� % /7 �G Signature: ��C�'G� ✓�'� Date: ©% " Z G - O Owner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor T %'�. BUTTE COUNTY o DEPARTMENT OF DEVELOPMENT SERVICES 0 BUILDING PERMIT APPLICATION 0 AND SUBMITTAL REQUIREMENTS . p 24 HOUR INSPECTION#: OROVILL_E: (530) 538-7636 • CHICO: (530) 891-2834 0 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION ►N'�y Website: www.buttecounty.net/dds **PLEASE PRINT CLEARLY** OWNER INFORMATION Last Name irst Namef T - Address a FI)e /`115,10GGy citypATrr VA GC/� State Zip. SS -46S PhoneS-3o - 6`33 - o P/ 6 Fax E-mail U aC���//l✓/S c o �`-t APPLICANT INFORMATION CONTRACTOR Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book Lic. # Class APPLICANT INFORMATION ARCHITECT/ENGINEER Name City Address Zip City Fax State Zip Phone Type Const. Fax E-mail Map Book State License Number APPLICANT INFORMATION Name :. Address City State Zip Phone Fax E-mail APPLICANT SIGNATURE X For office use only: ro Zoning City Flood Zone WORKER'S COMPENSATION SRA I Yes I No Occ. LENDING AGENCY Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP 1, BIN N PROJECT LOCATION ro Property Address 2 V /d City Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors; a certificate of worker's compensation must be shown at the time of permit issuance. Total LENDING AGENCY Name Address " Description or Scope of Work: Sq FT- Living Garage Open Cov ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be required. REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by' vAmount: Bldg SRA Receipt #1 Sheriff SMIP Date:'7_25-NOther Total K:\FORMSOUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 8-12-05 SUBMITTAL & PERMIT REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. ❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper! ❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes! ❑ 4. Energy compliance design and supporting documentation in duplicate. ❑ 5. Statement of Intent'for Non -heated and A/C for Non -Residential Buildings. ❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in duplicate ❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer. ❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required). ❑ 9. Site plan and business license approval from the City of Biggs. ❑ 10. Letter of intent for non-residential buildings. ❑ . 11. Building Permit Application Without Required Clearances Form ❑ 12. Hazardous Material Form (for Commercial Buildings only). Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning review (May require additional plan review upon receipt of the following items.) ❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required). ❑ 2. Impact Fees. ❑ 3. California Department of Forestry plan approval (if required). ❑ 4. NPDES Form. ❑ 5. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy). ❑ 6. Contractor's license information. (Number, Name Style, Classification). ❑ 7. Worker's Compensation Carrier and Policy Number. ❑ 8. Owner -Builder Verification (if required). ❑ 9. Letter of Signature authorization (if required). ❑ 10. Recorded copy of Agricultural Acknowledgment Statement. ❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO. ❑ 12. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, please contact a Permit Assistant at (530) 538-7541. EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after date of application. In order to renew action on an application after expiration, a new application, plans and fees will be required. REQUEST FOR FEE REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made within two years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0R1v1S\131dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05 t �► OWNER -BUILDER Y.L'.RIFIl.ATIOl`I r 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 material for construction of this pioposed property improvement: YES -.[>,J NO[ ]. 2. I HAVE W.] HAVE NOT [ J signed an application for a building permit for the proposed work. .3. I have-contracte4 with the following person (firm) to provide the proposed construction: NAME: ADDRESS:: PHONE: CONTRACTOR'S 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: ,. PHONE: , CONTRACTOR'S LICENSE NO: 5. I will provide some of the work but I have contracted (hired) :the following persons to provide the work indicated: = NAME ADDRESS PHONE TYPE OF WORK SIGNED: PROPERTY OWNER: DATE: b 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. Butte County Department of Development Services urr ADMINISTRATION ` BUILDING t GIS ° PLANNING O U o o / o 7 County Center Drive Oroville, CA 95965 (530) 538-7541 Telephone (530) 538-2140 Facsimile CDU N� OWNER -BUILDER INFORMATION Dear Property Owner: 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 your plan to subcontract, you should be aware of the following information for your benefit and protection: o If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200 or more for the entire project and such persons are not licensed as contractors or subcontractors, then you may be an employer. o If you are an employer, you must register with the state and federal government as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers' compensation insurance, disability insurance costs, and unemployment compensation contributions. o There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to workers' compensation insurance. o For more specific infonnation 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 their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractor is to secure an "owner -builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification from so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Scott Rutherford Chief Building Inspector NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code- F _041=110-0'27 PERMIT#96 0316 KINKAID, an .Bru'ce 2818.MessillaValle ' Y Rd ';, Or 1 1 f 4 F' R r > t l� COUNTY OF BUTTE = DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 .County Center .Drive - Oroville, California 95965 - Telephone (916) 538-7 - 1 PERMIT NO. APPLICATION.AND PERMIT -n -T ASSESSOR PARCEL NUMBgR., - _1_Q 7 ZONING BUI DING PERMIT — ' OWNER - AI.AYt TELEPHONE SO. FT. OCC. BUILDING VALUATION 14 i7 d `r OWNER'S MAILING ADDRESS a 18 .: Z -j4 TT. V ,1V 1)Tt nQ 1TT T 7a 95965 CONTRACTOR'S NAME - TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICEKSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDINGADDRESS ITAT PERMITFEE S 43,00 22.1.0 ,.%trqS11 .». PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP ,Solar Or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF Cl' Duplex ❑ Mobilehome ❑ Other 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 0 Describe Work: UIR00i.' 14 COM? — Mobile Home I S I G1 W 1 920.00 PERMITFEE g Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service000V 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. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License aw 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 1. NEW CONST. DWELLING OCCUR OR ADDNS. ( a ACC. BLDS. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OIJTLET CIR. Ex. Occup. ( OUTLET OR FUTURES ) 20 Q 1.00 BAL SO Ex. Occup. FIXED 5.00 Temporary Seryice 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury of a 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.) 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 witht�rovision Date • §i4nature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories Mobile Home Installation Fee $ Energy Inspection Fee Is OCC CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES I IMP I FLOOD CDF PARCEL PD HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been B� �j/ <y PERMITEXPIRESON `� (Date) provisions to do work paid. Date / L/ / 7 "7 r k�iinn7height. Receipt No. ! t.J / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT nd l� COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIV ION " 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7 4� PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER ZONING BU DING PERMIT •- -' . OWNER KINKAID BRUCE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAIUNG ADDRESS TT T 95965 2818 MES VALLEY RD OR0111 -STI -1-A CONTRACTOR'S NAME TEUEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNMOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAIUNG ADDRESS Penalty $ BUILDING ADDRESS VALLEY2918 D4ESSILLA PERMITFEE S 43.00 PLUMBINGPERMIT 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 E� Duplex ❑ Mobilehome ❑ Other 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 ❑X Describe Work: REROOF 14 MIP — Mobile Home S I G W 920.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20:00 Main Service a OV OR LESS ( 2000A OR LESS ) 23.00 Main Service ( 200A TO I000A ) 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 aw 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 OCCUP. OR ( 8 ACC. ) SO. 3.50 FT. CONST. MULTI-OUTLENS. NEW CT UTLE NON-RESID. ( BRANCH CIRCUITS ) 97.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. , Ex. Occup. ( OUTLET OR FIXTURES ) 20 Q 1.00 BAL 0 .SO Ex. Occup. (oFXETs RES D.OR 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 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 with ose provisio Date nature 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 OCC CONST. TYPE TOTAL FEE $ 43.00 HAZ. I D. FEES I IMP FLOOD I CDF I PARCEL I PD HD ISSUE This permit is hereby issued under the of the Butte County Code and/or indicated ahrwe for which fees ha v t y /`tee PERMITEXPIRESON applicable provisions Resolutions to do work been paid. Date (Date) Receipt No. / o� s WHITE-D.D.S.