HomeMy WebLinkAbout042-030-007MOBILEHOME WITHOUT PERMITS
5/2/96
42-03-07�
RICHARD'& CONNIE J. SMITH
� `7.2 -Zus sick Ave, Chico
ContR: Jesse Heating & AC
PErmit#3775-88P,M(new wall furnace &
gas piping)SF
42-03-07 i "= 117-9.1B -
SMITHip!
, Co
2905 Cus ck ve, bn v
,(storage b dg)—"
42-03 07 �~ 227-913,'
SMITH, Connie,
2923, Cussick;, Ave, Chico
(demo/storage.,building)
042-030-007 PERMIT#96-2730
SMITH, Connie J.
2923 Cussick Ave., Chico`
Retag Gas Meter/SF
042-03-0-007
96-2830 E,M
SMITH, Connie J.
2923 Cussick Avenue,
Chico
(heater & wiring) Jessee Htg
042=030-007
PERMIT#97-2240
SMITH, Connie
2923' Cussick; Chico
/�/� /��r
Cont: Alleican
Elect is
Ele S:er "Ch/SF
4
11
042-
SMITH3-0-007. ' + 96-2830
6 ` --- -
Connie. J,, 2830 E,M
2923 Cussick
a
(heater Avenue, Chico
&wiring), Jess* Ht
g
-� y
r
t
-
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDI NG DIVISION
7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541. PERMIT NO.
APPLICATION AND PERMIT ```
&�
ASSESSOR PARCEL NUMBER
042-030-007
ZONING
BUILDING PERMIT
OWNER -
H
TELEPHONE
'0-7648
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
1923 CUSSMic
CONTRACTOR'S NAME
GAND ATR CONUTTORING
TELEPHONE
FAIL -4926
CONrRACTOR'S MAILING ADDRESS
?5 4;nTrMrATP T.N
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation $
Filing Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
2923 CUSSICKPLUMBINGPERMIT
PERMITFEE $
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
SFO 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'Q
Describe Work: HEATER AND WIRING
Mobile Home S G W @20.00
PERMITFEE g
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 000V 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. q� `I `
License Class [ — �_ 0 Lic. No. - I
OWNER -BUILDER D CLARATION tt
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason: '
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCURSO.
OR ADDNS. ( 8 ACC. ) 3.5Q FT.
NEW CONST. MULTI-OUTLEUTLE T
NON-RESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS
( & SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES) 20 Q 1.00
aAL 50
FIXED APPWS. OR
Ex. Occup. ( OUTLETS (RESID.) EA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $ 43.00
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.
�O I 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-)-rn-f-P C� 0--tQ.c �tv
se. -,^
MECHANICAL PERMIT Filing Fee 20.00
9
Heating 20.00
Cooling
Hood 6.50
Ventilation
PERMITFEE S •
Contractor
Policy Number GJG 'Otn;'r- ;Lc,
(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.
�yL
XL4 �✓`__ Date I 2_�-ry _
Signaturef . of Applicant - ❑ Owner ❑ Contractor :_ erit
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
occ
CONST. TYPE
I
TOTAL FEE $ 83.00
HAZ.
I D. FEES
I IMP I FLOOD
I CDF
PARCEL
PD
I HD
I 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 •.+...- Date /Z/ �j ��►
y %
PERMITEXPIRESON �—/ 7 79
(Date)
p r(/�6 1
Recei tNo. t4
WHITE-D.D.S.-B.D. CANAR-ASSESSOR•'i& PINK -INSPECTOR GOLDENROD -APPLICANT
`:""'�' �:�,.s�F.:.Srta:&}�s;a`;«-�^a�'971rf.'��fii��;u��a?wsw.n,vvJ,,�rgo-r�`,�"�9►c"�e"dr►�T��1,,�
_ 042-030-007 PERMIT#97-2240
SMITH, Connie
2923 Cussick, Chico
Cont: All American Electric
Ele Ser Ch/SF
�—
I
4 -
OFFICE COPY
�
Address- ���✓" �CJ�C iKJ
i
GAS
Meter By Date
ELECTRIC
Meter By DaJ6
. v�'26
6i
;COUNTY OF BUTTE -DEPARTMENT OFISEWLOPMENTSERVICES -BUILDING DIV ION
7 County Center Drive - Oroville;`�California 95965 - Telephone (916) 538-7 1 ERMI NO.
(Rev. 12/96) APPLICATION AND PERMIT OL
ASSESSOR PARCEL NUMBER
ZONING
BU ING PERMIT
OWNER i
SMTN i
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2923 CUSSICT CHTM CA
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 2923 CITSESTrY
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ..M 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 ❑ Other ❑ i
Describe Work: ELEG"I'RIC SERVICE UPGRADE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 'AOR LESS
23.00 00.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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 C` Lic. No. SSS///
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 ( To
46.00
CCU000A
NEW CONST. OWEWNG OCCUP.
DWE200ALLING
OR ADDNS. ( a ACC. BLDS.
SO
3.5QFT;
NON•RES DTNEW CONS. 4ANC -CIRCUITS T
@7.50
POWER APPARATUS
& SINGLE OUTLET CIR. I
Ex. Occup. ouTLEroRFOTruREs
20 @ 1.00
SAL @ .50
Ex. Occup. ouTED rs RES D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ 43.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(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 those p ov dons.
X ,_ /���_ Date //���-
Signatu of Applicant Q_ wner _ ❑ Contractor ❑ Agen
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.�
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
O. FEES
IMP
FLOOD
COF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte'County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
���6 �/7 7
Date
Receipt No. L 1 V I
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV ION
7 County Center Drive - Oroville, California 93965 - Telephone (916) 538-7 1 ERMIT N0.
(Rev. 12/96) APPLICA-6014'AND PERMIT
ASSESSOR PARCEL NUMBER
42-03-007
ZONING
CIR-1
BUI ING PERMIT
OWNER
CONNIE SMITH
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2921 019SICK CHICO CA
CONTRACTOR'S NAME
AT.T. AMERICAN ET ECTRIC
TELEPHONE
1896-1812
CONTRACTORS MAILING ADDRESS
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 $
BUILDINGADDRESS
Energy Plan Checking Fee $
CHICO
PERMIT FEE $
IAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
Each Trap 7.00
USEOFSTRUCTURE
SF JJ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ELECTRIC SERVICE UPGRADE
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 200A OR LESS 23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in fu I force and effect. G C
License Class L, ( Lic. No. V D -3 J
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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(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 those ov ions.
X Date /f�L—
Signetu of pplicant wner ❑ Contractor ❑ Agen
An OSHA permit is requir d for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLING OCCUR s0
OR ADONS. ( 8 ACC. B.S. 3.5¢FT,
NEI9
NON -R SLET
OT MUNSCI CICU @7.50
POWER APPARATUS
3 SINGLE OUTLET CIR.
20 @ I.00
Ex. Occup.OUTLET OR FUTURES SAL @ .so
ED LNS
Ex. Occup. ouTrs RS p,OEl 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $ 43.00 00
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 3.00
HA2.
D. FES IMP
FLOOD
CDF
PARCEL
PD HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By -.6 '` Date /1 /�V57
PERMIT EXPIRES ON
Date
Receipt No. 2 Z ��! %
WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.X COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 .County Center Drive - Oroville„Califknia 95965 - Telephone (916) 538-7541 ✓� ?K�� N0.
APPLICATION AND PERMIT 4W�(
ASSESSOR PARCEL NUMBER
042-030-007
ZONING
' BUILDINGPERMIT
OWNER
SMITH, CONNIF J_
TELEPHONE
349-7648
SO. FT. OCC. BUILDING
VALUAT
OWNERS MAILING ADDRESS
2923 CTISSICK
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
'1Q95 SOUTHGATE LN
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMITFEE
$
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF 6 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
Describe Work: HEATER AND WIRING
Mobile Home I S I G W 1
920.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service 000V OR LESS
( 2ooA 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.
LL
License Class [,� 2 O Lic. No. V05- —1 �
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS. ( 8 ACC. )
SO.
3.5¢ FT.
UTLE
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
APPARATUS )
( & SINGLE
LE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 Q I.00
aAL 50
Ex. Occup. (oFIXEDTs (RESID.) R )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23.00
PERMITFEE
$ 43,00
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.
I 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 S C� �..�-��l-�i�>^ l=i°
IP
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
20.00
Cooling
Hood
6.50
Ventilation
PERMITFEE
S 40.00
Contractor
Policy Number
(The above sections n- ee d not t -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 shallTOTAL
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.
/ 1
X _ _�__ Date Z Z v
Signatur of Applicant - ❑ Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 5'O" deep and demolition or construction of structures over 3//stt�ories in height.
Mobile Home Installation Fee
Is
Energy Inspection Fee is
occ
I CONST. TYPE
FEE $ $3.00
HAZ.
D. FEES
IMP
F1000
CDF
PARCEL PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
ve
indN;6ez
By
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date
Z
(Dat
Receipt o. lC�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO
,.Y APPLICATION AND PERMIT
ASSESSORP RCELNUMBER
BUILDING PERMIT
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNEgS rNG ADDRESS
COM.�L)RAGTO- R5 MME �QQ i TELEPHONE /gyp
�ONTTIACTORS MA4JN0 ADDRESS
i Z JTZ.
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee S 20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee S
ARCHITECT OR ENGINEERS MAJUNG ADDRESS
Penalty $
BUILDING ADDRESS
PERMITFEE I $
PLUMBING PERMIT Fling Fee 20.60
Each Trap 7.00
IDT NO. SUBONISIONSNAME PARCEL MAP
Solar or heat pump water heater 23.00
Water piping I 15.00
USEOFSTRUCTURE
SF Duplex ❑ Mobiiehome ❑ 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
Describe Work: Tf--l' GrT/ C. 1�— �V �/l% l.�-t 'Q
Mobile Home IS I G1 W1 I @20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT Filinq Fee 20.00
( Iw.OR LESS
Main Service ) 23.00
20[UI OR LESS
Main Service ( 200A TO ,oNIOA ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed it the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X _______ Date _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
NEW CONST. DWELLING OCCUP.S. SO.
OR AOONS. ( 6 ACC. BID ) 3.52 FT,
NEW CONST. MULTI.OUTLET
NON.RESID. ( BRANCH CIRCUITS @7.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES ) BAS Q ':5 I
Ex. Occup. (OFIxUTLIETs RFSIDOEA ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00 '
PERMITFEE S ,
Contractor
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE S
Contractor
Mobile Home Installation Fee S
Energy Inspection Fee Is
OCC
CONST. TYPE
l
TOTAL FEE $ 3,
HAZ.
O. Ft -,ES I IMP I FLOOD I COF I PARCEL I PO I NO ssuE
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 Date
y
PERMITEXPIRESON
lOnrel
ReceiptNo. 66 T
WHITE•D.O.S •B.D CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
777042-030-007 PERMIT#96-2730
SMITH, Connie J.
2923 Cussick Ave.,. Chico
Retag Gas.Meter/SF ��/s/�7
s c <<� Vd
OFFICE COPY
Address
GAS-`
�r B
Meter
Date
ELECTRIC
Mete
Date
�� ., . �'�'.°Ya'•�°',";.;� `Y"l`i�i 4t"'""r'�p°':�i1�' 'iir:��`r,�'iii°�� r i' •�.�l.,a � -_��y^ �"-'�^'�,+��r 5't � -:
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION -
7 County Center Drive - Oroville, Californid 95965 - Telephone (916)_53 �PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
042-030-007
ZONING
SRI
BUILDING PERMIT
OWNER
CONNIE J. SMITH 916
TELEPHONE
342-7648
SQ. Fr, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
2260 KENNEDY AVE CHICO
CONTRACTOR'S NAME
OWNER
TELEPHONE
-
CONTRACTORS MAIUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIOVOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS _ —
Penalty $
BUILDING ADDRESS 2923 CUSSICK
PERMITFEE S
PLUMBINGPERMIT Filing,Fee 20.00
Each Trap 7.00
LOT No.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater 23,00
USEOFSTRUCTURE
SF ❑, Duplex ❑ Mobilehome ❑ Other # •
SPECIFY 1
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 1 5.00 ,
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
_ t
Describe Work: PGE; METER - J1060
_
Mobile Home I S I GI W 1 920.00
PERMITFEE $ 35
Contractor
ELECTRICAL PERMIT Filing Fee' 20:00
{Main
1
Service ( 20ov OR LESS ) 23.00
200A OR LESS
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.< f
License Class Lic. No. �w L
OWNER -BUILDER DECLARATION I
1 herebyaffirm under penalty of perjury that I am exempt from the Contractors License
P tY P 1 rY P I I
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. I
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP..