-B.D. CANARY -A ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT, I COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916)' 891-2751 7 County Center Drive, Oroville, CA - (916) 53875'41 747 Elliott Road, Paradise, CA - (916) 872-6307 X800 CORRECTION NOTICE�,,Z-D OWNER /' ! - PER/AIT NO. .. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleasg contact this office immediately. — Date L' '' Gj Inspector REV 10/92 , \ COUNTY OF BUTTE BUILDING DIVISION 's=ue•. DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2251 7 County Center Drive, Oroville, CA - (916) 538-7.5.41-- 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE p--it-0-A7- OWNER PER/AIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. r f • /I Date Z Inspector REV 10/ A �� 00; a„�.— COUNTY OF BUTTE --,- - - 14. DEPARTMENT OF DEVELOPMENT SEWICES BUILDING DIVISION NOTICE Post this job card In a safe conspicuous place. Do not remove until* all required Inspections are made and building Is approved for occupancy. Plans must be available on the job site. A.P. No. Owner Contractor Permit No. Expires PERMITTEE MUST CALL FOR INSPECTIONS Footings Piers Underground Conduit Pre-Gunite unaervoor Numbing Underfloor Electrical Underfloor Mechanical Underfloor Framing Water Service Pool Final Plumbing Final Electrical Final Mechanical Final 'Buildina or M.H. Final DO NOT OCCUPY UNTIL ALL THE ABOVE IS SIGNED AND THE BUILDING OR MOBILE HOME IS APPROVED FOR OCCUPANCY . . ....... ................... Addresses ....11...... drmato n..... -.H Oroville 7 Count ;Center -Dr. - 538-7541 538-763 Chico 1469 Humboldt Rd. 891-2751 891-2834 Paradise 747 Elliott Rd. 872-6307 872-6307 Revised 7/94 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ��'PERMIT NO. /�' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 �� L"/ APPLICATION AND PERMIT 41 -7 BUILDING PERMIT OWNER - TELEPHONE � / i• SO. FT. OCC. BUILDING VALUATION'A/-V OWNER''S( MAILING ADDRESS I CONTRACTOR'S NAMES 'TELEPHONE C. /r i / .0 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.al) +/:�sgft I declare under penalty of perjury (Check one): OR ADDNS. ACC. BLDGS. CONTRACTOR'S MAILING ADDRESS / . _, % ` r 1 , , / j 2.50 ea Fireplace NON-RESID .BRANCH CIRC TS POWER APPARATUS &) ) and Professions Code and my license is in full force and effect. CONSTRUCTION LENDER UNKNOWN Total Valuation Is m, -J, I .20050* 2ALO 30 ALO ❑ I, as the owner, or my employees with wages as their sole compen- EX. OCCup. OUTLETS PP Ex.)REA.) Filing Fee $ Temporary service 10.00 LENDER'S MAILING ADDRESS Mobile Home Facilities Permit Fee $ Misc. Wiring 7,{ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ for this reason Energy Plan Checking Fee $ Contractor ARCHITECT OR ENGINEER'S MAILING ADDRESS WORKMEN'S COMPENSATION INSURANCE Penalty $ I declare under penalty of perjury (check one): MECHANICAL PERMIT BUILDING ADDRESS / Permit fee $ - PLUMBING PERMIT FIIingFee 10.00 t Each Trap Cooling 2.00 ❑ I shall not employ any person in any manner so as to become subject Hood r Solar or heat pump water heater Ventilation 20.00 Notice to Applicant: If after making this statement, should you become subject LOT NO. SUBDIVISION NAMEPARCEL to the W. C. provisions of the Labor Code, you must forthwith comply with such MAP Water piping provisions or this permit shall be deemed revoked. 5.00 Each qas water heater or vent 5.00 Mobile Home Installation Fee USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other f_ r SPECIFY Gas piping system 1 - 5 outlets $ 5.00 Building sewer 5.00 Butte to enter upon the above-mentioned property for inspection purposes. Mobile Home S I G W .00 ea $ TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Describe work: Installation❑ Other,Q r CONST,TYPEJ SCHOOL Permit Fee $ PARCEL Contractor ND ELECTRICAL PERMIT Filing Fee 10.00 ' Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 1 2.50 against siidd County in consequence of the granting of this permit. CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.al) +/:�sgft I declare under penalty of perjury (Check one): OR ADDNS. ACC. BLDGS. NEW CONSTR. -OUTLET 2.50 ea Q 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID .BRANCH CIRC TS POWER APPARATUS &) ) and Professions Code and my license is in full force and effect. SINGLE OUTLET CIR. License NoN���;?-'f Classification }p EX. OCCUp(OUTLET3 OR FIXTURES .20050* 2ALO 30 ALO ❑ I, as the owner, or my employees with wages as their sole compen- EX. OCCup. OUTLETS PP Ex.)REA.) 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ " '� 1-11 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating 'r❑ 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. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation Notice to Applicant: If after making this statement, should you become subject penntt Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ I also agree to save, indemnify and keep harmless the County of Butte against Occup. CONST,TYPEJ SCHOOL FLOOD PARCEL PD ND ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue 1 1 against siidd County in consequence of the granting of this permit. This permit is hereby issued under the applicable provi- li-' //�'i�•' %��i/% X �'�Date sions of the Butte County Code and/or resolutions to do f Signature of Applicant — Owner ❑ Contractor® Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. u Receipt No. � By _ - t rt . a Date WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLD ENROD-APPL I CANT PERMIT EXPIRES Date COUNTY'OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0. 7 County Center Drive - Oroville, California 959E5 - Telephone: 916/538-7541 APPLICATIONAND PERMIT ASSESSOR ARCE = UMBER !=�(J ZONING _ BUILDING PERMIT OWNER eqn l / Q3-/ TELEPHO E SO. FT. OCC. BUILDING VALUATION OWNER' TILING ADDRESS CONTR/A'(C/`.1E ELE.P ONE CONTRACTOR'.S MAILING ADDRESS - Fireplace CONSTRUCTION L N ER UNKNOWN Total Valuation $ - Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEERLICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING -ADDRESS - Penalty $ BUILDING ADDRESS J - fi% /V s Permit fee PLUMBING PERMIT $ - Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 I Each qas water heater or vent 5.00 USE OF STRUCTUFJE ' Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome❑ Other Building sewer 5.00 SPECIFYv Mobile Home I S I G.1 W. I 0.00ea TYPE OF W RK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other Perin -It Fee $ Describe work: � �. ZiA4 6udw �(>, R P -Q- Contractor ` ELECTRICAL PERMIT Filing Fee 10.00 Main service aoov OR LESS 100 AMP. OR LESS 10.00 Main service EA. ADD -L 100 AMP 2.50 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 NoL1dS �v U/ Classification NEW CONST. / DWELLING OCcuP. a` , OR ADDNS. C ACC. BLDGS. I /20sq-ft NEW CONSTR. MULTI -OUTLET NON.RESIO BRANCH CIRC ITS 2.50 ea POWER APPARATUS e SINGLE OUTLET CIR. EX. OCCUp(OUT LETS OR FIXTURES 2AL930 eALO 30 T ❑ 1, as the owner, or my employees with wages as their sole compen- Ex. Occup. OUTLETS P(RESID )REAJ 2.00 sation, will do the work,and the structure is not intended or offered Temporary service for sale. (Sec. 7044) Mobile Home Facilities ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) Misc. Wiring 10.00 15.00 15.00 fo� ❑ 1 am exempt under Sec. , Business and Professions Code for this reason Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): MECHANICAL PERMIT FiIingFee 10.00 ❑ The permit is.for $100.00 (valuation) or less. Heating 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. ; Cooling , ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 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. Ventilation permit Fee Contractor $ 1 certify that I have read this application and state that the.above information Mobile Home Installation Fee $ _Energy Inspection Fee $ 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. TOTAL PERMIT FEE $ T 15:0 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 aid ounty in conge u nce of the granting of this permit. OCcu P, CONST.TYPIEJ SCHOOL I FLOOOJ PARCEL I PD I__i4D_JISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS By.L`- Date 4,2 -/lam PERMIT EXPIRES Date X ��/07 / Date Signature of Applicant — Owner Contractor-�5 Agent An OSHA -permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Receipt No. a3 (a WHIT[-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ITYTOWNSHIP DIRECTION �. RANGE21_ NATIONAL FOREST, FIRE DIST., CITY 8 STREET NO., �C_ �` /GSA • GLS � � - fly •Q3 ❑ TIMBER 8/OR YOUNG GROWTH _ _ORDER NUMBER _ ...� .. REG. R INCIDENT O. STARTADO. —�DAjE �-- -lir/-� — YEAR7. .L COUNTY ■ FIRE NUMBER FIRE NAME: (Other than T d Y G) r% <: NO th -'RE FC- IS(3/8� d/OR CONTENTS - ITYTOWNSHIP DIRECTION �. RANGE21_ NATIONAL FOREST, FIRE DIST., CITY 8 STREET NO., �C_ �` /GSA • GLS � � - fly •Q3 ❑ MILES," DIRECTION �. LFROM ❑- IN. :," ;;�• NATIONAL FOREST, FIRE DIST., CITY 8 STREET NO., �C_ �` /GSA • GLS � � - 7. 3 INCIDENT TYPE` ?v ACRES OFVEGETATIONBURNED x , _r ❑ FALSE ALARM—GO TO 3 s 8A J a ,,s, : •t BLOCK 10 ., e•� 4f/ } r r: • DIRECT .;:,a,:� ! x r = AGENCY PROTECTION 8 ACRES BURNED A+: ACRES BURNED rKONSIBILITY: A 46 w c x° `TYPE 1 STATE ZONE STATUTORY : TIMBER ` THREATENEDRESPONSIBILITY ' �i`;AWS cONTRACT LAND- OTHERr,�` � ' SiATE - z, �ASSIST OTHER AGENCY (Not Gty) x t, BRUSH LOCAL ZONES -0 BL .. GRASS CDf LOCAL GOVT- CONTRACT �'1 B]li n ` >g%s>N:k::::>:»:::>>.