OR AD DNS. ( ..& .ACC. BUDS. ) s0
3.5tt FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
( a POWER APPARATUS )
SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FD(TURES) 20 Q I.00
BAL 0 .50
Ex. Occup. OUTLETS PLNS..OEA
( ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:.
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood rte,. 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.)
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.
/�1 4L� /
X 1 1)=e _C•�R: •-raj °��'i r - Date _% .� �i ✓ f
Signature of Applicant ;CT Owner ❑ Contractor ❑, Agent
k 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 Is
Energy Inspection Fee is
occ
r'� .7
CONST. TV
;%� 1
TOTAL FEE $ 35.00
HA2.
D. FEES
IMP
FLOOD
CDF PARCEL
PD HD
ISSU
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.
f I!_
B�
Y Date_
PERMITEXPIRESON
(Date)
ReceiptNo. 10 6�2 - '� ' �'
I
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
UL —
is
COUNTY OF BUTTE -DEPARTMENT OF -DEVELOPMENT SERVICES -BUILDING DIVISIO
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
042-030-007
ZONING
SR1
BUILDING PERMIT
OWNER
CONNIE J. SMITH 916
TEI-EPHONE
342-7648
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2260 KENNEDY AVE, CHICO
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation $
Fling Fee $ 20.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Plan Checking Fee $ '
ARCHITECT OR ENGINEERS MAILINGEnergy
ADDRESS
Penalty $
BUILDINGADDRESS
2923 CUSSICK
PERMITFEE $
PLUMBING PERMIT Filing Fee 20.00
Each Trap 1 7.00
LOT NO.
SUBDNSDN'S NAME
PARCEL MAP
Solar or heat pump water heater 23.00
USEOFSTRUCTURE
SF EX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:—yp
—P ,R METER
Mobile Home S I GI W @20.00
PERMITFEE $ 35.00
Contractor
ELECTRICAL PERMIT Filinq Fee 1 2 0:0 0
'
Main Service EOOY OR LESS
( 2ooA 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
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
1 will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR 30.
OR ADDNS. ( & ACC. BUDS. ) 3.50 FT.
NEW CONST.MULTI-OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
(ER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FIXTURES) 20 Q 1.00
BAL SO
Ex. Occup. OUTLETs RES D.) EA
( ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc . Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
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 thos rovisions.
X Date --
Signa ure of Applica N' Owner ❑ Contractor ❑ Agent
An OSHA permit is re Ired 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 1
��
CONST TV E
u,
TOTAL FEE $ 35.00
HAZ. I D. FEES I IMP FLOOD CDf PARCEL PO HD
SSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
BY�ODate ld,517 +6
RMITEXPIRESON����
(Date)
Receipt No. L� 6 c%2
WHITE-D.D.S.-E.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
PM
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 pernit will
be issued until this verification is received. .
1. I personally plan to provide the major labor and materials for construction of the
proposed property improvement: YES[}] . NO[ ].
2. I IEEAVEM HAVE NOT[ ] signed an application for a building permit for the
proposed work
= . 3. I have contracted with the following person (firm) to provide the proposed
construction.
NAME: _
ADDRESS:
CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:-
......- -NAME: •
ADDRESS• CT•Y:
PHONE: CONTRACTOR'S LICENSE NO.
S. I will provide some of the work but I have contracted (hired) the following persons to
provide'the work indicated:
3_y,,�;..... NAME ADDRESS PHONE TYPE OF WORK
i --.lid_ .. '•--
z rum
PROPERTY OWNER:
-,
SOCIAL SECURITY
DATE:
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted to issue the permit.
O.B.-1
-------------------------------------------
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v1 :v. w:> �::: Ki.}:, ?qv.'r:.}:i<r.^, •}: :. . •�: :: �: {� : :: 4• j� inj<:i`vi:?i�$'r:L:J�C�:}<N�;T..
..........: :.:..r.�:.:.v. �:.:...:...vw:..•:;�::..•::.:.::�:::..::.....�.�:::::::.:::::..:.:w::::::::.�..........n.:i.{{{itbv:{{'G::iC:\>\viv2JT�r,Y~vO�D1v`iUtiv'��i'�v: '
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work If your work is being performed by someone other than yourself; you may Protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is 5300 or more for the ' entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contnbutions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract -the Internal Revenue
Service (and, if you wish. the U.S. Small Business Administration). For more Specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their own employees, without a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "ownerbuilder"
building permit. erroneously implying that the property owner is providing his or her own labor and material ,
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned
Sincerel , • :,
,CC �•-`
Michail C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
COUNTY OF BUTTE -
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA -1916) 872-6307
CORRECTION NOTICE
544 i/X/ T(0-273 U
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Fk OUI P& O -Cn t7 .4,
Date I Z-7-�I- q(-*- Inspector
REV 10/92
0
clo-
I AV440--
5cC)7
14 t s is0
99 T f
1
Y v
�- �vopAto7 i ti 7� /
s
r °
t
BUTTE COUNTY DEVELOPMENT SERVICES
Complainant:'
Address:
Phone Number:
Other Comments:
h4knor
q
Inspector must draw a plot plan with all buildi -locations:
Additional Comments from Inspector.
2
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IN
in
VIOLATION CHECK LIST
A.P. Ll -,2 — _ 7 Address
Owner C -d _
Owner's Address
.Owner's Phone No. Supervisoral District
Tenant's Name Phone No.
Type of Violation in Detail with Code Section Priority No.
Specific Plot Plan with C/V Noted _yes no •Penalties Required
1st. Notice Sent
ate
2nd. Notice Sent
Date
Disposition For Citation Citation
Date (Date)
Department Recommendation to Court
Court Action
Notice of Violation Recorded
(Date)
�Ao
COMP..
LAINT SRM
w,
BUTTE COUNTY DEVELOPMENT SERVICES
Date:
-Owr S'� I TH RICHARD C a: ' CONST NCC
.r' F;ECJ-;iT�
Zoning:
✓`
:t 7H 'F -'Ug -HARD C.,_ TAI.If E
Add }� �y
���} ra, A*u�
"`
T ��'``-.'.
General Plan:
CHICO
Supervisorial District #
Complaint/Violation Location:
2 15� .�
_- C v S 4r( ch
4,1 e, h
/ �-
TYPE. ( ]Building [ ]Health
[ ]Planning
Complaint
Taken By:
COMPLAINT: NH /�,j S
eM s
- - Caution: [-]Yes [ ]No
Permit History on File: ( ]None [ ]As follows:
mac- �
Approx. Size of Bldg./M.H. 7S v Approx. Age of Bldg./M.H. '?/0
[ ]Occupied Has Electricity: [ ]Yes [ ]No Has Gas: [ ]None [ ]Propane [ ]Natural
[ ]Vacant Has Sanitation: [ ]Yes [ ]No Obvious Sewage Problems? [ ]Yes [ ]No
Under Construction: [ ]Yes [ ]No Built by/for: [ ]Present Owner [ ]Previous Owner '
Hazards:( ]No [ ]Yes,(explain)
Person Contacted: Describe Action Taken:
INSPECTOR MUST ATTACH A COPY OF THE CORRECTION NOTICE!
ACTION RECOMMENDED
Inspector: Date:
[ ]Information Only, File [ old for �� Days
[ ]Complaint Unfounded ( ]Other
[ ]Resolved per Inspector's Report [ ]Send Letter for Compliance
BUTTE COUNTY DEVELOPMENT SERVICES
Complainant:
Address:
Phone Number:
Other Comments:
1
Inspector rnhvet draw a plot plan with all building locations:
1
Additional Comments from Inspector:
.. «. 2
•
41
Pill.`
AN
All
7z f.-
rl
4 m
--
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please, contact this office immediately.
Date `J _Z Inspector
REV 10/92
PROOF OF SERVICE BY MAIL
Richard C. & Constance J. Smith
2260 Kennedy Avenue
Chico, CA 95926
RE:. Code Violations
2923 Cussick Avenue, Chico
Dear Mr. and Mrs. Smith:
butte Fount
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
October 22, 1996
A.P.#042-03-0-007
This is a formal warning notice. Pursuant to Butte County Code (BCC)
Section 41-2, we sent you a courtesy notice dated May 21, 1996 notifying
you that you are in violation of the BCC at the above -referenced location.
As of this date, the following violations still exist:
Failure to obtain the required permits, inspections and approvals from
this office for installation of a mobilehome in violation of the Mobile -
home Parks Act of Title 25, California Code of Regulations, adopted
by Section 28A-1 of the Butte County Code as follows:
(a) 1018 -Permits Required for
(b) 1048 -Inspections Required
(c) 1324 -Permits Required for
(d) 1326 -Inspections Required
any•Plumbing or Electric
for any Plumbing or Electric
Mobilehome Installation
for Mobilehome Installation
Since the additional living unit is not permitted in the SR -1 zone, the
violation shall be resolved by removing the mobilehome from the property
or the occupancy and use must cease and desist and the mobilehome be placed
in dead storage. The mobilehome is also in the setback area. You may apply
to the Butte County Planning Department for a use permit to allow an
additional living unit. If a use permit is granted, permits will be required
from this office to dor the work.
This is your final warning. Unless you contact this office and make the
proper arrangements to correct or abate the violation(s) voluntarily, within
ten 10 days from the date of this letter, enforcement shall be pursued
through the issuance of a citation (ordering you to appear in court) for
said violation(s) and for failing to comply with this warning letter.
Letter to Richard C. & Constance J. Smith RE: Code Violations A.P. #042-03-0-007
Page 2
October 22, 1996
Upon conviction of said violation(s) or of failing to comply with this
letter, the court shall impose penalties (fines) and a Notice of Violation
shall be recorded in accordance with Butte County Code Section 41-7. The .
Notice of Violation shall include a description of the premises the violation
concerns, a description of the violation, the date of your conviction and
the action necessary to correct or abate the violation(s).
Should you have any questions concerning this matter, please contact Scott
Rutherford or Michael Vieira in this office at the address or telephone
number listed above.
Sincerely,
MCV: dms
M
itC. Vieira, C.B.O.
Building Inspection
1
2
3
4
s
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
I am over the age of 18 and not a party of this cause. I am a resident of and employed in
the county where the mailing occurred. My business address is:
I served the foregoing
(A.P. #042-03-0-007)
Building Division
Department of Development Services
7 County Center Drive
Oroville, CA 95965
SECOND NOTICE VIOLATION LETTER.
by enclosing a true copy in a sealed envelope and depositing said envelope in the United States
mail with postage prepaid on 22ND: OF OCTOBER, 1996 and addressed as follows:
RICHARD C AND.CONSTANCE J SMITH
2260 KENNEDY AVENUE
CHICO,-CA 95926
I declare under penalty of perjury under the laws of the State of California that the
foregoing is true and correct and that this declaration was executed on 10/22/96
at OROVILLE , California.
Donna Sperling
Office Assistant III
Ga
Eatte count,
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
May 21, 1996
Richard C.-& Constance J. Smith
2260 Kennedy Avenue
Chico, CA 95926
RE: Code Violations A.P. #042-03-0-007
2923 Cussick Avenue, Chico
Dear Mr. and Mrs. Smith:
This is a courtesy notice to notify you that you are in violation of the
Butte County Code, as follows, at the above -referenced location.
Failure to obtain the required permits, inspections and approvals from
this office for installation of a mobilehome.
Since the additional living unit is not permitted in the SR -1 zone, the
mobilehome must be removed from the property or the occupancy and use must
cease and desist and the mobilehome be placed in dead storage. The mobile -
home is also in the setback area. You may apply to the Butte County Planning
Department for a use permit to allow an additional living unit. If a use
permit is granted, permits will be required from this office to do the work.
It is the County's goal to obtain voluntary compliance with the Butte County
Code. However, you should be advised that Butte County has an active Code
Enforcement Program which provides an effective means of enforcement if
voluntary compliance is not obtained. Enforcement may be pursued through
the issuance of citations, fines and the recording of a Notice of Violation
including a description of the action necessary to abate the violation.
You have thirty (30) days to voluntarily comply with the above directions
or to present an acceptable plan for abatement or corrective actions to
be taken by you. Should you have any questions concerning this matter,
please contact Scott Rutherford or Michael Vieira in this office at the
address or telephone number listed above.