> »»:... :>::<:'s' b AGENCY ofCity)* A • :,:» v:'•>:`•,'i:;•-:;:-an:.::i::i ..; ::wi::xv;:;i>,.ci>. AGRIC. 0 Q ASSIST OTHER (N Gty) OTHER FEDERAL .c. c +. �. >'• ...N!o<sn . $o'$ PROD.. FEDERAL -ZONE ❑ otHER .8B rk: cDF ::. r... . ::> ❑ ASSIS'T FED. AGENCY (Not MiL) e r y SIZE CLASS A`{' TOTAL <>: 8 Vi. 'CONTRACT'-, a O F LOCAL GO c SD- ;. OTHER :.. s- `� ` , , _ � ` .• ,_ � �,., ...>..,........... . MISC. AND ,,. 0 ❑ ASSIST CITY,. CONTRACT _CO., MIL OTHER ^, ; A 25 ACRE OR LE55 ?':. STATUT. 9 R BURNED i ESPON. Oj ACRES BU D ©.,:r 0'; . -� ,. � ❑ B 26 9 ACRES : Of -- CAUSE (STARTS" IN ] 2 OR 8 ONLY) y a1 Jr C 10-99 ACRES « rte: STATE .; p LIGHTNING" ❑DEBRIS PLAY W/FIRE_ 0_� w CAMPFIRE" ❑ ARSON '-; �OTHER/MISC ❑ O 100-299 ACRES i US_fS. o ryr ❑ SMOKING UIPMENT` o • B LJ11 ' ❑ E 300-999 ACRES ^ rr LAND USE (STARTS IN ] 2 OR 8 'ONLY) ❑ F 1000-4999 ACRES B.tA. 6 ❑ G 5000 ACRES OR MORE, ': r > B.O.R. MESTIC` '� p FOREST INDUSTRY ❑ RANCH -FARM RECREATION OTHER p FED. - OTHER DUMP INDUSTRY{OMRCL 7 , :•. � •:: iiffkiti%:tir ��}�:i%+"v`i:f� �}u::-u,.J'-u �i-: iy: {.� �:r - - � : %- .., "? - '>'•:'.-{..i? f r% {U:l'-kJ4fCLi'�v:L: ::4-'iL nSSi>.OTHERi C] ROAD - - C]WILDtAND UTILITY, RAILROAD- ❑NON-WILDLAND �) �'v'`"�•••�:>�«••>-- UTILITY, ELECTRIC- ❑OTHER yl :`•:;uv;,:..;rri:;:a crr..;;;riti.;; TOTAL' >. c . .. n :v::::. ::: r.: �: iri•: i:iiiv'::.:: i{•i: i;i v, v: f.-:v::::.h:• iiiF.in:iri'rii'viiiiii"�}i:�^:vri Y::,ir-: DAMAGE (] 2 OR 8 yONLY) 7 af DAMAGE =• - ovnd off to N..;vd 1 1 - Number TIMBER 8/OR YOUNG GROWTH r - WILDLAND VEGETATION Other than T 8 Y G) - AGRICULTURAL PROD AGRICULTURAL (Other than T d Y G) r% <: DWELLINGS i J ;• d/OR CONTENTS - OTHER STRUCTURES 8/OR CONTENTS" VEHICLES 8 CONTENTS OTHER /r!y y�! !,f S TOTAL ON ARRIVAL (0 VEGETATION FIRES ONLY) 9 ° SIZE. - ' DISTANCE (Origin to head)' ACRES FEET i' WEATHER ESTIMATE AT SCENE)` WIND SPEED (M B.H.)DIRECTION (FROM) TEMPERATURE (°F) OVER PLEASE > ' GDF 7540130-0i IS - 86 39M 10 ORDER NUMBER FIRST ATTACK By. CDF4 PERSON' V 97. R.U. INCIDENT NO. YEAR AIRCRAFT -A IZATION 1G. FLT. HRS. _ CREW NAME IZATION. SITE' , .. I IST. ATK N —3, - 7 FIRE RECORD Mo.- DATE TIME CDF CREW - OUTSIDE 2 U FIRE CONTAINEDr Go 70 0 FIRIE'STARTIED' . ��j Enter 1ST. COi,�e6 % 4Wel .0 CREW /OVERHEAD + SCOPVERED_-,,t,��:�� -A FIRE DI - _. I . . - .4 port made by Lookout) LOOKOUT: • (if 1 ST. or 2ND. re FIRST R FIRST ATTACK By. CDF4 PERSON' V 97. CDF, STATE & LOCAL GOVT_ CONTRACT ORGAN- PERSON. AIRCRAFT -A IZATION SECONDR EPORT—l-li- FLT. HRS. _ CREW NAME IZATION. SITE' , .. I IST. ATK N —3, - NO I lz — CDF STATE & LOCAL GOVT. CONTRACT TREW FIRST ATTACK By. CDF4 PERSON' AIRCRAFT CDF, STATE & LOCAL GOVT_ CONTRACT ORGAN- PERSON. AIRCRAFT -A IZATION _HOURS.' FLT. HRS. _ CREW NAME IZATION. HOURS FLT. HRS. IST. ATK N CDF CREW FIRE CONTAINEDr % 4Wel .0 CREW /OVERHEAD - RECORD D I lz — CDF STATE & LOCAL GOVT. CONTRACT TREW ORGAW PERSON' AIRCRAFT CDF, STATE & LOCAL GOVT_ CONTRACT ORGAN- PERSON. AIRCRAFT W NAME V_ IZATION _HOURS.' FLT. HRS. _ CREW NAME IZATION. HOURS FLT. HRS. IST. ATK N CDF CREW f?, z' % txa 4 CDF OVERHEAD TOTAL Z ON A\ FIRES, ENTER TOTALS BELOW U.S.F.S. (Ind. Overhead) TOTAL--' . . . . . . . . . . .......... OTHER'FEDERAL (Ind.,Ovedwead) TOTALi FIRE DIST. LOCAL TOTAL, ,&_OTHER PAID HOURLY (E.F.F.) TOTAL VOLUNTEERS(Unpoi,4 TOTAL El FC -18B (Additional crew adivity)'ATTACHED L MAP COMMENTS-. 7 e--., ORIGINAL REPORT BY: MAP IS: �_ONE SECTIO FOUR SECTIONS MAP ATTACHED . �.r . APPRnVr-n RV.. 14 SJGNA:U� TITLE DATE INTI J,DATE -5znl-lll� DVC S? //..V0 CA A CA :5t' O� Uw C. 60 tCOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive _ Oroville, California 95965 iTelephone:1534-4541 , APPLICATION AND PERMIT au ulVI lcc lvVI cavil tau VCA UI IIIc VUUllty UI DUIIC IU CALCI UPVII Ule above-mentioned property for inspection purposes. ' r X Date/ -2 Signature Perrrnitee or Agent Receipt No. AO K 2,5 19- 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 OF PUBLIC WORKS ' By– Building permit expires Date Date I BUILDING Owner I SQ. FT. • OCC. BUILDING VALUATION Mailing Address - j� �• C f�� , pew 1 ca M 4 P Telephone No. Contractor Mailing Address Fireplace , Total Valuation Telephone No. Permit Fee Building Address C "412.ermit Plan Checking Fee&/or Penalty Fee Ile 'I PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 !�/ A. P. No. —,A- / / `� -A Zorl g &^P5222129 Water Water piping ' 1.50 Each gas water heater or vent 1.50 s Vim. tau► Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 E' Parking Plans ParcelEach Declaration Parcel Map 60' R/W Improvements additional outlet t. .30. ' Building sewer 5.00 B d ans Recd � � ParceT'7� royal PI s Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER.®' Permit Fee $ $ •• , Eyam, ' �,� r ELECTRICAL No. @ FEE - PERMIT FILING FEE $3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. AOD'L 100 AMP 2.50 • Main service . 00 AMP OR LESS 25.00 • 100 AO 7 ' - Main service EA. ADD•L 100 AMP 1.00 NEW CONST. DWELLING OCCUP. S+ OR ADDNS. ACC, SLOGS. 22sgft 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: %t NEW RESID. t MULTI.OUTLET 2.50ea NON.CONST � BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS 6 NON RES,D. (SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES BA@ t Ex. OCCU FIXED APPLNS. OR p•�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 I 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. , IVI 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. I MECHANICAL No -j FEE ' PERMIT FILING FEE $3.00 Heating Cooling -Ventilation Hood 1 2.00 Permit Fee $ $ 1 certify that i have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby e ^? $ Jo TOTAL PERMIT FEE $'� O o� au ulVI lcc lvVI cavil tau VCA UI IIIc VUUllty UI DUIIC IU CALCI UPVII Ule above-mentioned property for inspection purposes. ' r X Date/ -2 Signature Perrrnitee or Agent Receipt No. AO K 2,5 19- 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 OF PUBLIC WORKS ' By– Building permit expires Date Date I MOBILEHOME SUPPORT DATA If other than.single wide, Mobilehome Mfr. furnish Setup Model No. Year (ft.).. Box Length 6Z (ft..) Tagalong or,,Expand,o,.-S1ze ft. x ft. (SHOW SUPPORT DETAILS BELOW)--' On all mobilehomes manufactured After Octobei-7-,--'-1973;--'iurnish manufacturer's installation. manual and structural setup sheets (if,not on file-with,the County of Butte). All center supports measured from front, of- mobilehome unless otherwise specified. Footings (check one) SV li, Wood either pressure-treated'or -P A A (f) (in.) Center s port location (ft.) (in.) (ft.) (in.) ft. (in]/ Em (in.) (in.)-. Center support footing sizes X -- n. (in. in.) n. xx x in. (in-.), x oun anon gra e. E] 2 Other,(specify) Supports (check one) 1. Concrete block." --2 Other (specify), 4 --Tagalong or Expando, show'support�details. --_Typical Support ('in.) -(in.) Footing Size , . Pier Spacing (ft.)(in.) 7 Z - Max. Overhang (ft.)(in.) BUTTE COUNTY BUILDING DEPARTMEN \/rn 1-1 K *If center piers are other than drawn above, draw In locations, spacing, and dimensions'. U BUTTE COUNTY DEPARTMENT "OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. \ PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: i v 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 / --7—� (If yes, furnish two (2) 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 No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- Z Uy Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes /. / No /-I (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG./ / 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft.;on LPG.) ti - i.•i (ft.) (BTU) 1 . l Y COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Tel ephope: 534-4541 APPLICATION AND PERMIT J authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. X r ! Date Signature of Permitee:or Agent. 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. DIRECTOR OF PUBLIC WORKS J By j��:� Date " r 17 Building permit expires Date BUILDING Owner rt...� 1 . .f i � � r. . � . i.L- SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. / Fireplace Contractor „ r I ti • Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building Address '; , /; - PLUMBING No. @ FEE PERMIT FILING FEE $3.00 �„ i / / f ' • !/ W Each Trap 1.50 L i l%/fLL Y Repair drainage or vent piping 1.50 Water piping 1.50 � Each gas water heater or vent 1.50 A. P. No.Gas .1 % Zoning & Planning piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C.' Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration parcel Ma p 60' R/W Im rovements p Lawn sprinkler system 2.00 Bldg. Plans Rec'd Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ,® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 C ? L) IC !'' G!� . Main service incl. 1 meterllle — Additional meters, each 1.00 Sub -panel 02 or less) (more than 12) — Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light balQ10 Receps., switches & fix outlets 20025 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: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump 3/!f is n • / Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ 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. 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 the Workmen's Compensation Laws of California. 