Sincerely,
MCV:dms Micha 1 C. Vieira, C.B.O.
Manager, Building Inspection
cc: Assessor
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i
. - , -.�T .7�-„n•,tr•.-r» ,,g,,.S�,;..T,,�,_.:R-eIT-.1 •�!�ra:'...c..- , .� .i: `o .;'P”""'�
- CO04TY OF BUTTE PA
U TE - DE RTMENT OF PUBLIC WORKS -
7 County Center Drive - Oroville, Palifornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR 3 PARCEL NUMBER
(1W_Smi
ZONING
BUILDING PERMIT
OWNER
Connie Smith
��+�=�i� •
SQ. FT. OCC. BUILDING VALUATION
500
OWNER'S MAILING ADDRESS
2260 Kennedy Ave., Chico, CA 95926
CONTRACTOR'S NAME
None
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ 10.00
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2923 Cussick Ave., Chico
Permit fee
$ 20.Q0
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPEC
Gas piping system 1 - 5 outlets
5.00
Building Building sewer
5.00
Mobile Home I S I G JW I
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work: demo stor _
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
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, Or my employees with wages as their SOI@ COmpen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.d
New DONS. A
2/,20sgit
MULTI -OUTLET
OUTLET
NON.RESID AN CIRC ITS
2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(ouXTS OR FIXTURES
10@50¢
ALO 30C
FIXED ED S. OR
Ex. Occup. OUTLETS TS (R(RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. 6Virin 9
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.
I shall not employ any person in any manner so as to become subject
X'K'-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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said, County in consequence of the granting of this permit.
�.
X if 7c' 'r, - ,••") 1 r r r i ` Date �- � ' /
Signature of Applicant — OwnerZ�nrractor ❑ 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 $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE.00
HAZ
I CUA
PARK
I SCHL
I FLD
I PAR
PD
HD
IssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
B
PERI I� `( EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date /2'
-Z—� �.��•�
Receipt No. 84780—$20.00
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
--COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California,95965 - Telephone: 916/538-7541�� /�✓
APPLICATION AND PERMIT i
ASSESSOR PARCEL NUMBER
42-030-007
ZONING--
BUILDING PERMIT
OWNER
Connie Smith�E
/ng+
SQ. FT. OCC. BUILDING VALUATION
500
OWNER'S MAILING ADDRESS
2260 Kennedy Ave., Chico, CA 95926
CONTRACTOR'S NAME
None
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 10,00
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
2923 Cussick Ave., Chico
Permit fee
$ 20.00
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
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehome❑ OtherBuilding
S Ec
Gas piping system 1 - 5 outlets
5.00
sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: demo stoT
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 11001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'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.SINGLE
License No. con
//{ Classifiati
Ipy�\I I, as the Owner, or my employees with wages as their Sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1,a th(Sece owner, am exclusively contracting with licensed contract- 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.61
OR ACDNS. ACC. BLDGS.
,h¢sgft
NEW CONSTRESID, RANCH TLET
NO N•R ESID BRANCH CIRC ITS
CIRCUITS)
2,50 ea
POWER APPARATUS &)
OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES
B2AL@0@03300
FIXED APPLNS. OR
Ex. Occup. OUTLETS 1RESID,1 EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against County in c e ce anting of this permit.
X Date /" , %�
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 $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE X0.00
HAZ
CUA
PARKnFLDE
PAR
PD
HJ11SUE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
j
BY
PER EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 84780— $20.00
WHITE-D.P. w..YELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
2
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive,;Oz�6Ville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
\ 1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work
3. I have contracted with the following person (firm) to provide the proposed
construction:.
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
\Signed:
Property Owner
Social urit Number
Date /
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
°..,�;r".{•�CttSC.r+ (f"�G�i tvNXi 'j«ifr�s ,t wi/ �fY)t`�i`'#T�i`j r:.` �R
COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,-CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLI, ATIIDW DATA SHEET
_ Permit No.
OWNER G6)AlI/ / � S�
M /y A.
/�'� Building
Proposed Building Use g Date
At time of. permit application, I was advised the following data must be submitted priorto permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted. ........................ . .........
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions...................................................... .
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: .......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
W u Issue the permit, process as follows: Mail to owner. Mail to contractor.
elephone and hold for pickup at office. Deliver w./inspector.
Other
A p p I i c a n t Date
Copy of Haz-Mat Torm sent Health Dept. Fire Dept. _Air Pollution Date
Copy of plans sent _Health Dept. Fire Dept. Other r Date By.
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by._phone_—mail counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMFENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
_
ZONING
BUILDING PERMIT
OWNER_^� GM Y-/
E'L P -Q
S0. FT. OCC. BUILDING VALUATION
OWNE�MA1�G ADOESS C
/
CONTRACTOR'S NAAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ /0 10C
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty •
$
BUILDING AQ,D3s � � �(� v�
permit tee
$ 2 49, O
PLUMBING PERMIT
Filing Fee 10.00
S ��
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other f5V
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: ��(7 5�&
Permit ree
$
Contractor,
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
10.00
Main Service EA. AOO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p I y (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.tr\
OR ADDNS. l ACC. BLDGS.
'/20sgft
NEW CONSTR U TI.OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
(POWER APPARATUS tr)
(SINGLE OUTLET CIR.
/
Ex. OCCUp\OUTLETS OR FIXTURES
5AL930
eA�oaa
D )EA.1
Ex. Occup. OUTLETS FIXED RESIR
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.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked..
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, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
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 33sttories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAz
CUA
PARK
SCHL
FLO
PAR
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
I
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. _ __94 7 0
IF 4
eount* at jgtdk
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Connie Smith
ADDRESS: 2260 Kennedy Ave.
CITY & STATE: Chico, CA 95926 IMPORTANT:
2/4/91 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
14
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner has decided not to do work. Permit #117-91B,
AP#42-03-07, Receipt #84733, dated 1-14-91.
Total Permit Fees Paid ---------------------------------
Retain Building Permit Filing Fee ------------ $10.00
Retain Partial Plan Check Fee ------=--------- 15.00
Total Permit Fees Retained----------------------------- 25.00
TOTAL REFUND DUE ---------------------------------------
TOTAL
$105
75
I, the undersigned, declare under penalty of perjury that the services or articles claimed have b performed or dellve d; end that this
claim is true and correct as stated. n ��
Dated this !I".J................. day ofJ�.......... C 19 ;/ �, et�iKl (ll...., Calif. ..... .......................... ..............................................
Signeturc of Cial t
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have be performed or de-
livered and that there is a Budget Appropriation ❑ or Specific Board ApprovalO (Check one) for the same.
Dated this...... 4tt)..................... day of ...February.... 19 91 at Oroville Calif. ............ ...:...................................................
....... .............................. .
e ment Head or Authorized Dep
Dept. E
Code 440-002C de 421OSOO .......................PAYABLE FROM ..0 ......onst..................................................................................
FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
DEPT. & SUB. PROJ. SUB. OBJ.
CLAIM NO.
INV. NO. INV. DATE
ENCUMB.
GROSS AMT.
�vql
�'o
CI p
12e,41 G
l��
L f
COUNTY OF BUTTE- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO. f
ASSE SOR PARCEL NUMBER
.. 4'2='030-007
ZONING
SR -1
BUILDING PERMIT
OWNER
Connie Smith
TELEPHONE
342-7648
SQ. FT. OCC. BUILDING VALUATION
525 7,350.00
OWNER'S MAILING ADDRESS
2260 Kennedy Ave., Chico 95926
225 2,250.00
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 9600.00
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$80.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$40.25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
.75
$130.75
PLUMBING PERMIT
Filing Fee 10.00
2905 Cussick Ave. Chico 95926
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex Mobilehome❑ Other Storage Bldg.
SPECIFY
Gas piping system 1 - 5 outlets
1 5.00
Building sewer
5.00
Mobile Home S I G I W
0.00e
TYPE OF WORK
New M Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑
Describe work: $tar3Ra Rt1i 1 di nD _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1100 OR LESS
00 OROR LESS
10.00
Main service EA. AOD'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 BuSlnesS
and Professions Code and my license is in full force and effect.
License No. Classification
1❑'I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR ADONS. ( ACC. BLDGS. I
, /20sgft
NEW CONST R. ULTI.OUTLET
NO ESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS I!
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20@50t
eAL®so
FIXED APPLNS
Ex. Occup. OUTLETS (RESID )REA.�
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. byirin 9
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
[a,-1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Coolin g
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains id County in co sernq,!:!f2 granting of this permit.
%� Date l,�—
Signature of Applicant — Ownerontractor ❑ Agent ❑
An OSHA permit isrequired for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
AL E
FEE
TOTAL $ 130.7 5
7PD
HAZ
CUA
PARK
PAR
HD ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 84733
WRITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
4Y
L
I
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OWNER
COUNTY OF BUTTE - DEPARiNIE'NT.OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
SM /
Proposed Building Use
Permit No.
+ A. P. No.
uilding Inspector Date
At time of ermit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
All items have been submitted . ........................ . ..........
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans . .
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions ........................ ............................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
47 14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required . Pre-inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Appl icant : Date r 4�`
Copy of Haz-Mat Torm sent Health Dept. Fire Dept. _Air Pollution Date
Copy of plans sent _Health Dept. _Fire Dept. Other Date By.
The followin must be subm pri to permit issuance: (Circle new.-'temr,lAot c Pecked above).
1. Index pe it for above items No. fD
2. Additional i required:
Contractor, designer, owner, was advised of above required data by phone--nail_counter by �T'✓.date % �� Q
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Pla approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
` 1. I personally plan to provide the major labor and materials for construction of
/ the proposed property improvement (yes or no) & -
2. I (have/have not) signed an application for a building permit
for the proposed work
3. I have contracted with the following person (firm) to provide the proposed
construction:.
Name
Address City
Phone Contractors License No.
4. .I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Number
Date /-,/CIL�-r'%/
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
PLoT zA,�,, -
2 V -5='I -'3'C U SSTC �r
C � R r. Il
T�-
'A1C,EZ
01-12-03(i-6707- oOC�
S C A,� 1// �O /
D A
A setback of 5 ft. from the
property lines and a setback of
50 ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. save overhang. MD
G[' G- P- OF AL 6ASEft W, S
C IJSS TC
a
M
i
S'
t
a
M
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
ir. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
�ya0� — b1
APPLICATION AND PERMIT
)PE MIT NO.
ASSESSOR C C PARCEL NUMBER r� �)�1
z°"'"G
BUILDING PERMIT
OWNER / _ -i
+ C
TELEPHON/E
) 11' ,}
�t""t�
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'5 NAME I ) T
7I *W iA-1-14I ,i , T\ 1 / (, JfX
TELEPHONE
y,� -.17U
CONTRACTOR'S MAILING ADDRESS,.
t
Fireplace
CONSTRUCTION N LENDER
r
UNKNOWN
Total Valuation $
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee ,$'
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING/ADDRESS
Permit fee $
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
Each pas water heater or vent 5.00
USE OF STRUCTURE
SF ❑SC Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S I G I W 10.00ea
PE OF WORK
New ❑ Addition ❑ RemodelX Utilities ❑ Installation❑ Other ❑
Describe work:�.,���-� fes. � tA-I pp.r-4 It Q C. S- _
n lace e-feef-r-;1- Cr.6 rhCL(4
Permit Fee $ O L
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
•
Main service 6001 OR LESS 10.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I..,
R 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.
�� 4 %I - ��
License No. , Classification
❑ 1, 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
LIN CCUP.&\ yz2sgft
oR ADDNST L DWEACCLGS /
NEW CONSTR.MULTI-OUTLET
NON-RESID BRANCH CIRC ITS 2,50 ea
POWER APPARATUS 6
� 4NGLE OUTLET CIR.
EX. Occup OUTLETS OR FIXTURES BA50
FIXED APPLNS. 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):
❑v
The permit is for $100.00 (valuation) or less.
® I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT Filing Fee 10.00
Heating r 0 ()
Cooling
Hood 3.00
Ventilation
Permit Fee $ v
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X T/-� i%r ^l• -( q/t �Date / / /_; ->�
Signature of Applicant — Owner ❑ Contractor ❑ Agent Q
An 6SHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OV
TOTAL PERMIT FEE $
OCCuP.
CON5T.TYPEJ
FLOOD
PARCEL
PD
I ND
ISSUE
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.