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 buildinq construction, and hereby PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE — $ i ''t authorize representatives of the County of t3utte to enter upon the above-mentioned property for inspection purposes. X r ! Date Signature of Permitee:or Agent. 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. DIRECTOR OF PUBLIC WORKS J By j��:� Date " r 17 Building permit expires Date (/// .l:� � � e � �� �� ���� � �� .. d� o��� � � �..� � Com"' �---. G� � .. t + COUNTY OF BUTTE — DEPARTMENT 0F,PUBLIC WORKS��-- ' 7 County Center Drivel; -t•. Ofpville, California 95965 " Telephone:., 3 4541 APPLICATION AND, PERMIT BUILDING 1' Owner SQ. FT.' OCC. BUILDING VALUATION , Mailing Address ,%S 3 ) Telephon g,� S Fireplace Contractor O Total Valuation ' Mailing Address Permit Fee Plan Checking Fee &/or Penalty " - s Telephone No. Permit Fee i Building Address �S �/��(S2 O j= ' s PLUMBING No. @ FEE ' , PERMIT FILING FEE $3.00 o (i I (— (` P TO- , In 11C A Each Trap 1.50 /72 (SSS ! L L 4 V�L (� )6 -Repair drainage or vent piping 1.50 Water piping 1.50 • ,. xi Each gas water heater or vent 1.50 A. P. No.4J --,,77-s , ;Zoning &,Planning i Gas piping system 1'- 5,outlets 1.50 Each additional outlet .30 F44 W.4ad Serri-tativn Fire Dept. FireZone - Use Permit Building sewer 5.00 EQA Parking Plans I Parcel- Declaration Parcel Map 60' R/W Improvements,. Lawn sprinkler system r 2.00 B ec.d Parcel Approval °sPermit'Fee Plans Approval, $ $ NEW ADDITION UTILITIES ❑ OTHER•. ❑ ❑ _ ELECTRICAL No. @ FEE PERMIT'FILING FEE $3.00 r l C� J &fZ i� lCLy /'Ot2 Main service incl. 1 meter r ' y 1• Additional meters, each 1.00 Sub -panel (12 or less) (rngjA-Fran 12) Single Family❑ Duplex ❑ Mobil Home ❑ Others ® Range, Cook -top or Oven 1.00 Water Heater'or Space Neater 1.00 Light fixtures b (dall]�2 10 Receps., switches & fix outlets 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: -Water Hood, Ex: Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump pump -j4-j4 Mobil Home F cilities 5.00 Y Temp. Power Pole 5.00 License No. '' Classification Misc. wiring r PRI am exempt from the Contractors License Laws of the State of Califomia. Permit Fee $ WORKMEN'S COMPENSATION -INSURANCE , i - ; , I 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: Al, I certify that in the performance of the work for which -this a J='l 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' ' s•~ 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 Stale -,Laws relating to 'building const�jction, and hereby .TOTAL, PERMIT FEE. $ ' in nze r presenrarnves,ot,,tne county o t e to enter upon the j This ermit'is hereby pp y p y issued under the applicable provisions of, ab a -me Toned b ty-f ,ection es.. _ the Butte County Code and/or resolutions to do work indicated / t above for which fees have been paid. X to ti' , ': rDIRECTOR OF PUBLIC WORKS ' -V =� �d S Signature of Permit n n , c) 7 7� By Date eceipt No: / �� stn White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applli ant mit expires Date Y11V b 7 A --PERMIT NO. > > —P --E M > c PERMIT EXPIRES 4/15/84. OWNER ALAN KINKAID CONTR: owner. ASSESSOR PARCEL 4111-2% LOCATION NE cor Mesilla Valley Rd & Pentz Rd, Oroyille : Temp. Power Pole Called PG&E Temp. Elec. S Called Pf 1 4 Temp. Gas Se rt. Cal led PG JOB FINALEI a 1i k Signature 't -� OK O = Not OK > i Not Applicable MOBILEHOMES MISCELLANEOUS ._ Not Ready , Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a's V Zoning Requirements-Setbacks—Easements 2. Soils; Special MH Support—Sketch _ 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete _ 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails T 4. Water; Location—Test—Easement Needed (Sketch) 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Braci"ng 5. Electricity; Location—Clearances—Grnd.—/ / •Amp—Concrete 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./' /"LPG 6. Carports; Windows—Doors' 7. Utility Clearance i 7. Elec. Card -BI Date a Card -BI ' Date t<. Card -BI Date Card -BI Date Card -BI Date Date Card -BI l Date • MOBILEHOME INSTALLATION (Plans) OK except k's Card -BI Date _ Date Card -BI Date'.-' POOLS (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector ; 4. Electricity; MH Test—Crossovers—Breakers—Clearances 2. Soils; Compaction—Structure Stability 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining _ 4. Elec.; Receptacles and Lighting; Distances—GFI A 5. Drain; MH Test—Fall—Flex Connector ` ° , { n 5. Elec.; Pool Lighting; 15 volts-GF1 6. Water; MH Test—Regulator—Connector 6. Elec.: Enclosures; Conduit Entries—Terminals—Listed . 7. Water and Sewer Connected—C40 to Grade—HD Approval 7° Elec.; Bonding; Metal w/5' -Circulating Equipment—Heater 8. Gas and Electricity Tagged' B. Elec.; Grounding: Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards -Ins. to Main in Conduit., 9. Exits; Insp.—Sketch 10, Cert. of Occupancy 9. Health Department Approval A 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date` Card -BI Date Card -BI Date' Card -BI, Date Card B-1 Date Card -Bl Date Card -BI Date Card -BI Date V = OK 0 = Not OK - = Not Applicable * = Not Ready RESIDENTfAI (Single and Duplex) Date UNDERFLOOR (Plans) OK except#'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth ' 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection - 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Bolts -'Joists -Vents -Cripples Card -BI Card -BI Date !(Date• Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date F,INA tans) OK except #'s Card -BI Date Card -BI Date Date _ - PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 15.- Wajq!�Pipe; Test & 5p6ors-Nail Protection 58 • Ext. Steps -Door & Sidelight Protection -Landings r rnace; Vents -Clearance -Comb. Air -Connector- Garage; Above Floor -Ducts -Meth. Protection biting 1�%6W.V.: Test- gs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F . & Ba Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access le & Subpanel; Breaker Sizes -Labels _ 1.9. Gas Pipe; Size & Anchors yrs its irane or Stove; antes -Hearth pec. Outlets at Wood Panel; Int. & Ext. Card- B (Date Card -BI Date fiance; Grnd.-Air Gap -Cooking Clearance Card BI Date Card -BI Date rec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s ire o r; Swing -Landing -Closer rage -Damper 20. Fi &Transformer Clearance -Ins. Protection Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection - -- Stec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. &Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled eptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water I m -Looked in Attic ❑Yes -If3, 25. 2 Appliance Circuits in Kitchen & Conductor Size ard Rails & Deck Construction -Post Caps _ 26. Subfeed ire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. Fdn. wl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes __ -_ - ge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1, Insu ted Neutral ❑Yes ❑No _ervice-Riser Conductors & -Main Disconnect !75 ❑Yes ❑ No; Walks [I Yes ❑ No; Planters^ ❑Yes ❑No _ _--_ 29. Equip. Clearances; Panels-Motors-Mech. Equip. 7. A.C. U onn ct-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light_YARtT Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Disconnect, Electrical, Plumbing -BI _ Date Card 8_I �{ _Dates/'/%DDD�w5i Card B -I Date �- BI Date ^-- / Date MECHANICAL (Perrr!it) O except #'s 80 or Elec. Trim; G.F.I. Receptacle -Underground A VahU a oP-1th ,ughout House 82. Glass Protection ,83. g4_� X85 Corrections from Previous Inspections Tagged; Gas -Electric Wa4eF&-Sewer Connected -C/O to Grade -HD Approval - - 31. A.C. Ducts: Insulat' n & Support _ 32. Vent Fan; Exhau above Insulation 86, Energy Compliance Certificate -Other Certificates _ _33. Condensate Dr_n_& Overilow; Size & Grade - 34. Furnace-Ve , Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Acc s & Platform if Furnace in Attic Card -B ,44 Date Card -BI Date Card -BI Card -BI Date ----- --- --- - -- _ - Date _- _ Card -BI Date Date Card -81 Date FRAMING(Plans) OK except #'s Card -81 Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: -36. Sills; Proper Material & Anchors -- 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) �� rL��/yiDiJA OrQ /V0 S 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub -� 41. Header &_Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cln .Joist-Rftr. Ties/-Purlineof Brac.-Truss-Shihng.-Ring. ireplace Ties or TypE� Iue-Fireplace Throat _ - V 9V 45. 46. 47. Attic Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions - -- Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) March 13, 1981 Art Warnk®tR: S�aaaciaal .Inspection 013-81 c/o ,Pacific -+est Realty - .(AP 41-11-27) P.O. Box 732 Paradise, -CA. 95969" Dear Sire With reference to the above subject and your desalre,•to determine what must be dove to occupy the dwelling located• on Hessilaa Valley Road and Durham -Petite toad, the reques ted inspection was made on t arch .5, 1981, along with Howard Snyder of =the Butte County Department of Public Health." The inspection revealed that the items listed in Hr. Snyder's letter dated March 9, 1$81, rust be done or resolved prior to human haabitration. (A copy of Mr. Snyder's letter is enclosed.). , Should you have any questions a oncerning, this, please contact sae or Mr. Snyder.. . Yours very truly, Clay Castleberry ' Director of Public Works Lloyd Smith LS:dd' Supervising Building Taspector Attachment . cc: Chico Office (w/att.), Beneficial Finance.Co. P.O. Box 3238 Chico, CA. 95927 ATTN: Rico (w/att.) , c.:. ®ate'`•... .. I.V IANID OF NATUP,AL \HEALTH A Ni—D 5EAUT! : DEPARTMENT OF PUBLIC HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 695 Oleander Avenue, P.O. Boz 1100 M 7 County Center Drive C 747 Elliott Road Reply to Chico, California 95927 - Orovilia, California 95965 Paradise, California 95969 Telephone: 916/891-2727 Telephone: 916/534-4281 Telephone: 916/ 872-2961, Ext. 58 March 9, 1981 Pacific West Realty Darrell B. Massae, Broker P.O. Box 732 Paradise, Calif. 959E-9 Re: Special Inspection Rt 1, Box 196a Messilla Valley Rd. -AP�� 41-11-27 Lear Mr. Massae: ' • On March 5, 1981, I made a. joint inspection with 'fir. Smith of the Butte County Depart- ment of Public Works of the aoove identified property. The following conditions were noted which are in violation of the State Housing Law Regulations, and Butte County Code. 11. The dwelling is served by a septic tank and subsurface sewage disposal system installed without permit or inspection ca 'the Butte County Departaent of Public ilea'_th, and in soil areas which were not accepta,.lc for sewage disposal as demonstrated by i!:gh percolation rates and cerented soil constituents. One dry well was drilled into a ground water strata, and was observed to be full of water and overflowing on parch 5. Setbacks between the domestic water well and sa;_tic tank, leach lines and seepage pits do not comply with requirements enumerated in the Butte County Code, Chapter 19, Sewage Disposal, Section 19-11, Location of Systems - Table 1. 2, The electrical equipment has beer, installed and covered without permit nd inspect- ion of the Public ''Works :department. - The power panel�rlacked a prope I ro wi.ree The �r:3'. i receptacles in the kitchen area lacked groin W' The electric range receptacle could not be located for verification of roger instal��.The electrical control for the domestic well pump, was not�w a roo The electric water heater was improperly wired and is a safety'�ha Chec' b'::: and tube wiring for condition in un a ro pn orth:•rest corner of ds i T. Electrical switches and receptacle ar_ , 3- The heatir-r stove has teen installed withoat adeq•:ate haat shielding on the com- bustible wall at the rea~ or the stove, and without a pro -r hearth or heat shieid `celow and zn front of the stove. Flue Boas not ex'end above high .point of roof,. i� (ice lg A� c �,Lt)n7 � &_Z No — j9)e4e& �. The old gas .fired furnace lacks a flue and source of combustion .air, and although no; in us ant:ears co��Prte-1 t� furl 1."I / 0© Rv�L_ -50p; L41 — ��►l�Lc X.'}1 X ��pavlU Q /2457 r B151 . . u `Phe dwe.11inj; lacks proper stairs and railings on porches and at entry and exit Stairs to Pmall rcolr' off laundry _V 3rea�an e�haza-clous. blejo-` i d: The house drainage pll,-ai;ir:, lacks .a tri3p n the laund y waste discharge line. The s-wer.line from house to septic tank does not appear to be constructed of approved i F ge. 2 7. The domestic water ;cell is too close to the sewage disposal system, does not. have ,.,,,a, concrete slab around casing and ddes not appear to have.an annular scale This structure cannot be ccnside~ed acceptable for human habitation until all of the conditions noted are corrected under permit and inspection Of this deparment and the iut ,e County Department of r'uhlic Works as follows: . A. 1. Install a septic tank and `subsur*ace sewage disposal system .under permit and i- spection of this department, in an area with accep .ac,le percolation and soil. depths, and in compliance with Chapter 19, Sewa-e Disposal, ?utte County Code. Any septic tank or seepage pit previously installed without permit or inspection and in violation of setback requirements of Chapter 19, shall be pumped of their contents by a licensed septic tank punper, disconnected from the house sewer, and be backfilled with sand, gravel or soil. 2.Repair or replace all defective, unapproved, or ungrounded electrical wiring, receptacles, and equipment under permit an•i inspection of the P Ifo ks Department. expose the electrician —e receptacle forkinspection. Provide roo control box for the well pump. operiy install Y.".the electric water heater Inspect ��e :nob and tube wiring zcr condition and replace if defective. P o `�o • plates on all electrical switches and receptacles. 1'rovide5 round -fault r tacles in•the ba throom J tLroperly install the wood burning sto•i'e with required hearth and shielding or eparp,tion from combustible surfaces andwiah. a proper flus. Properly install the gas fired furnace with an approved fluecombustion air s source, and approved electrical and as connections. ; f.. Provide proper porches, steps, 'and railin';s for entry - ex' it doors, a nd porches. Replace hazardous steps to room off laundry area. proper traps and vents on laundry drain, and on house drainage plumbing.rovide approved pipe for house sewer to 1?.seotis tank. 7. • Relocate the well'to the required dicta ff ces from the sewaa:e disposal system or . comply with correction No. 1 ahove. Provid?';.proof of an annular seal on the well casing, Ade ✓ and a minimum, four inch thick concrete slab at least one foot in radius from the well caszng, 'n crder, to install an a?proved sewa-e system, it will be necessary to obtain qualified `engineering assistance to provide soil testing and to design the system. If may also Le necessary to obtain add-Ltional usable land -'area from adjoining parcels for sewage system installation. Please contact me .at the above listed address or telepho:e nut, i%er if I ,may be of further assistance. Very truly yours, Howard J. Snyder., F.S. Avis -on of n; .Vo:^,Vie.jl j4_?alth riJS/bjc CC : Public forks enclosure Attn .. Sait- ty m + COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS ' }• . PERMIT' o. 7 County Center Drive - Oroville, California 95965'= Telephone 916/534-4541..' �� ! _ •: r APPLICATIONANO'PERMIT ASSESSOR PAEL NUR ZONING �, - i ^ • . 4 r BUILDING PERMIT OWNER - _ r 6 d TELEPHONE 7 SQ.'FT:- OCC. '' BUILDING VALUATION +. •1 OWNE S AILIN ' ADDRESS l t k - �.�� - CONTRACTOR'S NA E • r ' h TELEPHONE- ' - - CONTRACTOR'S MAILING ADDRESS Fireplace = . CONSTRUCTION LENDER A UNKNOWN Total Valuation - $ _ Filing Fee $ 10.00 L ENDER'S MAILING ADDRESS - , q � w Permit Fee $ ARCHITECT OR ENGINEER+ .• '- LICENSE NO. Plan Checking -Fee.,, ' $ - Penalty • $ ARCHITECT OR. ENGINEER'S. MAILING ADDRESS '• ' Permit fee _ $ a �, �D BUILD N ADDRESS; • • _. • .PLUMBING PERMIT Filing Fee 10.00 r , Each'Trap 94,2.00 qb ` Solar Water Heater 20:00 Water piping' ; 5.00 LOT NO., SUBDIVISION NAME • PARCEL MAP Each gaSfwater heater or vent 5.00 ' • Gas.piping system 1 - 5 outlets 5.00 - USE OF STRUCTURE''' SF L✓"/ ,Duplex❑ Mobilehome❑ Other •' "'n , ' SPECIFY Building sewer. 5.00 Mobile Home'. 1,S I G W. . 10.00e - TYPE OF,WORK New ❑ Addition Remodel ❑ Utilities:❑ •Installation_U Other Describe wo k: 1� S�-� Lk Permit Fee $ Contractor •ELECTRICAL PERMIT Filing Fee 10.00' Main service soov oR LESS 100 AMP OR LESS 10.00 .�& • - - Main service EA, ADD'L 100 AMP , 2.50' NEW CONST. ( DWELLL �' re) •OR ADDNS. 1 ACC, BL��'S. Vl •Z�/ZQSgft - CONTRACTORS LICENSE LAW = 'r a'' _ I declare under penalty of perjury (check.one):; sq r ❑ I am licensed under provisions of Chapt: 9, Div. 3 of the Business and. Professions Code and m license is in full force and effect.. y �Icense No. Classification ' L�1 1, as the owner, or my employees with wages as their sole compent". sation, will do the work,and the structure is not intended or offered for sale:•(Sec. 7044)4 . • + s ❑ I, as the owner, am exclusively,contracting with licensed contract-, ors. (Sec. 7044) ❑ I am'exempt under Sec. - � , Business and Professions Code for this reason NEW coNSTR uLTI_ouTLET 2,50 ea NON-RESID BRANCH CIRC ITS NEWCONSTR (POWER APPARATUS &) :NON -RESID.. SINGLE OUTLET CIR. Ex.•Occu / z0@soe p\OUTLETS OR FIXTURES eALmsoQ Ex. Occup. 'OUTLETSP(RESID 1REA.) 2.00 Temporary service" 10.00 Mobile Home Facilities 15.00 Misc. Wiring . • 15.00 Permit'Fie $ Contractor - MECHANICAL PERMIT Filing Fee. 10.00 WORKMEN'S COMPENSATION INSURANCE - " ' I declare under penalty of perjury (check one): ❑ The permit`is for $100.00 (valuation) or less. ❑ I' have placed on .file with the County of' Butte Building Department a Certificate of Workmen's Comr pensation Insurance.oa Certificate of Consent to�Self-Insure. "' " " : ' -��t shall,not employ any person in any manner so person become .subject 9 9-11o, to the W. C. laws of California. - r ' • ' Notice to'Applicant:•If after making this statement, -should you become subject to the W. C.•provi,sions of the Labor Code, you must'forthwith comply with such provisions or this permit shall be deemed revoked. _• Heating . Cooling' it Q,� Hood -'• ,, 3.00 ' Ventilation' . ' - , Permit Fee . $ 'Contractor . I certify that.l 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 conseq nce of the nting of this permit. R X Date IS - Signature;of.Applicant = Owner E41?'�Controctor ❑ t Agent ❑ ` ' An OSHA 'permit is required for excavations over 5.0:' deep and demolition or"Construct— ion.of structures over. 3 stories in height. �.: t Mobile'Home Installation Fee $ - . a TOTAL' PERMIT+.F•EE $ ' ? —f OCCUP. GROUP TYPE OF CONST. PARCEL PD I HD SSUE This permit.,is hereby.issued under the applicable provi-. sions of the Butte County Code and/or 'resolutions to do , work' .indicated, above for which fees have been paid. EC R OF PUBLIC WORKS - r . ,• By Date PERMIT EXPIRES ate Receipt No.r ?i r. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT • ,_ COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Califo.rni,3,95965,- Telephone 916/534-4541 APPLICATION AND PERMIT E 7 T NO, _?7 SF Yi ASSESSOR PARCEL NUMBER 4-/'m //-7-7 ZONING BUILDING PERMIT OwNTELEPHONE SQ. FT. OCC. BUILDING VALUATION 'S MAILING OWNERG/ (TELEPHONE CONTRACTOR'S NAME 10 CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION L R UNKNOWN Total Valuation. $ Filing Fee $ 10.00 LENDER'S MAILIN ADDRESS Permit Fee $ ARCHITECT OR ENGIN R LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENG( EER'S MAILING ADDRESS Permit fee $ BUIL I G ADDRESS PLUMBING PERMIT Filing Fee 10.00 �u Each Trap 2.00 Solar Water. Heater 20.00 egg VItt Water piping 5.00 LOT NO. SUBDIVISION NAMEy PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE ,--, SF Lf, Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5.00 Mobile Home S G W10.00 e TYPE OF WORK New ❑ Addition ❑• Remodel ❑ US+d )jest❑ In to atio Other Describe work: �(!/�`f� — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 2thQsgIt 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. (cense No. Classification as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. ULTI.OUTLET BRAH CIRC ITS) 2.50 ea NEW CONS R. / POWERC PPARATUS &1 NON-RE\SINGLE OUTLET CIR. / Ex . Occup(o XTS OR FIXTURES zo�soe 9AL®30 FIXEEDD APP LHS, OR Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building. Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. E�shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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, an, expenses which may in any way accrue against said County in consequen o the�ra I g of this permit. X Date /•.I _��_ $ Signature of Applicant — Owner ❑ - Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP, GROUP I TYPE OF CONST, PARCEL P HD SSUE This permit is hereby issued under sions the Butte County Code and/or wor i cated a ove for which MOR OF PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS �/ Date�7 Receipt No. J 1-f WHITE-D.P.W., YELLOW-A�SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT march 13, 1981 A=pt Warake U: Special Inspection 013-81 clo Pacific -Wast 8dalty (AP 41.11-27) P.O. Box 732 - Paradise, CA. 93969 Dear Sir: With reference to the abcvo subject ind your desire to det6mine what must be done to occupy the dwelling located on Hessila Valley Road and Durham -gent$ Road$ the requested Inspection eras made on March S. 19$1, alo" With. Naeard Snyder of the Butte County Departmeat of PublicHealth, The inapection revealed that the items listed 1a Mr. Snyder's letter dated arch 9, 1981, mst be done or resolved prior to human habitation. (A of Mr. Snydor's. lette3yr is enclosed.) .copy should you have any questions concerning this, please contact me or. M r. Snyder. ' Yours very truly, Clay Castlebe Y .. Director of Public Works ' Lloyd Smith, LS:dd Supervising Building Inspector Attachment - cc: Chico Office (w/att.) Beneficial Finance Co. • P.O. Box 3238 Chico, CA. 95927 ATTN: Rico (w/att.) LAND OF NATU RAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC. HEALTH DIVISION OF ENVIRONMENTAL HEALTH Address ❑ 695 Oleander Avenue, P.O. Box 1100 Xl 7 County Center Drive ❑ 747 Elliott Road Reply to Chico, California 95927 Orovilie, California 95965 Paradise, California 95969 Telephone: 916/891.2727 Telephone: 9.16/534-4281 Telephone: 9161872-2961, Ext. 58 March 9, 1981 Pacific 'lest Realty Darrell B. Massae, Broker. P.O. Box 732 Paradise, Calif. 959E-9 . Re: Special Inspection Rt l,.Box 196A Messilla Valley Rd. AP# 41-11-27 Dear Mr. Massae: On March �5, 1981, I made a. joint inspection with -flr. Smith- of. the Butte County Depart - meet of Public Works of the above identified property. The following conditions were noted which are in violation of the State Housing Law Regulations, and Butte County Code. 1. The dwelling is served by a septic tank and subsurface sewage disposal system installed without permit or inspection of the Butte County Department of Public Health, and in soil areas which were not acceptaole for sewage disposal as demonstrated by. nigh percolation rates arid cerlented soil constituents.. One dry well was drilled into a ground water strata, and was observed to be full of water and overflowing on March 5. Setbacks between the domestic water well and septic tank, leach lines and seepage pits do not comply with requirements enumerated in the Butte County Code, Chapter 19, Sewage Disposal, Section 19-11, Location of Systems - Table 1. 2. The electrical equipment has been installed and covered without permit and inspect- ion of the Public Works Department. The power panel lacked a proper ground.wi..re. The. wa1.l receptacles in the kitchen area lacked grounds. Theelectric range receptacle could. not be located for verification of proper installation. The electrical control for the domestic well pump was not weatherproof.. The electric water heater was improperly wired and is a -safety hazard. Check knob and tube wiring for condition in unfinished roo,�l in northwest corner of dwelling. Electrical switches and receptacles. lack cover plates. 3. The heatir:g stoke has been installed without adequate heat shielding on the com- bustible wall at the rear c_ the stove, and without a proper hearth or heat shield celow and in front of the stove. Flue does not extend above high point of roof. l:• The old gas fired furnace lucks a flue and source of combustion air, and although not in use aopears connected to .fuel supply. 5.. The dwelling lacks proper stairs and railings on porches and at entry and exit doors.. Stairs to small room off 'Laundry area are hazardous. b- The house drainage pll,mcing lacks a trap on the laundry waste discharge line. The sewer line from house to septic tank does not appear to be constructed of approved pipe �. Fage 2 7. The domestic water well is too close to the sewace disposal system, does not have. a concrete slab around casing and does not appear to have an annular seal. This structure cannot be conside-ed acceptable for human habitation until all of the conditions noted are corrected under permit and inspection ofthis deparmen.t and the - 'utt County Department of Public Works as follows: 1.. .Install a septic tank a.nd.subsurface sewage disposal system under permit and inspection of this department, in.an area with acceptable percolatign and soil depths, and in compliance with Chapter 19, Sewage Disposal, Butte County Code. Any septic - tank or seepage pit previously installed without permit or inspection and in violation of setback requirements of Chapter 19, shall be pumped of their contents .by a licensed septic tank pumper, disconnected from the house sewer, and.be backfilled with sand, gravel or soil. 2. .Repair or replace all defective, unapproved, or ungrounded electrical wiring, receptacles, and equipment under permitand inspection of the Public Works Departmento fo. �xpase the electric range receptacle .for inspection. Provide a weatherproof control box for the well pump. Properly install the electric water heater wiring. Inspect the 'Knob and tube wiring for condition and replace if defective. Provide cover plates on all electrical switches and receptacles. provide ground=fault receptacles in the bathrooms. ='roperly install the wood burning stove. with required hearth and shielding or separation from combustible surfaces and with -a proper flus. 4. Properly install the gas fired furnace with an approved flue, combustion air. source, and approved electrical and gas connections. 5. Provide proper porches, steps,.and railings for entry - exit doors, and porches. Replace hazardous steps.to room off laundry area. 6.' Provide proper traps and vents on laundry drain, and oh'house drainage: plumbing. Provide approved pipe for house sewer to septic tank. 7.. Relocate the well"to the required distances from the sewage disposal system or comply with correction No. 1 above. Provide proof of an annular seal on the well casing, and a minimum four inch thick concrete slab at least one foot in radius .from the.well casing. Tn order to install an, approved sewa-e system, it will be necessary to obtain qualified engineering assistance to ;provide soil testing and to design the system. If may also be necessary to obtain additional usable land area from adjoining parcels for sewage,. sytem installation. Please contact me at the above listed address or telephone number if I may be of further assistance. Very truly yours, Howard J. Snyder., R.S. r)iv`,.sion of nvironmental Health HjS/bic CC : Publ-ic Works Attn : Smitty endo care Ss � �-a TP ,��tceriCic�' '.;a.`du G; NhTURAt. VJEF,tTH c `D BcF.0 T Y �s DEPARTIOENF OF PUBLIC HEALTH DIVISION OF ENVIRONi•AENTAL HEALTH Address ❑ 695 Oleander Avenue, P.O. Box 1100 7 County Center Drive ❑ 747 Elliott Road Reply to Chico, California 95927 Oroviile, California 95965 Paradise, California 95969 Telephone: 916/891-2727 Telephone: 915/5344281 Telephone: 916/ 872-2961, Ext. 58 March 9, 1981 Facific West- Realty Darrell B. Massae, Broker P.O. Box 732 Paradise, Calif. . 