DIRECT R OF k!LIC WORKS
(/
By �. / Date
PERMIT EXPIRES �e I�� ' /'���
Receipt No.
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE ,
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541 +
'747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
//7 �-4, 1717,4�,-lx 7s r
. abjkfl & f d
Inspector
t�
r
Zti
r�
,.... ;1' 907-910
UNIFORM MECHANICAL CODE
through which the gas vent passes to assure required clearance from combustible
material and to prevent any damage to the vent.
8. When a Type BW as vent is installed in an existing building, the wall
covering one side of the vent shall becomp ere yp of—fin%r to r in—still o d
p Pe
inspection.
9. Type BW gas vent shall extend from the header plate of.the vented wall
furnace to a point above the highest ceiling plate through which the vent passes,
without any offsets or crossovers therein. After a Type. BW gas vent passes
through the highest ceiling plate above the furnace which -it serves, the vent
system may be completed with Type B gas vent of the same manufacturer, and
offsets or breakovers shall be limited to that specified in Section 905.
Area enting ya _ m
Sec. 908. Every venting system shall have an internal cross-sectional area of
not less than the area of the vent collar on the appliance unless the venting system
has been designed in accordance with Section 901. In no case shall such area be
less than 7 square inches unless the venting system is an integral part of a listed
appliance.
Multiple -appliance Venting Systems
Sec. 909. Two or more oil- or gas-buming appliances may be connected to one
common venting system, or automatically controlled gas appliances, may be
vented into the same chimney serving liquid -fuel -fired appliances, provided: (a)
the gas.appliances are each equipped with a safety shutoff device, (b) each oil
appliance is equipped with a primary safety control, and (c) the venting system is
designed to meet the requirements of Section 901 of this code, or the venting
system complies with the following requirements:
1. Appliances which are connected to a common venting system shall be
located within the same story of the building, except designed vent systems as
provided by Section 901.
2. Two or more connectors shall not enter a common venting system unless the
inlets are offset in such a manner that no portion of any inlet is opposite the other
inlets.
3. Where two or more appliances are connected to one venting system, the
venting system area shall be not less than the area of the largest vent connector
plus 50 percent of the areas of the additional vent connectors.
4. Each. vent connector of a multiple, venting system shall have the greatest
possible rise consistent with the headroom available between the draft hood
outlet, the barometric damper or the flue collar and the point of interconnection to
a manifold, to'a common vent or to a chimney.
Existing Venting Systems
Sec. 910. An existing venting system shall not be connected to a replaced
appliance unless the venting system complies with all the following requirements:
1. The.venting system shall have been lawfully installed in compliance with the
code in effect at the time of its installation and shall be in a safe condition.
2. The internal area of the venting system shall comply with Section 908.
74
1985 EDITION
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICAT(OWAND PERMIT
37 K
ASSE SOR PARCE NUMBER
() a 0 O6 r] d OC)
ZONING
BUILDING PERMIT
WNER
I� C Mlrd C arJ Ccnn► -TSrn
TELEPHONESQ.
34a-'7
FT. OCC. BUILDING VALUATION
OWNE(PO MAILING DRE SU� / �c^
V (\
\�NTRACTORKKS�N..A
V s �2 i M
TELEPHONE
CONTRACTOR'S,IMAG AD RES
-}bj�
Fire lace
p
CONSTRUC TIQN NDER
UNKNOWN
Total Valuation is
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS n
l_ ss'
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
Each qas water heater or vent 5.00
USE OF STRUCTURE
SFO Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S G W 0.00ea
E OF WORK
F-1New Addition❑ Remodel Utilities ❑ Installation❑ Other ❑
Describe work: 0".- 1�� o u.r�� -f @CA�S
tItekle _"b i-e(JlC�.ce e�eer�r_ �c.LrY�o.�,P
Permit Fee $ O V
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100 OR LESS 10.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
_AkONTRACTORS LICENSE LAW
I declare under pen I y of perjury (check -one):
to I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession Coe and my license is in full force and effect.
License No 0 Classification e -a�J
❑FIXED
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUP.11±\/z¢sgft
OR ADDNS. l ACC. SLOGS. /
NEw CONSTR U TI -OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
/POWER APPARATUS .&)
(SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES eA 030
APPLNS. OR
Ex. Occup. OUTLETS IRESID.I EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
ORKMEN'S COMPENSATION INSURANCE
I declare under en Ity of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: if after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT Filing Fee 10.00
Heating a5 IJ{P (t)
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 Countyot0-0
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 liabil' ies, judgments, costs, and expenses which may in any way accrue
again t id Count con uence of the granting of this perm t.
Date ��
Sof Applicant — Owner❑ Contractor ❑ Agent
iena re
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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 3 �y
OcCUP.
CONST.TYPC
I
I F1.000
PARCEL
;D7
No
ISSUE
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.
D! T OF LIC WORKS
�:
B., N Data
C
PERMIT EXPIRES ate ,,,&
Receipt No. �
WNITE-O.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
'q,„��:.--�:--�.=-i.,-�..a�.�r"'-',�'—,M,�"°c'u^�-•�?.'L.Es`4•�`"Xi';'tc-M•1:�:..��`:
\'COUNTY OF BUTTE
,rte DEPARTMENT OF PUBLIC WORKS
/F 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541'.•
747 Elliott Road, Paradise — Phone: 872-6307
.A
CORRECTION NOTICE t
t
i A, r, ✓ �' irsi f'f,
JNER / _ i PERMIT NO.
AP 04(y2 - 030 - 0 0 ;
A routine inspection indicates that the following violations of County Ordinance 'Y
exist at the above address and should be corrected. Please notify this office
when correction of work is you If completed. have an ~'
p y y question pertaining to this
matter, or need additional explanation, please contact this office immediately. "'
f
G
Date ��—T� Inspector
ava(1 ab I -P
F7
"hurrsdaij '
F7
'f- iday
F7
1
Complaint Date
Other Date^
BUTTE COUNTY COMPLAINT FORM
n
OWNERJ�'1 T 21� j'1',���i. 0, -T
Address
Complaint Location
VIOLATION TYPE BUILDING Q HEALTH Q PLANNING
A. P. # !�Z- -0-50 -CC) 7
Zoning ��--I
Taken By:`
D OTHER
COMPLAINT: (i �.�1rQc
% 'Y1 -F 5 1
('f'►'1 `�-�''uC_�P�1 l� 11i�l �E' � �xtC_1C_ �'tl'�-C�. .