959C9 Re: S:oecial. Inspection Rt 1,. Box 196A Mes silla- Valley Rd. AP7 41-11-27 Jaar P -Ir. Massae : On March 5, 1981, I made a joint i.ns.ection with -,',Lr. Smith of the Butte County Depart- ment of -Public Works of the abore identified property. The following conditions were noted which are in violation of the State Housing Law Regulations, and Butte County Code. 1. The dwelling is served by a septic tank and subsurface sewage disposal system installed ;without permit or inspection of the Butte County Department of Public Health, and in soil areas which were not acceptable for sewage disposal as demonstrated by high oercolation rates and cemented soil constituents.. One dry well was drilled into a ground water strata, and was observed to be full of water and overflowing. on Match 5. Setbacks be+.we n the domestic water well and se ,tic tank., l6ach Lines and seepage pits do not comply with requirements enumerated in the Butte County Code, Chapter 19, Sewage Disposal, Section 19-11, Location of Systems -,Table 1. 2. The electrical equipment has been installed and covered without permit and inspect- ion of the Public Works Department. The power panel lacked a proper ground wire. The wall receptacles in the kitchen area lacked {;rounds. The electric range rF:ceptacle could not be located for verification of proper installation. The electrical control .for the domestic well pump was not weatherproof. The electric water heater was improperly. wire.j and is a safety hazard. Check knob and tube wiring for condition in unfinished room in northwest corner of duelling. Electrical switches and .receptacles lack cover plates. The hew i stove has been instn a?led without adegl,ate heat shielding on the co - CD b-.--0-- ibl-- wail at the rear or the stove, and without a proper hearth or heat Shield ' e 1 o w and in front of the store. Flue does not extend above high point of roof. I:. The -old gas fired furnace lacks a flue and source of combustion air, and although not in use appears Connected to full supply. 5> The dw?11ing lacks proper stairs and railings on porches and at entry.and exit aoors. Stairs to small room off laundry area are hazardous. The housc drainage plumibin, lack a trap or, the laundry waste discharge Tina. The sewer line from house. to septic tank does not appear to be constructed of approved pipe. ri .Page 2 ►:..1 ` 7: The domestic water well is too close to the sewage disposal system, does not.have a concrete slab around .casing and does not appear to. have an annular. seal. This structure cannot be considered acceptable for human habitation until all of the conditions noted are corrected under permit and i.nspection.of this deparment and the Butte County Department of. Public Works as. follows 1..' Instal l - a septic tank and'subsurface sewage disposal.system under permit.and inspection. of this. department, in an area with acceptable percolation an soil depths,.. and in compliance with Chapter 19, Sewage.Disposal,. Butte. County Code... Any. septic tank or seepage.pit previously installed without,permit or inspection and in. violation ,of setback requirements of Chapter 19, shall be pumped of their contents by a licensed septic tank pumper, disconnected from the house sewer, and be backfilled with sand,. gravel or soil. 2. Repair or replace all defective, unapproved, or ungrounded electrical wiring, receptacles, and equipment under -permit an-cf.i_nspection of the Public rJorks Department. c,xpose tine electric ranoe'receptacle for inspection. Provide a weatherproof control bort for the well pump. Properly install the electric water.heater wiring. Inspect the 'Knob and tube wiring for condition and replace.if defective: Provide cover plates on all electrical.switches and receptacles.r' Provide ground -fault -receptacles in the bathrooms. N. .. 3. Iroperly install the wood burning stove with required hearth and shielding or separation from combustible surfaces and with`a proper flue. 4. Properly install the gas fired furnace with an approved:flue,. combustion air.- source, ir.source, and approved electrical and.gas connections. 5- Provide proper porches, steps, and railings for entry - exit` doors, -and porches.. Replace hazardous steps to room off laundry area. 6. Provide proper traps and vents on .laundry drain, .and on house drainage plumbing. Provide -approved pipe for house sewer to septic tank. 7. Relocate the well to the required distances from the sewage disposal system or comply with correction No. 1 above, Provide proof of an annular seal on the well casing, and a minimum four inch thick concrete slab at least one foot in radius from the well casing. in order to install an approved sewage system, it will be necessary to obtain qualified engineering assistance to provide soil testing and to design the.system. If may also be necessary to obtain additional usable land area f rom.adjoining.parcels .for sewage s- -stem installation. Please contact me at the above listed address or.telephone number if I maybe of further assistance. Very truly yours, .rnowa rd J . Snyde. 1? .5 . Division o Environmental Health HJSib jc cc: Public Works. titan : Sinitty enclosure r_. i . 1 r. $�✓,` jar � ;-'� � r t' 1 � 2-77 V 1 ' . ♦ t ! t--'� - rte- .. _-_..-. �:;,p. _\`� - .q ;,,R, .._. - _..._ _ 1 z .�- � __`� - _. ,:..--_- -• - r j � �� •� �t •yi b� n F 1 1 t f � . i i : iV. _ - ISS ,� ll Elk ...... .... ... jjV ...... . .. ... .... .. ............... ------- , f .. s t a 5 9i,Ji-I i lWd 186, ��bOM 01 0 nd �n �a COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 ) / APPLICATION FOR SPECIAL INSPECTION Owner �/,�' .o �%�,<<f-°�'� �f��jj A.P. No. Mailing Address /� /; /J��� ��l�dT�f ire/ Telephone No. ' k/ r�._i�wsl�.licant Z/ 4, / Telephone No...TX-5 Cry O��a�lse, �,�/ted 1 Mailing Address ilding Location I hereby request a special inspection of the following building: 1. Dwelling (if only a portion, specify) 2. Apartment House (if only a portion, specify) 3. Commercial (specify present occupancy) 4. Other (specify) I am requesting a special inspection for the purpose of: 1. Moving the building. 2. Financing (specify agency) Case No. 3., Change of occupancy to l i%l 4. Other (specify)�c��l`�rr y I hereby certify that I will obtain the necessary permits and make any necessary corrections, alterations, or repairs required by the County of Butte, as a result of this inspection, to comply with building and housing code requirements. I also certify that prior to the use or occupancy of this building, I will complete the above required corrections, alterations, or repairs, or, if the building is presently occupied, I will complete the above required corrections, alterations, or repairs within thirty (30) days. I certify that I have read this application and state the above information is correct and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Owner Fee paid $ Receipt No.�' 1st -DPW - 2nd -Inspector - 3rd -Applicant L AP 41-11-27 RECEIPT FOR CERTIFIED MAIL i SENT TO Lester Daniels (Sr STREET AND NO. IrIT P.O. Box 3 STATE AND ZIP CODE Durham,.CA. 95938 " OPTIONAL SERVICES FOR ADDITIONAL FEES RETURN 1. Shows to whom and date delivered .......... pp55 �. With restricted delivery ........................ Jy¢ RECEIPT D 2, Shows to whom, date and where delivered a� SERVICES With restricted delivery ... $3 POSTMARK OR DATE 10/24/80 O. RESTRICTED DELIVERY................................................................. SPECIAL DELIVERY (extra fee required)•• - Z PS Form3800 NO INSURANCE COVERAGE PROVIDED— (See other side) Jan. 1978 NOT FOR INTERNATIONAL MAIL y} GPO: 1915-0-591-452 STICK POSTAGE STAMPS TO ARTICLE TO COVER POSTAGE (first class or airmail), CERTIFIED MAIL FEE, AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see frons I. If you want this receipt postmarked,, stick the gummed stub on the left portion of the ss side of the article, leaving the receipt attached, and present the article at a post office service window or hand it to your rural- carrier. (no extra charge) 2. If you do not want this receipt postmarked, stick the gummed stub on the left portion of the address side of the article, date. detach and retain the receipt, and mail the article. 3. If you want a return receipt, write the certifi4mail number and your name and address on a return receipt card, Form 3811, and attach it to the back of the article by means of the gummed ends. Endorse front of. article RETURN RECEIPT REQUESTED. 4, If you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the.front of the article. Check the appropriate, blocks in Item 1 of the return receipt:card. . 5. Save this receipt and present it if you make inquiry. m 0 SENDER: Complete,items 1, 2, and 3. + Add'your address in the '*kETURN.TO" spat; on reverse. y 1. The�ollowing service is requested (check one.)..kj t. Show -to whom and date:delivered...:........ —Q ❑ -Show to -whom, dste=and,address-'of delivery..._ ❑ RESTRICTED DELIVERY Show to whom and date delivered .......... :._ Q ❑. RESTRICTED DELIVERY.. Show to whom; date, and address -of delivery:$_ (CONSULTPOSTMASTER FOR FEES). Z. ARTICLE ADDRESSED TO: Lester Daniels P.O. Box 381 Durham, CA. 95938 3. ARTICLEDESCRIPTION: REGISTERED..'Or!CERTIFIEMNO.- INSURED NO..'. y 748749 (Aiways.obtain signature -of addresaae or agent,. I have recelvc3 the article described above. SIGNATURE . QAdZCssee. ❑Authorized agent 4. ATE OF DELIVE!! •-- 7- -2 5. .-ADDRESS (Complete only H requested) V i ` q A`! y 6. 