00,m,0166vilti1-�
PERMIT HISTORY ON FILE NONE AS FOLLOWS:
------------------------------------------------------------------------------------------
FIELD INFORMATION
TENANT: Name L-A, h k c, , n Address 92.3 3 QL 9bSS
Description of Violation 0 a (I nep A ! O^ctcA A 13 �. � Id 1, a W X �e, � '.`t_
OTHER COMMENTS:
Approx. Bldg./';.:. 4105?zolc gem t:. Approx. Bldg.j�l (A)
Under Construction Built By/For-T= Present Owner 0 Previous Owner Occupied
0 Has Power Has Gas Q Has Sanitation Facilities
E4 Written Notice Given & Attached Person Contacted h n m rw l ko -
Describe Action Taken:
c��a4na... ter. 2v�-c-Nse s,of..o „� Zlnl-a.
ACTION RECOMMENDED:
Information only, file
Letter
X;
1010 Day Letter IC,�j
�V�Hold for % Days
DATE !. - /A - P
Complainant:
Address:
Phone Number: _
Other Comments:
Additional comments from Building Inspector:
OVER
I 1*10IV, F\I JLC
n
FORD 6 FOULER SUB. MDR. BK. I PG. 7/9
FORD L FOWLER SUB NO. 2 M.O.R. BK. 10 PG 6A/8A
,
�
'
Phone Number: �
OtherCo0Umenis. -- —
. '
Building InspectiFinust draw a -plot plan with'all buildings and violations:
�
�
---~_ '
. - .
|
- /
' -- ---- ' - -- —'
Additional comments from Building Inspector:
. � �
Complaint Date t
D Other Date
BUTTE COUNTY COMPLAINT FORM
OWNER
Address ?— �`) �f'r'll'lf'��/ 1� Ci t) 017*
Complaint Location 2-q '��SSic i h1 n
VIOLATION TYPE [� BUILDING D HEALTH D PLANNING
A P . # 7 _Q 30 -CQ 7
Zoning -1
Taken By:
D OTHER
COMPLAINT: (-Q C% it Lw- poc --t- W 1l`i I
C.
PERMIT HISTORY ON FILE NONE AS FOLLOWS:
------------------------------- --------- ----------------------------------
FIELD INFORMATION
TENANT: Name Address
Description of Violation
OTHER COMMENTS:
Approx. Bldg./MH Size Approx. Bldg./MH Age
F7 Under Construction Built By./For Present Owner D Previous Owner D Occupied
D Has Power Has Gas Q Has Sanitation Facilities
DWritten Notice Given & Attached Person Contacted
Describe Action Taken:
ACTION RECOMMENDED:
Information only, file 10 Day Letter
Letter Hold for Days
Other
BY: DATE
COMPLAINANT �('�,� ioxackch
ADDRESS:. 25SG 7 O ( ss 1 CA, 6t!L-- i o o
PHONE NUMBER:
OTHER COMMENTS:
COUNTY OF BUTTE
3PW08 �^
`^ ' ENVIRONMENTAL HEALTH
- �
PARCEL: 042 030 007 000 STATUS: ACTIVE
NAME SMITH RICHARD C & CONSTANCE J REV TR
ADDR SMITH RICHARDC & CONSTANCE,J TRS
2260 KENNEDY AVE '
OHICO CA 95926
DESC: 2923 CUSSICK AVE
NOTE: 4203006700 CONVERTED 09/08/88
04/08/96
INQUIRY
TRA: 062006 CITY:
USE: R7 #DWELL:' 0002
ZONE: SRI
FLOOD ZONE: '
Cd VIOL: CIT:
' CURR DEED/DT: 93R12042 930329
\
VALUES FOR
1995-96 .
NIT ACT ARCA ______
WATER
DIST
LAND
14,593
FLD PI ARCA
SEWER
DIST
IMP
17,511
PAR WS PA
HOUSE
VIOL
HO EX '
0
UNDRGRD TANK
OTHER�
HAZ MAT SITE ______
'
�
� COMMENTS:
_________________________________________�___
.
�
'
_________________________________.____
----------------------------------------
_ ____��__
_-------
'
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�_ '.
'
�'
------------
-----------------------
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42
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e'
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1 �' 3 ?s3�? 32 N `► d$ 2 �o
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7
m 30 74ZZ 8
'.- 901•x: a 57 73 $ l.00Ac O
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X 2 / / �`Z1 g2 69y 72 0 W
p r.00AC / 1.
\• � 6 0PORTION OF k
303 pG \5y 7l 110 %C% ! N� nwRnlwo�r 0
S O 't NORTHWOOD COMMONS COMMONS
ro
\ 'f 1.24AC -9 y 66 0 0 '
`' 9.1 �0 ( �, PHASE= PHASE' �
0 2 �'o/ OOAC
• I_
(jro)
32 / -/' 5 Q
34 93 m . p lv o g -( N 0649
,.
' O3 2� \• `,�',, s 8/ � � 3 Z, !. OOAC � N 6
' , v 68 \ gB 2 tP NORTHWOOD COMMONS
/' Z$ 2\ +s 6 c d 1.�OAC V N Z X266' 4,f4 PHASE 3i
4 cv \
6
,,� Z srO P�
o \32 % 85 0�- 0 �0 ! 1.28ac 1.osAC.
20�- IAC , �t cP ,s 32
6
\ 14 140 �50 ; $'362 G5(. y4
ro
6
49 s t.SAc 11.12AC. 320.0 \5�' 4j N
Y
/AC g\ 't\ '.47 AC
To
\oho z !.5 Ac 014\y 33 "0 1.09A3111,
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1.09 AC.
tl
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76
A \g • 09
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bill e 04 7s �s 9
1.09Af�o y 07
s .
co
NOTE' These Porcels are for assessment purposes
+ on0y and nWnot consfltuts *9@1 pwcees.
Assessor's Map No. 42- 03
ROSEWOOD SUB M. 0. R 95-26/27, 13 JUN 84
CUSSicx Tract M.O.R.. 8/r. / Rg. 49 j 1 p
LS SUBDtV1StON 130 M. 0. R. 30/31 8-I1-93 LOTS V5 County of Butter Calif.
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