'UNABL'E TO DELIVER BECAUSE: "'CLERK-'$- 4 INITIALS ' *GPO : 1979.300-459 UNITED STATES POSTAL SERVICE OFFICIAL SUSINES i �A & SENDER INSTRUCT QCT Z] C� Print your name, address, and ZIP Cad 6dthe rpa{4eloR. • Complete items 1, 2, and 3 n thE�R • Attach to front of article if c otherwise affix to back of antic • Endorse article "Return Receipt Requested" adjacent to number. ~^n4 RETURNTO /89 OCr� 9 1980 County of Butte Dept. of Public Works (NxMO se,u�er>rU 7 County Center Drive Oroville, California (Street or P.O. .0m) 95965 .ATTN: $1d bept. g • P. (ty, State, and 7.IP J.F. Glander JFG:dd Chief Building Inspector cc: Building Inspector Paradise Jel s eco /�e c+ s toaf 4e . �i .� 4o4 4ave rHom e -POK, 6i' a;_/J, , /Te as Ile d ; -� fa` / w �S c� 110_fo its l 10�16-00e. . .%-S �6'o d lam �y �O� e 9 �`%�!� �B Si ow oun V LAND. 0`F; NATURAL 'WEALT.H::.:AND BEAUTY DEPARTMENT O:F..PU8.LIC WORKS CLAY CASTLEBERRY; Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Teleohpne: (916)'.534-4541 _. H W: McDONALD October 23, .'1990'.Deputy" Director CERTIFIED MAIL Lester Daniels RE: Building. Permit P.O. Box 381..A; P. #41-,11-27 '�. Durham, CA. .95938 Dear Mr.'Deniels: With reference to the above subject, on March G, 1980, we wrote you a letter'. requesting that you obtain the. required permits .,and inspections. from this office for the work you are doing as follows: You have installed new windows and. doors, new siding, new .partitions, -and_` done electrical work on a building located on the northeast corner of Oro-Pentz-''.. :. Magalia Rwy. and Messilla Valley Road near Paradise. without. the required permits;,` inspections, and approvals from this office. Since we.have not heard from you concerning this matter, unless you have obtained. the'required permits within ten (10) days of the -date you receive -this letter, the matter will be referred to the proper authorities for appropriate action. Should you'have any questions concerning this matter, please contact us.` Yours very'truly, Clay Castleberry Director.of Public Works J.F. Glander JFG:dd Chief Building Inspector cc: Building Inspector Paradise Jel s eco /�e c+ s toaf 4e . �i .� 4o4 4ave rHom e -POK, 6i' a;_/J, , /Te as Ile d ; -� fa` / w �S c� 110_fo its l 10�16-00e. . .%-S �6'o d lam �y �O� e 9 �`%�!� �B Si File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For -information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. I I I Shop & Yards Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. Orng. / S. I. Sub. & Pcl. Maps Perm its • F` ,::..•. Suite, LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CAS T LEBERRY, Director •i- c 7 COUNTY CENTER DRIVE, OROVILL- E, CALIFORNIA 95965 Tolonhono: (916) 534-4541 H. W. McDONALD Deputy Director March 6, 1900 Lester Daniels RE: Building Permit P.o. Baa 381 AeP• #41-11-27 Durham, CA. 95938 Pear. Mr. DanLels: With reference to the above subject, we have been advised by one of our building inspectors that you have not obtained the required permits and inspections from " this office for the work you are doing as follows: You have installed new windows and doors, new siding, new.part1t9ons, and done electrical,worlt on a building located on the northeast corner. of Oro-Penty- Magaliai Hwy. and Messilla Valley Road near Paradise without the required permits, inspections,' and approvals from this office. Since permits and inspections are required by both State and County laws, please contact this office within ten (10) days of the date of this letter, submit two (2) complete -sets of plans, apply for the required permits, and pay the appropriate fees. All work must stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work.is inspected and approved. ..Your cooperation in resolving this matter would certainly be appreciated, Should you have any questions concerning this matter, please contact this office. JFG:dd (to) cc: Building Inspector - Paradise 11 Yours very truly, Clay Castleberry Director of Public Works J.F. Glander Chief Building Inspector 45- -9-6 'I, 1e..5 FI J&� 2c - File No.� BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information V0 Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldg. Insp. Admin. D&C / Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Transp. R/W Mapping Land Dev. Ref. Disp. D rng. / S. 1. Sub. & PcI. Maps Perm its Owner: MrETE COUNTY DEPARTMENT OP PUBLIC WORKS ` `SPECIAL i(��+; REPCiRt'�- A.P. ���T! 0 . Address: Date of Inspection Tenant:Inspector - i 4 ,` i Building Location: 1-a dA iaaxaz 2� Type of Inspection -requested• g Fou;sing / ! 2. Financing 3V Change of Occupancy to _ �4.ther specify) # ` ` Preseut use: of bui.l.din&: ,��-t,L�c 'A. Sanitation ilouain 1.. - Watf_•r closet: � '.. Bathtub or shower - 4., hower 4. Kitchen sink: 5. Hot and told va.ter to fixturas�-__- 6.- Heating fac,,ijities: 7, Natural light and ventilation:n - � 8. Roam and spice requirements: 9. Bedrousn window ox door for second exit,.-. 1'l. Infestation of insects, vermin, or. rodii-1"ts: � - - 11.. Co:u;cct:gr to sewage disposal.:_ 12. Connect:.: on t•� pater suFp1y:_� 13. Rubbish and garbage fac_lit.i.es: 14. Comments: B. Structural . 1. Pl-ears anti footings: '2. Floor constnicti.an: 3. Wall corstructlox:: - _ _ 4: .-Ce-lingand roof construct o:�: 5. F'rc.Di.aces°�__�.- _ 6. CcrnnenY s 1 M I D. PIL bink 1.. ']x;:S:r.F.s' c:sn: =ct�ci and vented: 2. CasbtateE- 11ecatC i-. 3. 6as 4. Co=nentG: -- ` C. Electrical g��iccs ^nd ground: 20. ,S Reit"_'.1eS:_ 3. Fut iag ' . 4. Ccrr�:^its 1 M I D. PIL bink 1.. ']x;:S:r.F.s' c:sn: =ct�ci and vented: 2. CasbtateE- 11ecatC i-. 3. 6as 4. Co=nentG: -- E. Other �• 1.- Maintenance and repair: 2. Fire hazards: 3. Safety hazards:, ; 4. Weather protection: S. Underfloor and attic ventilation: 6. -Comments: F. CommercialBuildin s 1. Roof covering,: 2. Distance to property lines: , 3 Physically handicappgd: j`�---- 4. Restroom flours and walls: _ S. Exits: 6. improvements: 7. Zoning:_ 8. Comments: G. Field Problems or Violations 1. Problem or *iol�at" n 11 (give complete, Vdescription) : � 2. What actio tak (give complete descript.on): 3. What action recommended: T7A. nforaa.tion only - file. XB. Hold fcr ten (10) days, then-wri-te letter. C. Write letter. /% D. Other: COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner to GL. e! rCi SO. FT. OCC. BUILDING VALUATION .Mailing Address"L Si t Gt/ES- 1/ elephone No. 1416 •��sl Contractor �l < Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address (^ Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE l PERMIT FILING FEE $3.00 7.U6 Each Trap J' - 1.50 _ /- Repair drainage or vent piping 1,50 P. o. /� e-y,� Zonilig & Plann g ater piping 1.50 Each gas water heater or vent 1.50 s —IS anitation Fire Dept. Fire Zone Use Pe t Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improve is Each additional outlet .30 Building sewer 5.00 .� Bldg. s Recd Porce Approval I Pl Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ .-7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00.C37Z) 600V OR LESS, Main service 100 AMP OR LESS 5.00 '�• e ) Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service EA. ADD•L loo AMP 2.50 ^ tjt) Main service OVER 600v 25.00 100 AMP OR LESS Main service EA. ADD•L 100 AMP 1.00 NEW OR ADDNST / DWEACCLLI DG OCCUP, 3) 20 Sq ft 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: NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS6, NON.RESID. SINGLE OUTLET CIR, Ex. Occup{OUTLETS OR FIXTIIPES 5 , FIXED ALNS. Ex. Occup. (OUTLETSP(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 rj. '- License No. Classification Misc. Wiring 6.25 l� I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee - $ iz F-Sv UP F,2 MECHANICAL No. @ 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. PERMIT FILING FEE $3.00-06 Heating Cooling Ventilation Hood 1 1 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee TOTAL PERMIT FEE $� autnonze representatives or the uounly OT-bUTTe to enter upon ine above-mentioned property for inspection purposes. Date ._- 21�:] Signature ocper.itee or Agent Receipt No. ,Ie 6 g—, 5 C, 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 OF PUBLIC WORKS By Building permit expires Date Date F- nio^ f y F- { NOTE. ---All Materials -& Workmanship, Shall 'Be 'm " AcacWance with Recognized Good �rcic+ices and I his set of , t . . + d r. ' r n_p plans and specifications MU57 be o, quality prescriber! for +he $r.'ecr 'P� use irr' fl xe t on the job at' all times ar Uniform Buildina, .Plurnhry inn R ��r*Hnn���! r'�rles „a t1-rr�ake a n 'd 1t t7x,��►nlawful to _ +he Nn+ionnl F-6-trico! Code. `rwritte'' � ar s r a.lt ; r;ic�ns e withob, �� n permisson from the Department nt hoot ;x ~ Works,. Count eparfinent of Public • •- v of Butte. ' 4 Al .M1 ' s�_^_"_�" __.._�. --__...�.. - • The j:.$etbackh t �the, ,. s all be 5 ft. from. ,•� - side• property line and 50 f6 from the ? ' centerline of the road, perTlitt ng a maxi- , mum of a 2 ft. eave overhang klut entirely 4 . � out • of all: easements. t � r;.�•. Septic system and location 1 1 to be as per Butte All ut�lit ner County Health Dept. Re,l�•,,Y,;�"F, Y con ons shall beauirements: •�_lo ithin 4 ft.' 4hirTi �io 10. tside ,the rear n of thl e• mo C { �n the left (road) t o f bi le side t • , t .• )., home. : he r F f A mi b ," ; , r,'• 'fKr^� / l c' r { �"'' installatio Will a requi�' ed for the `y ,• t T : .... ._ .., . _... ,_•_��� s hl of ,the mof�ilehome.� s p tl qO 14 • i _ l t3 TTI COU TY t' BUIL NG DEPAR MENIF R�,P1 R �'i' a ? r 'y - fzTA• `. ` ' � /I���J A � F VA R.6,•A�;If /J"'' u3 }i::.-�� .��ta'f � •' ,.+_ },. f .Iiv•O S �� .��i. /.�. b4(/��, t_